Creating a Urine/Blood Lab Result

  1. Login as an accredited lab user.
  2. Go to the Search area.
  3. Click on the New lab result button.mceclip0.pngSnag_b000569b.png
  4. Fill in the Sample Code, Sample Collection Date, select the Sample type and SampleA/B. These fields are mandatory at all times.
  5.  If a corresponding DCF exists in ADAMS for this sample, then using the Auto-complete button automatically retrieves certain data from this DCF and populates this into the lab result form.
    Verify that the data copied is accurate and add other additional information.[Fields copied are: Mission order #, Sample collection date, country/region/city, Lab, TA, SCA, RMA, Test type (in/out of competition), Sport/discipline, Gender]
    If no Auto-complete is used:
  6. Enter a Lab reference number (this could be the Client's Batch ID#) and Mission Order number if relevant.
  7. Fill in the country, region and city for the sample collection.
  8. Fill in the Sample Specific Gravity (Initial Testing Procedure), Sample Specific Gravity (Confirmation Procedure), pH.
    When a Urine Lab/EQAS result is Saved in the Submitted or Partially submitted status with a Date Received by lab  that is equal to or greater than 1 March 2019 with a Test result = AAF/ATF, it is mandatory to provide a value in the field Sample Specific Gravity (Confirmation Procedure) for that result.
    When Date Received by Lab is equal to or greater than 1 April 2021:
      Specific Gravity (Initial Testing Procedure) is mandatory for Sample A and B1.
      Sample Specific Gravity (Confirmation Procedure) is mandatory for Sample B and B2. 

  9.  Enter the date the Date Received by Lab, and (optionally) the Date Results reported and the Analysis Date & time.
  10. Specify the mandatory Testing Authority (TA), Sample Collection Authority(SCA) and the optional Result Management Authority (RMA) .
  11. Select who should be notified with the results in the Send Notification of results to box. [WADA, TA are automatically notified; IF as per ISL only for AAF results]. Click on the magnifying glass icon to search.
  12. Select the Test Type – In or Out of Competition and the Gender.
    If In-Competition is selected, a text box for the Competition Name appears.
  13. Fill in the Sport/discipline. This field is populated by searching for the relevant sport/discipline from the database. Enter at least three letters from the desired sport name. Click on the magnifying glass icon to search. Select your Sport/Discipline from the pop up window.
  14. Fill in the Test result. The Test result reason text box can be used to detail an explanation, e.g. in case the sample has not been analyzed (status entered as "not analyzed") or when an ATF turns into an AAF.
    Possible values for a Test result:
    • Negative: The analysis did not reveal a prohibited substance or high T/E ratio.
    • AAF: Adverse Analytical Finding. A prohibited substance or metabolite or maker was found
    • ATF: Atypical Finding. When further investigation is needed
    • Not analyzed
  15. Specify the Type of analysis.
  16. If applicable, enter details about the analysis in the Analysis Details/Explanation/ Opinion text box.Snag_b0020610.png
  17. On the Lab result/EQAS page the Lab user may indicate the capabilities and methods that were used when analyzing the sample.
    Select the Capability and method(s) used :Snag_aa1504ab.png
    In the selection list the table will appear of the Lab capabilities/methods with their ISO Code and Description as they are pre-defined from within the lab information. A free-text comments field "The sample was analysed using Laboratory test method(s):" is also available:Snag_aa16b818.png
  18. For Urine samples the details regarding the LH-Analysis can be provided:
      • If Negative is selected, either the ‘Concentration (iU/L)’ or the ‘LOD (iU/L)’ can be entered or none. A value entered for the LOD implies that the "concentration of LH was less than this specified LOD' - in the PDF Test report the LH-Analysis states Negative – below LOD. For a value entered in the 'concentration' the PDF Test report states Negative - xx IU/L for the LH-Analysis. If no values are entered in neither the 'Concentration' nor the 'LOD, the PDF Test report states Negative for the LH-Analysis.
      • If PAAF is selected, a ‘Concentration (iU/L)’ is mandatory when the result is saved in the Partially submitted or Submitted status. The PDF Test report states xx IU/L for the LH-Analysis. Adjusted Concentration (SG > 1.018) (IU/L)” for LH Analysis is mandator if
        Specific Gravity > 1.018.
      • If ATF is selected, a ‘Concentration (iU/L)’  is mandatory when the result is saved in the Partially submitted or Submitted status. The PDF Test report states ATF - xx IU/L for the LH-Analysis. Adjusted Concentration (SG > 1.018) (IU/L)” for LH Analysis is mandator if
        Specific Gravity > 1.018.

        The input value for concentration or LOD has to be numeric: a positive integer or a number with 1 digit after decimal point. E.g. 3 , 2.0
        Applicable to Urine samples of all Sample AB types A, B, B1 and B2.
        Locked results: LH-Analysis details can be added on locked results if they didn’t exist before (existing details however can not be modified)Snag_b004eccd.png
  19. To add a metabolite and/or prohibited substance click on the Add Substance button, and select the required Class. The substance is mandatory when a substance class is selected. Click on the Add Metabolite to detail possible associated metabolite(s), and enter the appropriate information. If more than one prohibited substance and/or metabolite is to be reported, then click on the Add Substance and/or Add Metabolite button to detail each finding.
    The Only metabolite(s) checkbox can be checked to indicate that only metabolite(s) were detected during the analysis (not the parent). This will be explicitly reflected as such and clearly stated in the pdf Test report (produced by dint of the Print analysis result record- button). When the box is checked, at least one metabolite in combination with a substance/class has to be specified at the time of (partial) Submission.Snag_aeffb49c.png
  20. If a specific so-called Threshold substance (e.g. "ephedrine greater than the Decision Limit") is selected when Adding a substance in the previous step, then automatically the (Adjusted) DL, concentration/uncertainty section appears, which can be completed:mceclip0.png
  21. For the reporting of Steroid Profiling data (endogenous steroids) on Urine samples a dedicated section can be used. It allows for reporting on the:

    • Presence of microbial contamination
    • Steroid Profile Variables
    • Presence of Confounding Factors: The list of confounding factors displayed depends on the “Date Received by Lab” field in both the Lab Result and EQAS forms. Confounding factors will only be displayed after the field “Date Received by Lab” is entered. Snag_ab5d5baa.png
  22. To enter data for the Monitoring program use the indicator Analyzed for Monitoring program and enter the substances and estimated values. Multiple substances can be added, as well as the Comments to the sample which relates to the sample as a whole.
    The right to enter Monitored data needs to be included in your user account profile.Snag_ab69e6d8.png

  23. The default Status when creating a new lab result, is "Not Submitted".
    Possible values for the Status:
      • Not submitted: This means that the result can be saved in ADAMS, but is not yet available to the Testing Authority. Mandatory fields can be left blank when saving, except for the Sample code field.
      • Submitted: Once all analysis' are complete and ready to be submitted to the Testing Authority. All mandatory fields need to be filled out.
      • Partially Submitted: Not all analysis' are completed [e.g. some tests are in practice so expensive that the lab waits until there are enough tests to run for the economy-of-scale]. All mandatory fields need to be filled out
      • Cancelled: nothing can be changed.
        In the Status reason field the actual reason and need for modifying the value should be entered (for new records there is no relevance). The main idea of having a 'reason' to be entered is for safety purposes to ensure that neither a test result nor a record status value can be selected by mistake and then saved. The consequences of an accidentally wrongly selected 'AAF/ATF' or 'submitted' could be far-reaching, more so in legal disputes.Snag_b00f796c.png
  24. If you are ready to record the result, click on the Save button.
    ADAMS checks on duplicate entries of analytical results whenever they are created.
    The duplication check is made on a combination of the 5 parameters: Sample Code, Sample type , Sample A/B, Lab name and Date received by Lab . In case the sample code, sample type and sampleA/B are the same, but the Lab name or only the Date received by Lab is different, it is possible to enforce the data-entry of your result. Simply clicking on the Save-button on top of the page and disregarding the warning message would suffice.
  25. Using the Print Analysis Results record button prints a PDF report of the analysis results that is formatted like a test report. You may use this function for: printout for your own records or QC, a full test report to include in Documentation Packages, a print out to send to clients not yet utilizing ADAMS. It indicates who/when has submitted the results and performed the print: Submitted on; submitted by.
  26. If desired, Use the Notify button to notify other ADAMS-users within or outside your Lab.Snag_b014279b.png
  27. If desired, use the Print-button to print the entire sample information, in other words to create a hardcopy of the Lab result record as it is shown on the screen (page being displayed, related data in the database including data under the Tabs). It is recommended to print in View-mode and not the Edit-mode.



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