Guidelines and Provincial Policies

The table below reflects changes to the guidelines and policies associated with the Laboratory Services Act and Regulation in BC.

Guideline and Provincial Policy Records of Decision under the Laboratory Services Act​.

BC Guidelines and Protocols

LSA ROD #

Record of Decision

LSA2019-004

Adoption of GPAC guideline:  C-Reactive Protein and Erythrocyte Sedimentation Rate Testing

In accordance with Section 23(3) of the Laboratory Services Act, the following BC Guidelines and Protocols is adopted.

Effective February 28, 2019, the Ministry of Health adopted the  Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder under the Laboratory Services Act (LSA).
LSA2018-023

Adoption of GPAC guideline: Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder

In accordance with Section 23(3) of the Laboratory Services Act, the following BC Guidelines and Protocols is adopted.

Effective November 22, 2018, the Ministry of Health adopted the Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder under the Laboratory Services Act (LSA).
LSA2018-019

Adoption of the revised GPAC Testosterone Testing Protocol

In accordance with Section 23(3) of the Laboratory Services Act, the following BC Guidelines and Protocols are adopted.

Effective September 27, 2018, the Ministry of Health adopted the Testosterone Testing Protocol under the Laboratory Services Act (LSA).

LSA2017-038

Rescind Record of Decision LSA2015-007 and Adopt Existing BC Clinical Guidelines and Protocols

In accordance with Section 23(3) of the Laboratory Services Act, the following BC Guidelines and Protocols are adopted.

Effective January 2, 2018, the Ministry of Health adopted the existing BC Clinical Guidelines and Protocols under the Laboratory Services Act (LSA).

2007

  • Cataract – Treatment of Adults
  • Erythrocyte Sedimentation Rate (ESR)
  • Sleep Complaints in Adults – Primary Care Management

2009

  • Dyspepsia with or without H pylori infection
  • Gastroesophageal Reflux Disease (GERD)
  • Hematuria – Microscopic (persistent)
  • Infectious Diarrhea – Guideline for Ordering Stool Samples
  • Osteoarthritis in Peripheral Joints – Primary Care Management
  • Urinary Tract Infections – Macroscopic and Microscopic Urinalysis

2010

  • Anxiety and Depression in Children and Youth
  • Febrile Seizures
  • Iron Deficiency – Investigation and Management
  • Oral Rehydration Therapy
  • Otitis Media (Acute or with Effusion)
  • Thyroid Function Tests in the Diagnosis and Monitoring of Adults

2011

  • Liver Chemistry Abnormalities in Adults
  • Testosterone Testing
  • Overweight and Obese Adults – Diagnosis and Management

2012

  • Folate Deficiency – Investigation and Management
  • Viral Hepatitis Testing
  • Osteoporosis – Diagnosis and Treatment
  • Rheumatoid Arthritis – Diagnosis and Management

2013

  • Ambulatory ECG Monitoring
  • Antinuclear Antibody (ANA) Testing for Connective Tissue Disease
  • Breast Disease and Cancer – Diagnosis
  • Breast Cancer - Management and Follow-up
  • Cobalamin Deficiency – Investigation and Management
  • Depression (MDD) in Adults – Diagnosis and Management
  • Follow-up of Colorectal Polyps or Cancer
  • Hemochromatosis – Investigations and Management
  • Problem Drinking Part 1: Screening and Assessment
  • Problem Drinking Part 2: Brief Intervention
  • Problem Drinking Part 3: Office-based Management
  • Vitamin D

2014

  • Ankle Injury – X-ray for Acute Injury
  • Cardiovascular Disease – Primary Prevention
  • Chronic Kidney Disease – Identification, Evaluation and Management of Adult
  • Female Genital Tract Cancers: Endometrial Cancer
  • Female Genital Tract Cancers: Ovarian, Fallopian Tube and Primary Peritoneal

2015

  • Asthma (Adult) – Recognition, Diagnosis and Management
  • Asthma (Children) – Diagnosis and Management
  • Atrial Fibrillation – Diagnosis and Management
  • Chronic Heart Failure – Diagnosis and Management
  • Diabetes Care
  • Non-Vitamin K Antagonist Oral Anticoagulants (NOAC) in Non-Valvular
  • Stroke and Transient Ischemic Attack – Acute and Long-Term Management
  • Warfarin Therapy Management
  • Warfarin Therapy – Management During Invasive Procedures and Surgery

2016

  • Cognitive Impairment – Recognition, Diagnosis and Management in Primary Care
  • Colorectal Screening for Cancer Prevention in Asymptomatic Patients
  • Special Endocrine Testing
  • Female Genital Tract Cancers: Human Papillomavirus Related Cancers (Cervical, Vaginal & Vulvar)
  • Hypertension – Diagnosis and Management

2017

  • Chronic Obstructive Pulmonary Disease
  • Palliative Care Part 1: Approach to Care
  • Palliative Care Part 2: Pain and Symptom Management
  • Palliative Care Part 3: Grief and Bereavement
  • Frailty in Older Adults – Early Identification and Management

LSA2015-008

Approval of health authority and organization specific laboratory requisitions.

In accordance with 36(1) of the Laboratory Services Act, the attached schedule of health authority and organization specific laboratory requisitions has been approved, effective October 1, 2015.

Approved Health Authority/ Organization Specific Laboratory Requisitions

Effective October 1, 2015

Provincial Health Services Authority - BC Cancer Agency:

  • Prenatal Genetic Screening Laboratory Requisition
  • Cancer Genetics Laboratory Molecular Genetic Requisition
  • Gynecological Cytology Requisition Form
  • Diagnostic Cytology Requisition
  • HER 2 Fish Test Requisition
  • Flow Cytometry Requisition
  • Histopathology Requisition
  • Requests for Outside Laboratory Tests
  • Colorectal Cancer Test Requisition
  • Immunohistochemistry Requisition
  • Oncotype DX Consent and Test Request
  • Pathology Request Form
  • Cancer Genetics Requisition Solid Tumour Testing
  • Cancer Genetics Requisition Haematological Testing
  • Request for Bone Marrow Aspiration and Biopsy
  • Gynecological Cytology Requisition Form HPV FOCAL Study [v4 August 1 2007]
  • Post Treatment HPV Test Requisition

Provincial Health Services Authority - Centre for Disease Control:

  • Bacteriology & Mycology Requisition
  • Carbapenemase Producing Organism Requisition
  • Food Poisoning Investigation
  • GI Outbreak Notification
  • Mycobacteriology/TB Requisition
  • Parasitology Requisition
  • Serology Screening Requisition
  • Virology Requisition
  • Zoonotic Diseases & Emerging Pathogens Requisition
  • Health Care Acquired Infection - Approval form for Pulsed Field Gel Electrophoresis for C.difficile, VRE, MRSA
  • Gastrointestinal Disease Outbreak Requisition
  • Influenza-Like Illness (ILI) Outbreak Laboratory Form
  • Water Bacteriology Requisition
  • LAL Endotoxin Test Requisition

Provincial Health Services Authority - Children's and Women's:

  • Molecular Genetics Laboratory Requisition
  • Prenatal Genetics Laboratory Requisition
  • Laboratory Requisition - Outpatients Only
  • Department of Pathology: Surgical Pathology Consultation Request
  • Embryopathology Consultation Request
  • Blood Gas Whole Blood Chemistry Requisition
  • Umbilical Cord Blood Gas Whole Blood Chemistry Requisition
  • Prenatal Genetic Screening Laboratory Requisition - Prenatal Biochemistry Laboratory (Feb 2014)
  • Prenatal Genetics Laboratory Requisition
  • Molecular Genetics Laboratory Requisition
  • Supplemental Information Form - Ashkenazi Jewish Carrier & Tay Sachs Enzyme Screening
  • Cytogenetics Requisition Products of Conception
  • Cytogenetics Requisition Bone Marrow / Biopsy
  • Cytogenetics Requisition Blood / Biopsy
  • Cytogenetics Laboratory: Tumour Genetics Requisition
  • Chromosome Microarray Testing
  • Hematology / Chemistry Requisition Inpatients only [Form
  • Microbiology Culture Requisition
  • Rapid Microbiology (including Virology)
  • Group & Screen Crossmatch Request
  • Newborn Screening Laboratory
  • BC Children's Hospital - Allergen Specific IgE Antibody Test
  • Molecular Genetics Laboratory Requisition
  • Request for Examination of Placenta
  • CSF - Chemistry
  • Fetal Fibronectin Requisition
  • Urine Chemistry
  • Complex BioChemistry - Tissue Trace Elements
  • Complex BioChemistry - Tissue Trace Elements
  • Hematology / Chemistry Requisition Inpatients only
  • Biochemical Genetics Requisition - Out of Province Only
  • Cytogenetics Laboratory: Tumour Genetics Requisition
  • Postnatal Constitutional Cytogenetics Laboratory Requisition
  • CSF - Hematology
  • Immunology/Endocrine/BDL Requisition
  • Blood Component/ Derivative/Factor Concentrate Request
  • Miscellaneous Form
  • Postnatal Maternal - Fetal Investigation Request
  • Transfusion Reaction Report Form

Fraser Health Authority:

  • Outpatient Laboratory Requisition
  • Surgical Pathology Consultation Requisition
  • Outpatient Pathology Consultation Requisition eForm
  • Molecular Cytogenetics: Bone Marrow or Peripheral Blood Chromosome Analysis and / or Fluorescence In-Situ Hybridization
  • Molecular Cytogenetics: Embryofetal / Placental Tissue Samples - Chromosome Analysis
  • Molecular Cytogenetics: Peripheral Blood Chromosome Analysis and Fluorescence in situ Hybridization (FISH)
  • Molecular Cytogenetics: Prenatal Diagnosis Chromosome Analysis and Fluorescence in situ Hybridization (FISH)
  • Molecular Cytogenetics: Microarray Peripheral Blood Analysis
  • Cytogenetic Prenatal Diagnosis Requisition (Royal Columbian Hospital)
  • Cytogenetics Requisition (Vancouver General Hospital Cytogenetics Laboratory)

Interior Health Authority:

  • Laboratory Requisition
  • Downtime Lab Requisition
  • Lab Work Orders for Adult Transplant Patients
  • Lab Work Orders for Chronic Kidney Disease Clinic
  • Lab Req IH Central
  • Lab Req IH East
  • Lab Req IH West
  • Lab Req Kelowna General Hospital - Cancer
  • Lab Work Orders for Peritoneal Dialysis Patients

Northern Health Authority:

  • University Hospital of Northern BC Laboratory Requisition I
  • Prince George Regional Hospital Laboratory Requisition II
  • Breast Surgical Pathology Requisition
  • Prince George Regional Hospital ECG Requisition
  • Management of Percutaneous or Permucosal Exposure to Blood and Body Fluid Requisition
  • Lab Requisition
  • Oncology Laboratory Requisition - UNBC Hospital
  • SPH Requirement for anti-Xa Heparin Assay
  • UNBC Hospital - Surgical Pathology Requisition

Vancouver Coastal Health Authority - Providence Health Care:

  • VCH/PHC Outpatient Laboratory Requisition
  • Laboratory Standing Order Collection Detail Template
  • Department of Pathology - Cytopathology Requisition
  • Department of Pathology - Surgical Requisition
  • Renal Biopsy Request Form [BC Renal Agency]
  • Outpatient Laboratory: B-type Natriuretic Peptide Test Order Form
  • Approval for Special Lipid Tests [LL/lipid/apprlpts]
  • Laboratory Requisition - Microbiology
  • Diagnostic Virology & Reference Laboratory Requisition
  • Immunohematology Crossmatch Request
  • Laboratory Requisition: Infliximab & Anti-Infliximab Antibody

Vancouver Coastal Health Authority:

  • Outpatient Laboratory Requisition
  • VCH/PHC Outpatient Laboratory Requisition
  • Laboratory Outpatient Requisition- Leukemia/Bone Marrow Transplantation
  • Surgical & Cytological pathology Consultation Requisition
  • Whole Blood Analysis
  • Toxicology & Therapeutic Drugs
  • Blood Chemistry Test Requisition
  • Cytogenetics Laboratory Requisition: Hematological Neoplasia [2012 V1.0]
  • Cytogenetics Laboratory Requisition: Constitutional Studies [2013 V1.2]
  • VGH Request for Bone Marrow Aspiration and Biopsy [biopsy request form - Sept 04-13(2)]
  • Hematology (Routine) & Coagulation
  • Request for Heparin Induced Thrombocytopenia (HIT) Assay - Clinical Assessment Form -VCH
  • Richmond Microbiology Requisition
  • TMS Requisition: TM Testing, Red Cell & Platelet Product Request
  • Emergency Department Test Requisition
  • Miscellaneous Lab Test Requisition
  • Hepatitis Testing Requisition
  • Critical Care Test Requisition
  • Histocompatibility Assessment Booking Form
  • Emergency Department Test Requisition
  • Oral Pathology Service
  • Standard Out-Patient Laboratory Requisition
  • Authorization for Autopsy
  • Campbell River Hospital Tissue Pathology
  • Stat Pathology and Intraoperative Consultation
  • Autopsy Request Form
  • Pathology Tissue Examination Requisition
  • Laboratory Request Cytology
  • Laboratory Request Histology
  • RJH Cytology FNA Booking Form
  • Nanaimo Regional Hospital Tissue Pathology Requisition
  • Alberni Tissue Pathology Requisition
  • Cytogenetics Requisition
  • Histology/Cytology Booking Request/Orders
  • Histology Requisition
  • Saanich Peninsula Hospital Inpatient Laboratory Requisition
  • Laboratory Blood Request
  • Microbiology Requisition
  • Transfusion Medicine Laboratory Requisition
  • Laboratory Request - Urine, Fluid, Stool, Stones
  • West Coast General Hospital Tissue Pathology Requisition

UBC Neuro-Immunology Laboratories (Privately Owned – Dr. Hans Frykman):

  • Acetylcholine Receptor Antibody Requisition
  • Interferon beta Neutralizing Antibodies
LSA2015-006

Approval of the Standard Outpatient Laboratory Requisition.

In accordance with 36(1) of the Laboratory Services Act, the Standard Outpatient Laboratory Requisition has been approved, effective October 1, 2015.

LSA2015-005

Approval of Laboratory Volume Discounting.

In accordance with Section 14(1) of the Laboratory Services Act, laboratory volume discounting will apply to the 56 fee items in Schedule 1, effective October 1, 2015.

LSA2015-004

Approval of the College of Physicians and Surgeons of British Columbia, Diagnostic Accreditation Program.

In accordance with Section 10(2)(a) of the Laboratory Services Act, the College of Physicians and Surgeons of British Columbia, Diagnostic Accreditation Program is approved as the accreditation standard, effective October 1, 2015.

LSA2015-003

Approval of the Laboratory Services Payment Schedule.

In accordance with Section 14 of the Laboratory Services Act, the Laboratory Services Payment Schedule Preamble, and Schedule of Fees has been approved, effective October 1, 2015.

LSA2015-002

Approval of the continuation of province-wide moratorium.

In accordance with Section 11(1) of the Laboratory Services Act, the continuation of the province-wide moratorium on applications for laboratory facilities and specimen collection stations operating under approvals, with exceptions for demonstrated urgent health or safety needs, or demonstrated significant, urgent business issues has been approved, effective October 1, 2015.

LSA2015-001

Approval of the Laboratory Facility Approval-Related Policies and Guidelines and Conflict of Interest Policy.

In accordance with Section 10(2) of the Laboratory Services Act, the Approval-Related Policies and Guidelines for Laboratory Facilities Providing Out-patient Laboratory Services on a Fee-For-Service Basis and Laboratory Facility Conflict of Interest Policy have been approved, effective October 1, 2015.