Request forms and vials
The request form should be completed in full with all
information PRINTED legibly or a printed label containing patient
demographics can be used. The Manchester Cytology Centre supports
the use of the electronic HMR101 request form that can be
downloaded from Open Exeter. Please print off the form and complete
it paying particular attention to the provision of relevant
clinical history. Information relating to previous histology
biopsies (punch, LLETZ/loop, cone etc) with histology grade and
date of biopsy, as well as details of any treatment are ESSENTIAL
to ensure correct patient management is given.
Cervical screening tests can be requested electronically via a
system called ICE allowing the sample taker to provide all the
relevant mandatory information.
The NHS number MUST be used whenever it is available as this is
the unique patient identifier. The NHS number will be a mandatory
requirement for electronic requesting. In addition, the full
forename, surname and date of birth MUST be given.
The laboratory uses the GMC and NMC numbers as the unique sample
taker identifier. This information MUST be provided. The sample
taker name should also be printed clearly. When electronic
requesting has been introduced, the GMC or NMC code will be a
mandatory field. The laboratory will check that the sample taker is
validated to take samples i.e. is up-to-date with their training
The label on the sample vial must record the forename (or
initial), surname and date of birth, and the NHS number (if known)
to allow matching of the vial with the request form. After
collection and labelling, the sample should be placed into the
sealable sections of the plastic specimen bag with the request form
attached, before dispatch to the laboratory.
(Last updated January 11th 2017)