Minimum Dataset for Completing Request Forms

COMPLETING REQUEST FORMS

Requests from within the Trust and from General Practices for Microbiology Specimens.

SPECIALIST INFORMATION IS REQUIRED FOR ANDROLOGY, ANTIVIRAL RESISTANCE TESTING AND OUTBREAK TESTING. PLEASE PHONE THE LAB FOR MORE DETAILS: 0121 424 3256

The tables below indicate the essential data required on samples and request forms and outlines the desirable information which ideally should also be included.

 

Essential

 

Desirable

 

Request Form

 

1. Full name or coded identifier

 

2.PID or NHS number or date of birth

 

3.Location or destination for report

 

4.Consultant or General Practitioner

5.Specimen type

6.Test required

7. MUST be signed and dated by person collecting sample

1. Other information listed under essential if not used as an essential option.

2.Clinical information

 

3.Date and time sample collected (becomes essential when time factors affect test results)

 

4.Patient's address

 

5.Patient's sex

 

6.Practitioner's bleep number

 

7.Name of requesting practitioner

 

Specimen

1. Full name or coded identifier whichever is given on form

2.PID, NHS number or date of birth whichever is given on form

 

1. Other information listed under essential if not used as an essential option

2.Date and time taken

 

3.Destination for report

 

Requests from Other Hospitals for Microbiology Specimens.

 

SPECIALIST INFORMATION IS REQUIRED FOR ANDROLOGY, ANTIVIRAL RESISTANCE TESTING AND OUTBREAK TESTING. PLEASE PHONE THE LAB FOR MORE DETAILS: 0121 424 3256

 

The tables below indicate the essential data required on samples and request forms and outlines the desirable information which ideally should also be included.

 

Essential

 

Desirable

 

Request Form

1 identifier from each of 2 of the 3 sets listed below.

 

 

1. Name or coded identifier

2.PID, NHS number or date of birth

 

3.Requesting laboratory number

 

4.Location or destination for report

5.Specimen type

6.Test required

1. Other information listed under essential if not used as an essential option

2.Clinical information

 

3.Date and time sample collected (becomes essential when time factors affect test result)

 

4.Patient's address

 

5.Patient's sex

 

6.Name of requesting practitioner/ department

 

Specimen

 

1 identifier from each of 2 of the 3 sets listed below

and also stated on the request form.

 

 

1. Full Name or Coded identifier

2. PID or NHS number or date of birth

 

3.Requesting laboratory number

 

1. Other information listed under essential if not used as an essential option

2.Date and time taken

 

3. Destination for report

 

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The laboratories at Heartlands Hospital, Good Hope Hospital and Solihull Hospital form part of the services provided by University Hospitals Birmingham and are UKAS (United Kingdom Accreditation Service) accredited to the ISO 15189:2012 standard. For a list of accredited tests and other information please visit the UKAS website using the following link: https://www.ukas.com/find-an-organisation/

  • Heartlands, Good Hope and Solihull Hospital pathology laboratories are a UKAS accredited medical laboratory No.8217
  • United Kingdom Health Security Agency laboratory is a UKAS accredited medical laboratory No.8213

Tests not appearing on the UKAS Schedule of Accreditation currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.

For further test information, please visit the test database: http://www.heftpathology.com/frontpage/test-database.html.

Protection of personal information - Laboratory Medicine comply with the Trust Data Protection policy and have procedures in place to allow the Directorate and its employees to comply with the Data Protection act  1998 and associated best practice and guidance.

For further information contact Louise Fallon, Quality Manager, 0121 424 1235

UKAS HEFT