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Lab Log Routine Blood
Mathew Thorpe edited this page Aug 30, 2021
·
1 revision
| Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
|---|---|---|---|---|
| blood_date | text | Date | ||
| fbc_done | FBC | checkbox | Please tick all tests that have been DONE | 1, Haemoglobin ; 2, WBC Count ; 3, Neutrophil Count ; 4, Lymphocyte Count ; 5, Eosinophils ; 6, Haematocrit ; 7, Platelets |
| haemo_less_greater | dropdown | Haemoglobin - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| haemo_result | text | Haemoglobin - Result (g/L) | ||
| haemo_other_unit | text | Haemoglobin - If using a different unit other than g/L | ||
| wbc_less_greater | dropdown | WBC Count - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| wbc_result | text | WBC count - Result (10^9/L) | ||
| wbc_other_unit | text | WBC count - If using a different unit other than 10^9/L | ||
| neutro_less_greater | dropdown | Neutrophil Count - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| neut_result | text | Neutrophil count - Result (10^9/L) | ||
| neut_other_unit | text | Neutrophil count - If using a different unit other than 10^9/L | ||
| lympho_less_greater | dropdown | Lymphocyte Count - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| lymp_result | text | Lymphocyte count - Result (10^9/L) | ||
| lymp_other_unit | text | Lymphocyte count - If using a different unit other than 10^9/L | ||
| eos_less_greater | dropdown | Eosinophils - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| eos_result | text | Eosinophils - Result (10^9/L) | ||
| eos_other_unit | text | Eosinophils - If using a different unit other than 10^9/L | ||
| haema_less_greater | dropdown | Haematocrit - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| haema_result | text | Haematocrit - Result (%) | ||
| haema_other_unit | text | Haematocrit - If using a different unit other than % | ||
| plat_less_greater | dropdown | Platelets - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| plat_result | text | Platelets - Result (10^9/L) | ||
| plat_other_unit | text | Platelets - If using a different unit other than 10^9/L | ||
| ues_done | U&Es | checkbox | Please tick all tests that have been DONE | 1, Urea ; 2, Creatinine ; 3, Sodium ; 4, Potassium ; 5, eGFR |
| urea_less_greater | dropdown | Urea - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| urea_result | text | Urea - Result (mmol/L) | ||
| urea_other_unit | text | Urea - If using a different unit other than mmol/L | ||
| crea_less_greater | dropdown | Creatinine - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| crea_result | text | Creatinine - Result (μmol/L) | ||
| crea_other_unit | text | Creatinine - If using a different unit other than μmol/L | ||
| na_less_greater | dropdown | Sodium - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| na_result | text | Sodium - Result (mmol/L) | ||
| na_other_unit | text | Sodium - If using a different unit other than mmol/L | ||
| k_less_greater | dropdown | Potassium - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| k_result | text | Potassium - Result (mmol/L) | ||
| k_other_unit | text | Potassium - If using a different unit other than mmol/L | ||
| egfr_less_greater | dropdown | eGFR - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| egfr_result | text | eGFR - Result (ml/min/1.73m^2) | ||
| egfr_other_unit | text | eGFR - If using a different unit other than ml/min/1.73m^2 | ||
| lft_done | LFTs | checkbox | Please tick all tests that have been DONE | 1, Total bilirubin ; 2, ALT (alanine transaminase) ; 3, ALP (alkaline phosphatase) ; 4, GGT (gamma-GT) ; 5, Albumin ; 6, Total protein |
| bili_less_greater | dropdown | Total Bilirubin - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| bili_result | text | Total bilirubin - Result (μmol/L) | ||
| bili_other_unit | text | Total bilirubin - If using a different unit other than μmol/L | ||
| alt_less_greater | dropdown | ALT (alanine transaminase) - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| alt_result | text | ALT (alanine transaminase) - Result (U/L) | ||
| alt_other_unit | text | ALT (alanine transaminase) - If using a different unit other than U/L | ||
| alp_less_greater | dropdown | ALP (alanine phosphatase) - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| alp_result | text | ALP (alanine phosphatase) - Result (U/L) | ||
| alp_other_unit | text | ALP (alanine phosphatase) - If using a different unit other than U/L | ||
| ggt_less_greater | dropdown | GGT (gamma-GT) - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| ggt_result | text | GGT (gamma-GT) - Result (U/L) | ||
| ggt_other_unit | text | GGT (gamma-GT) - If using a different unit other than U/L | ||
| alb_less_greater | dropdown | Albumin - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| alb_result | text | Albumin (g/L) | ||
| alb_other_unit | text | Albumin - If using a different unit other than g/L | ||
| prot_less_greater | dropdown | Total protein - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| prot_result | text | Total protein (g/L) | ||
| prot_other_unit | text | Total protein - If using a different unit other than g/L | ||
| crp_done | CRP | checkbox | Please tick all tests that have been DONE | 1, CRP |
| crp_less_greater | dropdown | CRP - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| crp_result | text | CRP - Result (mg/L) | ||
| crp_other_unit | text | CRP - If using a different unit other than mg/L | ||
| bp_done | Bone Profile | checkbox | Please tick all tests that have been DONE | 1, Adjusted calcium ; 2, Phosphate ; 3, Magnesium ; 4, 25-Hydroxyvitamin D (25-OH) |
| cal_less_greater | dropdown | Adjusted calcium - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| cal_result | text | Adjusted calcium - Result (mmol/L) | ||
| cal_other_unit | text | Adjusted calcium - If using a different unit other than mmol/L | ||
| pho_less_greater | dropdown | Phosphate - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| pho_result | text | Phosphate - Result (mmol/L) | ||
| pho_other_unit | text | Phosphate - If using a different unit other than mmol/L | ||
| mg_less_greater | dropdown | Magnesium - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| mg_result | text | Magnesium - Result (mmol/L) | ||
| mg_other_unit | text | Magnesium - If using a different unit other than mmol/L | ||
| oh_less_greater | dropdown | 25-Hydroxyvitamin D (25-OH) - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| oh_result | text | 25-Hydroxyvitamin D (25-OH) - Result (nmol/L) | ||
| oh_other_unit | text | 25-Hydroxyvitamin D (25-OH) - If using a different unit other than nmol/L | ||
| lp_done | Lipid profile (fasting if feasible) | checkbox | Please tick all tests that have been DONE | 1, Cholesterol ; 2, Triglycerides ; 3, HDL cholesterol ; 4, LDL cholesterol |
| cho_less_greater | dropdown | Cholesterol - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| cho_result | text | Cholesterol - Result (mmol/L) | ||
| cho_other_unit | text | Cholesterol - If using a different unit other than mmol/L | ||
| tri_less_greater | dropdown | Triglycerides - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| tri_result | text | Triglycerides - Result (mmol/L) | ||
| tri_other_unit | text | Triglycerides - If using a different unit other than mmol/L | ||
| hdl_less_greater | dropdown | HDL cholesterol - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| hdl_result | text | HDL cholesterol - Result (mmol/L) | ||
| hdl_other_unit | text | HDL cholesterol - If using a different unit other than mmol/L | ||
| ldl_less_greater | dropdown | LDL cholesterol - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| ldl_result | text | LDL cholesterol - Result (mmol/L) | ||
| ldl_other_unit | text | LDL cholesterol - If using a different unit other than mmol/L | ||
| cp_done | Cardiac Profile | checkbox | Please tick all tests that have been DONE | 1, Troponin - cTnT ; 2, Troponin - hs-cTnT ; 3, Troponin - cTnI ; 4, Troponin - hs-cTnI ; 5, BNP ; 6, Pro-NT-BNP |
| trop_ctnt_less_greater | dropdown | Troponin - cTnT - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| trop_ctnt_result | text | Troponin - cTnT - Result (ng/L) | ||
| trop_ctnt_other_unit | text | Troponin - cTnT - If using a different unit other than ng/L | ||
| trop_hsctnt_less_greater | dropdown | Troponin - hs-cTnT - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| trop_hsctnt_result | text | Troponin - hs-cTnT - Result (ng/L) | ||
| trop_hsctnt_other_unit | text | Troponin - hs-cTnT - If using a different unit other than ng/L | ||
| trop_ctni_less_greater | dropdown | Troponin - cTnI - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| trop_ctni_result | text | Troponin - cTnI - Result (ng/L) | ||
| trop_ctni_other_unit | text | Troponin - cTnI - If using a different unit other than ng/L | ||
| trop_hsctni_less_greater | dropdown | Troponin - hs-cTnI - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| trop_hsctni_result | text | Troponin - hs-cTnI - Result (ng/L) | ||
| trop_hsctni_other_unit | text | Troponin - hs-cTnI - If using a different unit other than ng/L | ||
| bnp_less_greater | dropdown | BNP - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| bnp_result | text | BNP - Result (ng/L) | ||
| bnp_other_unit | text | BNP - If using a different unit other than ng/L | ||
| pnbnp_less_greater | dropdown | Pro-NT-BNP - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| pnbnp_result | text | Pro-NT-BNP - Result (ng/L) | ||
| pnbnp_other_unit | text | Pro-NT-BNP - If using a different unit other than ng/L | ||
| hp_done | Haematology Profile | checkbox | Please tick all tests that have been DONE | 1, D-Dimer ; 2, Fibrinogen ; 3, INR ; 4, Ferritin |
| ddi_unit | radio | D-Dimer - Unit of measurement | 1, ug/mL or mg/L ; 2, ng/mL or ug/L | |
| ddi_assay | radio | D-Dimer - Unit of measurement | 1, FEU ; 2, DDU | |
| ddi_less_greater | dropdown | D-Dimer - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| ddi_result | text | D-Dimer - Result | ||
| ddi_other_unit | text | D-Dimer - If using a different unit other than mg/L | ||
| fib_less_greater | dropdown | Fibrinogen - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| fib_result | text | Fibrinogen (g/L) | ||
| fib_other_unit | text | Fibrinogen - If using a different unit other than g/L | ||
| inr_less_greater | dropdown | INR - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| inr_result | text | INR - Result | ||
| inr_other_unit | text | INR - If using a different unit | ||
| fer_less_greater | dropdown | Ferritin - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| fer_result | text | Ferritin - Result (μg/L) | ||
| fer_other_unit | text | Ferritin - If using a different unit other than μg/L | ||
| dp_done | Diabetes Profile (FASTING glucose & Insulin results only) | checkbox | Please tick all tests that have been DONE | 1, HbA1C ; 2, Glucose ; 3, Insulin |
| hba1c_less_greater | dropdown | HbA1C - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| hba1c_result | text | HbA1C - Result (%) | ||
| hba1c_other_unit | text | HbA1C - If using a different unit other than % | ||
| glu_less_greater | dropdown | Glucose - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| glu_result | text | Glucose - Result (mmol/L) | ||
| glu_other_unit | text | Glucose - If using a different unit other than (mmol/L) | ||
| ins_less_greater | dropdown | Insulin - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
| ins_result | text | Insulin - Result (uIU/mL) | ||
| ins_other_unit | text | Insulin - If using a different unit other than uIU/mL |
Contents
Case Report Form Definitions
- Forms
- Timepoints
- PHOSP ID
- eConsent Tier 1
- eConsent Tier 2
- Informed Consent Form
- Split Tier Consent
- Eligibility Checklist
- CRF1A Part 1
- CRF1A Part 2
- CRF1A Part 3
- CRF1B
- CRF2A
- CRF2B
- CRF3A
- CRF3B
- CRF3C
- CRF4A
- CRF4B
- CRF Emergency Visit
- Adverse Event Log
- Withdrawals
- CRF Early Termination
- CRF Tier 2 Withdrawal
- Medications Log
- Activity Monitor Log
- Mental Health Assessment
- Nutrition
- Social History
- EQ-5D-5L
- GAD-7
- PHQ-9
- MRC Dyspnoea
- SARC-F
- GPPAQ
- Dyspnoea-12
- FACIT Fatigue
- PCL-5
- BPI
- NEADL
- MoCA
- Rockwood Clinical Frailty
- PSQI
- MEQ
- LCQ
- PFTs
- Walk Tests
- Tier 2 Core Test Checklist
- Tier 2 Research Samples
- Tier 2 Notification - Blood
- Tier 2 Notification - Oral Wash
- Tier 2 Notification - Sputum
- Tier 2 Notification - Urine
- QRISK3
- BIA
- DXA
- Muscle Strength
- SPPB
- Pre-PSQ
- PSQ
- Lab Log - Routine Blood
- Lab Log - Urine
- Lab Log - Immuno
- Lab Log - Additional Tests
- PCR Swab Tests