Requisitions Purpose and Workflow

Requisitions Purpose and Workflow

Requisitions in the LIS are used to:

  • Schedule lab work to be performed in the future.
  • Track specimens already collected but not yet received by the lab.
  • Generate scheduled work from the Standing Orders module.

Requisitions remain in the Requisitions queue until they are converted into active Orders.

Patient selection (important)

  • Select the patient first before entering any other fields.
  • After a requisition is created, the patient cannot be changed.
  • If you chose the wrong patient:
    • Before saving: clear the form and select the correct patient.
    • After saving: cancel the requisition and create a new one for the correct patient.

Completing the requisition

Enter as much information as possible, even if not strictly required to ensure smooth downstream processing:

  • Ordering provider
  • Tests/panels
  • Collection details (date/time, site, collector, priority)
  • Bill-to and payer details (insurance/client/patient)
  • Diagnoses (ICD-10) and medical necessity notes
  • Special handling or transport instructions
  • Report distribution preferences and destinations
  • Internal notes/tags for routing

High-quality, complete data helps other departments, reduces delays, and minimizes callbacks to patients or providers.

Converting to an order

  • When ready, convert the requisition to an order; the system assigns an accession and applies routing/distribution rules.
  • Labels/requisitions can be printed at conversion (as configured).
  • Requisitions created from the web portal or EMR/HL7 interfaces follow the same conversion process.


Notes

Best practices

  • Verify patient demographics and payer data before saving.
  • Include anticipated collection date/time for scheduling, phlebotomy and courier planning.
  • Use clear notes for any special handling (e.g., fasting required, temperature control).
  • Cancel unused or incorrect requisitions to keep the queue clean; all actions are audit-logged.



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