Current Text: These questions are not considered the same as “Ask at Order Entry” (AOE) questions by lab standards experts because:

• there may not be an order
• the answers to the questions do not affect the interpretation of the postive or negative result
• it was determined that for public health departments’ receiving and storing data, it is best to be consistent and represent this information with the supportingInformation FHIR Extension.

I like that you are pointing out that these are NOT like AOEs, but I think we should split out why they are not AOEs from why we are currently representing them this way.

Suggested new text:

These questions are not considered the same as “Ask at Order Entry” (AOE) questions by lab standards experts because:

• the answers to the questions do not affect the interpretation of the postive or negative result
• they are there to support Public Health response

This solution was chosen during the pandemic as that is a supported way for laboratories to add information to their LIS and then subsequently send it out. There was a lot of discussion and long-term this information should be coming from other systems to PH, so the lab does not need to store information just for the sake of forwarding it. For this At-Home Test use case that might be an option, so for this use case it may remain the solution (or it may need to be revisted).