Lab Interface: Lab Requisitions

A requisition is a form that will need to be processed at the time of the specimen's collection. The requisition will display the patient's demographics and all information that was documented on the order. Once processed, this requisition will be sent electronically to the lab. Remember, the patient must be admitted, and a Lab Order is required before a requisition can be created.

When the specimen is received by the lab, they will use the requisition's ordered test to run the specimen. As the requisition will pull all of its information from the order, no requisitions will be available if an order has not been placed on the patient.

Important: If you run out of specimen labels, please contact us at [e-mail], and we will provide you with a batch of temporary barcodes to print, cut, and paste onto your specimen containers for your immediate needs. We will also ship additional labels to you.

Processing A Requisition Video

Labs Tab

To navigate to where all requisitions are managed, click on the Labs tab located at the top of the screen.

The Lab Test Requisitions tab allows the user who will process the requisition to control sent or created requisitions. If a requisition is unable to be sent because of a requirement, they will be listed here as well.

Processing a New Requisition

Required Permissions: To create a new requisition, you must have Lab Requisition Operator role or be Super Admin or Records Admin.

Let's review how to create a new Lab Requisition.

Please note: Lab Requisitions are only available for patients who have an active order for testing. Expired orders will not be available; the facility will need to enter a new order if testing is required.

1. From the Lab Test Requisitions tab, click Create.
2. A list of patient requisitions that are available to process Today will display (as determined by the order's frequency). 
   • The user will also have the ability to see requisitions that are due Tomorrow, on a custom date (click on Forecast and select a date from the pop-up calendar), or see all patients that have a requisition available for processing by clicking Manual.
3. Click the Create button to build the requisition.
4. Specimen ID: At the top of the requisition, the user will the Specimen box. This is where the user will scan in the barcode that is on the labels that were provided to them by Kipu or the lab.
5. Please fill out the label with the patient's information such as Name, Collection Date, DOB, and signature as determined by your facility's requirements.
6. Next, click the Specimen ID box and scan the barcode. This will populate the code into the box. If the scanner is unavailable, the user may type the code into the box. This code is case-sensitive so input it exactly as it is printed on the label or you'll receive an error. 
   • Please note the Specimen ID needs to be unique, so as soon as a barcode ID is used once, it cannot be used again.
7. The Collected At date will default to now.
8. If the specimen was collected on a different date and time, the date can be changed by clicking into the box and making the changes on the pop-up calendar. Please make sure if the day is changed, the time is also changed by using the sliders on the calendar as the time will default to 12:00 AM. There is also a Now button that can be clicked and will set the Collected At date and time back to current. When the date has been set on the calendar click Done.
   
9. Medical Test Orders: This section contains the tests/panels they are ordering with this specimen. This information is pulled from the Lab Orders placed on the patient's chart by the physician or nurse.
10. Point of Collection Results (POC): Some lab interfaces will offer the ability to document point of collection results. If they are available on the requisition, the user can document the results accordingly. These results will be saved to the requisition and can be pulled later by the facility if needed. If a POC question is not answered, the test won't be documented.
11. Clinical Data: Review the patient's current diagnosis and any prescribed medications at the time this requisition was created.
    
12. Sign Consent for Testing: Before the requisition can be sent to the lab, the patient must consent to the testing. Click Sign Consent for Testing.
    
13. Have the patient sign the consent and click Submit. 
14. Click Save & Send to send it to the lab.
     
15. If the patient is not available to sign the consent, click Save so that the requisition can be edited once the patient is available. The requisition won't be sent until Save & Send is selected. 

Managing Lab Requisitions

All requisitions that were sent, created, or are on hold due to a requirement will display on the list under the Lab Test Requisitions tab.

Important
Requisitions that are highlighted in blue indicate that their results have been released to the EMR.

Lab Requisition Statuses

The Lab Test Requisitions tab lists all patient requisitions with color-coded status labels. 

• Created: Requisition was created and saved, but not sent to the Lab.
• Sent: Requisition has been saved and sent to the Lab
• No Consent: Requisition was created and saved, but still requires the patient's signature before it can be processed. The Requisition has not been sent to the Lab.
• No Form: Requisition was created and saved, but still requires a signed consent form provided by the Lab in order to be processed. The Requisition has not been sent to the Lab.
• No Review: Requisition was created and saved, but still requires the Ordering Physician to review (sign) the Order for Testing to be processed. Click here for instructions. The Requisition has not been sent to the Lab.

Lab Requisition Actions

In the Lab Test Requisitions list view, users may take additional actions with the requisitions. Available actions include:

• Edit Requisition: For cases when Requisition was created but not completed, including acquiring a Patient Consent for Testing (only available on requisitions that have not been sent).
• Delete Requisition: For cases when the requisition was created in error (only available on requisitions that have not been sent).
• Send Requisition: When the Requisition is complete, and all other requirements are met (only available on requisitions that have not been sent and have no holds).