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The IFNG Response test toward M. Tuberculosis is modeled in the LB domain, in the TB-TAUG as the following:

ELISA:

ELISPOT:

There are several issues with this modeling:

  1. Where do you show that this challenge assay is done against TB antigens?
  2. CP domain has developed a new standard variable called Test Condition Agent/CNDAGT, which is used to map stimulating agents, like the values in ASSYAG, should this variable be added to LB? CP Specification
  3. Lastly, this is a immunological test, should this be represented in LB?
    1. Use NHOID to show the name of the bug (in this case M. tuberculosis.) to which the INFg response is evoked? If we model this test in IS, what about IFNG test in lab. We need to draw the line where if we are running a routine lab test looking for IFNg level it goes to LB vs IFNg response test toward a specific, known bug then it goes to IS? If this test remains in LB, should NHOID be added to LB in order to show the name of the bug? I remember this being discussed by Jon/Bess when they worked on the TB TAUG.

If we were to model this in IS:

Dataset wrap


Dataset2
hi1styleyellow
hi1column ISBDAGNT
tableidIS table 1


Row

STUDYID

DOMAIN

USUBJID

ISSEQ

ISGRPID

NHOID

ISTESTCD

ISTEST

ISCNDAGT

ISTSTDTL

ISORRES

ISORRESU

ISSTRESC

ISSTRESN

ISSTRESU

ISSPEC

ISMETHOD

VISITNUMVISIT

ISDTC

1

ABC

IS

ABC-01-201

1

1

Mycobacterium tuberculosis

IFNG

Interferon Gamma

Nil

1.3

IU/mL

1.3

1.3

IU/mL

PLASMA

ELISA




2

ABC

IS

ABC1230-011

2

1

Mycobacterium tuberculosisIFNG

Interferon Gamma

ESAT-6, CFP-10, TB 7.7


6.2

IU/mL

6.2

6.2

IU/mL

PLASMA

ELISA




3ABCIS

ABC1230-011

3

1

Mycobacterium tuberculosisIFNG

Interferon Gamma

Mitogen


0.9

IU/mL

0.9

0.9

IU/mL

PLASMA

ELISA




4ABCIS

ABC1230-011

4

1

Mycobacterium tuberculosisIFNG

Interferon Gamma


Interpretation

Positive


Positive



PLASMA

ELISA







Similarly if we were to model Jozef's request for https://loinc.org/95971-8/ --- SARS CoV-2 stimulated gamma interferon [Presence] in Blood

Dataset wrap


Dataset2
hi1styleyellow
hi1column ISBDAGNT
tableidIS table 1


Row

STUDYID

DOMAIN

USUBJID

ISSEQ

ISGRPID

NHOID

ISTESTCD

ISTEST

ISCNDAGT

ISTSTDTL

ISORRES

ISORRESU

ISSTRESC

ISSTRESN

ISSTRESU

ISSPEC

ISMETHOD

VISITNUMVISIT

ISDTC

1

ABC

IS

ABC-01-201

1

1

SARS-CoV-2

IFNG

Interferon Gamma

Nil

1.3

IU/mL

1.3

1.3

IU/mL

PLASMA

ELISA




2

ABC

IS

ABC1230-011

2

1

SARS-CoV-2IFNG

Interferon Gamma

SARS-CoV-2 Antigen


6.2

IU/mL

6.2

6.2

IU/mL

PLASMA

ELISA




3ABCIS

ABC1230-011

3

1

SARS-CoV-2IFNG

Interferon Gamma

Mitogen


0.9

IU/mL

0.9

0.9

IU/mL

PLASMA

ELISA




4ABCIS

ABC1230-011

4

1

SARS-CoV-2IFNG

Interferon Gamma


Interpretation

Present


Present



PLASMA

ELISA