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It defines critical value reporting expectations and outlines competency, requisitioning within the doctor-patient relationship, patient fee disclosure for non-OHIP insured labs, appropriate test selection based on clinical assessment, critical value communication, and follow-up actions. It also specifies record keeping and cross-references related standards and guidelines.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/standard-of-practice-requisitioning-laboratory-tests-practice-standard/506432/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/standard-of-practice-requisitioning-laboratory-tests-practice-standard/506432.png","ImageObject",300,407,{"name":42,"@type":43},"PakDamar76","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-07","2026-10-05",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What does the standard require regarding requisitioning laboratory tests in Ontario?","Question",{"text":63,"@type":64},"Members must requisition specimen collection and laboratory testing in accordance with the Laboratory and Specimen Collection Centre Licensing Act, 1990, and within the naturopathic doctor-patient relationship, ensuring required forms and information are completed.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How are critical value test results defined and handled?",{"text":68,"@type":64},"Critical value results are communicated by the laboratory to the naturopathic doctor as marked deviations from reference ranges with no prior expectation. Members must ensure contact information is current, respond to reported critical values during and after hours, and refer appropriately when critical values are reported.",{"name":70,"@type":61,"acceptedAnswer":71},"What fee and billing practices does the standard set for laboratory testing?",{"text":72,"@type":64},"Members must ensure fair and ethical fees, may charge reasonable collection fees for non-blood specimens, may charge patients for test costs and associated laboratory fees incurred, and must not mark up those costs.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},506432,1791496091,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":55,"preview_page_count":4},962090893057,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Standard of Practice:  \nRequisitioning Laboratory Tests  \nIntroduction  \nThe intent of this standard is to advise Members of the requirements for requisitioning the collection of specimens from patients by an Ontario specimen collection centre and the performance of tests on that specimen in an Ontario laboratory. This standard applies to requisitioning the collection of specimens and laboratory testing as permitted under the Laboratory and Specimen Collection Centre Licensing Act, 1990.  \nDefinitions  \nCritical Value: for the purpose of this standard critical value is a laboratory test result that is communicated by the medical laboratory to the naturopathic doctor indicating a result that shows a marked deviation from reference ranges, with no previous clear indication to the laboratory from the naturopathic doctor that these are expected deviations. Results of this nature may indicate a significant risk of a life-threatening event.  \n\n| 1. Competency\u003Cbr>The Member has the knowledge, skill and judgment necessary to requisition the collection of specimens and laboratory tests safely, ethically and competently. |\n| --- |\n| Performance Indicators\u003Cbr>Prior to requisitioning the collection of specimens and laboratory tests , the Member:\u003Cbr>• fulfills all requirements for maintenance of competence for performing the procedure (e.g. , continuing education, College’s Quality Assurance Program) |\n\n\n| 2. Requisitioning Laboratory Tests\u003Cbr>The Member requisitions the collection of specimens and laboratory testing in accordance with the Laboratory and Specimen Collection Centre Licensing Act,1990 . |\n| --- |\n| Performance Indicators\u003Cbr>The Member requisitions the collection of specimens and laboratory testing within the context of the Naturopathic Doctor-patient relationship.\u003Cbr>The Member:\u003Cbr>• informs the patient:\u003Cbr>o of the reason the test(s) is being ordered;\u003Cbr>o of the significance of the test(s) ;\u003Cbr>o that the laboratory test(s) is not OHIP insured; and\u003Cbr>o that they will be required to pay the cost of the test(s) and any associated fee(s) (e.g. |\n\nrequisition/collection fees from the medical laboratory) incurred by the naturopathic doctor as well as an estimate of the total anticipated cost.  \n• ensures that requisitions for the collection of specimens and laboratory testing are completed on the appropriate form and include all required information to ensure accurate processing;  \n• ensures that requisitions for the collection of specimens and laboratory testing include any expected deviations that would be a critical value test result;  \n• ensures that the samples and/or laboratory tests being requisitioned are appropriate and necessary for the specific patient , taking into consideration:  \no the patient’s health history;  \no a clinical assessment including but not limited to a medical history, physical examination and other relevant diagnostic testing or investigations; and  \no the differential diagnosis.  \n• requisitions the collection of specimens and laboratory testing in accordance with the Laboratory and Specimen Collection Centre Licensing Act, 1990;  \n• provides current contact information to the laboratory so that critical test results can be communicated both during and after office hours;  \n• provides the patient with appropriate preparatory instructions with regard to the specimen collection and laboratory test (e.g. fasting; requirements for specific time of last dose of medication);  \n\n| 3. Fees\u003Cbr>The Member ensures fair and ethical fees and billing practices. |\n| --- |\n| Performance Indicators\u003Cbr>In addition to the College’s Standard of Practice for Fees & Billing, the Member:\u003Cbr>• may charge a reasonable fee for collecting non-blood specimens to be sent for laboratory testing, and itemize it on an invoice as “collection of specimen”;\u003Cbr>• may charge the patient for the cost of the test and any associated fee(s) (e.g. requisition/collection fees from the medical laboratory) incurred by the naturopathic docto","cbCaik3NkWfZHTE4","https://ap.wps.com/l/cbCaik3NkWfZHTE4","pdf",140405,"English","# Introduction\n# Definitions\n## 1. Competency\n## 2. Requisitioning Laboratory Tests\n## 3. Fees\n## 4. Test Result Management\n## 5. Record Keeping\n# Related Standards & Guidelines","[{\"question\":\"What does the standard require regarding requisitioning laboratory tests in Ontario?\",\"answer\":\"Members must requisition specimen collection and laboratory testing in accordance with the Laboratory and Specimen Collection Centre Licensing Act, 1990, and within the naturopathic doctor-patient relationship, ensuring required forms and information are completed.\"},{\"question\":\"How are critical value test results defined and handled?\",\"answer\":\"Critical value results are communicated by the laboratory to the naturopathic doctor as marked deviations from reference ranges with no prior expectation. Members must ensure contact information is current, respond to reported critical values during and after hours, and refer appropriately when critical values are reported.\"},{\"question\":\"What fee and billing practices does the standard set for laboratory testing?\",\"answer\":\"Members must ensure fair and ethical fees, may charge reasonable collection fees for non-blood specimens, may charge patients for test costs and associated laboratory fees incurred, and must not mark up those costs.\"}]","Standard of Practice - Requisitioning Laboratory Tests - Practice Standard | PDF",1791165314]