| Women |
| 3-1 |
Fasting blood sugar (FBS) |
|
|
| 3-2 |
Red blood cell count (RBC) |
|
|
| 3-3 |
White blood cell count (WBC) |
|
|
| 3-4 |
Hemoglobin |
|
|
| 3-5 |
Hematocrit |
|
|
| 3-6 |
Mean Corpuscular Hemoglobin(MCH) |
|
|
| 3-7 |
Mean Corpuscular Hemoglobin Concentration(MCHC) |
|
|
| 3-8 |
Mean Corpuscular Volume (MCV) |
|
|
| 3-9 |
Complete blood count (CBC) |
|
|
| 3-10 |
Blood group, Rh |
|
|
| 3-11 |
Cholesterol |
|
|
| 3-12 |
Triglycerides |
|
|
| 3-13 |
Venereal disease research laboratory (VDRL) |
|
|
| 3-14 |
Hepatitis C virus (HCV) |
|
|
| 3-15 |
Human immunodeficiency virus (HIV) 1, 2 |
|
|
| 3-16 |
Hepatitis B surface antigen (HBsAg) |
|
|
| 3-17 |
Human T-lymphotropic virus (HTLV) 1, 2 |
|
|
| 3-18 |
Rubella |
|
|
| 3-19 |
Follicle-stimulating hormone (FSH) |
|
|
| 3-20 |
Luteinizing hormone (LH) |
|
|
| 3-21 |
Estradiol (E2) |
|
|
| 3-22 |
Anti-Mullerian hormone (AMH) |
|
|
| 3-23 |
Progesterone |
|
|
| 3-24 |
Thyroid-stimulating hormone (TSH) |
|
|
| 3-25 |
Prolactin |
|
|
| 3-26 |
Testosterone |
|
|
| 3-27 |
Dehydroepiandrosterone |
|
|
| 3-28 |
Thrombophilia |
|
|
| 3-29 |
Pap smear |
|
|
| 3-30 |
Genetic testing |
|
|
| 3-31 |
Torch syndrome |
|
|
| Ultrasound |
| 3-32 |
AFC |
|
|
| 3-33 |
Uterine |
|
|
| 3-34 |
Left ovary |
|
|
| 3-35 |
Right ovary |
|
|
| 3-36 |
Endometrial thickness |
|
|
| Laparoscopy and hysteroscopy |
|
|
| 3-37 |
Uterine cavity (normal, abnormal) |
|
|
| 3-38 |
Right tube (open, blocked) |
|
|
| 3-39 |
Left tube (open, blocked) |
|
|
| 3-40 |
Right ovary |
|
|
| 3-41 |
Left ovary |
|
|
| Comments: |
| Suggested Data Elements: |
| Men |
| 3-42 |
Semen analysis |
|
|
| 3-42-1 |
Sperm count |
|
|
| 3-42-2 |
Morphology |
|
|
| 3-42-3 |
Motility |
|
|
| 3-42-4 |
Degree of motility |
|
|
| 3-42-5 |
Ratio of progressive motile sperm |
|
|
| 3-43 |
Venereal disease research laboratory (VDRL) |
|
|
| 3-44 |
Hepatitis C virus (HCV) |
|
|
| 3-45 |
Human immunodeficiency virus (HIV) 1, 2 |
|
|
| 3-46 |
Hepatitis B surface antigen (HBsAg) |
|
|
| 3-47 |
Human T-lymphotropic virus (HTLV) 1, 2 |
|
|
| Comments: |
| Suggested Data Elements: |