I am just realizing, from looking at a sample message, that in the case of a panel like a "lipid profile" the lab can return comment information like "Fasting" in an OBR NTE field.

This is a comment on this patient's instance of this test panel, and not necessarily a comment about the intrinsic characteristics of the test, therefore should not actually go into clin.test_type.note_test_org

As this "fasting" comment characterizes the lipid profile panel, it would apply to all of its parts.

One option for storing this comment be to store it replicated inside each of the individual test results in the panel, as stored in test_result.note_provider (to be renamed note_test_org), which is where the individual result-specific OBX NTE 003 (Comment) will also go. That would save us having to normalize it out to a separate table for panel_data

Maybe within note_provider (to be renamed note_test_org) the OBR comment should be stored as "Test comment: <comment>" and the OBX comment stored as "Result comment: <comment>". How does that sound?


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