SmartSet: IP - BMT - AUTOLOGOUS STEM CELL TRANSPLANT - POST-

TRANSPLANT LABS (ID:1822)

General Information

Display name: IP - BMT - Autologous Stem Cell Transplant Post-Transplant Labs - Adult -

Supplemental

Type: General

Merge priority: 0

Version comment:

Content source:

Synonyms: 1. BMT

2. AUTOLOGOUS STEM CELL TRANSPLANT

3. BMT AUTO

4. .BMT

SmartSet notes:

Description:

Web information: Title URL

1.

Questionnaire:

Configuration

Laboratory

Draw Every Monday, Wednesday, Friday, and Sunday - Week 1

ELECTROLYTES EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+1 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+1 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 1 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

CREATININE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+1 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+1 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+1 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, Friday, and Sunday - Week 2

ELECTROLYTES EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+8 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+8 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+8 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+8 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+8 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, Friday, and Sunday - Week 3

ELECTROLYTES EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+15 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 2 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

BUN EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+15 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+15 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+15 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+15 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, Friday, and Sunday - Week 4

ELECTROLYTES EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+22 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+22 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+22 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+22 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM EVERY MONDAY, WEDNESDAY, FRIDAY, AND

SUNDAY, Starting S+22 with First Occurrence As

Scheduled For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday - Days 0 through 6

Page 3 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday - Days 7 through 13

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday - Days 14 through 20

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 4 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday - Days 21 through 27

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily for 5 Days

HEMOGLOBIN NEXT AM, Starting S+1 at 5:00 AM For 5 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PLATELET COUNT NEXT AM, Starting S+1 at 5:00 AM For 5 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting Day +5

Page 5 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

HEMOGLOBIN NEXT AM, Starting S+6 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PLATELET COUNT NEXT AM, Starting S+6 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

WHITE CELL COUNT NEXT AM, Starting S+6 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, WEDNESDAY, FRIDAY,

SATURDAY AND SUNDAY, Starting S+6 For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting Day +12

HEMOGLOBIN NEXT AM, Starting S+13 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PLATELET COUNT NEXT AM, Starting S+13 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

WHITE CELL COUNT NEXT AM, Starting S+13 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, WEDNESDAY, FRIDAY,

SATURDAY AND SUNDAY, Starting S+13 For 7

Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting Day +19

HEMOGLOBIN NEXT AM, Starting S+20 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PLATELET COUNT NEXT AM, Starting S+20 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 6 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

WHITE CELL COUNT NEXT AM, Starting S+20 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, WEDNESDAY, FRIDAY,

SATURDAY AND SUNDAY, Starting S+20 For 7

Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting Day +26

HEMOGLOBIN NEXT AM, Starting S+27 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PLATELET COUNT NEXT AM, Starting S+27 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

WHITE CELL COUNT NEXT AM, Starting S+27 at 5:00 AM For 7

Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, WEDNESDAY, FRIDAY,

SATURDAY AND SUNDAY, Starting S+27 For 7

Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day +5

WHITE CELL COUNT AND DIFFERENTIAL EVERY MONDAY AND THURSDAY, Starting S+6

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day +12

WHITE CELL COUNT AND DIFFERENTIAL EVERY MONDAY AND THURSDAY, Starting S+13

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day +19

WHITE CELL COUNT AND DIFFERENTIAL EVERY MONDAY AND THURSDAY, Starting S+20

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day +26

Page 7 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

WHITE CELL COUNT AND DIFFERENTIAL EVERY MONDAY AND THURSDAY, Starting S+27

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

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Page 8 of 8

Printed by STRAKA, KEVIN F [KFS1] at 1/3/2017 9:36:42 AM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org