Health Assessments

Personalised Assessment for Tailored Health (PATH)

Health assessments which are inclusive in scope but individual in nature and flexible to suit all organisations and employees.

Please note: The minimum annual spend threshold for a corporate account is £50,000.

As leaders in corporate healthcare we understand the importance of early intervention and supporting your employee’s health concerns. We do this with our unique health assessment programme – PATH. Our services remove the barriers to accessing healthcare, and by drawing on our expertise we can offer your workforce access to unique, tailored personalised health assessments.

Health assessments will support your workforce by mitigating the impact of health concerns, identify health and lifestyle risks at an earlier stage, and importantly give individual’s the advice and tools to take control of their health and lifestyle. Your business remains productive and your workforce feels valued and cared for.

With more employees working from home, we deliver health assessments at work, at home and in the community, to ensure employees have access to a healthcare professional when and where they need them most:

  • At work we can embed an onsite clinician for ease of access for employees
  • At home employees can book from our range of online health assessments
  • In the community employees can access the largest owned and operated health assessment network in the UK, with over 50 centres delivering the full range of assessments.

What is PATH?

PATH health assessments are inclusive in scope but individual in nature, and are structured for both in person or remote online delivery. PATH is a personal journey to better understanding, improving and maintaining health and wellbeing. Together, the combination of human expertise and innovative artificial intelligence drive the decisions that make PATH uniquely effective.

Designed to be user friendly, flexible, affordable and wide ranging. PATH is organised into Life, Pro and online packages and fits around varying demographics and budgets. 

What’s included in our health assessment packages?

PATH is organised into key categories: Life, Pro and Online. Each contain a range of the modules mentioned below, with differing focus on lifestyle or medical modules depending on the packages chosen.

Our specific PATH online products offer the same flexible approach as our face-to-face Life and Pro categories, with the added benefit of remote delivery via a video call for ultimate convenience.

  • Life products
    • Life 1

      What is it?
      Our sophisticated clinical ‘brain’, Trium® uses evidence-based clinical algorithms to tell you about your health. By answering a set of simple health questions, you’ll be able to understand your current health status and lifetime risk of non communicable diseases. Using your data you will receive a tailored digital report highlighting your risk of developing certain lifestyle illnesses, along with information on how to improve your overall health and wellbeing.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content

      Online health risk analysis
      By looking more closely into your medical and family history (as well as analysing the different elements of your wellbeing and lifestyle), your online health risk analysis will help you understand your current health status. Trium® asks questions, analyses your answers and calculates your individual health and wellbeing status.

      Health dashboard
      Now that Trium® understands you and your risk levels, it will provide data and information, giving you a clear picture of your health. It will report on what is contributing to your risk, your positive lifestyle factors and aspects of your health and wellbeing that could be enhanced.

      Depending on your answers, you may also be contacted by one of our clinicians to discuss your responses and signpost you to the most appropriate source of care.

      Risk review
      Your lifetime risk for the most prevalent non communicable diseases will be calculated, these include:

      • Stroke
      • Breast cancer (females)
      • Prostate cancer (males)
      • Heart disease
      • Bowel cancer
      • Lung cancer
      • Type 2 diabetes
    • Life 2

      What is it?
      Delivered by a health and wellbeing physiologist, this assessment will tell you about your current health status and risks. If any of your results are determined ‘high risk’, we will help to support you in setting personal goals and realistic action plans.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Finger prick blood test
      • Total duration of health assessment: 30 minutes
      • Two follow up coaching sessions

      Trium®
      Our sophisticated clinical ‘brain’, Trium® uses evidence-based clinical algorithms to tell you about your health. By answering a set of simple health questions, you’ll be able to understand your current health status and lifetime risk of non communicable diseases.

      My health assessment
      This face-to-face assessment will focus on key measures which are essential for long-term health:

      • Body mass index
      • Waist circumference
      • Blood pressure
      • Urinalysis
      • Cholesterol profile
      • Body fat percentage
      • HbA1C (non-fasted blood sugar).

      Next steps
      Using your key health measurements, the data from Trium® and the personalised face-to-face assessment, your health and wellbeing physiologist will guide you in setting personal goals and realistic action plans. This will enable you to take control and manage your health and wellbeing.

    • Life 3

      What is it?
      This assessment will provide you with the opportunity to understand your key health measurements, focus on health behaviours and set a personalised, realistic action plan. A chosen lifestyle module can be taken to ensure this assessment is truly built around you.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Finger prick blood test
      • Physiologist module (30 minutes)
      • Total duration of health assessment: 60 minutes
      • Two follow up coaching sessions (15 minutes)

      Trium®
      This digital experience will provide you with an all-round view of your health, including the key elements of your wellbeing and lifestyle. Using Trium® will recommend which lifestyle health module best fits your specific needs. Remember, this experience is about you – so if you wanted to explore a different module, you’re able to choose one more specific to your needs at this point.

      Key health measurements
      Your health and wellbeing physiologist will both identify and help you understand your results, looking at the following key factors:

      • Body mass index
      • Blood pressure
      • Body fat percentage
      • Waist circumference
      • Urinalysis
      • Cholesterol profile
      • HbA1C (non-fasted blood sugar).

      Physiologist health module
      Your selected physiologist module will help provide you with greater understanding of your chosen health area. Using expert coaching and advice, your physiologist will provide you with an achievable action plan to ensure you can make positive health changes.

      Modules include:

      • posture and movement health
      • diabetes prevention
      • energy and sleep health
      • fitness
      • healthy weight loss
      • lifestyle management for healthy hearts
      • stress and resilience management.
    • Life 4

      What is it?
      This assessment will provide you with the opportunity to understand your key health measurements, focusing on your health behaviours and working with you to set a lifestyle action plan. A chosen lifestyle module can be taken and your results will be enhanced with a comprehensive blood analysis.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Full blood test*
      • Physiologist module (30 minutes)
      • Total duration of health assessment: 60 minutes
      • Two follow up coaching sessions (15 minutes)

      *Doctor review of blood profile conducted remotely.

      Trium®
      This digital experience will provide you with an all-round view of your health, including the key elements of your wellbeing and lifestyle. Once your current health status has been looked at, Trium® will recommend which lifestyle health module best fits your specific needs. Remember, this experience is about you – so you can still choose a different module at this point.

      Key health measurements
      Your key health measurements will be supplemented by a full blood test. Taking blood will allow for analysis of your liver and kidney function, full cholesterol profile and blood glucose levels. In addition, age-specific tests and a risk-based analysis of your long term blood sugar management will be included. (Blood tests will be reviewed by a doctor remotely).

      Physiologist health module
      Your selected physiologist module will help provide you with greater understanding of your chosen health area. Using expert coaching techniques and research-informed advice, your physiologist will then help you create an achievable action plan to ensure you can make positive health changes based on the knowledge you receive.

      Modules include:

      • posture and movement health
      • diabetes prevention
      • energy and sleep health
      • fitness
      • healthy weight loss
      • lifestyle management for healthy hearts
      • stress and resilience management.
  • Pro products
    • Pro 1

      What is it?
      Delivered by a doctor, this health assessment includes a detailed blood analysis and the selection of a doctor module, allowing you to gain an excellent understanding of your health and focus on improving an area which is personal to you.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Full blood test
      • Physical examination*
      • Doctor module (30 minutes)
      • Total duration of health assessment: 60 minutes

      *Only if ‘General health and blood checks’ doctor module chosen.

      Trium®
      This digital experience will provide you with an all-round view of your health, including the key elements of your wellbeing and lifestyle. Once your current health status has been looked at, Trium® will recommend which lifestyle health module best fits your specific needs. Remember, this experience is about you – so you can still choose a different module at this point.

      Key health measurements
      Your key health measurements will be supplemented by a full blood test. Taking blood will allow for analysis of your liver and kidney function, full cholesterol profile and blood glucose levels. In addition age-specific tests and a risk-based analysis of your long term blood sugar management will be included.

      My doctor module
      Because we’re specialists in you, your doctor module options cover the complete range of the healthcare spectrum.

      Modules include:

      • general health and blood checks
      • bone health
      • sexual function
      • sexually transmitted infection screen
      • alcohol review
      • bowel cancer screen.
    • Pro 2

      What is it?
      Flexible enough to fit around your busy schedule, this health assessment is 90-minutes long, and gives you the opportunity to spend time with a physiologist and doctor, allowing you to understand your health in greater detail.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Full blood test
      • Physical examination*
      • Two doctor modules (30 minutes)
      • Total duration of health assessment: 90 minutes
      • Two follow up coaching sessions (15 minutes)

      *Only if ‘General health and blood checks’ doctor module chosen.

      Trium®
      This digital experience will provide you with a personal health hub, giving you all the elements of your health and wellbeing as well as the ability to make amendments should things change. After analysis of your current health status, Trium® will recommend the two doctor modules which best suits your needs. Remember, this experience is about you – you can still choose different modules at this point.

      Key health measurements
      Your health and wellbeing physiologist will both identify as well as help you understand your results:

      • Body composition (body mass index, waist circumference and body fat percentage)
      • Blood pressure
      • Urinalysis
      • Glucose
      • Full blood analysis (tests specific to your module).

      My doctor module
      Your option of two doctor modules cover the complete range of the healthcare spectrum – and it’s this flexibility and choice that allows us to be specialists in you. You may want an overall health examination to give you true peace of mind; in this case, the general health and bloods modules might suit your needs. Or, if you want to focus on something in particular, our wide range of bespoke health modules will help.

    • Pro 3

      What is it?
      Giving you the flexibility of a physiology module and two doctor modules, this extensive assessment contains two hours of time to focus on your individual health, as well as providing the steps required to improve aspects of health important to you.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Full blood test
      • Physical examination*
      • Physiologist module (30 minutes)
      • Doctor modules (30 minutes) x 2
      • Total duration of health assessment: 120 minutes
      • Two follow up coaching sessions (15 minutes) x 2

      *Only if ‘General health and blood checks’ doctor module chosen.

      Trium®
      This digital experience will provide you with a personal health hub, giving you all the elements of your health and wellbeing as well as the ability to make amendments should things change. After analysis of your current health status, Trium® will recommend health modules which best suits your needs. Remember, this experience is about you – so you can still choose a different module at this point.

      My physiology time
      The extended time with a health and wellbeing physiologist will supplement your core body measurements with a health module that focuses on future health risk mitigation. Your selected module will look more closely into areas such as posture and movement health, diabetes prevention, energy and sleep health, fitness, healthy weight loss, lifestyle management for healthy hearts, stress and resilience management – providing you with a greater understanding of your health.

      My doctor time
      Your option of two doctor modules cover the complete range of the healthcare spectrum – and it’s this flexibility and choice that allows us to be specialists in you. You may want an overall health examination to give you true peace of mind; in this case, the general health and blood checks module might suit your needs. Or, if you want to focus on something in particular, our wide range of bespoke health modules will help.

    • Pro 4

      What is it?
      The Pro 4 assessment combines your personal digital health hub, the flexible choice of two doctor modules, two physiology modules and full blood analysis, for the most detailed and supportive health assessment we offer.

      What's included?

      • Trium®
      • Health dashboard
      • Digital content
      • Key body measurements (30 minutes)
      • Full blood test
      • Physical examination*
      • Physiologist module (30 minutes) x 2
      • Doctor module (30 minutes) x 2
      • Total duration of health assessment: 150 minutes
      • Follow up coaching (15 minutes) x 2

      *Only if ‘General health and blood checks’ doctor module chosen.

      Trium®
      This digital experience will provide you with a personal health hub, giving you all the elements of your health and wellbeing as well as the ability to make amendments should things change. After analysis of your current health status, Trium® will recommend a health module which best suits your needs. Remember, this experience is about you – so you can still choose a different module at this point.

      My physiology time
      The extended time with a health and wellbeing physiologist will supplement your key body measurements with two modules that focus on future health risk mitigation. Your selected modules will look more closely into areas such as cardiovascular performance, routine heart check, diabetes prevention and stress and resilience management – providing you with a greater understanding of your health.

      My doctor time
      Your option of two doctor modules cover the complete range of the healthcare spectrum – and it’s this flexibility and choice that allows us to be specialists in you and provide a detailed, multi-practitioner approach. You may want an overall health examination to give you true peace of mind; in this case, the general health and blood checks module might suit your needs. Or, if you want to focus on something in particular, our wide range of bespoke health modules will help.

  • Online products
    • Life Online

      This health assessment is carried out by a physiologist and our team of lifestyle experts. It will provide you with the opportunity to understand your key health risks, focusing on your health behaviours and working with you to set an achievable and effective lifestyle action plan.

      What's included?

      • Trium® health risk assessment
      • Physiology coaching module (30 minute video call)
      • Physiology follow up (15 minute video call) x 2
      • Health assessment duration: 60 minutes
      • Alternative to in person: Life 2-3, Lifestyle assessment

      Trium®
      Our sophisticated clinical ‘brain’, Trium® uses evidence-based clinical algorithms to inform you about your health risks and steer you towards content to improve your wellbeing.

      By answering a detailed set of health questions about your current health, medical history, family history and lifestyle behaviours, Trium® will estimate your lifetime risk of six common non-communicable diseases – putting you in control of improving your modifiable risk factors.

      Focussed health outcomes
      Using the data from Trium®, your physiologist will recommend which lifestyle health module best supports your specific risks. Remember, this experience is about you, so it is a conversation and you can still choose a different module at this point.

      This health assessment includes module specific metrics, facilitating a targeted action plan, allowing you to track progress towards your goals throughout your journey.

      Modules include:

      • Diabetes prevention
      • Lifestyle management for healthy hearts
      • Stress and resilience management
      • Fitness coaching
      • Posture and movement health
      • Healthy weight loss
      • Energy and sleep health
      • Cancer risk reduction

      Follow up coaching
      Following your initial online assessment, your physiologist will support you with follow-up calls at week 3 and week 12.

      Using expert coaching techniques and research backed advice, these supportive touch points will allow you to review your progress, reinforcing what has worked and examining what hasn’t, and tweak your action plan to keep you on track to achieve your goals.

      These key touch points also allow the re-completion of Trium® and any module specific testing, providing you with clarity on how your actions have impacted your future health and wellbeing.

    • Life Online+

      This health assessment is carried out by a physiologist and our team of lifestyle experts. It will provide you with the opportunity to understand your key health risks, focusing on your health behaviours and working with you to set an achievable and effective lifestyle action plan.

      Blood testing can be carried out at home or in clinic, and measures cholesterol and blood sugar control. You can add urinalysis when testing in clinic.

      What's included?

      • Trium® health risk assessment
      • Blood tests at home: HbA1c and cholesterol profile
      • Blood tests in clinic: HbA1c, cholesterol profile and urinalysis
      • Physiology coaching module (30 minute video call)
      • Physiology follow up (15 minute video call) x 2
      • Health assessment duration: 60 minutes
      • Alternative to in person: Life 4, Lifestyle+ assessments

      Trium®
      Our sophisticated clinical ‘brain’, Trium® uses evidence-based clinical algorithms to inform you about your health risks and steer you towards content to improve your wellbeing.

      By answering a detailed set of health questions about your current health, medical history, family history and lifestyle behaviours, Trium® will estimate your lifetime risk of six common non-communicable diseases – putting you in control of improving your modifiable risk factors.

      Focussed health outcomes
      Using the data from Trium®, your health and wellbeing physiologist will recommend which lifestyle health module best supports your specific risks. Remember, this experience is about you, so you can still choose a different module at this point to suit your health goals.

      This health assessment includes module specific metrics, facilitating a targeted action plan, allowing you to track progress towards your goals throughout your journey.

      Modules include:

      • Diabetes prevention
      • Lifestyle management for healthy hearts
      • Stress and resilience management
      • Fitness coaching
      • Posture and movement health
      • Healthy weight loss
      • Energy and sleep health
      • Cancer risk reduction

      Follow up coaching
      Following your initial online assessment, your health and wellbeing physiologist will support you with follow-up calls at week 3 and week 12.

      Using expert coaching techniques and research backed advice, these supportive touch points will allow you to review your progress, reinforcing what has worked and examining what hasn’t, and tweak your action plan to keep you on track to achieve your goals.

      These key touch points also allow the re-completion of Trium® and any module specific testing, including the cholesterol profile and blood sugar control if clinically indicated, providing you with clarity on how your actions have impacted your future health and wellbeing.

    • Pro Online

      Our most thorough online assessment includes consultations with both a physiologist and doctor to discuss any medical concerns. This assessment will provide you with a detailed understanding of your current health, and a supportive action plan to help you improve it.

      You can carry out at home or in clinic blood testing to measure cholesterol profile and blood sugar control. In clinic testing provides more comprehensive blood test including age, gender specific health markers and urinalysis. Over 45s can also provide a stool sample for additional testing.

      What's included?

      • Trium® health risk assessment
      • Blood tests at home: HbA1c, cholesterol profile and faecal immuno- chemical test (>45)
      • Blood tests in clinic: HbA1c, cholesterol profile, full blood count, general chemistry, faecal immuno- chemical test (>45), PSA/ TSH (>45) and urinalysis
      • Doctor consultation (30 minute video call)
      • Physiology coaching module (30 minute video call)
      • Physiology follow up (15 minute video call) x 2
      • Health assessment duration: 90 minutes
      • Alternative to in person: Pro 1-4, 360 or 360+ health assessments

      Trium®
      Our sophisticated clinical ‘brain’, Trium® uses evidence-based clinical algorithms to inform you about your health risks and steer you towards content to improve your wellbeing.

      By answering a detailed set of health questions about your current health, medical history, family history and lifestyle behaviours, Trium® will estimate your lifetime risk of six common non-communicable diseases – putting you in control of improving your modifiable risk factors.

      Focussed health outcomes
      Using the data from Trium®, your health and wellbeing physiologist will recommend which lifestyle health module best supports your specific risks. Remember, this experience is about you, so you can still choose a different module at this point to suit your own health goals.

      This health assessment includes module specific metrics, facilitating a targeted action plan, allowing you to track progress towards your goals throughout your journey.

      Your doctor consultation will include a review of any blood result, your medical history and allow you to discuss any current health concerns, with your doctor able to provide onward referral where clinically appropriate.

      Modules include:

      • Diabetes prevention
      • Lifestyle management for healthy hearts
      • Stress and resilience management
      • Fitness coaching
      • Posture and movement health
      • Healthy weight loss
      • Energy and sleep health
      • Cancer risk reduction

      Follow up coaching
      Following your initial online assessment, your physiologist will support you with follow-up calls at week 3 and week 12.

      Using expert coaching techniques and research backed advice, these supportive touch points will allow you to review your progress, reinforcing what has worked and examining what hasn’t, and tweak your action plan to keep you on track to achieve your goals.

      These key touch points also allow the re-completion of Trium® and any module specific testing, including the cholesterol profile and blood sugar control if clinically indicated, providing you with clarity on how your actions have impacted your future health and wellbeing. These coaching calls are designed to focus on your lifestyle behaviours, and not on any of the medical health concerns discussed during the doctor consultation.


Compare our health assessments

Choosing the right modules

Trium® helps our physiologists and doctors recommend the modules that will benefit the individual the most and explains how they’ll help them.

  • Physiology modules
    • Posture and movement health

      Musculoskeletal conditions are the leading cause of pain and disability in the UK, and a major cause of workplace absence and productivity loss. The quality and range of your movement can influence your susceptibility to experiencing and living with pain. During your assessment your health and wellbeing physiologist will perform a functional movement screening. This will assess your mobility, stability and strength, to help you to make proactive changes to your work, home and exercise routines to optimise your movement and reduce your risk of future pain and injury. This module is not recommended for those currently experiencing muscle and joint pain. If you are in pain then physiotherapy would be more appropriate in this instance. For more information on physiotherapy please visit nuffieldhealth.com/physiotherapy.

    • Cancer risk reduction

      This module includes time spent with a physiologist in which your lifetime risk of breast, bowel or lung cancer is estimated based on your lifestyle habits and other known risk factors. Our physiologist will work with you to create a personalised action plan to improve your lifestyle and reduce your future risk by focusing on modifiable risk factors. This module is not suitable for those who have already been diagnosed with cancer.

    • Fitness

      Fitness is a leading predictor of health, with poor cardiorespiratory fitness increasing the risk of various diseases. This module will provide you with your fitness level, fitness age and heart rate training zones. You will have a coaching session with your physiologist who will use this information to help to structure your exercise sessions and enhance your fitness levels. They will also help you identify any changes you need to make to your diet, exercise levels and lifestyle to maximise your fitness.

    • Stress and resilience management

      We all feel stress from time to time. However the volume, frequency and how we manage this stress is key to our health and wellbeing. During the health assessment, and using data from Trium®, we will assess your psychological stress levels and then using cutting edge technology, we will measure your physiological response to stressors and cognitive capacity. Using a uniquely designed workbook, which you will take away with you, your physiologist will help you to explore techniques to help you respond better during stressful situations to improve your emotional wellbeing.

    • Diabetes prevention

      Over half a million people in the UK have diabetes without knowing it. We will look for risk factors by measuring your key blood markers and analysing your urine. Using the measures collected during your assessment, and information from Trium®, we will assess your risk of developing diabetes in the next 10 years using a clinically validated tool. Our clinicians will then discuss your results and help you manage your blood sugar levels through exercise, nutrition and other lifestyle changes to reduce your risk of developing diabetes in the future.

    • Energy and sleep health

      This module reviews daily sleep and energy patterns, sleep hygiene, nutrition and lifestyle factors to understand where energy is being depleted and where it can be naturally improved. Using personalised coaching with your physiologist this module is ideal for those looking to optimise performance and find more energy throughout the day.

    • Lifestyle management for healthy hearts

      A healthy heart is essential for your overall health, and this depends a lot on the way you live. Regular exercise and healthy eating are significant factors in combating high blood pressure and high cholesterol, both of which can contribute to heart disease. This module includes a health and lifestyle analysis – including a review of nutrition and exercise habits – blood pressure, blood glucose, cholesterol profile and a heart disease prevention action plan following tailored lifestyle coaching with a physiologist. Using the measurements collected during your assessment, and information from Trium®, we will assess your risk of having a cardiovascular event in the next 10 years using a clinically validated tool.

    • Healthy weight loss

      With a plethora of weight loss advice available, our physiologist will guide you through the evidence to let you know what really works using our uniquely designed weight loss guide. Using this personalised guide, which you will be provided a copy of, your physiologist will help you set realistic goals, understand how to manage sustainable behaviour change and advise you on correct calorie consumption and activity levels. You will also be offered a number of healthy meal suggestions to support your journey.

  • Doctor modules
    • Bone health

      For those at an increased risk of bone fracture, this module offers a comprehensive risk assessment, additional blood tests, and detailed management advice from a doctor with additional signposting to other services if clinically indicated.

    • General health and blood checks

      A comprehensive blood test measures cholesterol, sugar levels, liver and kidney function. A full blood count ensures red cells are at a healthy level and white cells are behaving normally. A doctor will perform a full examination which will include male and female and age appropriate tests and checks, including prostate exam, smear and HPV tests.

    • Sexual function

      Sexual dysfunction is a common occurrence and has a number of causes. Reduced sex drive, erectile dysfunction in men and sexual discomfort in women will be investigated in this module, which will include a blood test to review hormonal and metabolic causes, assessment of lifestyle and psychological factors and an examination by a doctor.

    • STI screen

      Specifically for non-symptomatic individuals, this module includes a non-invasive genital sample, as well as blood test to screen for sexually transmitted infections.

    • Alcohol review

      This module affords dedicated time with a doctor to discuss any concerns related to alcohol consumption along with guidance if this is an area of concern for you.

    • Bowel cancer screen

      This module is designed to offer non invasive colorectal cancer screening to those individuals whose age, risk factors or family history place them at an increased risk.

  • Advanced modules
    • Routine heart check

      A healthy heart is essential for overall health and this depends on how people live their lives. This module includes a resting ECG and a consultation with a doctor to help reveal any concerns, discuss results, and assess how regular exercise and healthy eating can combat high blood pressure and high cholesterol, both of which can contribute to heart disease.

    • Cardiovascular performance

      To help assess an individual’s risk of heart disease development, this module includes a full cardiovascular risk assessment by a doctor, which will include a resting ECG and an exercise based assessment. Only available in the Pro 4 package.