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IP - Urology - Adult - Discharge [3409]

IP - Urology - Adult - Discharge [3409] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Urology


IP - Urology - Adult - Discharge [3409]
Skilled Nursing Facility Orders
This Patient is going to a skilled nursing facilty, directly below is a group of orders commonly
associated with this patient population. Please review the orders below and select the
appropriate ones for this patient. If this patient is not going to a SNF, contact Case Management
to update the discharge plan. Updating the discharge plan will remove this set of SNF orders from
the order set.
Skilled Nursing Facility Certification Statement [114940]
Facility Certification Statement [NURCOM0069] Routine
Skilled Nursing Facility Admit Order [114941]
Admit to Skilled Nursing Facility [ADT0015] Routine
Skilled Nursing Facility Patient Care Orders [111713]
For dyspnea, Oxygen at 2 L/minute per nasal
canula; If this is an acute change for the patient
call PCP with assessment ASAP after oxygen is
started. Suction PRN to clear airways.
[NURCOM0022]
Routine
DME - Home Oxygen [1009468] Patient's O2 Requirements Assessed and Meets
Criteria for Home O2:
Delivery Device:
Equipment Needed:
Continuous (liters/min):
Continuous (FiO2):
With Activity (liters/min):
With Activity (FiO2):
With Sleep (liters/min):
With Sleep (FiO2):
Length of Need:
Vendor:
DME - CPAP [1009443] Formal Sleep Study Completed:
Diagnosis:
CPAP Pressure (cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessed and Meets Criteria for Home
O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
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Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 05/2017CCKM@uwhealth.org

DME - BiPAP (S) [1009441] Patient Has Been Assessed and Meets Criteria for
Home BiPAP (S):
Diagnosis:
BiPAP Pressure - IPAP - Inspiratory Pressure
(cmH2O):
BiPAP Pressure - EPAP - Expiratory Pressure
(cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessed and Meets Criteria for Home
O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
DME - BiPAP (S/T) [1009442] Patient Has Been Assessed and Meets Criteria for
Home BiPAP (S/T):
Diagnosis:
Respiratory Rate:
BiPAP Pressure - IPAP - Inspiratory Pressure
(cmH2O):
BiPAP Pressure - EPAP - Expiratory Pressure
(cmH2O):
Oxygen Bleed-In (Liters/min):
Oxygen Bleed-In (FiO2):
If New Prescription for Oxygen Bleed-In, Patient's O2
Requirements Assessed and Meets Criteria for Home
O2:
Vendor:
Vendor City:
Vendor Phone:
Vendor Fax:
Patient may self administer medication per RN
assessment [NURCOM0022]
Routine
Patient medications (per Skilled Nursing Facility
policy) may be left at bedside [NURCOM0022]
Routine
Facility Therapy Needs [113391]
Physical Therapy to Evaluate and Treat at Next
Facility [NURCOM0022]
Routine
Occupational Therapy to Evaluate and Treat at
Next Facility [NURCOM0022]
Routine
Speech Therapy to Evaluate and Treat at Next
Facility [NURCOM0022]
Routine
Communicable Diseases [111717]
State Law requires at least one of the following statements be checked for your patient. May check both
if applicable
DHS 132.52 URL: http://docs.legis.wisconsin.gov/code/admin_code/dhs/110/132/V/52
Patient has been screened for TB within the last
90 days prior to admission and does not have
any other clinically apparent communicable
diseases. [NURCOM0022]
Routine
Page 2 of 11
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Patient has been found to have a communicable
disease, procedures to treat and limit the spread
of the disease have been ordered.
[NURCOM0022]
Routine
Analgesics [111708]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, 1 tab, 1, starting 5/8/17, No Print
acetaMINOPHEN (TYLENOL) suppository
[34153]
650 mg, 1 suppository, 1, starting 5/8/17, No Print
Blood Glucose Management [111710]
glucagon 1 mg injection kit [107799] 1 mg, 1 each, 1, starting 5/8/17, No Print
Glucose 40 % oral gel [118089] 10 g, 1 Tube, 1, starting 5/8/17, No Print
Nursing Communication [NURCOM0022] Routine, Notify {Notify for Blood Glucose:3004146} if
blood glucose is greater than 400 mg/dL or less than
40 mg/dL
Diabetes Care Instructions [NURCOM0112] Routine, - Patient's blood glucose goal range before
meals is *** mg/dL.
- Monitor patient's blood glucose {Glucose Monitoring
Frequency:25242}.
- If your patient's blood glucoses are uncontrolled
contact provider.
- "Uncontrolled" blood glucoses mean:
* Blood glucose above 150 mg/dL more than half the
time during a week.
* Blood glucose over *** mg/dL.
* Blood glucose less than 70 mg/dL two or more times
per week (or if having signs/symptoms of low blood
glucose such as shaking, sweating, or light-
headedness).
Bowel Management [111709]
bisacodyl (DULCOLAX) rectal suppository
[35231]
10 mg, 1 suppository, 1, starting 5/8/17, No Print
Senna-Docusate Sodium 8.6-50 MG per tab
[70181]
1-2 tab, 1 tab, 1, starting 5/8/17, No Print
magnesium hydroxide (MILK OF MAGNESIA)
susp [65443]
30 mL, 1 Bottle, 1, starting 5/8/17, No Print
polyethylene glycol (MIRALAX) oral powder
[61353]
17 g, 1 Bottle, 1, starting 5/8/17, No Print
Patient Care Orders
Confirmed Discharge Date/Time [151653]
Confirmed Discharge Date/Time [ADT0013] Confirmed Discharge Date:
Confirmed Discharge Time:
Conditions for Discharge:
Provider to be Present at Discharge?
Reason for Hospitalization [131006]
Why You Were Hospitalized [NURCOM0073] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine
Activity (Single Response) [102901]
No Activity Restrictions [NURACT0008] Routine
Discharge Activity: See Instructions
No activity restrictions.
Page 3 of 11
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Activity [NURACT0008] Routine
Discharge Activity:
No lifting greater than 10-20 pounds. Unless
instructed otherwise, please take short, frequent
walks around the house after being discharged to
help prevent pneumonia and blood clots.
Nutrition (Single Response) [102058]
General Diet Without Restrictions [NUT8888] Routine
General: General (No Modifications)
Diet Modifications:
Other Diet Modifications:
Diabetic Diet [NUT8888] Routine
General:
Diet Modifications: Diabetes
Other Diet Modifications:
Wound Care [131101]
Wound Care [NURWND0015] Routine, You may shower but no tub baths for 14
days. If you have an operative incision, monitor
wound(s) for signs and symptoms of infection
(redness, swelling, drainage, odor).
Drain Management [102243]
Maintain PICC [NURVAD0050] Routine, PICC Line secured with Statlock. Change
with routine dressing changes. Flush with Heparinized
Saline.
Maintain Suprapubic Catheter [NURTAD0028] Routine
Maintain Urinary Catheter [NURELM0013] Routine, Indwelling single lumen catheter with
dependent drainage. Secure to leg as instructed.
Overnight bag is okay. May flush with normal saline
as directed.
Maintain Nephrostomy Tube [NURTAD0025] Routine
Location:
Drainage Options:
Flush With(Must also enter seperate medication order
to obtain drug):
Site Assessment Frequency:
Care Frequency:
Wash With:
Primary Dressing:
Secondary Dressing:
Nephrostomy Tube with dependent drainage. Flush
with normal saline as needed. Wash with Sodium
Chloride 0.9%. Use gauze dressing and abdomen
pad.
Maintain Jackson-Pratt Drain [NURTAD0003] Routine, Empty as needed. Routine dressing
changes.
Record daily outputs and bring dairy to your clinic
visit.
Bowel Care [123362]
Bowel Care [NURELM0068] Routine
Bladder Care [123380]
Bladder Care [NURELM0067] Routine
Other Patient Care Instructions [123395]
Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Strain All Urine, Save Fragments.
Page 4 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, No driving while on narcotics.
When to Call Your Doctor [131007]
When to Call Your Doctor [NURCOM0079] Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan.
You should include specific instructions on when and
who to call.
You should include actual provider names (i.e. not
'PCP').
You should NOT include the discharging unit as a
contact., Routine, Call your doctor if you have any of
these symptoms: increased incisional pain not
relieved by medication, fever over >100.5 degrees F
(38 C) for 24 hours, chest pain, increased shortness
of breath.
For these and any other post-operative
questions/concerns, call the UWHC Urology Clinic at
(608) 263-4757.
For emergent concerns after hours, call UWHC
paging at 608-263-6400 and ask for the urology
resident on call.
Follow-Up Care
Follow Up Appointments [101742]
Schedule Appointment with Urology MD
[NURCOM0026]
Reason for Hospital Follow Up Appointment: Post Op
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Urology
Schedule Appointment with Urology Advance
Practice Provider [NURCOM0026]
Reason for Hospital Follow Up Appointment: Post Op
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Urology
Schedule Appointment with Primary Care
Physician [NURCOM0026]
Reason for Hospital Follow Up Appointment:
Which Provider: Patient's Specific PCP/Care Team
When do you want appointment:
Which Clinic or Specialty:
Schedule Appointment for Urology Procedure -
Catheter Removal and Voiding Trial
[NURCOM0026]
Reason for Hospital Follow Up Appointment: Catheter
Removal and Voiding Trial
Which Provider: Other Provider or Specialist
When do you want appointment:
Which Clinic or Specialty: Urology Clinic
Patient to Schedule Appointment
[NURCOM0056]
Routine
Purpose: Phone follow up
With whom:
For when: PRN
Follow Up Appointments - Diabetes (Single Response) [148552]
*** RESPONSE REQUIRED *** This order facilitates documentation (only) about follow-up
appointments for patients with diabetes. Scheduling an appointment before discharge with a
provider who will manage a patient’s diabetes care (e.g., primary care physician,
endocrinologist, etc.) is a Joint Commission requirement. Exclusions are allowed based upon
patient situation (e.g., discharge to a skilled nursing facility, patient refusal, etc.). Only select
“Appointment Scheduled” if an appointment has already been scheduled, and use the Schedule
Appointment order as needed to request assistance in scheduling
Page 5 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
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No appointment: Patient does not have diabetes
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
does not have diabetes
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Appointment scheduled (with provider who can
manage diabetes) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled
(with provider who can manage diabetes)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Appointment scheduled per patient report
(ENTER DATE IN COMMENTS) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment scheduled
per patient report (ENTER DATE IN COMMENTS)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Page 6 of 11
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Appointment pending: patient discharged on
weekend; follow-up information provided
[COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Appointment pending:
patient discharged on weekend; follow-up information
provided
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Free clinic information provided [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): Free clinic information
provided
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
No appointment: Patient discharging to a facility
(e.g., skilled nursing facility, correctional facility,
etc.) [COR0064]
ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
discharging to a facility (e.g., skilled nursing facility,
correctional facility, etc.)
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Page 7 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
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05/2017CCKM@uwhealth.org

No appointment: Patient refusal [COR0064] ONCE, Starting today For 1 Occurrences, Routine
Documentation (required): No appointment: Patient
refusal
1. This order facilitates documentation (only) about
follow-up appointments for patients with diabetes.
2. Scheduling an appointment before discharge with a
provider who will manage a patient's diabetes care
(e.g., primary care physician, endocrinologist, etc.) is
a Joint Commission requirement. Exclusions are
allowed based upon patient situation (e.g., patient
discharging to a skilled nursing facility, patient refusal,
etc.)
3. Only select "Appointment Scheduled" if an
appointment has already been scheduled with a
provider who can manage patient's diabetes.
4. Use the Schedule Appointment order as needed to
request assistance in scheduling an appointment.
Discharge Labs [134929]
Page 8 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
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05/2017CCKM@uwhealth.org

Please use the table below to determine what type of order to use to place discharge lab
orders.
Discharge Labs Workflow URL: https://uconnect.wisc.edu/growth/training--
education/health-link/10-minutes/inpatient-
discharge-consult/resources/name-82993-en.file
Recommended Discharge Labs [NURCOM0075] Details
Who is Responsible for the
Result?
Where Will Labs be
Completed?
What Order Should You
Use?
Current Attending Provider UW Health Lab Specific lab orders (A)
Non-UW Health Lab
Specific lab orders with order
class changed to OUTSIDE
(B)
Current Consulting Provider
UW Health Lab
Specific lab orders with
AUTHORIZING PROVIDER
CHANGED TO
CONSULTANT (A)
Non-UW Health Lab
Specific lab orders with order
class changed to OUTSIDE
and AUTHORIZING
PROVIDER CHANGED TO
CONSULTANT (B)
Another Provider
UW Health Lab
Recommended Discharge
Labs (C)
Non-UW Health Lab
Recommended Discharge
Labs (C)
(A) SPECIFIC LAB ORDERS:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER
will be responsible for the result of the lab AND the patient will have the labs completed at a
UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient's care will be responsible for
the result, you must change the AUTHORIZING PROVIDER on the order to the
CONSULTING PROVIDER before signing the order. To do this, click the Providers button
near the top of the Review, Sign & Hold tab of the discharge navigator. Update the
authorizing provider to the consulting provider.
(B) SPECIFIC LAB ORDER WITH ORDER CLASS CHANGED TO OUTSIDE:
These orders should be used if the CURRENT ATTENDING OR CONSULTING PROVIDER
will be responsible for the result of the lab AND the patient will have labs completed at a NON-
UW HEALTH LAB.
If a CONSULTING PROVIDER currently involved in the patient’s care will be responsible for
the result, you must change the AUTHORIZING PROVIDER on the order to the
CONSULTING PROVIDER before signing the order. To do this, click the Providers button
near the top of the Review, Sign & Hold tab of the discharge navigator. Update the
authorizing provider to the consulting provider.
The patient will receive a paper order to take to the lab.
(C) RECOMMENDED DISCHARGE LABS:
This order should be used to recommend to another provider labs that a patient should have
completed after discharge. The provider designated in the 'Send Recommendations To' field
is responsible for PLACING the lab orders AND will be responsible for the RESULTS of any
ordered labs.
Page 9 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
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Laboratory [101743]
Consulting Provider lab orders should only be used if the current Attending Provider or These
lab.will be responsible for the result of the
ALT/SGPT [ALT] Status: Standing, Expires:6/9/18 MANUAL,Count:1,
Normal, Routine
BASIC METABOLIC PANEL [BMET] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
C REACTIVE PROTEIN [CRPN] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CBC WITH DIFFERENTIAL [CBC] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CBC WITHOUT DIFFERENTIAL [HEMO] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
PROTHROMBIN TIME/INR [PT] Status: Standing, Expires:6/9/18 MANUAL,Count:1,
Normal, Routine
ELECTROLYTES [LYTE] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
ESR [ESR] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
BUN [BUN] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CREATININE [CRET] Status: Standing, Expires:6/9/18 MANUAL,Count:1,
Normal, Routine
GLUCOSE [GLU] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CALCIUM [CA] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
PSA TOTAL, SCREEN [PSAM] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
PSA TOTAL, DIAGNOSTIC [PSA] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
URINALYSIS WITH MICROSCOPY [UA] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
URINALYSIS WITH MICROSCOPY AND
CULTURE IF >5 WBC/HPF [HCUACULT]
Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
URINALYSIS WITH MICROSCOPY -
Nephrostomy Tube [UA]
Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CULTURE, URINE [URC] Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
CULTURE, URINE WITH GRAM STAIN
[HCURNCS]
Status: Standing, Expires:9/7/17 MANUAL,Count:1,
Normal, Routine
Diagnostic Tests and Imaging [101744]
X-RAY ABDOMEN AP VIEW (KUB) [R74000] Status: Future, Expires: 7/8/18, Normal, Routine
Kidney Ureter Bladder (KUB) - Performed in
Urology Clinic [GU0025]
Normal, Routine, Qty-1
X-RAY CHEST PA & LAT VIEWS [R71020] Status: Future, Expires: 7/8/18, Normal, Routine
CT ABDOMEN PELVIS W & W/ O IV
CONTRAST [R07033]
Status: Future, Expires: 7/8/18, Normal, Routine
NM KIDNEY SCAN W FLOW & FUNCTION W
RX [R78708]
Status: Future, Expires: 7/8/18, Normal, Routine
GU VOIDING CYSTOURETHROGRAM
[R74455]
Status: Future, Expires: 7/8/18, Normal, Routine
CT FLANK PAIN [R99992] Status: Future, Expires: 7/8/18, Normal, Routine
CT UROGRAPHY W & W/O IV CONTRAST
[R07417]
Status: Future, Expires: 7/8/18, Normal, Routine
Page 10 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
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Cystogram (performed in Urology) [GU0015] Normal, Routine, Qty-1
Cystoscopy With or Without Stent Removal
[GU0016]
Normal, Routine, Qty-1
US KIDNEY W/DEEP DOPPLER [R07705] Status: Future, Expires: 7/8/18, Normal, Routine
MRI ABDOMEN PELVIS W & W/ O CONTRAST
[R07020]
Status: Future, Expires: 7/8/18, Normal, Routine
Page 11 of 11
Printed by O'BRIEN, RYLEY P [RPO249] at 5/8/2017 8:35:52 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
05/2017CCKM@uwhealth.org