Assess whether a prescription legitimately explains the positive (99c692)

Situation

Medical review officer in a company transitioning to oral fluid has one working extract — split-specimen B bottle request timeline — after an oral-fluid device the lab has not validated for this cutoff. If split-specimen B bottle request timeline cannot support a prescription legitimately explains, the honest Forensic Drug Testing output is hold.

Decision

Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold using split-specimen B bottle request timeline after an oral-fluid device the lab has not validated for this cutoff.

Hypotheses to test

• The population named in split-specimen B bottle request timeline is the one an oral-fluid device the lab has not validated for this cutoff identified, so Accept the result follows for this Program Design and Audit file.
• The population in split-specimen B bottle request timeline is only adjacent to an oral-fluid device the lab has not validated for this cutoff; Reject on custody is the honest Forensic Drug Testing call for medical review officer.
• A company transitioning to oral fluid already contained an oral-fluid device the lab has not validated for this cutoff before split-specimen B bottle request timeline arrived, so a prescription legitimately explains is not a new Program Design and Audit path.
• Provenance on split-specimen B bottle request timeline 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 for a prescription legitimately explains yet.

Analysis required

• Walk chain of custody, collection site, and validity flags in split-specimen B bottle request timeline after an oral-fluid device the lab has not validated for this cutoff.
• Name the step medical review officer cannot reconstruct from split-specimen B bottle request timeline.
• Test whether a broken seal, timing miss, or donor explanation changes a prescription legitimately explains.
• For this Forensic Drug Testing Program Design and Audit file, read split-specimen B bottle request timeline against an oral-fluid device the lab has not validated for this cutoff and write the one fact that would move a prescription legitimately explains for medical review officer.

Recommendation