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Tier 2 Core Test Checklist
Mathew Thorpe edited this page Aug 30, 2021
·
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| Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
|---|---|---|---|---|
| t2ct_date_collected | text | Date sample collected | ||
| t2ct_fasting | yesno | Participant fasting? | 1, Yes ; 0, No | |
| t2ct_gap_last_meal | text | Time since last meal | ||
| t2ct_type_last_meal | radio | Type of last meal | 1, Heavy meal ; 2, Medium meal ; 3, Light meal ; 4, Snack | |
| t2ct_blood_fbc | Blood | radio | FBC | 1, Yes ; 0, No |
| t2ct_blood_ues | radio | U&Es | 1, Yes ; 0, No | |
| t2ct_blood_egfr | radio | eGFR | 1, Yes ; 0, No | |
| t2ct_blood_lfts | radio | LFTs | 1, Yes ; 0, No | |
| t2ct_blood_crp | radio | CRP | 1, Yes ; 0, No | |
| t2ct_blood_bone | radio | Bone profile | 1, Yes ; 0, No | |
| t2ct_blood_25oh | radio | 25-Hydroxyvitamin D (25-OH) | 1, Yes ; 0, No | |
| t2ct_blood_bnp | radio | BNP/Pro-NT BNP | 1, Yes ; 0, No | |
| t2ct_blood_trop | radio | Troponin | 1, Yes ; 0, No | |
| t2ct_blood_dd | radio | D Dimer | 1, Yes ; 0, No | |
| t2ct_blood_fib | radio | Fibrinogen | 1, Yes ; 0, No | |
| t2ct_blood_inr | radio | INR | 1, Yes ; 0, No | |
| t2ct_blood_fer | radio | Ferritin | 1, Yes ; 0, No | |
| t2ct_blood_hba1c | radio | HbA1C | 1, Yes ; 0, No | |
| t2ct_blood_lipid | radio | Lipid profile (non-fasting) | 1, Yes ; 0, No | |
| t2ct_link_routine_blood | yesno | If any blood tests performed, please enter results in the Laboratory Results Collection Log - Routine blood tests | 1, Yes ; 0, No | |
| t2ct_urine_albumbin | Urine | radio | albumin: creatinine ratio | 1, Yes ; 0, No |
| t2ct_urine_protein | radio | protein: creatinine ratio | 1, Yes ; 0, No | |
| t2ct_urine_urinalysis | radio | Urinalysis (dipstick) | 1, Yes ; 0, No | |
| t2ct_link_blood_urine | yesno | If Urinalysis, Urine albumin : creatinine ratio or Urine protein : creatinine ratio performed, please enter results in the Laboratory Results Collection Log - Urine Profile | 1, Yes ; 0, No | |
| t2ct_fasting_date | Fasting Samples | text | Date fasting samples collected | |
| t2ct_fast_lipid | radio | Lipid profile (fasting) | 1, Yes ; 0, No | |
| t2ct_fast_gluc | radio | Glucose (fasting) | 1, Yes ; 0, No | |
| t2ct_fast_insul | radio | Insulin (fasting) | 1, Yes ; 0, No | |
| t2ct_link_fast_blood | yesno | If any fasting samples collected, please enter results in the Laboratory Results Collection Log - Routine blood tests | 1, Yes ; 0, No |
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