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.

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

See also

References

  1. 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.
  2. 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.
  3. R.R.O. 1990, Reg. 965, s. 31 (1). URL: http://www.ontario.ca/laws/regulation/900965#BK23. Accessed on: 18 December 2015.