Capillary plasma Venous plasma S02 D1H6 |__|__|:|__|__| Whole blood Dried Venous Dried Capillary blood Dried APPENDIX D G6PD Yes No NA LBTEST = Was a sample for G6PD testing taken? LBPERF LB Trade name Sample Not Reason not Collection date Result Units Test category Test type Sample type DIVAL when condition done done Collection time LBORRES LBORRESU DIPARM=Trade LBMTHCAT DIVAL where DIPARM=Device type LBSPEC LBSPCCND LBSTAT LBREASND Name |__|__|-|__|__|__|-|__|__|__|__| Fluorescence spot test Normal LBDTC Whole RDT Qualitative Dried Deficient blood Other |__|__|:|__|__| Invalid Other specify LBTIM LBDTC Spectrophotometry |__|__|-|__|__|__|-|__|__|__|__| Biosensor Quantitative WST 8/1 assay |__|__|:|__|__| Other
|__|__|:|__|__| D1H6 S02 Capillary plasma Venous plasma Whole blood Venous Capillary blood Dried Dried Dried APPENDIX D G6PD LBTEST = LB Was a sample for G6PD testing taken? LBPERF Yes No NA Collection date Collection time Test category LBMTHCAT Test type DIVAL where DIPARM=Device type Trade name DIVAL when DIPARM=Trade Name Sample type LBSPEC Sample condition LBSPCCND Result LBORRES Units LBORRESU Not done LBSTAT Reason not done LBREASND |__|__|-|__|__|__|-|__|__|__|__| LBDTC |__|__|:|__|__| LBTIM LBDTC Qualitative Fluorescence spot test RDT Other Whole blood Dried Normal Deficient Invalid Other specify |__|__|-|__|__|__|-|__|__|__|__| |__|__|:|__|__| Quantitative Spectrophotometry Biosensor WST 8/1 assay Other
wwarn-malaria-case-record-form-crf-v2_09apr2018.docx