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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Laboratory Tests and Biospecimens/Biomarkers
CRF: Laboratory Tests - Immune Module
Item count: 71 (71 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
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.
Blood Laboratory Tests
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 count;Hemoglobin (HB);Hematocrit (HCT);Mean corpuscular volume (MCV);Red blood cell distribution width;Platelet Count;Lymphocyte subset panel;Immunoglobulin isotype: IgA;Immunoglobulin isotype: IgE;Immunoglobulin isotype: IgG;Immunoglobulin isotype: IgM;
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: IgA;Immunoglobulin isotype: IgE;Immunoglobulin isotype: IgG;Immunoglobulin isotype: IgM;
Alphanumeric
Indicate the appropriate result for each test
No references available
Adult
Supplemental–Highly Recommended
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
     
2003746
 
C01706
Lab test result text
LabTestResltTxt
Result of the laboratory test
Result
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/25/2013
Refer to SCI CDE Annotated Form
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
Lab test result
4000
Free-Form Entry
     
2183364
 
C12780
Test assay abnormality type
TestAssyAbnrmlyTyp
Whether the result of the confirmatory diagnostic test was normal or abnormal
Abnormal result?
Normal;Abnormal;Unknown;
Normal;Abnormal;Unknown;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
Confirmatory diagnostic test or assay abnormality indicator
 
Single Pre-Defined Value Selected
       
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.
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): IgM;Cytomegalovirus (CMV): IgG;Human herpes virus 6 (HHV6): IgM;Human herpes virus 6 (HHV6): IgG;Coxsackie B virus (CBV): IgM;Coxsackie B virus (CBV): IgG;Echovirus: IgM;Echovirus: IgG;Chlamydia pneumoniae: IgM;Chlamydia pneumoniae: IgG;Mycoplasma pneumoniae: IgM;Mycoplasma pneumoniae: IgG;Tick-borne diseases (TBD): IgM;Tick-borne diseases (TBD): IgG;Parvovirus: IgM;Parvovirus: IgG;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): IgM;Cytomegalovirus (CMV): IgG;Human herpes virus 6 (HHV6): IgM;Human herpes virus 6 (HHV6): IgG;Coxsackie B virus (CBV): IgM;Coxsackie B virus (CBV): IgG;Echovirus: IgM;Echovirus: IgG;Chlamydia pneumoniae: IgM;Chlamydia pneumoniae: IgG;Mycoplasma pneumoniae: IgM;Mycoplasma pneumoniae: IgG;Tick-borne diseases (TBD): IgM (Lyme disease/Borrelia burgdorferi, Anaplasma phagocytophilum, Coxiella burnetii, Babesia microti, Powassan virus);Tick-borne diseases (TBD): IgG (Lyme disease/Borrelia burgdorferi, Anaplasma phagocytophilum, Coxiella burnetii, Babesia microti, Powassan virus);Parvovirus: IgM;Parvovirus: IgG;Mycotoxin/fungal (IgE antibodies unless otherwise specified);Lipopolysaccharides (LPS): IgA, IgM or IgG;
Alphanumeric
Infectious disease laboratory tests - Serum antibodies
No references available
Adult
Supplemental
1.0
2/18/2015
Refer to SCI CDE Annotated Form
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
     
2003746
 
C12779
Test assay perform date
TestAssyPerfrmDate
Date the confirmatory diagnostic test or assay was performed
Test date
  
Date or Date & Time
No instructions available
No references available
Adult
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
Confirmatory diagnostic test or assay performed date and time
 
Free-Form Entry
       
C58176
Laboratory test immunoglobulin positive indicator
LabTestImmunoglPosRsltInd
The indicator relating to whether the immunoglobulin laboratory test result was positive
Positive result?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C58177
Laboratory test tick borne disease immunoglobulin M positive text
LabTestTickBrnDzIgMPosTxt
Free-text field to specify which tick-borne disease IgM laboratory test yielded positive results
Yes (Specify which TBD yielded positive results)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58178
Laboratory test tick borne disease immunoglobulin M negative text
LabTestTickBrnDzIgMNegTxt
Free-text field to specify which tick-borne disease IgM laboratory test yielded negative results
No (Specify which TBD were tested and found to be negative)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58188
Laboratory test tick borne disease immunoglobulin G positive text
LabTestTickBrnDzIgGPosTxt
Free-text field to specify which tick-borne disease IgG laboratory test yielded positive results
Yes (Specify which TBD yielded positive results)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58187
Laboratory test tick borne disease immunoglobulin G negative text
LabTestTickBrnDzIgGNegTxt
Free-text field to specify which tick-borne disease IgG laboratory test yielded negative results
No (Specify which TBD were tested and found to be negative)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58179
Laboratory test parvovirus IgM positive strain text
LabTestParvovirusIgmPosStrnTxt
Free-text field to specify which strain of parvovirus yielded positive IgM laboratory test results
Yes (Specify which parvovirus strain yielded positive results)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58180
Laboratory test parvovirus IgM negative strain text
LabTestParvovirusIgMNegStrnTxt
Free-text field to specify which strain of parvovirus yielded negative IgM laboratory test results
No (Specify which parvovirus strains were tested and found to be negative)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58240
Laboratory test parvovirus IgG positive strain text
LabTestParvovirusIgGPosStrnTxt
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
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58241
Laboratory test parvovirus IgG negative strain text
LabTestParvovirusIgGNegStrnTxt
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
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58181
Laboratory test mycotoxin fungi positive text
LabTestMycoFungiPosTxt
Free-text field to specify which mycotoxins or fungi yielded positive laboratory test results
Yes (Specify which mycotoxins/fungi yielded positive results)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58182
Laboratory test mycotoxin fungi negative text
LabTestMycoFungiNegTxt
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
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
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
Yes (Specify bacterial source/type of LPS)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58185
Laboratory test lipopolyaccharide immunoglobulin positive specify text
LabTestLipopolysImmunogPsSpTxt
Free-text field to specify which immunoglobulin tested yielded positive laboratory test results
Yes (Specify whether IgA, IgG and/or IgG positive)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
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
No Specify which were tested)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58186
Laboratory test lipopolyaccharide immunoglobulin negative specify text
LabTestLipopolysImmunogNgSpTxt
Free-text field to specify which immunoglobulin tested yielded negative laboratory test results
No (Specify whether IgA, IgM and/or IgG was found to be negative)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
       
C58189
Laboratory test Epstein Barr Virus type
LaboratoryTestEBVTyp
Element related to the type of laboratory test used to test for Epstein-barr Virus (EBV)
Test type
PCR;Other, specify;Unknown;
PCR;Other, specify;Unknown;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Single Pre-Defined Value Selected
     
2003746
 
C58199
Laboratory test Epstein Barr Virus type other specify text
LaboratoryTestEBVTypOthSpTxt
Free-text field related to the other type of laboratory test used to test for Epstein-barr Virus (EBV)
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
     
2003746
 
C58190
Laboratory test Cytomegalovirus type
LaboratoryTestCMVTyp
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
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Single Pre-Defined Value Selected
     
2003746
 
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)
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
     
2003746
 
C58191
Laboratory test Coxsackie B type
LaboratoryTestCBVTyp
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
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Single Pre-Defined Value Selected
     
2003746
 
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)
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Laboratory Tests - Immune Module
Laboratory Tests and Biospecimens/Biomarkers
Assessments and Examinations
  
Free-Form Entry
     
2003746
 
12-14-2018
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