title: What is needed on a laboratory test request form?
abstract: In the development of a screening programme for genital tract Chlamydia trachomatis infection, a modified test request form was devised and used successfully both to request the test, to collect data and to inform patients. Our examination of the practicalities and ethical and confidentiality issues involved in making a request for a laboratory test to assist clinical diagnosis or management, resulted in the introduction of extra features that we had not previously seen used in the design of request forms. Coded response boxes can have adjacent questions attached as a perforated strip. Removal of this question strip leaves a completed form with no explicit sensitive data (figure 2). A detachable information sheet for patients can also be incorporated into the request form (figure 1). The design of a request form raises issues that do not appear to have been widely or formally debated.
authors.affiliation: St Catherine's Hospital, Church Road, Birkenhead CH42 0LQ. toni.gleave@wwccnt.nhs.uk
authors.forename: J
authors.initials: J
authors.lastname: Hopwood
authors.forename: T
authors.initials: T
authors.lastname: Gleave
authors.forename: H
authors.initials: H
authors.lastname: Mallinson
mesh_terms: D002690:Chlamydia Infections / Q000175:diagnosis*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D019411:Clinical Laboratory Techniques / Q000592:standards*; D003219:Confidentiality; D030881:Disclosure; D005568:Forms and Records Control / Q000592:standards*; D006801:Humans; D007755:Laboratories, Hospital / Q000592:standards; D008499:Medical Records / Q000592:standards; D012017:Referral and Consultation; D006113:United Kingdom