Provincial Policies and Guidelines

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

2015 Provincial Policy and Guideline Updates

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

LSA ROD #

Record of Decision

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.

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.

LSA2015-003

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.

LSA2015-004

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.

LSA2015-005

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.

LSA2015-006

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.

LSA2015-007

Adoption of existing clinical guidelines.

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

2004

Sleep Complaints in Adults

2007

Cataract - Treatment of Adults

Erythrocyte Sedimentation Rate

2008

Acute Chest Pain - Evaluation and Triage

Heart Failure Care

2009

Infectious Diarrhea

Hematuria

Osteoarthritis

Urinary Tract Infections

2010

Iron Deficiency

Anxiety and Depression Children and Youth

Gastroesophageal Reflux Disease

Palliative Care - Part 1

Diabetes care

Dyspepsia w/o H. pylori

Febrile Seizures

Oral Rehydration Therapy

Otitis Media

Thyroid Disease - Thyroid Function Tests

Warfarin Therapy (2 guidelines)

Asthma - Diagnosis and Management

2011

Liver Chemistry

Chronic Obstructive Pulmonary Disease

Overweight and Obesity

Palliative Care - Part 2

Palliative Care - Part 3

Testosterone testing (Protocol)

2012

Rheumatoid Arthritis

Frailty in Older Adults

Folate Deficiency

Hepatitis - Viral Hepatitis Testing

Osteoporosis

Stroke and TIA

2013

Problem Drinking (3 guidelines)

Ambulatory ECG Monitoring

ANA Testing for Connective Tissue Disease

Cobalamin Deficiency

Breast Disease and Cancer (2 guidelines)

Colorectal Cancer Screening

Follow Up of Colorectal Cancer

Depression (MDD) in Adults

Hemochromatosis

Vitamin D (Protocol)

2014

Ankle injury - X-ray for Acute Injury

Cardiovascular Disease - Primary Prevention

Chronic Kidney Disease

Cognitive Impairment

2015

Hypertension

Female Genital Tract Cancers (3 guidelines)

 

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

No.

Organization

Title

Provincial Health Services Authority

1

Provincial Health Services Authority - BC Cancer Agency

Prenatal Genetic Screening Laboratory Requisition

2

Provincial Health Services Authority - BC Cancer Agency

Cancer Genetics Laboratory Molecular Genetic Requisition

3

Provincial Health Services Authority - BC Cancer Agency

Gynecological Cytology Requisition Form

4

Provincial Health Services Authority - BC Cancer Agency

Diagnostic Cytology Requisition

5

Provincial Health Services Authority - BC Cancer Agency

HER 2 Fish Test Requisition

6

Provincial Health Services Authority - BC Cancer Agency

Flow Cytometry Requisition

7

Provincial Health Services Authority - BC Cancer Agency

Histopathology Requisition

8

Provincial Health Services Authority - BC Cancer Agency

Requests for Outside Laboratory Tests

9

Provincial Health Services Authority - BC Cancer Agency

Colorectal Cancer Test Requisition

10

Provincial Health Services Authority - BC Cancer Agency

Immunohistochemistry Requisition

11

Provincial Health Services Authority - BC Cancer Agency

Oncotype DX Consent and Test Request

12

Provincial Health Services Authority - BC Cancer Agency

Pathology Request Form

13

Provincial Health Services Authority - BC Cancer Agency

Cancer Genetics Requisition Solid Tumour Testing

14

Provincial Health Services Authority - BC Cancer Agency

Cancer Genetics Requisition Haematological Testing

15

Provincial Health Services Authority - BC Cancer Agency

Request for Bone Marrow Aspiration and Biopsy

16

Provincial Health Services Authority - BC Cancer Agency

Gynecological Cytology Requisition Form HPV FOCAL Study [v4 August 1 2007]

17

Provincial Health Services Authority - BC Cancer Agency

Post Treatment HPV Test Requisition

18

Provincial Health Services Authority - Centre for Disease Control

Bacteriology & Mycology Requisition

19

Provincial Health Services Authority - Centre for Disease Control

Carbapenemase Producing Organism Requisition

20

Provincial Health Services Authority - Centre for Disease Control

Food Poisoning Investigation

21

Provincial Health Services Authority - Centre for Disease Control

GI Outbreak Notification

22

Provincial Health Services Authority - Centre for Disease Control

Mycobacteriology/TB Requisition

23

Provincial Health Services Authority - Centre for Disease Control

Parasitology Requisition

24

Provincial Health Services Authority - Centre for Disease Control

Serology Screening Requisition

25

Provincial Health Services Authority - Centre for Disease Control

Virology Requisition

26

Provincial Health Services Authority - Centre for Disease Control

Zoonotic Diseases & Emerging Pathogens Requisition

27

Provincial Health Services Authority - Centre for Disease Control

Health Care Acquired Infection - Approval form for Pulsed Field Gel Electrophoresis for C.difficile, VRE, MRSA

28

Provincial Health Services Authority - Centre for Disease Control

Gastrointestinal Disease Outbreak Requisition

29

Provincial Health Services Authority - Centre for Disease Control

Influenza-Like Illness (ILI) Outbreak Laboratory Form

30

Provincial Health Services Authority - Centre for Disease Control

Water Bacteriology Requisition

31

Provincial Health Services Authority - Centre for Disease Control

LAL Endotoxin Test Requisition

32

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

Molecular Genetics Laboratory Requisition

33

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

Prenatal Genetics Laboratory Requisition

34

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

Laboratory Requisition - Outpatients Only

35

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

Department of Pathology: Surgical Pathology Consultation Request

36

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

Embryopathology Consultation Request

37

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

Blood Gas Whole Blood Chemistry Requisition

38

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

Umbilical Cord Blood Gas Whole Blood Chemistry Requisition

39

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

Prenatal Genetic Screening Laboratory Requisition - Prenatal Biochemistry Laboratory (Feb 2014)

40

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

Prenatal Genetics Laboratory Requisition

41

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

Molecular Genetics Laboratory Requisition

42

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

Supplemental Information Form - Ashkenazi Jewish Carrier & Tay Sachs Enzyme Screening

43

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

Cytogenetics Requisition Products of Conception

44

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

Cytogenetics Requisition Bone Marrow / Biopsy

45

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

Cytogenetics Requisition Blood / Biopsy

46

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

Cytogenetics Laboratory: Tumour Genetics Requisition

47

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

Chromosome Microarray Testing

48

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

Hematology / Chemistry Requisition Inpatients only [Form

49

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

Microbiology Culture Requisition

50

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

Rapid Microbiology (including Virology)

51

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

Group & Screen Crossmatch Request

52

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

Newborn Screening Laboratory

53

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

BC Children's Hospital - Allergen Specific IgE Antibody Test

54

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

Molecular Genetics Laboratory Requisition

Fraser Health Authority

55

Fraser Health Authority

Outpatient Laboratory Requisition

56

Fraser Health Authority

Surgical Pathology Consultation Requisition

57

Fraser Health Authority

Outpatient Pathology Consultation Requisition eForm

58

Fraser Health Authority

Molecular Cytogenetics: Bone Marrow or Peripheral Blood Chromosome Analysis and / or Fluorescence In-Situ Hybridization

59

Fraser Health Authority

Molecular Cytogenetics: Embryofetal / Placental Tissue Samples - Chromosome Analysis

60

Fraser Health Authority

Molecular Cytogenetics: Peripheral Blood Chromosome Analysis and Fluorescence in situ Hybridization (FISH)

61

Fraser Health Authority

Molecular Cytogenetics: Prenatal Diagnosis Chromosome Analysis and Fluorescence in situ Hybridization (FISH)

62

Fraser Health Authority

Molecular Cytogenetics: Microarray Peripheral Blood Analysis

63

Fraser Health Authority - Royal Columbian Hospital

Cytogenetic Prenatal Diagnosis Requisition

64

Fraser Health Authority - Vancouver General Hospital Cytogenetics Laboratory

Cytogenetics Requisition

Interior Health Authority

65

Interior Health Authority

Laboratory Requisition

66

Interior Health Authority

Downtime Lab Requisition

67

Interior Health Authority

Lab Work Orders for Adult Transplant Patients

68

Interior Health Authority

Lab Work Orders for Chronic Kidney Disease Clinic

69

Interior Health Authority

Lab Req IH Central

70

Interior Health Authority

Lab Req IH East

71

Interior Health Authority

Lab Req IH West

72

Interior Health Authority

Lab Req Kelowna General Hospital - Cancer

73

Interior Health Authority

Lab Work Orders for Peritoneal Dialysis Patients

Northern Health Authority

74

Northern Health Authority

University Hospital of Northern BC Laboratory Requisition I

75

Northern Health Authority

Prince George Regional Hospital Laboratory Requisition II

76

Northern Health Authority

Breast Surgical Pathology Requisition

77

Northern Health Authority

Prince George Regional Hospital ECG Requisition

78

Northern Health Authority

Management of Percutaneous or Permucosal Exposure to Blood and Body Fluid Requisition

79

Northern Health Authority

Lab Requisition

80

Northern Health Authority

Oncology Laboratory Requisition - UNBC Hospital

81

Northern Health Authority

SPH Requirement for anti-Xa Heparin Assay

82

Northern Health Authority

UNBC Hospital - Surgical Pathology Requisition

Vancouver Coastal Health Authority

83

Vancouver Coastal Health Authority - Providence Health Care

VCH/PHC Outpatient Laboratory Requisition

84

Vancouver Coastal Health Authority - Providence Health Care

Laboratory Standing Order Collection Detail Template

85

Vancouver Coastal Health Authority - Providence Health Care

Department of Pathology - Cytopathology Requisition

86

Vancouver Coastal Health Authority - Providence Health Care

Department of Pathology - Surgical Requisition

87

Vancouver Coastal Health Authority - Providence Health Care

Renal Biopsy Request Form [BC Renal Agency]

88

Vancouver Coastal Health Authority - Providence Health Care

Outpatient Laboratory: B-type Natriuretic Peptide Test Order Form

89

Vancouver Coastal Health Authority - Providence Health Care

Approval for Special Lipid Tests [LL/lipid/apprlpts]

90

Vancouver Coastal Health Authority - Providence Health Care

Laboratory Requisition - Microbiology

91

Vancouver Coastal Health Authority - Providence Health Care

Diagnostic Virology & Reference Laboratory Requisition

92

Vancouver Coastal Health Authority - Providence Health Care

Immunohematology Crossmatch Request

93

Vancouver Coastal Health Authority - Providence Health Care

Laboratory Requisition: Infliximab & Anti-Infliximab Antibody

94

Vancouver Coastal Health Authority

Outpatient Laboratory Requisition

95

Vancouver Coastal Health Authority

VCH/PHC Outpatient Laboratory Requisition

96

Vancouver Coastal Health Authority

Laboratory Outpatient Requisition- Leukemia/Bone Marrow Transplantation

97

Vancouver Coastal Health Authority

Surgical & Cytological pathology Consultation Requisition

98

Vancouver Coastal Health Authority

Whole Blood Analysis

99

Vancouver Coastal Health Authority

Toxicology & Therapeutic Drugs

100

Vancouver Coastal Health Authority

Blood Chemistry Test Requisition

101

Vancouver Coastal Health Authority

Cytogenetics Laboratory Requisition: Hematological Neoplasia [2012 V1.0]

102

Vancouver Coastal Health Authority

Cytogenetics Laboratory Requisition: Constitutional Studies [2013 V1.2]

103

Vancouver Coastal Health Authority

VGH Request for Bone Marrow Aspiration and Biopsy [biopsy request form - Sept 04-13(2)]

104

Vancouver Coastal Health Authority

Hematology (Routine) & Coagulation

105

Vancouver Coastal Health Authority

Request for Heparin Induced Thrombocytopenia (HIT) Assay - Clinical Assessment Form -VCH

106

Vancouver Coastal Health Authority

Richmond Microbiology Requisition

107

Vancouver Coastal Health Authority

TMS Requisition: TM Testing, Red Cell & Platelet Product Request

108

Vancouver Coastal Health Authority

Emergency Department Test Requisition

109

Vancouver Coastal Health Authority

Miscellaneous Lab Test Requisition

110

Vancouver Coastal Health Authority

Hepatitis Testing Requisition

111

Vancouver Coastal Health Authority

Critical Care Test Requisition

112

Vancouver Coastal Health Authority

Histocompatibility Assessment Booking Form

113

Vancouver Coastal Health Authority

Emergency Department Test Requisition

114

Vancouver Coastal Health Authority

Oral Pathology Service

Vancouver Island Health Authority

115

Vancouver Island Health Authority

Standard Out-Patient Laboratory Requisition

116

Vancouver Island Health Authority

Authorization for Autopsy

117

Vancouver Island Health Authority

Campbell River Hospital Tissue Pathology

118

Vancouver Island Health Authority

Stat Pathology and Intraoperative Consultation

119

Vancouver Island Health Authority

Autopsy Request Form

120

Vancouver Island Health Authority

Pathology Tissue Examination Requisition

121

Vancouver Island Health Authority

Laboratory Request Cytology

122

Vancouver Island Health Authority

Laboratory Request Histology

123

Vancouver Island Health Authority

RJH Cytology FNA Booking Form

124

Vancouver Island Health Authority

Nanaimo Regional Hospital Tissue Pathology Requisition

125

Vancouver Island Health Authority

Alberni Tissue Pathology Requisition

126

Vancouver Island Health Authority

Cytogenetics Requisition

127

Vancouver Island Health Authority

Histology/Cytology Booking Request/Orders

128

Vancouver Island Health Authority

Histology Requisition

129

Vancouver Island Health Authority

Saanich Peninsula Hospital Inpatient Laboratory Requisition

130

Vancouver Island Health Authority

Laboratory Blood Request

131

Vancouver Island Health Authority

Microbiology Requisition

132

Vancouver Island Health Authority

Transfusion Medicine Laboratory Requisition

133

Vancouver Island Health Authority

Laboratory Request - Urine, Fluid, Stool, Stones

134

Vancouver Island Health Authority

West Coast General Hospital Tissue Pathology Requisition

Privately Owned – Dr. Hans Frykman

135

UBC Neuro-Immunology Laboratories

Acetylcholine Receptor Antibody Requisition

136

UBC Neuro-Immunology Laboratories

Interferon beta Neutralizing Antibodies

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

137

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

Request for Examination of Placenta

138

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

CSF - Chemistry

139

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

Fetal Fibronectin Requisition

140

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

Urine Chemistry

141

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

Complex BioChemistry - Tissue Trace Elements

142

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

Complex BioChemistry - Tissue Trace Elements

143

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

Hematology / Chemistry Requisition Inpatients only

144

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

Biochemical Genetics Requisition - Out of Province Only

145

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

Cytogenetics Laboratory: Tumour Genetics Requisition

146

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

Postnatal Constitutional Cytogenetics Laboratory Requisition

147

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

CSF - Hematology

148

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

Immunology/Endocrine/BDL Requisition

149

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

Blood Component/ Derivative/Factor Concentrate Request

150

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

Miscellaneous Form

151

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

Postnatal Maternal - Fetal Investigation Request

152

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

Transfusion Reaction Report Form