Participant and specimen selection

Track eligibility sampling and specimens

Sampling should represent the intended clinical pathway. Keep participant and specimen identifiers separate, and show the reasons that paired results are unavailable. Excluding hard-to-test patients can change the apparent performance.

Flow diagram

Participant and specimen selectionF1.S1Define intended-use populationF1.S2Recruit representative participantsF1.S3Assess eligibility and consentF1.S4Collect and track specimensF1.S5Track paired test availabilityF1.N1Specimen and test availabilityParticipantIDSpecimen IDIndex teststatusReferencestatusTimingReasonF1.S0 Start flowParticipant and specimen selectionF1.S999 End flowEnd flow

Steps

Define intended-use population

Specify setting, clinical role and disease spectrum.

Recruit representative participants

Define consecutive, random or other sampling with rationale.

Assess eligibility and consent

Document exclusions without selecting on known test outcomes.

Collect and track specimens

Specify handling, timing, adequacy and repeated specimens.

Track paired test availability

Retain missing, indeterminate and unverified outcomes explicitly.

Participant and specimen selection

End flow

Tables and supporting information

Specimen and test availability

Specimen and test availabilityParticipantIDSpecimen IDIndex teststatusReferencestatusTimingReason

Preserve participants with incomplete verification for transparent accounting.

Sources