Difference between revisions of "Reflex test"

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A '''reflex test''' is a type of [[laboratory]] [[test]] ordered when the results of an initial test indicate additional testing is necessary. The reflex test can be ordered by a lab technician in response to analyzed results or ordered automatically by an automated system. Examples of tests that may require a reflex test include that that check for the presence of human papillomavirus (a DNA virus) or cryoglobulins (proteins that become insoluble at a certain temperature).<ref name="RMLReflex">{{cite web |url=https://www.rmlonline.com/site/sections/76 |title=Confirmation and Reflex Testing |publisher=Regional Medical Laboratory |accessdate=09 August 2014}}</ref><ref name="MayoReflex">{{cite web |url=http://www.mayomedicallaboratories.com/test-catalog/appendix/reflex-tests.html |title=Reflex Tests |publisher=Mayo Foundation for Medical Education and Research |accessdate=09 August 2014}}</ref>
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A '''reflex test''' is a type of [[laboratory]] [[test]] ordered when the results of an initial test indicate additional testing is necessary. The reflex test can be ordered by a lab technician in response to analyzed results or ordered automatically by an automated system. Examples of tests that may require a reflex test include the check for the presence of human papillomavirus (a DNA virus) or cryoglobulins (proteins that become insoluble at a certain temperature).<ref name="RMLReflex">{{cite web |url=https://www.rmlonline.com/site/sections/76 |title=Confirmation and Reflex Testing |publisher=Regional Medical Laboratory |accessdate=09 August 2014}}</ref><ref name="MayoReflex">{{cite web |url=http://www.mayomedicallaboratories.com/test-catalog/appendix/reflex-tests.html |title=Reflex Tests |publisher=Mayo Foundation for Medical Education and Research |accessdate=09 August 2014}}</ref>
  
In 1998, the U.S. Department of Health and Human Services' Office of Inspector General stated the following about the reflex test:
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In 1998, the [[United States Department of Health and Human Services|U.S. Department of Health and Human Services]]' Office of Inspector General stated the following about the reflex test:
  
 
<blockquote>Reflex testing occurs when initial test results are positive or outside normal parameters and indicate that a second related test is medically appropriate. In order to avoid performing unnecessary reflex tests, labs may want to design their requisition form in such a way which would only allow for the reflex test when necessary.<ref name="FR22559">{{cite journal |url=http://www.gpo.gov/fdsys/pkg/FR-1998-08-24/pdf/98-22559.pdf |format=PDF |journal=Federal Register |title=Publication of OIG Compliance Program Guidance for Clinical Laboratories |volume=63 |issue=163 |date=24 August 1998 |page=45801 |accessdate=09 August 2014}}</ref></blockquote>
 
<blockquote>Reflex testing occurs when initial test results are positive or outside normal parameters and indicate that a second related test is medically appropriate. In order to avoid performing unnecessary reflex tests, labs may want to design their requisition form in such a way which would only allow for the reflex test when necessary.<ref name="FR22559">{{cite journal |url=http://www.gpo.gov/fdsys/pkg/FR-1998-08-24/pdf/98-22559.pdf |format=PDF |journal=Federal Register |title=Publication of OIG Compliance Program Guidance for Clinical Laboratories |volume=63 |issue=163 |date=24 August 1998 |page=45801 |accessdate=09 August 2014}}</ref></blockquote>

Latest revision as of 19:42, 9 August 2014

A reflex test is a type of laboratory test ordered when the results of an initial test indicate additional testing is necessary. The reflex test can be ordered by a lab technician in response to analyzed results or ordered automatically by an automated system. Examples of tests that may require a reflex test include the check for the presence of human papillomavirus (a DNA virus) or cryoglobulins (proteins that become insoluble at a certain temperature).[1][2]

In 1998, the U.S. Department of Health and Human Services' Office of Inspector General stated the following about the reflex test:

Reflex testing occurs when initial test results are positive or outside normal parameters and indicate that a second related test is medically appropriate. In order to avoid performing unnecessary reflex tests, labs may want to design their requisition form in such a way which would only allow for the reflex test when necessary.[3]

Many clinical laboratories have opted to generate their own listing of specific tests they'll offer reflex testing for.[1][2] Though less common, users of modern laboratory information systems may optionally use built-in medical necessity checking tools in order to minimize excess reflex testing.

References

  1. 1.0 1.1 "Confirmation and Reflex Testing". Regional Medical Laboratory. https://www.rmlonline.com/site/sections/76. Retrieved 09 August 2014. 
  2. 2.0 2.1 "Reflex Tests". Mayo Foundation for Medical Education and Research. http://www.mayomedicallaboratories.com/test-catalog/appendix/reflex-tests.html. Retrieved 09 August 2014. 
  3. "Publication of OIG Compliance Program Guidance for Clinical Laboratories" (PDF). Federal Register 63 (163): 45801. 24 August 1998. http://www.gpo.gov/fdsys/pkg/FR-1998-08-24/pdf/98-22559.pdf. Retrieved 09 August 2014.