CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Laboratory Tests and Biospecimens/Biomarkers
CRF: Laboratory Tests - Immune Module

Displaying 1 - 50 of 71
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C58236 Laboratory test autoimmune isotype type text LabTestAutoimmIsotypTypTxt Free-text field to specify type of isotype used in autoimmunological antibody laboratory testing Free-text field to specify type of isotype used in autoimmunological antibody laboratory testing Isotype Alphanumeric

e.g., IgM, IgG

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58200 Laboratory test Cytomegalovirus type other specify text LaboratoryTestCMVTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Cytomegalovirus (CMV) Free-text field related to the other type of laboratory test used to test for Cytomegalovirus (CMV) Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 500

Free-Form Entry

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C58212 Laboratory test Coxsackie B virus sample type LabTestCBVSampleTyp Element related to the sample type used to test for Coxsackie B virus (CBV) Element related to the sample type used to test for Coxsackie B virus (CBV) Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58179 Laboratory test parvovirus IgM positive strain text LabTestParvovirusIgmPosStrnTxt Free-text field to specify which strain of parvovirus yielded positive IgM laboratory test results Free-text field to specify which strain of parvovirus yielded positive IgM laboratory test results Yes (Specify which parvovirus strain yielded positive results) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58226 Laboratory test Human herpes virus 6 sample specify text LabTestHHV6SampleSpTxt Free-text field to specify other type of sample used to test for Human herpes virus 6 (HHV6) Free-text field to specify other type of sample used to test for Human herpes virus 6 (HHV6) Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

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C58190 Laboratory test Cytomegalovirus type LaboratoryTestCMVTyp Element related to the type of laboratory test used to test for Cytomegalovirus (CMV) Element related to the type of laboratory test used to test for Cytomegalovirus (CMV) Test type PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58237 Laboratory test immune hypersensitivity name LabTestImmHypersenName Name representing the lab test performed to assess immune system hypersensitivity Name representing the lab test performed to assess immune system hypersensitivity Test Eosinophils;Tryptase;Food-based IgG skin test;Food-based IgE skin test Eosinophils;Tryptase;Food-based IgG skin test;Food-based IgE skin test Alphanumeric

Hypersensitivity lab tests

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

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C58201 Laboratory test Coxsackie B virus type other specify text LaboratoryTestCBVTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Coxsackie B virus (CBV) Free-text field related to the other type of laboratory test used to test for Coxsackie B virus (CBV) Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

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C58213 Laboratory test Human herpes virus 6 sample type LabTestHHV6SampleTyp Element related to the sample type used to test for Human herpes virus 6 (HHV6) Element related to the sample type used to test for Human herpes virus 6 (HHV6) Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58180 Laboratory test parvovirus IgM negative strain text LabTestParvovirusIgMNegStrnTxt Free-text field to specify which strain of parvovirus yielded negative IgM laboratory test results Free-text field to specify which strain of parvovirus yielded negativeIgM laboratory test results No (Specify which parvovirus strains were tested and found to be negative) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58227 Laboratory test Echovirus sample specify text LabTestEchovirusSampleSpTxt Free-text field to specify other type of sample used to test for Echovirus Free-text field to specify other type of sample used to test for Echovirus Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

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C58191 Laboratory test Coxsackie B type LaboratoryTestCBVTyp Element related to the type of laboratory test used to test for Coxsackie B (CBV) Element related to the type of laboratory test used to test for Coxsackie B (CBV) Test type PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58240 Laboratory test parvovirus IgG positive strain text LabTestParvovirusIgGPosStrnTxt Free-text field to specify which strain of parvovirus yielded positive IgG laboratory test results Free-text field to specify which strain of parvovirus yielded positive IgG laboratory test results Yes (Specify which parvovirus strain yielded positive IgG results) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C01706 Lab test result text LabTestResltTxt Result of the laboratory test Result of the laboratory test Result Alphanumeric Adult Supplemental 3.00 2013-07-25 08:54:08.2 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 4000

Free-Form Entry

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C58202 Laboratory test Human herpes virus 6 type other specify text LaboratoryTestHHV6TypOthSpTxt Free-text field related to the other type of laboratory test used to test for Human herpes virus 6 (HHV6) Free-text field related to the other type of laboratory test used to test for Human herpes virus 6 (HHV6) Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58214 Laboratory test Echovirus sample type LabTestEchovirusSampleTyp Element related to the sample type used to test for Echovirus Element related to the sample type used to test for Echovirus Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58181 Laboratory test mycotoxin fungi positive text LabTestMycoFungiPosTxt Free-text field to specify which mycotoxins or fungi yielded positive laboratory test results Free-text field to specify which mycotoxins or fungi yielded positive laboratory test results Yes (Specify which mycotoxins/fungi yielded positive results) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58228 Laboratory test Chlamydia pneumoniae sample specify text LabTestChlamPneumSampleSpTxt Free-text field to specify other type of sample used to test for Chlamydia pneumoniae Free-text field to specify other type of sample used to test for Chalmydia pneumoniae Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58192 Laboratory test human herpes virus 6 type LaboratoryTestHHV6Typ Element related to the type of laboratory test used to test for human herpes virus 6 (HHV6) Element related to the type of laboratory test used to test for human herpes virus 6 (HHV6) Test type PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58203 Laboratory test Echovirus type other specify text LabTestEchovirusTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Echovirus Free-text field related to the other type of laboratory test used to test for Echovirus Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58241 Laboratory test parvovirus IgG negative strain text LabTestParvovirusIgGNegStrnTxt Free-text field to specify which strain of parvovirus yielded negative IgG laboratory test results Free-text field to specify which strain of parvovirus yielded negative IgG laboratory test results No (Specify which parvovirus strains were tested and found to be negative) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C01711 Lab test result unit of measure LabTestResltUoM Unit of measure for the laboratory test result Unit of measure for the laboratory test result Unit for result Alphanumeric Adult Supplemental 3.00 2013-07-25 08:54:08.2 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58215 Laboratory test Chlamydia pneumoniae sample type LabTestChlamydPneumSampleTyp Element related to the sample type used to test for Chlamydia pneumoniae Element related to the sample type used to test for Chlamydia pneumoniae Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58182 Laboratory test mycotoxin fungi negative text LabTestMycoFungiNegTxt Free-text field to specify which mycotoxins or fungi yielded negative laboratory test results Free-text field to specify which mycotoxins or fungi yielded negative laboratory test results No (Specify which mycotoxins/fungi were tested and found to be negative) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58229 Laboratory test Mycoplasma pneumoniae sample specify text LabTestMycopPneumSampleSpTxt Free-text field to specify other type of sample used to test for Mycoplasma pneumoniae Free-text field to specify other type of sample used to test for Mycoplasma pneumoniae Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58193 Laboratory test Echovirus type LaboratoryTestEchovirusTyp Element related to the type of laboratory test used to test for Echovirus Element related to the type of laboratory test used to test for Echovirus Test type PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58204 Laboratory test Chlamydia pneumoniae type other specify text LabTestChlamydPneumTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Chlamydia pneumoniae Free-text field related to the other type of laboratory test used to test for Chlamydia pneumoniae Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58251 Laboratory test tick borne disease positive specify text LaboratoryTestTBDPosSpTxt Free-text field to specify which tick-borne disease test yielded positive results Free-text field to specify which tick-borne disease test yielded positive results Yes Alphanumeric

Specify which TBD yielded positive results

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

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C12779 Test assay perform date TestAssyPerfrmDate Date the confirmatory diagnostic test or assay was performed Date the confirmatory diagnostic test or assay was performed Test date Date or Date & Time Adult Supplemental 3.00 2013-07-24 21:00:23.88 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

C58216 Laboratory test Mycoplasma pneumoniae sample type LabTestMycoplasmPneumSampleTyp Element related to the sample type used to test for Mycoplasma pneumoniae Element related to the sample type used to test for Mycoplasma pneumoniae Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58183 Laboratory test lipopolysaccharide positive source specify text LabTestLipopolysPosSrcSpecTxt Free-text field to specify the type of source tested which yielded positive laboratory test results Free-text field to specify the type of source tested which yielded positive laboratory test results Yes (Specify bacterial source/type of LPS) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58230 Laboratory test tick borne disease sample specify text LabTestTBDSampleSpTxt Free-text field to specify other type of sample used to test for tick-borne diseases Free-text field to specify other type of sample used to test for tick-borne diseases Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58194 Laboratory test Chlamydia pneumoniae type LaboratoryTestChlamPneumTyp Element related to the type of laboratory test used to test for Chlamydia pneumoniae Element related to the type of laboratory test used to test for Chlamydia pneumoniae Test type: PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58206 Laboratory test Mycoplasma pneumoniae type other specify text LabTestMycoplsPneumTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Mycoplasma pneumoniae Free-text field related to the other type of laboratory test used to test for Mycoplasma pneumoniae Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58260 Laboratory test tick borne disease negative specify text LaboratoryTestTBDNegSpTxt Free-text field to specify which tick-borne disease test yielded negative results Free-text field to specify which tick-borne disease test yielded negative results No Alphanumeric

Specify which TBD were tested and yielded negative results

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

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C12780 Test assay abnormality type TestAssyAbnrmlyTyp Whether the result of the confirmatory diagnostic test was normal or abnormal Whether the result of the confirmatory diagnostic test was normal or abnormal Abnormal result? Abnormal;Normal;Unknown Abnormal;Normal;Unknown Alphanumeric Adult Supplemental 3.00 2013-07-24 21:00:23.88 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58217 Laboratory test tick borne disease sample type LabTestTBDSampleTyp Element related to the sample type used to test for tick-borne diseases Element related to the sample type used to test for tick-borne diseases Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58184 Laboratory test lipopolyaccharide negative source specify text LabTestLipopolysNegSrcSpecTxt Free-text field to specify the type of source tested which yielded negative laboratory test results Free-text field to specify the type of source tested which yielded negative laboratory test results No Specify which were tested) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58231 Laboratory test parvovirus sample specify text LabTestParvovirusSampleSpTxt Free-text field to specify other type of sample used to test for parvovirus Free-text field to specify other type of sample used to test for parvovirus Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58195 Laboratory test Mycoplasma pneumoniae type LaboratoryTestMycplsmaPneumTyp Element related to the type of laboratory test used to test for Mycoplasma pneumoniae Element related to the type of laboratory test used to test for Mycoplasma pneumoniae Test type: PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58207 Laboratory test tick borne disease type other specify text LabTestTBDTypOthSpTxt Free-text field related to the other type of laboratory test used to test for tick-borne diseases Free-text field related to the other type of laboratory test used to test for tick-borne diseases Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58262 Laboratory test parvovirus positive specify text LaboratoryTestparvPosSpTxt Free-text field to specify which parvovirus test yielded positive results Free-text field to specify which parvovirus test yielded positive results Yes Alphanumeric

Specify which parvovirus strains yielded negative results

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58174 Laboratory test immune name LaboratoryTestImmuneName Name representing the lab test performed on body fluid(s). Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. Name representing the lab test performed on body fluid(s). Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. Blood Laboratory Tests NK cell activity;Erythrocyte sedimentation rate (ESR);High Sensitivity C Reactive Protein (hsCRP);White Blood Cell Count (WBC);Lymphocyte Count;Neutrophil Count;Monocyte Count;Eosinophil Count;Basophil count;Red blood cell count;Hemoglobin (HB);Hematocrit (HCT);Mean corpuscular volume (MCV);Red blood cell distribution width;Platelet Count;Lymphocyte subset panel;Immunoglobulin isotype: IgE;Immunoglobulin isotype: IgG;Immunoglobulin isotype: IgM;Immunoglobulin isotype: IgA;Other, specify NK cell activity;Erythrocyte sedimentation rate (ESR);High Sensitivity C Reactive Protein (hsCRP);White Blood Cell Count (WBC);Lymphocyte Count;Neutrophil Count;Monocyte Count;Eosinophil Count;Basophil count;Red blood cell (RBC) count;Hemoglobin (HB);Hematocrit (HCT);Mean corpuscular volume (MCV);Red blood cell distribution width (RDW);Platelet Count;Lymphocyte subset panel: [(CD3+, CD4+, CD5+, CD7+, CD8+), B cells (CD10+, CD19+, CD20+), NK cells (CD16+, CD56+, [CD3-/(CD16+/CD56+)];Immunoglobulin isotype: IgE;Immunoglobulin isotype: IgG;Immunoglobulin isotype: IgM;Immunoglobulin isotype: IgA;Other, specify Alphanumeric

Indicate the appropriate result for each test

Adult Supplemental?Highly Recommended 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

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C58218 Laboratory test parvovirus sample type LabTestParvoSampleTyp Element related to the sample type used to test for parvovirus Element related to the sample type used to test for parvovirus Sample type Serum;PBMC;Other, specify Serum;PBMC (Peripheral blood mononuclear cell);Other specify Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58185 Laboratory test lipopolyaccharide immunoglobulin positive specify text LabTestLipopolysImmunogPsSpTxt Free-text field to specify which immunoglobulin tested yielded positive laboratory test results Free-text field to specify which immunoglobulin tested yielded positive laboratory test results Yes (Specify whether IgA, IgG and/or IgG positive) Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58232 Laboratory test Giardia sample specify text LabTestGiardiaSampleSpTxt Free-text field to specify other type of sample used to test for Giardia Free-text field to specify other type of sample used to test for Giardia Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58196 Laboratory test tick borne disease type LaboratoryTestTBDTyp Element related to the type of laboratory test used to test for Tick-borne diseases Element related to the type of laboratory test used to test for Tick-borne diseases Test type PCR;Other, specify;Unknown PCR;Other, specify;Unknown Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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C58208 Laboratory test parvovirus type other specify text LabTestParvovTypOthSpTxt Free-text field related to the other type of laboratory test used to test for parvovirus Free-text field related to the other type of laboratory test used to test for parvovirus Other, specify: Alphanumeric Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58265 Laboratory test parvovirus negative specify text LaboratoryTestparvNegSpTxt Free-text field to specify which parvovirus test yielded negative results Free-text field to specify which parvovirus test yielded negative results No Alphanumeric

Specify which parvovirus strains were tested and yielded negative results

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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C58175 Laboratory test immunoglobulin name LaboratoryTestImmunoglName Name representing the immunoglobulin lab test performed on body fluid(s). Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. Name representing the immunoglobulin lab test performed on body fluid(s). Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. Test Epstein-Barr Virua (EBV): anti VCA IgM;Epstein-Barr Virus (EBV): anti-VCA IgG;Epstein-Barr Virus (EBV): anti-EA-D IgG;Epstein-Barr Virus (EBV): anti-EBNA IgG;Cytomegalovirus (CMV): IgG;Cytomegalovirus (CMV): IgM;Human herpes virus 6 (HHV6): IgG;Human herpes virus 6 (HHV6): IgM;Coxsackie B virus (CBV): IgG;Coxsackie B virus (CBV): IgM;Echovirus: IgG;Echovirus: IgM;Chlamydia pneumoniae: IgG;Chlamydia pneumoniae: IgM;Mycoplasma pneumoniae: IgG;Mycoplasma pneumoniae: IgM;Tick-borne diseases (TBD): IgG;Tick-borne diseases (TBD): IgM;Parvovirus: IgG;Parvovirus: IgM;Mycotoxin/fungal;Lipopolysaccharides (LPS): IgA, IgM or IgG Epstein-Barr Virua (EBV): anti VCA IgM;Epstein-Barr Virus (EBV): anti-VCA IgG;Epstein-Barr Virus (EBV): anti-EA-D IgG;Epstein-Barr Virus (EBV): anti-EBNA IgG;Cytomegalovirus (CMV): IgG;Cytomegalovirus (CMV): IgM;Human herpes virus 6 (HHV6): IgG;Human herpes virus 6 (HHV6): IgM;Coxsackie B virus (CBV): IgG;Coxsackie B virus (CBV): IgM;Echovirus: IgG;Echovirus: IgM;Chlamydia pneumoniae: IgG;Chlamydia pneumoniae: IgM;Mycoplasma pneumoniae: IgG;Mycoplasma pneumoniae: IgM;Tick-borne diseases (TBD): IgG (Lyme disease/Borrelia burgdorferi, Anaplasma phagocytophilum, Coxiella burnetii, Babesia microti, Powassan virus);Tick-borne diseases (TBD): IgM (Lyme disease/Borrelia burgdorferi, Anaplasma phagocytophilum, Coxiella burnetii, Babesia microti, Powassan virus);Parvovirus: IgG;Parvovirus: IgM;Mycotoxin/fungal (IgE antibodies unless otherwise specified);Lipopolysaccharides (LPS): IgA, IgM or IgG Alphanumeric

Infectious disease laboratory tests - Serum antibodies

Adult Supplemental 1.00 2015-02-18 00:00:00.0 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

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CSV