As shown with the core fields, the TEST_ID is the link between the 3 levels of data and the test background information table. 
 Some prior assessment of the assigned test identifiers has to be done in order to avoid duplicates. 
 In a running database the duplicate issues are easily resolved by adding   a unique auto-generated key as the identifier between 3 levels of data   and the test background information table. 
 Along with the TEST_ID it might be necessary to store the ID   assigned to the sample at both the testing laboratory but also the   centres laboratory in order to track the sample.