| Name | F50 |
| Description | IDM Testing to be Performed During Donor Workup |
| Name of field on form | Dictionary label (description) | EMDIS fields (matching dictionary field) | WMDA XML fields (matching dictionary field) |
|---|---|---|---|
|
Syphilis serological test result (The test result to reflect the evidence of nontreponemal antibodies and treponemal antibodies to help investigate syphilis disease) |
CB_MAT_SYPHILIS CB_SYPHILIS |
SYPHILIS |
|
|
Toxoplasmosis antibodies test result (The test result to reflect the evidence of Toxoplasma gondii (T. gondii ) antibodies) |
CB_MAT_TOXO CB_TOXO D_TOXO |
TOXO |
|
|
Hepatitis B core antibody test result (Hepatitis B core antibody (anti_HBc) test result) |
CB_ANTI_HBC CB_MAT_ANTI_HBC D_ANTI_HBC |
ANTI_HBC |
|
|
Hepatitis B surface antibody test result (Hepatitis B surface antibody (anti-HBs) test result) |
CB_MAT_ANTI_HBS D_ANTI_HBS |
ANTI_HBS |
|
|
Hepatitis C virus (HCV) antibodies test result (The test result to reflect the evidence of HCV antibodies) |
CB_ANTI_HCV CB_MAT_ANTI_HCV D_ANTI_HCV |
ANTI_HCV |
|
|
HIV-1 and HIV-2 antibodies test result (The test result to reflect the evidence of HIV-1 and HIV-2 antibodies) |
CB_ANTI_HIV_12 CB_MAT_ANTI_HIV_12 |
ANTI_HIV_12 |
|
|
Human T-Lymphotropic Virus (HTLV) type 1/2 antibodies test result (The test result to reflect the evidence of HTLV 1/2 antibodies) |
CB_ANTI_HTLV CB_MAT_ANTI_HTLV D_ANTI_HTLV |
ANTI_HTLV |
|
|
Epstein Barr Virus (EBV) antibodies test result (The test result to reflect the evidence of EBV antibodies) |
CB_EBV CB_MAT_EBV D_EBV |
EBV |
|
|
Hepatitis B surface antigen test result (Hepatitis B surface antigen (HBsAg) test result) |
CB_HBS_AG CB_MAT_HBS_AG D_HBS_AG |
HBS_AG |
|
|
Hepatitis B virus (HBV) NAT result (The test result to reflect the evidence of HBV infection by amplifying nucleic acid) |
CB_HBV_NAT CB_MAT_HBV_NAT |
HBV_NAT |
|
|
Hepatitis C virus (HCV) NAT result (The test result to reflect the evidence of HCV infection by amplifying nucleic acid) |
CB_HCV_NAT CB_MAT_HCV_NAT |
HCV_NAT |
|
|
Anti-HIV 1/ Anti-HIV 2 (Donor HIVantibody test result) |
D_HIV |
||
|
HIV-1 NAT result (The test result to reflect the evidence of HIV-1 infection by amplifying nucleic acid when samples are determined to be HIV non-reactive or HIV-1 and/or HIV-2 antibodies indeterminate) |
CB_HIV_1_NAT CB_MAT_HIV_1_NAT |
HIV_1_NAT |
|
|
HIV p24 antigen test result (The test result to reflect the evidence of HIV p24 antigen during acute infection) |
CB_HIV_P24 CB_MAT_HIV_P24 D_HIV_P24 |
HIV_P24 |
|
|
Infectious Disease Marker (Indicates the infectious disease marker tested) |
MARKER |
||
|
Test date (Date testing was performed) |
VIROL_DATE |
||
|
Result date (Date results reported) |
VIROL_OK |
||
|
CMV antibodies test result (The test result to reflect the evidence of CMV antibodies) |
CB_ANTI_CMV CB_MAT_ANTI_CMV D_ANTI_CMV P_CMV |
ANTI_CMV |
|
|
Donor Identification ( to be replaced by GRID) (Donor Idenitification assigned by donor registry) |
D_ID |
ID |
|
|
First name (Given name of an individual) |
P_FNAME |
||
|
Patient Identification (Patient identification assigned by patient registry) |
P_ID |
RSV_PAT |
|
|
Last name (Surname of an individual) |
P_LNAME |