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TEST REQUEST MINIMUM REQUIREMENTS - Alberta Health …

AHS Laboratory Services Laboratory Quality Manual Laboratory Policy Acceptance of Laboratory Samples and Test Requests Policy - Appendix A Document Number:PQMPMJ00004A. Effective Date: 22 November 2018 Version: TEST REQUEST MINIMUM REQUIREMENTS . SAMPLE MAJOR MINOR ADDITIONAL. TYPE REQUIREMENTS PREFERRED. OTHER REQUIRED INFORMATION INFORMATION. CLINICAL NAME IDENTIFIER UNIQUE IDENTIFIER SAMPLE SPECIFIC. Patient's full first and At least one (preferably two) of - Body site/sample type (if - Date of Birth (DOB) - Priority status if other last name the following assigned applicable)* than routine - Gender - Collector ID.

Pathology, Cytology, Microbiology, Genetics-Exact site (e.g. laterality, lobes, quadrants, etc), organ of origin and procedure type - Relevant clinical history ** Time tissue removed & time tissue in fixative **Collection date and time, if applicable - Priority status if other than routine - Collector ID - Phone/ fax number of requester and ...

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