e-Requisitions and Forms

e-Requisitions

NOTE: The Department of Pathology uses Epic as the Electronic Medical Record (EMR) for all laboratory tests for orders on UI Health Care patients. The e-requisitions below are provided for disaster/downtime circumstances only when the Epic EMR is down. Alternatively, Pathology Outreach uses Test Requisitions or specific clients use our Atlas web portal for lab and pathology orders.

• Cytogenetics Request
• Doctor/Provider Orders - Pathology DeGowin Blood Center
• Doctor-Provider Orders - Pathology Bone Marrow
• Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
• Doctor/Provider Orders - Pathology Cytopathology
• Doctor/Provider Orders - Pathology Immunopathology
• Doctor/Provider Orders - Pathology Microbiology
• Doctor/Provider Orders - Pathology Molecular
• Pathology Consultation - Dermatopathology
• Surgical Pathology Consultation
• Surgical Pathology Consultation - Intraoperative
• Surgical Pathology Consultation - Renal

e-Forms

• Doctor-Provider Orders - Breast Milk Exposure - Source Mother Evaluation
• Doctor/Provider Orders - Post Fluid Exposure - Source Patient Evaluation
• Doctor/Provider Orders - Post Fluid Exposure - Exposed Person Evaluation
• Blood Transfusion Record
• Consent for HIV-Related Testing in Minors – Due to a Healthcare Worker Exposure
• Consent for HIV-Related Testing in Minors
• HIV Pre-test Education