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7: reflex testing and prescription health

http://extra.ulss16.padova.it/NEWS/allegati/leggi/ @ 30575.258.pdf
http://pacs.unica.it/Guida_illustrata.pdf
http:// pacs.unica.it / Guida_rapida.pdf

For a variety of reasons (not to modify, exemptions, etc. ..) the additional benefits must be supported by additional commitments.
What happens if the prescriber assumes in advance the additional benefits, such as reflex testing? For example, asking for a bacterial culture as "any susceptibility?
patients, if necessary, agree to pay the additional fee for the examination, but do not understand the reasoning of the "share recipes".

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Case No 6: Free testosterone and SHBG

Current nomenclature:
TESTOSTERONE [P / U]. 13:25 € 90.41.3
free testosterone. € 16.10 90.41.4

performance niche AO Padova:
SHBG 17:50

94,774 Note: "... If testosterone levels are low-normal and the Symptoms and signs indicated hypogonadism, the testosterone study Should be repeated, and sex hormone-binding globulin (SHBG) or a free testosterone level by equilibrium Dialysis Should Be Determined ... "
( AAME 2002 guideline update )

Question: appropriate to include in the same request SHBG and free testosterone?

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case 5: EBV antibodies

Parts Now: 91.21.1
Epstein Barr virus [EBV] ANTIBODIES (EA or EBNA or VCA) (EIA). € 13.75
91.21.2 Epstein Barr virus [EBV] ANTIBODIES (EA or EBNA or VCA) (Titration by IF). . € 12.70
91.21.3 Epstein Barr virus [EBV] heterophilic antibodies (rapid test). € 7.80
91.21.4 Epstein Barr virus [EBV] heterophilic antibodies [R. Paul Bunnell Davidsohn]. € 8.85

Questions:

1. obsolete titration using IF? Paul Bunnell Davidsohn
2. obsolete?
3. typical panel (EBNA + EA + + VCAG VCAM) 91.21.1 x = 4?

link:
http://www.cdc.gov/ncidod/diseases/ebv.htm
http://www.labtestsonline.org/understanding/analytes/ebv/glance.html

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CUMUL: translation into Italian Swiss LOINC

"... To upgrade applications themselves, the Secretariat needs to CUMUL well inteso per ogni nuovo test, degli elementi chiave ma anche degli eventuali sinonimi e delle unità:
costituente proprietà durata sistema scala metodo sinonimi unità
Questi elementi possono essere inviati sotto forma di tabella (una linea per ogni test), dando preferenza al formato Excel, riferendosi rigorosamente alle convenzioni LOINC descritte nel manuale.
Si avete poco domande potete anche utilizzare nostra scheda online, però per una domanda nello stesso tempo...."

http://www.cumul.ch/2_pro_it.htm