All specimens are to be accompanied by barcode labels (CPOE- Computerised Physician Order Entry system).
Quickguide Doctor CPOE HistoCyto - OT.pdf
Quickguide CPOE HistoCyto - Clinic_Ward.pdf
Information entered into the CPOE system must include:
The following are also useful information:
Submit one electronic order for the same patient at the same operation, irrespective of the number of specimens. Make sure "Specimen Label Completed" and "Vetted & Order form completed (Dr Only)" are ticked before despatching specimens.
Additional tests ordered (immunohistochemistry, molecular, FISH or special stain), after a case has been reported, are to be accompanied by a hardcopy Histopathology request or CPOE order. The request form must include:
The laboratory cannot process the specimen if the request form is incompletely filled or if data are discrepant. This will result in delay of the turnaround time for the histopathology report.
Examples of criteria for Unacceptable Samples
Insufficient Specimen – Insufficient specimen to perform analysis.
Specimen Leaked – Container improperly secured.
Specimen Leaked – Broken Container.
Mislabelled – Serial number on specimen and request form do not correspond.
Mislabelled – Name/NRIC no. on specimen and request form do not correspond.
Mislabelled – Test(s) requested on specimen and request form discordant.
Mislabelled – Incomplete patient data.
Mislabelled – No Label on specimen and/or request form.
Mislabelled – Request form/ specimen label incomplete or illegible.
Specimen Problem – Wrong/ unsuitable sent.
Specimen Problem – Specimen not taken/ Swab stick seal not broken/ empty container.
Specimen Problem – Swab dried out/ no transport media used.
Specimen Problem – Specimen without request form/ Request form without specimen.
Specimen Problem – Specimen sent is not suitable for the test(s) requested.
Specimen Problem – Unsuitable specimen.
Miscellaneous Reasons – Test not offered by SGH laboratories.
Miscellaneous Reasons – Test cancelled
Specimens for amendments should not be sent through the porter with effect from Sep 2017. This is to mitigate any loss of specimen. Telephone/ email to inform the respective department/ ordering clinician to rectify the discrepancy on site at the laboratory. Histology orders requiring amendment will be rejected for documentation and a new histology order should be made. Staff making correction on site is to fill up the "Collected/ Amended By" section.
Name of Staff nurse, location, telephone number, technologist rejecting and reason sent to EMR.
Collection through Central porter/ Transport services/ E-porter
The operating hours of the Histopathology Specimen Reception are:
Routine/non-emergency and stat/emergency tests should be requested during office hours whenever possible. Stat/emergency tests are those the results of which are needed for immediate treatment and management of the patients. They are performed as soon as the samples reach the relevant laboratories. Please do not send non-emergency samples collected after office hours or on weekends as emergency requests, but instead send them on the following weekday.
Surgical, anatomical and consultative pathology services are available through pathologists in the Division of Pathology. The services available include:
Specimens submitted for routine histology are categorised as indicated below, with a separate charge for each category. Multiple charges apply for multiple containers submitted.
1. Notify the lab at least TWO days in advance of procedure. The following persons are to be notified:
a. Chua Huimin, Medical Laboratory Scientist: (HP) +65-93638905 email: firstname.lastname@example.org
b. Lee Ming, Consultant Pathologist: (HP) +65-81257461 email: email@example.com
2. Procedure for obtaining and sending biopsies:
Level 10 Diagnostics Tower, Academia
These have different charges depending on the number of specimens.
a) Light microscopy – modified Bouin's fluid (Dubossey fixative)
b) Electron microscopy – 2.5% glutaraldehyde in cacodylate buffer (the time for which the tissue is placed into fixative must be recorded)
c) Immunofluorescence – Fresh tissue is required. Specimen is wrapped in aluminum foil, placed in a cryotube and delivered to the lab on ice. Contact the laboratory (Tel: 6321 4008) for further information, if necessary.
Please raise a CPOE histopathology request with the following information or please fill up a histopathology request form with the following information:
a. Patient's name, NRIC number, sex, age, date of birth b. Clinical diagnosis, relevant clinical information c. Specimen type:
a. Patient's name, NRIC number, sex, age, date of birth
b. Clinical diagnosis, relevant clinical information
c. Specimen type:
For SGH specimens please provide Biopsy number/Or nature of specimen and when the specimen was takenFor external material: Please arrange for material to be sent to SGH Histolabd. Name of consultant-in-charge with MCR number, clinic, telephone/fax number e. Test requiredf. Please ensure that all compulsory fields in CPOE are filled up and the relevant boxes are ticked "Y" before saving and sending the CPOE order.g. Print the CPOE labels and send to SGH Histolab via e-porter (labels only)
d. Name of consultant-in-charge with MCR number, clinic, telephone/fax number
e. Test required
f. Please ensure that all compulsory fields in CPOE are filled up and the relevant boxes are ticked "Y" before saving and sending the CPOE order.
g. Print the CPOE labels and send to SGH Histolab via e-porter (labels only)
is required. Specimen is wrapped in aluminium foil, placed in a cryotube and
delivered to the lab on ice. Contact the
laboratory (Tel: 63214008) for further information, if necessary.
placed in 2.5% glutaraldehyde in cacodylate buffer (the time for which the
tissue is placed into fixative must be recorded).
laboratory (Tel: 6321 4008) for further information, if necessary.
a) A paraffin block with adequate tumour content (refer to sample requirements below for tumour content requirement for each test)
b) If unable to provide a paraffin block, please provide unstained sections required for the test. Refer to sample requirement below for more information.
c) For FISH tests on paraffin sections, please refer to cytogenetics lab for requirements and turnaround time.
Contact laboratory (Tel: 6321 4956) for further information.
Contact pathologist-on-duty (Tel: 6321 4008) for information on procedure.
By Operating Theatre porters: 9.00 am & 3.00 pm (Monday – Friday) / 9.00 am only (Saturday)
Do not despatch specimens via the Pneumatic Tube System (PTS).
The porters from these departments will deliver the specimens to the laboratory.
Do not despatch specimens via the Pneumatic Tube System (PTS).
Send specimens to
20 College Road
Level 10, Diagnostic Tower
Please call Tel: 6326 6632 or 63214008.
These are variable according to the nature of the specimen received and the complexity of specialized tests that are required if necessary. The approximate turn-around time from time of receipt to time of reporting is as follow:
When additional workup is required e.g. special stains, immunostains, repeats, etc
An inadequately-filled histopathology order will result in delay of turnaround time.
Click here to view all Histopathology tests