What the requisition is for
The requisition orders the Klinrisk panel as one test under a single mnemonic. The panel is a CBC with random glucose, creatinine and eGFR, urea, sodium, potassium, ALT, alkaline phosphatase, bilirubin, albumin, calcium, magnesium, chloride, phosphate, bicarbonate and a urine albumin to creatinine ratio. LifeLabs calculates a risk score from these results for adults with, or at risk of, chronic kidney disease.
Who completes it
The ordering physician completes and signs it. When completed, the form counts as a referral to LifeLabs’ laboratory physicians.
How to fill in the requisition
Patient details
Enter the patient’s name, date of birth, sex, address, phone and Personal Health Number. LifeLabs can’t calculate the score without date of birth and sex, so those two fields matter more here than on a routine requisition.
Physician and copies
Give your name, MSC number and address, and a copy-to practitioner if needed. The bill-to line is already set to patient, private pay.
Fasting and diagnosis
Tick fasting no, since the form says not to fast. Add the indication, such as diabetes or hypertension, in diagnosis and comments.
Common reasons it’s delayed
- The patient arrives fasting and is sent to eat and return.
- The patient can’t give urine, so the visit can’t go ahead.
- Missing date of birth or sex.
- Extra tests added, which staff can’t change or add to.
Submitting and who pays
The patient attends a LifeLabs Patient Service Centre and gives blood and urine at the same visit. The test is uninsured, so the patient pays, and LifeLabs suggests checking whether their private insurer or health spending account covers it.