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Reasons for Study

Reasons for Study

The use of Reason for Study (OBR-31) is required to capture the primary reason for testing. The following table lists the Reason for Study value set (Please note that this is a locally defined value set):

Value Description Value Set Comments
RFS01 Diagnosis BOL_0001 Test ordered to diagnose illness.
RFS02 Outbreak BOL_0001 Indicate suspect agent responsible for a potential outbreak. Other information may be required when using this option including: Onset date, outbreak identifier, organism suspected and, if applicable, MDHHS prior approval. These additional items are sent as AOE OBXs. See Section 3.1.2 of the Lab Orders Implementation Guide.
RFS03 Surveillance BOL_0001 Indicate which study to which this sample is to be included. The Surveillance Study is sent in an AOE OBX with the code of AOE50. See Section 3.1.2 of the Lab Orders Implementation Guide.
RFS05 Symptoms BOL_0001 Patient requesting examination due to symptoms, or, symptoms discovered upon examination.
RFS08 Retest BOL_0001 Patients diagnosed with chlamydia and gonorrhea should be retested approximately three months after treatment, regardless of whether they believe that their sex partners were treated. If retesting at three months is not possible, clinicians should retest whenever that person next presents for medical care in the twelve months following initial treatment.
RFS10 Infected Partner BOL_0001 Patient has known exposure to a sexually transmitted disease (STD). This exposure may be self-reported or documented.
RFS12 Court Order BOL_0001
RFS13 PrEP BOL_0001 Test is run in accordance with CDC Guidelines for prescribing and monitoring a patient on Pre-Exposure Prophylaxis for HIV (PrEP).
RFS14 PrEP - First Visit BOL_0001 Visit that initiates PrEP prescription; considered initial visit if medication is newly prescribed (e.g. not a refill).
RFS15 PrEP - Follow-up Visit BOL_0001 PrEP follow-up visit associated with routine monitoring of PrEP patient and refill of PrEP prescription.

The following are used only for chlamydia/gonorrhea/trichomonas non-culture test requests:

Value Description Value Set Comments
RFS06 History of STD (<3years) BOL_0001 Patient has been diagnosed with a sexually transmitted disease within the last three years.
RFS07 Age Recommended for Testing BOL_0001 The Centers for Disease Control (CDC) recommends annual screening of females <= 24 years of age.
RFS09 Partner Risk BOL_0001 Patient has multiple sex partners.
RFS11 GC Test of Cure BOL_0001 Sample is being submitted to confirm a patient’s gonorrhea infection has been cured.
RFS16 School-wide Event BOL_0001 Test is run as part of a school-wide STD screening event. This is different from screening/testing that occurs in a school-based health center.

Rev. 05/17/2024