CA 19-9 Test Report Format: 10 Key Clinical Guidelines & Example

The CA 19-9 test lab report format is crucial in conveying critical information to healthcare professionals. The introduction outlines the significance of CA 19-9 as a tumor marker, emphasizing its role in diagnosing and monitoring pancreatic, colorectal, and gastric cancers.

 

The report provides the normal value reference, reporting time, and cost range. Given its potential impact on cancer diagnosis and treatment evaluation, the CA 19-9 test lab report serves as a vital tool for healthcare practitioners, guiding clinical decisions and patient care.

 

10 Key CA 19-9 Test Report Format Clinical Guidelines

Below are the 10 key clinical guidelines for formatting a CA 19-9 Test report in your pathology laboratory.

 

1. Patient Information:

• Full name, age, gender, and other demographic details.
• Importance of accurate patient identification.
• Verification of patient details with provided identification.
• Consistency in recording patient information.
• Ensuring patient privacy and confidentiality.

 

2. Reference Doctor Information:

• Clear presentation of the reference doctor's name and contact information.
• Inclusion of reference doctor's credentials and affiliations.
• Use of the reference doctor's official letterhead for authenticity.
• Verification of reference doctor details for effective communication.
• Highlighting the role of the referring physician in patient care.

 

3. Specimen Information:

• Specification of specimen name, required volume, and collection procedure.
• Emphasis on appropriate specimen handling for test integrity.
• Clear instructions on labeling and securing the specimen.
• Importance of timely transportation and delivery of the specimen.
• Ensuring accurate documentation of specimen details.

 

4. Test Name Heading, Test Methodology:

• Clear labeling of the CA 19-9 test name at the report's beginning.
• Brief description of the methodology used for the test.
• Concise explanation of the test process for better understanding.
• Transparency in reporting the specific CA 19-9 test conducted.
• Clarification of any specialized aspects of the test methodology.

 

5. Test Result:

• Prominent display of the CA 19-9 test result.
• Clarity in reporting numeric values and units.
• Provision of any applicable qualitative interpretations of the result.
• Explanation of any units of measurement or scoring systems used.
• Highlighting any critical values or noteworthy findings.

 

6. Normal Value Reference:

• Clear statement of the normal reference range for CA 19-9.
• Highlighting variations based on age or gender.
• Emphasizing the significance of comparing results to established norms.
• Providing context for understanding variations in normal values.
• Encouraging interpretation within the context of individual patient characteristics.

 

7. Interpretation & Instrumentation:

• Interpretive summary of the CA 19-9 result for clinical context.
• Information on the instrumentation and technology used in the test.
• Clarification of any factors influencing result interpretation.
• Explanation of how instrumentation choices impact result accuracy.
• Highlighting the role of expert interpretation in clinical decision-making.

 

8. Signature and Date:

• Inclusion of the signature of the authorized laboratory personnel.
• Clearly mentioned date of the report's issuance.
• Importance of a valid signature for report authenticity.
• Verification of the signature against authorized personnel records.
• Ensuring timely and accurate dating of laboratory reports.

 

9. QR Code Authenticity and Barcode:

• Incorporation of a QR code for quick verification of report authenticity.
• Inclusion of a barcode for efficient tracking and record-keeping.
• Encouragement of technology use for enhanced report reliability.
• Explanation of how to use the QR code for verification purposes.
• Assurance of the security and integrity of the QR code and barcode systems.

 

10. Diagnostic Laboratory Details:

• Comprehensive information about the diagnostic laboratory.
• Inclusion of contact details, accreditation, and certification.
• Highlighting the laboratory's commitment to quality testing.
• Description of specialized services or capabilities offered by the laboratory.
• Assurance of compliance with regulatory and accreditation standards.

 

Also Check 

Drlogy Plus For Complete Digital Solutions for Doctors, Clinics, Hospitals & Labs to Enhance Patient Experience

 

CA 19-9 Test Report Format Sample

 

CA 19-9 Test Report Format

Here is a PPBS test report PDF format, highlighting its significance in the pathology laboratory.

CA 19-9 Test Report Format PDF

 

Drlogy Pathology lab software plays a pivotal role in ensuring a PPBS Test Report Format. Additionally, Pathology lab software automates many aspects of the testing process, from sample handling to data analysis. Drlogy Pathology Software provides healthcare providers with real-time access to PPBS test results, enabling timely decision-making and faster patient care.

 

Referred

500+ Pathology Lab Report Formats PDF

 

Conclusion

• In conclusion, a meticulously structured CA 19-9 test report is indispensable for ensuring accuracy, clarity, and effective communication in healthcare.
• Standardized formats with detailed subheadings enhance patient care, facilitate seamless collaboration between laboratories and healthcare professionals, and contribute to the precision required in diagnosing, monitoring, and treating cancer patients.
• Drlogy Plus For Complete Digital Solutions for Doctors, Clinics, Hospitals & Labs to Enhance Patient Experience.

 

Reference

• CA 19-9 Test - Wikipedia [1].
• CA 19-9 Test - Drlogy [2].