Pathology requisitions

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Pathology requisitions are the things that come with pathology specimens. They contain a large amount of information and provide context.


  • Requisitions are a formal form of communication between healthcare providers and have implications in the quality of care.[1]
    • Elements of requisitions, such as the completeness of the clinical history, may be audited as part of a quality program.[2]

Information typically found on requisitions

  • Date.
  • Patient identifiers.
  • Source of specimen.
  • Submitting physican.
  • Submitting clinic/operating room.
  • Clinical history - considered a necessity and may be a legal requirement.[3][4]

Standardization of requisitions

Standardization of requsitions:

  • Facilitates analysis work, both with respect to: (1) quality of care, and (2) pathophysiology of disease.
  • Likely facilitates a higher standard of care, based on the significant body of research on checklist use inside and outside of medicine.[5][6]

Prostate biopsies - clinical history checklist

  • PSA ____ ng/ml.
  • Clinical T stage/DRE examination: ___.
  • 5-Alpha inhibitor use: Yes/No.
  • Previous biopsy: Yes/No.
  • Prior radiation therapy: Yes/No.
  • Prostate measurements: SAG ___ cm, AP ___ cm, TRANS ___ cm.
    • Prostate volume: ___ cm3.
  • PSA density ___ ng/ml2.
  • Additional clinical information: ___.

Urinary bladder biopsies/TURBTs - clinical history checklist

  • History of bladder tumour: No/Yes.
  • BCG treatment: Yes/No.
  • Erythema: Yes/No.
  • Definite tumour: Yes/No.
    • Location of tumour: ___.
    • Clinical stage: ___.
  • Other clinical information: ___.

Lung mass - clinical history checklist

  • Previous lung biopsy: No/Yes.
  • History of cancer: No/Yes - primary site _______.
  • Suspected cancer: No/Yes
    • If Yes: primary lung/metastasis, clinical stage _______.
  • Exposure history, e.g. smoking: _______.
  • Other relevant information: _______.


See also


  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. Duggan MA and Trotter T. "Alberta Health Services: Anatomical Pathology Quality Assurance Plan". Canadian Journal of Pathology. 2016;8(3):10-35.
  3. 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.
  4. R.R.O. 1990, Reg. 965, s. 31 (1). URL: Accessed on: 18 December 2015.
  5. Soar J, Peyton J, Leonard M, Pullyblank AM (2009). "Surgical safety checklists". BMJ 338: b220. PMID 19158173.
  6. Gawande A. The checklist manifesto: How to get things right. Metropolitan Books. 2009. URL: ISBN-13 978-0805091748.