| add_blood_date |
|
text |
Date |
|
| haema_done |
Haematological Profile |
checkbox |
Please tick all tests that have been DONE |
1, Folate ; 2, Vitamin B12 ; 3, Iron ; 4, LDH |
| folate_less_greater |
|
dropdown |
Folate - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| folate |
|
text |
Folate - Result (μg/L) |
|
| folate_other_unit |
|
text |
Folate - If using a different unit other than μg/L |
|
| b12_less_greater |
|
dropdown |
Vitamin B12 - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| b12 |
|
text |
Vitamin B12 - Result (ng/L) |
|
| b12_other_unit |
|
text |
Vitamin B12 - If using a different unit other than ng/L |
|
| iron_less_greater |
|
dropdown |
Iron - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| iron |
|
text |
Iron - Result (μmol/L) |
|
| iron_other_unit |
|
text |
Iron - If using a different unit other than μmol/L |
|
| ldh_less_greater |
|
dropdown |
LDH - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| ldh |
|
text |
LDH - Result (U/L) |
|
| ldh_other_unit |
|
text |
LDH - If using a different unit other than U/L |
|
| tft_done |
Thyroids function tests |
checkbox |
Please tick all tests that have been DONE |
1, TSH ; 2, Free thyroxine (T4) |
| tsh_less_greater |
|
dropdown |
TSH - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| tsh |
|
text |
TSH - Result (miu/L) |
|
| miu_other_unit |
|
text |
TSH - If using a different unit other than miu/L |
|
| t4_less_greater |
|
dropdown |
Free Thyroxine (T4) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| t4 |
|
text |
Free thyroxine (T4) - Result (pmol/L) |
|
| t4_other_unit |
|
text |
Free thyroxine (T4) - If using a different unit other than pmol/L |
|
| other_done |
Other |
checkbox |
Please tick all tests that have been DONE |
1, SARS-Cov-2 Serology |
| sars_cov2_result |
|
radio |
SARS-CoV-2 Serology - Result |
1, Positive ; 0, Negative ; 2, Indeterminate |
| covid19 |
|
text |
SARS-Cov-2 Serology - Result (Legacy field) |
|