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Labs, imaging and referrals Illustrative patient · real sheet

It is written
before they stand up.

In most clinics a requisition is a note on a pad that somebody types up later, or a form the patient has to come back for. Here it exists, numbered and ready to print, while they are still in the chair.

Bow Valley Family Practice

1402 Kensington Rd NW, Calgary, Canada

reception@bowvalleyfp.ca

Laboratory requisition

Ref QORD-000417

Ordered Aug 21, 2026

Routine

Patient

Name
Marco Delgado
Date of birth
Mar 14, 1978
Health card (PHN)
81234‑5678
Qlynic ID
QLY‑4471
Phone
(403) 555‑0148

Requested

Morning bloodwork — fatigue, 3 months

CBC with differential

TSH

Ferritin

Ordering provider

Provider
Dr. Amelia Chen  ·  Family Medicine
Clinic
Bow Valley Family Practice
Provider signature Date

Bow Valley Family Practice  ·  1402 Kensington Rd NW, Calgary
Ref QORD-000417 · Generated by Qlynic

What the doctor did

One line.

Everything above it — the name, the date of birth, the health card number, the phone, the clinic, the provider — was already in the record. The sheet fills itself out of what you already know, and the doctor writes the part only a doctor can write.

Anything the record does not have prints as a blank writable line rather than a gap, so the sheet is never unusable — a patient with no health card on file still walks out with something the lab will accept.

  • QORD-000417 Its own reference number — printed on the sheet, repeated in the footer, and used to name the file you download.
  • Routine · Urgent · Stat Printed as a pill in the top right corner, where whoever picks the sheet up will see it before anything else.
  • Print or download The patient can walk out of the room holding it, which is the entire point of writing it in the room.

The form you already use APL 21302 · Rev 2024-09

This is 21302. You have
filled it in by hand
a thousand times.

Not a form like Alberta’s. Alberta’s. This is the sheet itself, printed from the visit you just watched.

The top half was already known

Health card number and its expiry. Date of birth, legal name, sex, phone, address. Your provider ID, your submitter ID, your clinic. Not one character of it was typed for this sheet, and nobody at the lab has to make out anyone’s handwriting.

Three boxes, from one line in the room

CBC and Differential. Ferritin. Thyroid Stimulating Hormone. There are a hundred and thirty-five boxes in that grid and the sheet found the right one in the right column for each — nobody ran a finger down three columns hunting for where Ferritin lives.

The collection band stays empty

Date, time, location, collector — all blank, on purpose. That band belongs to the lab, and a form that fills in somebody else’s boxes is a form nobody trusts.

One honest wrinkle. There is nowhere on 21302 to mark a test urgent — the province never put a box there. So when you mark one, it is written at the front of Clinical Information, in capitals: URGENT — morning bloodwork, fatigue 3 months. It is not hidden and it is not dropped; it goes where the form has room for it.

General Laboratory Requisition 21302 (Rev 2024-09), printed by Qlynic from one visit. Sample patient.

Who is allowed to order One rule, no exceptions

Your owner account can do anything
in this clinic. Except this.

Raising a requisition is not a permission you can hand out. It is a link to a provider profile — and without one, nobody can order a test. Not your practice manager. Not your billing lead. Not you.

Bow Valley Family Practice Marco Delgado · 21 Aug

  • You Owner · full control of this clinic Not a linked provider
  • Priya Raman Practice manager Not a linked provider
  • Tom Whitfield Front desk Not a linked provider
  • Dr Ibrahim Okafor A linked provider — but this is not his appointment Not his patient today
  • Dr Amelia Chen A linked provider — and Marco is her patient today Can order

What the other four are actually told, word for word: “This action requires a linked provider profile.” and “You can only create orders for your own appointments.”

It is not a role. It is a link.

Every other permission in Qlynic can be granted by role, and an owner passes all of them. This one is checked first and separately — is this login attached to a provider profile? A doctor-role account with no profile attached is refused like anyone else. Link your own login to a provider profile and you pass like any other provider, because then you are one.

And only their own patients

Dr Okafor is a real provider with a real profile. He still cannot raise an order on Dr Chen’s appointment, and the attempt is written down — naming both providers and exactly what was tried.

The same gate on every step

Writing the order. Changing it. Sending the patient their link. Printing the requisition. Four separate actions, one rule, checked every time — not just at the first click.

A refusal is never silent. Every denial lands in your activity log with the person, the thing they tried and the page they tried it on. Nobody is quietly blocked and nobody quietly gets through — which is the half of this that matters if anyone ever asks you who ordered what.

What stops things falling through Still open from an earlier visit

He came in for a sore throat. August’s
bloodwork was still there.

An order nobody closed does not quietly disappear. The next time that patient is in front of a doctor — for anything at all — it is sitting at the top of today’s chart, and it can be finished from there.

21 August Fatigue, three months

This visit

Lab Morning bloodwork — fatigue, 3 months Ordered

4 October Sore throat

Still open from an earlier visit

Lab Morning bloodwork — fatigue, 3 monthsOrdered 21 August Mark done

This visit

Lab Throat swab — culture Ordered

Not a report anyone has to run

It is on the encounter screen the doctor already has open, above the orders for today. Nobody has to remember to check, because there is nothing to remember.

And it can be finished from here

Closing it on today’s visit closes August’s order, stamped with who closed it and when. Nobody goes hunting back through the calendar for the August appointment.

Only what is genuinely still open

Anything already completed or cancelled stays out of it. What surfaces is the short list of things that were ordered and never came back — nothing else.

Two limits worth knowing. The patient is matched on their email address and nothing else, so a patient with no email on file will never carry anything forward — worth half an hour with your records if that is common in your clinic. And it surfaces the five most recent open orders, not all of them.