Assess whether custody defects make the result unusable (c0b1e0)

Situation

In an MRO reviewing a prescription-explained positive, prescription that could explain an opioid positive is the evidence after an oral-fluid device the lab has not validated for this cutoff. HHS-certified lab liaison has to pick Accept the result or Reject on custody for this Forensic Drug Testing Program Design and Audit close using prescription that could explain an opioid positive.

Decision

HHS-certified lab liaison in an MRO reviewing a prescription-explained positive 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

• The population in prescription that could explain an opioid positive is the one an oral-fluid device the lab has not validated for this cutoff named, so Accept the result follows for this Program Design and Audit file.
• The population in prescription that could explain an opioid positive is adjacent only to an oral-fluid device the lab has not validated for this cutoff; Reject on custody is the honest Forensic Drug Testing call.
• An MRO reviewing a prescription-explained positive already contained an oral-fluid device the lab has not validated for this cutoff before prescription that could explain an opioid positive arrived; no new Program Design and Audit path.
• Provenance on prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Confirm the kit ID in prescription that could explain an opioid positive matches the collection log.
• Check MRO notes and cutoffs against the protocol an MRO reviewing a prescription-explained positive claims to run.
• 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.
• For this Forensic Drug Testing Program Design and Audit 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 custody defects make the for HHS-certified lab liaison.

Recommendation