Test and pathology results handoff tracker

Organizes responsibilities. Does not interpret a result. A missing result is not negative, normal or reassuring. Do not delay urgent care.

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The investigation

Test / specimen / body site: ____
Ordering service: ____
Question the test is intended to answer: ____
Collection date and preparation details: ____

The document

Report date / version: ____
Preliminary / final / supplementary / unknown: ____
Exact result and units, where applicable: ____
What the clinician said it establishes: ____
Limitations or pending studies: ____

The handoff

Task | Responsible service | Expected communication | Contact route | Complete?
Report received | ____ | ____ | ____ | ____
Clinical explanation | ____ | ____ | ____ | ____
Further test / opinion | ____ | ____ | ____ | ____
Next appointment | ____ | ____ | ____ | ____

Questions

Which conclusion is established? ____
What remains uncertain? ____
What result would change the next step? ____
What should prompt earlier contact? ____

Original organizational template, not a medical test. All free decision records ยท Related reading paths