Assess whether the site should be suspended from collections (635baa)

SITUATION Specimen Validity work in a DOT-covered motor carrier after a fatal crash now turns on the site should be suspended because an oral-fluid device the lab has not validated for this cutoff put prescription that could explain an opioid positive in play. Medical review officer should say what prescription that could explain an opioid positive proves.

DECISION Medical review officer in a DOT-covered motor carrier after a fatal crash must choose Accept the result / Reject on custody / Recollect / Hold using prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff.

HYPOTHESES TO TEST 1. Prescription that could explain an opioid positive reads as Accept the result once an oral-fluid device the lab has not validated for this cutoff is lined up to the same Forensic Drug Testing population. 2. Prescription that could explain an opioid positive is closer to Reject on custody after an oral-fluid device the lab has not validated for this cutoff; Accept the result would over-claim this Specimen Validity extract. 3. Recollect is still live in prescription that could explain an opioid positive for medical review officer in a DOT-covered motor carrier after a fatal crash. 4. Prescription that could explain an opioid positive is missing the fact medical review officer needs after an oral-fluid device the lab has not validated for this cutoff; stop this Forensic Drug Testing close.

ANALYSIS REQUIRED 1. Walk chain of custody, collection site, and validity flags in prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff. 2. Name the step medical review officer cannot reconstruct from prescription that could explain an opioid positive. 3. Test whether a broken seal, timing miss, or donor explanation changes the site should be suspended. 4. For this Forensic Drug Testing Specimen Validity file, read prescription that could explain an opioid positive against an oral-fluid device the lab has not validated for this cutoff and write the one fact that would move the site should be suspended for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff). The follow-on Specimen Validity action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on the site should be suspended, then the evidence in prescription that could explain an opioid positive, then the action for medical review officer - Hypothesis scorecard against prescription that could explain an opioid positive: supported / rejected / untestable - Named option among Accept the result, Reject on custody, Recollect and the fact that kills the others - Owner and next date for medical review officer in a DOT-covered motor carrier after a fatal crash