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Verification tier form

Verify the diagnosis before you count it, with evidence fitted to what the data will be used for and read by a qualified person. This page goes with Chapter 8. Define your tiers first, decide who adjudicates and when, then classify every participant and report the counts together.

Entry
Registry
Condition
Completed by (role)
Date
Version

Registry identifiers only

Use registry identifiers on this page. Do not enter names, dates of birth, contact details, or anything else that could identify a person.

Our tiers

The evidence below is an example. Replace it with the diagnostic standard for your condition.

Tier or category Evidence required Who reviews it Used for (which analyses or users)
Tier 3 A genetic report showing a pathogenic or likely pathogenic variant in the gene, or the condition's diagnostic standard, reviewed by a qualified person
Report on file, awaiting review A qualifying report has been uploaded and no qualified person has reviewed it yet
Tier 2 A genetic report showing a variant of uncertain significance
Tier 1 A clinician letter or note only
Tier 0 Self-report only, or a result still pending
Conflicting evidence Evidence pointing to a different cause
Not a case Evidence that the person does not have the condition
Duplicate A second enrollment of a person already in the registry

Adjudication

Our decision
Adjudicate now or later, and why
Who adjudicates, and their qualifications
Standard applied
Consent and IRB approval to share reports with a future reviewer

Classification log

Participant (registry identifier) Evidence on file Tier or category Reviewed by (role) Date Query or note

Counts to report together

Count Number As of (export date)
Records in the export
Participants, after removing duplicates
Confirmed at the tier our purpose requires
Tier 3
Report on file, awaiting review
Tier 2
Tier 1
Tier 0
Conflicting evidence
Not a case

Evidence behind every other field

The diagnosis is one field among many. For each measure the registry collects, record where the value comes from, how it is collected, and whether that method is the one the measure was validated for, so that each use can be matched to the evidence before anything is published, shared, or offered as an endpoint.

Field or measure Source (who supplies the value) Method of collection Validated for this method? (yes, no, unknown) Uses it supports Uses it does not support
Example: functional rating scale Caregiver Self-administered online, monthly No; validated for clinician administration Describing reported function over time; planning visit schedules Reporting scores on the instrument's scale; comparison with clinician-administered values; trial endpoint