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 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
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

Free-Form Entry

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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

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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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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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

Free-Form Entry

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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

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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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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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

NK cell assay is classified as Supplemental-Highly Recommended.

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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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

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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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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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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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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C58186 Laboratory test lipopolyaccharide immunoglobulin negative specify text LabTestLipopolysImmunogNgSpTxt Free-text field to specify which immunoglobulin tested yielded negative laboratory test results 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 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

C58222 Laboratory test Giardia sample type LabTestGiardiaSampleTyp Element related to the sample type used to test for Giardia Element related to the sample type used to test for Giardia Sample type Other, specify;Stool Other specify;Stool 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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C58197 Laboratory test parvovirus type LaboratoryTestParvovirusTyp Element related to the type of laboratory test used to test for Parvovirus Element related to the type of laboratory test used to test for Parvovirus 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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C58233 Laboratory test autoimmune name LaboratoryTesAutoiImmunleName Name representing the autoimmunological 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 autoimmunological 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 Anti-muscarinic receptor antibodies;Anti-beta 1 adrenergic antibodies;Anti-beta-2 adrenergic antibodies;Anti-streptolysin O antibodies;Anti-Dnase B antibodies;Antimicrobial antibodies: anti-M4 protein;Antimicrobial antibodies: anti-M3 protein;Antimicrobial antibodies: anticardiolipin antibodies;Antinuclear antibodies (ANA): IgG;Antinuclear antibodies (ANA): IgM;Rheumatoid factor (RF) antibodies: IgG;Rheumatoid factor (RF) antibodies: IgM;Cytokines: TGFbeta;Cytokines: Interleukin 6;Cytokines: Interleukin 1 beta;Cytokines: Tumor necrosis factor-alpha;Cytokines: Interferon gamma;Cytokines: Interleukin 8 Anti-muscarinic receptor antibodies;Anti-beta 1 adrenergic antibodies;Anti-beta-2 adrenergic antibodies;Anti-streptolysin O antibodies;Anti-Dnase B antibodies;Antimicrobial antibodies: anti-M4 protein;Antimicrobial antibodies: anti-M3 protein;Antimicrobial antibodies: anticardiolipin antibodies;Antinuclear antibodies (ANA): IgG;Antinuclear antibodies (ANA): IgM;Rheumatoid factor (RF) antibodies: IgG;Rheumatoid factor (RF) antibodies: IgM;Cytokines: TGFbeta;Cytokines: Interleukin 6 (IL-6);Cytokines: Interleukin 1 beta (IL-1b);Cytokines: Tumor necrosis factor-alpha (TNF-alpha);Cytokines: Interferon gamma (IFN-gamma);Cytokines: Interleukin 8 (IL-8) Alphanumeric

Autoimmunological and other immune profiling 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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C58209 Laboratory test Giardia type other specify text LabTestGiardiaTypOthSpTxt Free-text field related to the other type of laboratory test used to test for Giardia Free-text field related to the other type of laboratory test 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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C58401 Laboratory test infectious disease positive result indicator LabTestInfectDisPosRsltInd The indicator relating to whether the infectious disease laboratory test result was positive The indicator relating to whether the infectious disease laboratory test result was positive Positive result? No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58176 Laboratory test immunoglobulin positive indicator LabTestImmunoglPosRsltInd The indicator relating to whether the immunoglobulin laboratory test result was positive The indicator relating to whether the immunoglobulin laboratory test result was positive Positive result? No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult Supplemental 3.00 2013-07-30 14:29:49.047 Laboratory Tests - Immune Module Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

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 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 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

C58223 Laboratory test Epstein Barr Virus sample specify text LabTestEBVSampleSpTxt Free-text field to specify other type of sample used to test for Epstein-Barr Virus (EBV) Free-text field to specify other type of sample used to test for Epstein-Barr Virus (EBV) 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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C58198 Laboratory test Giardia type LaboratoryTestGiardiaTyp Element related to the type of laboratory test used to test for Giardia Element related to the type of laboratory test used to test for Giardia Test type PCR;Other, specify;Unknown;Antigen PCR;Other, specify;Unknown;Antigen 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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C58234 Laboratory test autoimmune antibody type text LabTestAutoimmAbTYpTxt Free-text field to specify type of autoimmunological antibody laboratory test used Free-text field to specify type of autoimmunological antibody laboratory test used Specify test type Alphanumeric

e.g., ELISA, complement fixation test

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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C58210 Laboratory test Epstein Barr Virus sample type LabTestEBVSampleTyp Element related to the sample type used to test for Epstein-Barr Virus (EBV) Element related to the sample type used to test for Epstein-Barr Virus (EBV) 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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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 Free-text field to specify which tick-borne disease IgM laboratory test yielded positive results Yes (Specify which TBD 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

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 Free-text field to specify which tick-borne disease IgG laboratory test yielded positive results Yes (Specify which TBD 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

C58224 Laboratory test Cytomegalovirus sample specify text LabTestCMVSampleSpTxt Free-text field to specify other type of sample used to test for Cytomegalovirus (CMV) Free-text field to specify other type of sample 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 255

Free-Form Entry

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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) Free-text field related to the other type of laboratory test used to test for Epstein-barr Virus (EBV) 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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C58235 Laboratory test autoimmune muscarinic receptor type text LabTestAutoimmMuscrnTYpTxt Free-text field to specify type of muscarinic receptor used in autoimmunological antibody laboratory testing Free-text field to specify type of muscarinic receptor used in autoimmunological antibody laboratory testing Specificity Alphanumeric

Which muscarinic receptor, if known

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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C58211 Laboratory test Cytomegalovirus sample type LabTestCMVSampleTyp Element related to the sample type used to test for Cytomegalovirus (CMV) Element related to the sample type used to test for Cytomegalovirus (CMV) 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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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 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 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

C58189 Laboratory test Epstein Barr Virus type LaboratoryTestEBVTyp Element related to the type of laboratory test used to test for Epstein-barr Virus (EBV) 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 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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C58225 Laboratory test Coxsackie B virus sample specify text LabTestCBVSampleSpTxt Free-text field to specify other type of sample used to test for Coxsackie B virus (CBV) Free-text field to specify other type of sample 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

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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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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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

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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CSV