Other specify APPENDIX E CYP 2D6 GENOTYPING Was CYP 2D6 Genotyping performed? Yes No NA PFCAT=GENETIC VARIATION PFSCAT=GENOTYPE PFPERF PF Gene Date of sample Sample type Sample condition Not done Reason not done Test type location PFTEST PFDAT PFDTC PFSPEC PFSPCCND PFSTAT PFREASND Whole blood Genotype CYP 2D6 |__|__|-|__|__|__|-|__|__|__|__| APPENDIX F Was the ECG recorded? ECG RECORDING Yes No NA EGPERF Date of ECG EGDAT EGDTC Method Position Not done Reason not done Time of ECG EGTIM EGDTC EGMETHOD EGPOS EGSTAT EGREASND
Other specify APPENDIX E CYP 2D6 GENOTYPING PFCAT=GENETIC VARIATION PFSCAT=GENOTYPE PF Was CYP 2D6 Genotyping performed? PFPERF Yes No NA Test type PFTEST Gene location Date of sample PFDAT PFDTC Sample type PFSPEC Sample condition PFSPCCND Not done PFSTAT Reason not done PFREASND Genotype CYP 2D6 |__|__|-|__|__|__|-|__|__|__|__| Whole blood APPENDIX F ECG RECORDING Was the ECG recorded? EGPERF Yes No NA Date of ECG EGDAT EGDTC Time of ECG EGTIM EGDTC Method EGMETHOD Position EGPOS Not done EGSTAT Reason not done EGREASND
wwarn-malaria-case-record-form-crf-v2_09apr2018.docx