Assess whether custody defects make the result unusable (67ea63)

Situation

In a return-to-duty file with incomplete follow-up tests, prescription that could explain an opioid positive is the evidence after a dilute pattern in one shift at one terminal. Medical review officer has to pick Accept the result or Reject on custody for this Forensic Drug Testing Collection and Custody close using prescription that could explain an opioid positive.

Decision

Medical review officer in a return-to-duty file with incomplete follow-up tests must choose Accept the result / Reject on custody / Recollect / Hold using prescription that could explain an opioid positive after a dilute pattern in one shift at one terminal.

Hypotheses to test

• Prescription that could explain an opioid positive reads as Accept the result once a dilute pattern in one shift at one terminal is lined up to the same Forensic Drug Testing population.
• Prescription that could explain an opioid positive is closer to Reject on custody after a dilute pattern in one shift at one terminal; Accept the result would over-claim this Collection and Custody extract.
• Recollect is still live in prescription that could explain an opioid positive for medical review officer in a return-to-duty file with incomplete follow-up tests.
• Prescription that could explain an opioid positive is missing the fact medical review officer needs after a dilute pattern in one shift at one terminal; stop this Forensic Drug Testing close.

Analysis required

• Check MRO notes and cutoffs against the protocol a return-to-duty file with incomplete follow-up tests claims to run.
• Walk chain of custody, collection site, and validity flags in prescription that could explain an opioid positive after a dilute pattern in one shift at one terminal.
• Name the step medical review officer cannot reconstruct from prescription that could explain an opioid positive.
• For this Forensic Drug Testing Collection and Custody file, read prescription that could explain an opioid positive against a dilute pattern in one shift at one terminal and write the one fact that would move custody defects make the for medical review officer.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Collection and Custody packet (prescription that could explain an opioid positive after a dilute pattern in one shift at one terminal). The follow-on Collection and Custody action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.