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Note: This use case is from the American Clinical Laboratory Association (ACLA) to cover the increasing volume in at home specimen collection .  partially due to EAU approved test that do not require a prescription.  

Patient contacts doctor, concerning symptoms of COVID-19, who orders a test and a test kit is sent by mail , or patient acquires to the patient.  Alternately a patient may acquire a test kit on their own (orders order online or purchases purchase at retail store).   EAU approved test that do not require a prescription.  

Patient following the included directions collects specimen and sends to the Laboratory.    

Laboratory personnel perform the test and submit results to the patient, public health if positivereportable, and to the ordering provider if applicable.    


Ordering Provider (Optional)

Trans Woman Patient

Laboratory Personnel


If ordered by the provider, the EHR would present AOE questions and send with the order to the Laboratory but if the patient acquires the test without a provider, then the directions would need to be updated to include AOE questions.  


Currently recorded gender received in PID-8 is used for billing.  

After Gender Harmony implementation, Preferred Name could be collected for use in mail, email, and text communications.  

Some states want Gender Identity and Sexual Orientation reported but only Gender Identity is in Gender Harmony.