05 / Sample collection

Athlete
Biological
Passport

The Athlete Biological Passport (ABP) builds a record of selected biological markers from an athlete's blood and urine samples over time. Changes in this individual profile can reveal the effects of doping.

Statistical analysis and expert evaluation help anti-doping organisations direct targeted testing, guide investigations and pursue possible Anti-Doping Rule Violations under Article 2.2 of the World Anti-Doping Code.

A scientist working with laboratory samples beside a computer workstation.
Laboratory analysis (illustrative).
Photo: CDC / Unsplash

Blood and urine

Different biological markers contribute to the modules of the passport.

Measured over time

Repeated samples build a profile with individual reference ranges.

Reviewed by experts

Statistical findings are evaluated alongside the athlete's circumstances.

The ABP programme

From a sample to a passport.

Laboratory results and expert interpretation work together to identify profiles that require further attention.

A profile, built over time.

The passport is managed in ADAMS. Its statistical model helps identify unusual changes in an athlete's markers, while an Athlete Passport Management Unit (APMU) coordinates interpretation and follow-up advice.

Individual biological profileConceptual illustration
An individual profile across repeated samples Seven illustrative sample points are connected across time. One point lies outside an illustrative individual reference range and is marked for review in context. No actual biological values or clinical thresholds are shown. Review in context Samples over time
Illustrative markers and range only. This is not athlete data or a diagnostic threshold.

A change prompts review. Experts consider the profile and relevant information before recommending further testing or results management.

  1. Collect the sample

    The athlete provides a blood or urine sample for the relevant passport module.

  2. Record laboratory results

    The laboratory analyses selected markers and enters the results into ADAMS.

  3. Update the passport

    The new results are added to the athlete's existing biological profile.

  4. Send review notifications

    Profiles requiring attention are flagged for follow-up by the APMU and anti-doping organisation.

  5. Review the passport

    The APMU and experts evaluate the profile and relevant contextual information.

  6. Update the APMU report

    The assessment and follow-up recommendations are recorded in ADAMS.

  7. Refine the testing strategy

    The anti-doping organisation uses the findings to guide testing, further analysis or investigations.

Testing continues, and each new result contributes to the passport.

What the passport monitors

Three modules. One individual profile.

The ABP framework brings together markers associated with blood, steroid and growth-hormone doping.

01 / Blood markers

Haematological

Monitors blood markers to identify blood doping that enhances oxygen transport, including erythropoietin (EPO) use and blood transfusions or manipulation.

Samples
Whole blood
Introduced
December 2009
Examples
Haemoglobin and reticulocyte markers
02 / Steroid markers

Steroidal

Tracks steroid markers over time to help identify the administration of endogenous anabolic androgenic steroids, such as testosterone, from an external source.

Samples
Urine; serum markers may complement the profile
Introduced
January 2014; serum markers added in 2023
Examples
Testosterone and related steroid markers
03 / Hormone markers

Endocrine

Monitors markers related to human growth hormone (hGH) to help uncover the use of hGH and other prohibited substances affecting the growth-hormone pathway.

Samples
Blood serum
Introduced
2023
Focus
Markers associated with hGH doping
Benefits for athletes

Supporting clean competition.

Monitoring over time adds another layer of evidence to an effective anti-doping programme.

Protect clean athletes

The passport helps detect and deter doping, supporting fair competition for clean athletes.

Focus testing

Profile data helps direct testing and further sample analysis where they can be most useful.

Support investigations

Biological patterns can contribute evidence alongside other information in anti-doping investigations.

Know your results

You can access test results in ADAMS. Ask your anti-doping organisation about access, and discuss medical questions with a qualified healthcare professional.

Your role during collection

Accurate details give your profile context.

For haematological ABP blood collection, answer the additional questions on the Blood Collection Supplementary Report Form or the applicable ABP form accurately. These details help reviewers interpret your results.

Follow the collection officer's instructions for the required rest period and answer every question using the timeframe stated on the current form.

Review before you sign. Check the information, ask about anything unclear and keep your copy or digital record.

  • Training and competition

    Report recent exercise and competition, including intensive endurance events and any competition planned within the next three days.

    Recent exercise: the previous 60 minutes
  • Altitude exposure

    Report training, competition or stays above 1,500 metres, and the use of altitude simulation such as hypoxic tents or masks.

    The previous four weeks
  • Blood loss or transfusion

    Report transfusions and blood loss from donation, illness or an accident. Provide details and an estimated volume if known.

    The previous three months
  • Extreme environments

    Report exposure to extreme environmental conditions, including artificial heat environments such as a sauna.

    The previous 60 minutes

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