/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/bmtoncologyhematology/,

/clinical/cckm-tools/content/order-sets/inpatient/bmtoncologyhematology/name-97831-en.cckm

201612362

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,BMT/Oncology/Hematology

IP - BMT - Myeloablative Umbilical Cord Blood - Adult - Post Transplant Labs [2352]

IP - BMT - Myeloablative Umbilical Cord Blood - Adult - Post Transplant Labs [2352] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, BMT/Oncology/Hematology


SmartSet: IP - BMT - MYELOABLATIVE UMBILICAL CORD BLOOD - ADULT -
POST TRANSPLANT LABS (ID:2352)
General Information
Display name: IP - BMT - Myeloablative Umbilical Cord Post-Transplant Labs - Adult -
Supplemental
Type: General
Merge priority: 0
Version comment:
Content source:
Synonyms: 1. MYELOABLATIVE
2. UMBILICAL CORD TRANSPLANT
3. UCB
4. UCBT
5. .BMT
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Laboratory
Draw Once on Day 0
CYCLOSPORINE LEVEL NEXT DRAW, Starting S+1 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
TACROLIMUS LEVEL NEXT DRAW, Starting S+1 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw Daily, Starting on Day 0
Page 1 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

CBC WITH DIFFERENTIAL NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6.
ELECTROLYTES NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6
BUN NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6
CREATININE NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6
GLUCOSE NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6
MAGNESIUM NEXT AM, Starting S+1 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 0-6
Draw Daily, Starting on Day 7
CBC WITH DIFFERENTIAL NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13.
ELECTROLYTES NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13
BUN NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13
CREATININE NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13
GLUCOSE NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13
Page 2 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

MAGNESIUM NEXT AM, Starting S+8 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 7-13
Draw Daily, Starting on Day 14
CBC WITH DIFFERENTIAL NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20.
ELECTROLYTES NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20
BUN NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20
CREATININE NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20
GLUCOSE NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20
MAGNESIUM NEXT AM, Starting S+15 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 14-20
Draw Daily, Starting on Day 21
CBC WITH DIFFERENTIAL NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27.
ELECTROLYTES NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27
BUN NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27
CREATININE NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27
Page 3 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

GLUCOSE NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27
MAGNESIUM NEXT AM, Starting S+22 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 21-27
Draw Daily, Starting on Day 28
CBC WITH DIFFERENTIAL NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34.
ELECTROLYTES NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34
BUN NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34
CREATININE NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34
GLUCOSE NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34
MAGNESIUM NEXT AM, Starting S+29 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 28-34
Draw Daily, Starting on Day 35
CBC WITH DIFFERENTIAL NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41.
ELECTROLYTES NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41
BUN NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41
Page 4 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

CREATININE NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41
GLUCOSE NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41
MAGNESIUM NEXT AM, Starting S+36 For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Days 35-41
Draw Daily, Day 0 - Day +7, for NON-Study Patients
HEMOGLOBIN NEXT AM, Starting S+1 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+1 For 7 Occurrences, 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 +8, for Non-Study Patients
CBC WITH DIFFERENTIAL NEXT AM, Starting S+9 For 7 Occurrences, 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 0
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?
Days 0-6.
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?
Days 0-6.
ALKALINE PHOSPHATASE 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?
Days 0-6.
Page 5 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

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?
Days 0-6.
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?
Days 0-6.
CALCIUM 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?
Days 0-6.
PHOSPHATE 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?
Days 0-6.
ALBUMIN 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?
Days 0-6.
PROTEIN, 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?
Days 0-6.
CYCLOSPORINE LEVEL 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?
Days 0-6.
TACROLIMUS LEVEL 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?
Days 0-6.
Draw Every Monday and Thursday, Starting Day 7
Page 6 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

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?
Days 7-13.
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?
Days 7-13.
ALKALINE PHOSPHATASE 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?
Days 7-13.
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?
Days 7-13.
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?
Days 7-13.
CALCIUM 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?
Days 7-13.
PHOSPHATE 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?
Days 7-13.
ALBUMIN 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?
Days 7-13.
Page 7 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

PROTEIN, 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?
Days 7-13.
CYCLOSPORINE LEVEL 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?
Days 7-13.
TACROLIMUS LEVEL 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?
Days 7-13.
Draw Every Monday and Thursday, Starting Day 14
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?
Days 14-20.
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?
Days 14-20.
ALKALINE PHOSPHATASE 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?
Days 14-20.
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?
Days 14-20.
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?
Days 14-20.
Page 8 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

CALCIUM 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?
Days 14-20.
PHOSPHATE 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?
Days 14-20.
ALBUMIN 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?
Days 14-20.
PROTEIN, 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?
Days 14-20.
CYCLOSPORINE LEVEL 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?
Days 14-20.
TACROLIMUS LEVEL 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?
Days 14-20.
Draw Every Monday and Thursday, Starting Day 21
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?
Days 21-27.
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?
Days 21-27.
Page 9 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

ALKALINE PHOSPHATASE 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?
Days 21-27.
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?
Days 21-27.
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?
Days 21-27.
CALCIUM 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?
Days 21-27.
PHOSPHATE 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?
Days 21-27.
ALBUMIN 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?
Days 21-27.
PROTEIN, 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?
Days 21-27.
CYCLOSPORINE LEVEL 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?
Days 21-27.
Page 10 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

TACROLIMUS LEVEL 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?
Days 21-27.
Draw Every Monday and Thursday, Starting Day 28
LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
CALCIUM EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
Page 11 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+29
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?
Days 28-34.
Draw Every Monday and Thursday, Starting Day 35
LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
Page 12 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
CALCIUM EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+36
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?
Days 35-41.
Draw Every Monday and Thursday, Starting the First Monday after Day +21 for Patients who
are CMV Positive
CMV QUANTITATIVE BY PCR 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 Every Monday and Thursday, Starting the First Monday after Day +28 for Patients who
are CMV Positive
Page 13 of 15
Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

CMV QUANTITATIVE BY PCR EVERY MONDAY AND THURSDAY, Starting S+29
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, Starting the First Monday after Day +35 for Patients who
are CMV Positive
CMV QUANTITATIVE BY PCR EVERY MONDAY AND THURSDAY, Starting S+36
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 Once on Day +21 if White Blood Cell Count is Less than 500
STR ENGRAFTMENT POPULATION 1 ON
BONE BARROW - MUST BE ORDERED WITH
STR ENGRAFTMENT POPULATION 2
CONDITIONAL - RN COLLECT, Starting S+22 For 1
Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw if white blood
cell count is less than 500
STR ENGRAFTMENT POPULATION 2 ON
BONE MARROW - MUST BE ORDERED WITH
STR ENGRAFTMENT POPULATION 1
CONDITIONAL - RN COLLECT, Starting S+22 For 1
Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw if white blood
cell count is less than 500
Draw Once on Day +28 for Research Study Patients
STR ENGRAFTMENT POPULATION 1 - MUST
BE ORDERED WITH STR ENGRAFTMENT
POPULATION 2
NEXT DRAW, Starting S+29 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
STR ENGRAFTMENT POPULATION 2 - MUST
BE ORDERED WITH STR ENGRAFTMENT
POPULATION 1
NEXT DRAW, Starting S+29 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
IMMUNOGLOBULIN G, SERUM NEXT DRAW, Starting S+29 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
IMMUNOGLOBULIN A NEXT DRAW, Starting S+29 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
IMMUNOGLOBULIN M NEXT DRAW, Starting S+29 For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Criteria
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12/2016CCKM@uwhealth.org

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Printed by STRAKA, KEVIN F [KFS1] at 12/21/2016 11:59:52 AM
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12/2016CCKM@uwhealth.org