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CDC Method Performance Verification Program |
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Micronutrients Method Comparison |
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Instructions |
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Enter information only in the yellow shaded cells. Cell will become green when populated |
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Run these samples in the same way as you would routine patient samples |
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Run the samples designated for each day in duplicate over a period of 4 days. |
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Record all results with three significant figures (i.e., 105, 10.5, 1.05, 0.105) |
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E-mail this completed worksheet to: micronutrbiomarkers@cdc.gov |
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Retain the vials in your freezer in case of any questions regarding the ID or results. |
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Laboratory Details: |
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Laboratory ID# |
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Name of Laboratory |
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Shipment Details: |
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Shipment received date |
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Was the shipper received cold? |
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Did shipper contain a temperature monitor? |
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Color of dot on temperature monitor |
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Assay Details: |
Matrix |
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Analyte |
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Units |
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Assay |
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Instrument |
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(Manufacturer/Model) |
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(if a kit used) |
Kit Details |
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(Name/Manufacturer) |
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Calibrator(s) (if available) |
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Calibration Range: |
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Low |
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0 |
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High |
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0 |
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LOD |
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0 |
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Run |
Assay Date |
Sample |
Sample ID |
Result 1 |
Result 2 |
Notes |
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0 |
0 |
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Day 1 |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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QC1 |
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QC2 |
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Day 2 |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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QC1 |
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QC2 |
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Day 3 |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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QC1 |
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QC2 |
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Day 4 |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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QC1 |
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QC2 |
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Laboratory Notes |
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