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Lab Log Immuno
Mathew Thorpe edited this page Aug 30, 2021
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Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
---|---|---|---|---|
immu_date | text | Date | ||
auto_imm_done | Auto-immune Screen | checkbox | Please tick all tests that have been DONE | 1, Antinuclear antibody (ANA) titre ; 2, Anti-glomerular basement membrane antibody (Anti-GBM) titre ; 3, ENA screen ; 4, ANCA screen ; 5, MPO-ANCA antibody level ; 6, PR3-ANCA antibody level ; 7, dsDNA ; 8, Anticardiolipin (aCL) antibodies ; 9, Anti-β2-Glycoprotein I (Anti-β2GPI) antibodies ; 10, Lupus anticoagulant antibodies ; 11, Anti-CCP ; 12, Rheumatoid Factor (RF) |
ana | text | Antinuclear antibody (ANA) titre | ||
agbm | text | Anti-glomerular basement membrane antibody; (Anti-GBM) titre | ||
ena | radio | ENA screen | 1, Positive ; 0, Negative | |
anca | radio | ANCA screen | 1, Positive ; 0, Negative | |
ena_detail | text | ENA screen - Predominant proteins (anti - Ro/SS-A, La/SS-B, Sm, RNP, Scl-70 and Jo1) | ||
manca_less_greater | dropdown | MPO-ANCA antibody level - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
manca | text | MPO-ANCA antibody level - Result (IU/ml) | ||
manca_other_unit | text | MPO-ANCA antibody level - If using a different unit other than IU/ml | ||
panca_less_greater | dropdown | PR3-ANCA antibody level - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
panca | text | PR3-ANCA antibody level -Result (IU/ml) | ||
panca_other_unit | text | PR3-ANCA antibody level - If using a different unit other than IU/ml | ||
dsdna_less_greater | dropdown | dsDNA - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
dsdna | text | dsDNA | ||
dsdna_other_unit | text | dsDNA - If using a different unit | ||
acl_less_greater | dropdown | Anticardiolipin (aCL) antibodies - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
acl | text | Anticardiolipin (aCL) antibodies | ||
acl_other_unit | text | Anticardiolipin (aCL) antibodies - If using a different unit | ||
ab2gpi_less_greater | dropdown | Anti-β2-Glycoprotein I (Anti-β2GPI) antibodies - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
ab2gpi | text | Anti-β2-Glycoprotein I (Anti-β2GPI) antibodies - Result | ||
ab2gpi_other_unit | text | Anti-β2-Glycoprotein I (Anti-β2GPI) antibodies - If using a different unit | ||
lag_less_greater | dropdown | Lupus anticoagulant antibodies - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
lag | text | Lupus anticoagulant antibodies - Result | ||
lag_other_unit | text | Lupus anticoagulant antibodies - If using a different unit | ||
accp_less_greater | dropdown | Anti-CCP - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
accp | text | Anti-CCP - Result (u/ml) | ||
accp_other_unit | text | Anti-CCP - If using a different unit other than u/ml | ||
rf_less_greater | dropdown | Rheumatoid Factor (RF) - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
rf | text | Rheumatoid Factor (RF) Result (u/ml) | ||
rf_other_unit | text | Rheumatoid Factor (RF) - If using a different unit other than u/ml | ||
imm_done | Immunological Screen | checkbox | Please tick all tests that have been DONE | 1, C3 ; 2, C4 ; 3, IgA ; 4, IgM ; 5, IgG |
c3_less_greater | dropdown | C3 - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
c3 | text | C3 -Result | ||
c3_other_unit | text | C3 - If using a different unit | ||
c4_less_greater | dropdown | C4 - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
c4 | text | C4 - Result | ||
c4_other_unit | text | C4 - If using a different unit | ||
iga_less_greater | dropdown | IgA - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
iga | text | IgA - Result (g/L) | ||
iga_other_unit | text | IgA - If using a different unit other than g/L | ||
igm_less_greater | dropdown | IgM - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
igm | text | IgM - Result (g/L) | ||
igm_other_unit | text | IgM - If using a different unit other than g/L | ||
igg_less_greater | dropdown | IgG - Select if test result provided is not an exact value | 1, < (Less than) ; 2, > (Greater than) | |
igg | text | IgG - Result (g/L) | ||
igg_other_unit | text | IgG - If using a different unit other than g/L | ||
blood_virus_done | Blood borne viruses screen | checkbox | Please tick all tests that have been DONE | 1, HIV ; 2, Hepatitis B ; 3, Hepatitis C |
hiv | radio | HIV | 1, Positive ; 0, Negtive | |
hepb | radio | Hepatitis B | 1, Positive ; 0, Negtive | |
hepc | radio | Hepatitis C | 1, Positive ; 0, Negtive |
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