Difference between revisions of "Pathology requisitions"
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'''Pathology requisitions''' are the things that come with to the [[pathology]] specimens. They contain a large amount of information. | '''Pathology requisitions''' are the things that come with to the [[pathology]] specimens. They contain a large amount of information. | ||
==Information typically found on requisitions== | ==General== | ||
*Requisitions are a formal form of communication between healthcare providers and have implications in the [[quality]] of care.<ref name=pmid25991167>{{Cite journal | last1 = Benard | first1 = M. | last2 = Bouaud | first2 = J. | last3 = Marsault | first3 = C. | last4 = Boudghene | first4 = F. | last5 = Carette | first5 = MF. | last6 = Séroussi | first6 = B. | title = Diagnostic imaging requisition quality when using an electronic medical record: a before-after study. | journal = Stud Health Technol Inform | volume = 210 | issue = | pages = 364-8 | month = | year = 2015 | doi = | PMID = 25991167 }}</ref> | |||
===Information typically found on requisitions=== | |||
*Date. | *Date. | ||
*Patient identifiers. | *Patient identifiers. | ||
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*[[Clinical_history#Clinical_history_and_pathology|Clinical history]] - is considered a necessity and may be a legal requirement.<ref name=pmid10388918>{{Cite journal | last1 = Nakhleh | first1 = RE. | last2 = Gephardt | first2 = G. | last3 = Zarbo | first3 = RJ. | title = Necessity of clinical information in surgical pathology. | journal = Arch Pathol Lab Med | volume = 123 | issue = 7 | pages = 615-9 | month = Jul | year = 1999 | doi = 10.1043/0003-9985(1999)123<0615:NOCIIS>2.0.CO;2 | PMID = 10388918 }}</ref><ref name=reg965>R.R.O. 1990, Reg. 965, s. 31 (1). URL: [http://www.ontario.ca/laws/regulation/900965#BK23 http://www.ontario.ca/laws/regulation/900965#BK23]. Accessed on: 18 December 2015.</ref> | *[[Clinical_history#Clinical_history_and_pathology|Clinical history]] - is considered a necessity and may be a legal requirement.<ref name=pmid10388918>{{Cite journal | last1 = Nakhleh | first1 = RE. | last2 = Gephardt | first2 = G. | last3 = Zarbo | first3 = RJ. | title = Necessity of clinical information in surgical pathology. | journal = Arch Pathol Lab Med | volume = 123 | issue = 7 | pages = 615-9 | month = Jul | year = 1999 | doi = 10.1043/0003-9985(1999)123<0615:NOCIIS>2.0.CO;2 | PMID = 10388918 }}</ref><ref name=reg965>R.R.O. 1990, Reg. 965, s. 31 (1). URL: [http://www.ontario.ca/laws/regulation/900965#BK23 http://www.ontario.ca/laws/regulation/900965#BK23]. Accessed on: 18 December 2015.</ref> | ||
==Standardization of requisitions== | ===Standardization of requisitions=== | ||
===Prostate biopsies=== | ====Prostate biopsies==== | ||
*PSA ____. | *PSA ____. | ||
*Clinical T stage/DRE examination: ___. | *Clinical T stage/DRE examination: ___. | ||
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*Additional clinical information: ___. | *Additional clinical information: ___. | ||
===Colonoscopy=== | ====Colonoscopy==== | ||
*[http://www.bccancer.bc.ca/screening/Documents/COLON_Form-ColonoscopyReportingFormPage01.pdf Colonoscopy reporting form - BC Cancer Agency (bccancer.bc.ca)]. | *[http://www.bccancer.bc.ca/screening/Documents/COLON_Form-ColonoscopyReportingFormPage01.pdf Colonoscopy reporting form - BC Cancer Agency (bccancer.bc.ca)]. | ||
*[http://www.bccancer.bc.ca/screening/Documents/COLON_Instructions-ColonoscopyReportingFormInstructions.pdf Colonoscopy reporting form - Intructions - BC Cancer Agency (bccancer.bc.ca)]. | *[http://www.bccancer.bc.ca/screening/Documents/COLON_Instructions-ColonoscopyReportingFormInstructions.pdf Colonoscopy reporting form - Intructions - BC Cancer Agency (bccancer.bc.ca)]. | ||
Revision as of 15:33, 12 April 2017
Pathology requisitions are the things that come with to the pathology specimens. They contain a large amount of information.
General
- Requisitions are a formal form of communication between healthcare providers and have implications in the quality of care.[1]
Information typically found on requisitions
- Date.
- Patient identifiers.
- Source of specimen.
- Submitting physican.
- Sumitting clinic/operating room.
- Clinical history - is considered a necessity and may be a legal requirement.[2][3]
Standardization of requisitions
Prostate biopsies
- PSA ____.
- Clinical T stage/DRE examination: ___.
- 5-Alpha inhibitor use: Yes/No.
- Previous biopsy: Yes/No.
- Prior radiation therapy: Yes/No.
- Prostate measurements: SAG ___, AP ___, TRANS ___.
- Prostate volume: ___.
- PSA density ___.
- Additional clinical information: ___.
Colonoscopy
- Colonoscopy reporting form - BC Cancer Agency (bccancer.bc.ca).
- Colonoscopy reporting form - Intructions - BC Cancer Agency (bccancer.bc.ca).
See also
References
- ↑ Benard, M.; Bouaud, J.; Marsault, C.; Boudghene, F.; Carette, MF.; Séroussi, B. (2015). "Diagnostic imaging requisition quality when using an electronic medical record: a before-after study.". Stud Health Technol Inform 210: 364-8. PMID 25991167.
- ↑ Nakhleh, RE.; Gephardt, G.; Zarbo, RJ. (Jul 1999). "Necessity of clinical information in surgical pathology.". Arch Pathol Lab Med 123 (7): 615-9. doi:10.1043/0003-9985(1999)123<0615:NOCIIS>2.0.CO;2. PMID 10388918.
- ↑ R.R.O. 1990, Reg. 965, s. 31 (1). URL: http://www.ontario.ca/laws/regulation/900965#BK23. Accessed on: 18 December 2015.