diff --git a/docker-compose.yml b/docker-compose.yml index b93306424..abba13aa6 100644 --- a/docker-compose.yml +++ b/docker-compose.yml @@ -10,7 +10,7 @@ services: router: build: . environment: - REPORT_STREAM_URL_PREFIX: http://localhost:7071 + REPORT_STREAM_URL_PREFIX: http://host.docker.internal:7071 ports: - "8080:8080" # default api endpoint port - "6006:6006" # Java debug port diff --git a/etor/src/main/resources/transformation_definitions.json b/etor/src/main/resources/transformation_definitions.json index 985efa310..40afe14a5 100644 --- a/etor/src/main/resources/transformation_definitions.json +++ b/etor/src/main/resources/transformation_definitions.json @@ -167,6 +167,24 @@ } ] }, + { + "name": "laOchsnerOruRemoveObservationRequests", + "description": "Removes all OBRs from an LA Ochsner ORU message except for the OBR with value '54089-8' in OBR-4.1. All OBXs are attached to the sole remaining OBR", + "message": "", + "conditions": [ + "Bundle.entry.resource.ofType(MessageHeader).destination.extension.where(url = 'https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id').value = '1.2.840.114350.1.13.286.2.7.2.695071'", + "Bundle.entry.resource.ofType(MessageHeader).event.code = 'R01'", + "Bundle.entry.resource.ofType(ServiceRequest).code.coding.where(code = '54089-8').exists()" + ], + "rules": [ + { + "name": "RemoveObservationRequests", + "args": { + "universalServiceIdentifier": "54089-8" + } + } + ] + }, { "name": "ucsdOruUpdateUniversalServiceIdentifier", "description": "Updates the coding system name (OBR-4.3) for ORU orders to the expected value", diff --git a/etor/src/test/groovy/gov/hhs/cdc/trustedintermediary/etor/ruleengine/transformation/custom/RemoveObservationRequestsTest.groovy b/etor/src/test/groovy/gov/hhs/cdc/trustedintermediary/etor/ruleengine/transformation/custom/RemoveObservationRequestsTest.groovy index ff74f9c09..9a8907787 100644 --- a/etor/src/test/groovy/gov/hhs/cdc/trustedintermediary/etor/ruleengine/transformation/custom/RemoveObservationRequestsTest.groovy +++ b/etor/src/test/groovy/gov/hhs/cdc/trustedintermediary/etor/ruleengine/transformation/custom/RemoveObservationRequestsTest.groovy @@ -40,8 +40,36 @@ class RemoveObservationRequestsTest extends Specification { thrown(ClassCastException) } + def "remove all LA Ochsner's OBRs except for the one with OBR-4.1 = '54089-8'"() { + given: + def fhirResource = ExamplesHelper.getExampleFhirResource("../LA/002_LA_ORU_R01_ORU_removal_test_file.fhir") + def bundle = fhirResource.getUnderlyingData() as Bundle + + def initialDiagnosticReports = HapiHelper.resourcesInBundle(bundle, DiagnosticReport).toList() + def initialServiceRequests = HapiHelper.resourcesInBundle(bundle, ServiceRequest).toList() + def initialObservations = HapiHelper.resourcesInBundle(bundle, Observation).toList() + def obr4_1Values = initialServiceRequests.collect { HapiHelper.getOBR4_1Value(it) } + + expect: + initialDiagnosticReports.size() > 1 + initialServiceRequests.size() > 1 + initialObservations.size() > 1 + obr4_1 in obr4_1Values + + when: + transformClass.transform(fhirResource, args) + def diagnosticReports = HapiHelper.resourcesInBundle(bundle, DiagnosticReport).toList() + def serviceRequests = HapiHelper.resourcesInBundle(bundle, ServiceRequest).toList() + def dr = diagnosticReports.first() as DiagnosticReport + def sr = HapiHelper.getServiceRequest(dr) + + then: + diagnosticReports.size() == 1 + serviceRequests.size() == 1 + HapiHelper.getOBR4_1Value(sr) == obr4_1 + } - def "remove all OBRs except for the one with OBR-4.1 = '54089-8'"() { + def "remove all CA UCSD's OBRs except for the one with OBR-4.1 = '54089-8'"() { given: def fhirResource = ExamplesHelper.getExampleFhirResource("../CA/002_CA_ORU_R01_initial_translation.fhir") def bundle = fhirResource.getUnderlyingData() as Bundle diff --git a/examples/LA/002_LA_ORU_R01_ORU_removal_test_file.fhir b/examples/LA/002_LA_ORU_R01_ORU_removal_test_file.fhir new file mode 100644 index 000000000..2d1b40ce3 --- /dev/null +++ b/examples/LA/002_LA_ORU_R01_ORU_removal_test_file.fhir @@ -0,0 +1,4239 @@ +{ + "resourceType": "Bundle", + "id": "1715633569277693959.7e576ed1-1995-4523-9aff-4517d576adae", + "meta": { + "lastUpdated": "2024-05-13T20:52:49.278+00:00" + }, + "identifier": { + "system": "https://reportstream.cdc.gov/prime-router", + "value": "220220550" + }, + "type": "message", + "timestamp": "2023-07-06T09:37:30.000+00:00", + "entry": [ + { + "fullUrl": "MessageHeader/09750e90-6433-3b6d-8f2e-1498ab5b1a9c", + "resource": { + "resourceType": "MessageHeader", + "id": "09750e90-6433-3b6d-8f2e-1498ab5b1a9c", + "meta": { + "tag": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0103", + "code": "T" + } + ] + }, + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/msh-message-header", + "extension": [ + { + "url": "MSH.7", + "valueString": "20230706093730" + } + ] + } + ], + "eventCoding": { + "system": "http://terminology.hl7.org/CodeSystem/v2-0003", + "code": "R01", + "display": "ORU^R01^ORU_R01" + }, + "destination": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id", + "valueString": "1.2.840.114350.1.13.286.2.7.2.695071" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type", + "valueString": "L,M,N" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.5" + } + ], + "name": "SISHIERECEIVER", + "receiver": { + "reference": "Organization/1715633569314982834.89748d44-f46b-4b72-bec9-f546d79a35ce" + } + } + ], + "sender": { + "reference": "Organization/1715633569304827167.946a8eaf-1eff-49af-bf6b-94e604cc7983" + }, + "source": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "SISGDSP" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.3" + } + ], + "name": "SISGDSP", + "_endpoint": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + } + } + }, + { + "fullUrl": "Organization/1715633569304827167.946a8eaf-1eff-49af-bf6b-94e604cc7983", + "resource": { + "resourceType": "Organization", + "id": "1715633569304827167.946a8eaf-1eff-49af-bf6b-94e604cc7983", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "SISGDSP" + } + ] + } + }, + { + "fullUrl": "Organization/1715633569314982834.89748d44-f46b-4b72-bec9-f546d79a35ce", + "resource": { + "resourceType": "Organization", + "id": "1715633569314982834.89748d44-f46b-4b72-bec9-f546d79a35ce", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.6" + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "simulated-hospital-id" + }, + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.2,HD.3" + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0301", + "code": "L,M,N" + } + ] + }, + "value": "simulated-hospital-id" + } + ] + } + }, + { + "fullUrl": "Provenance/1715633569326289084.41e56851-1759-40ac-b9b2-95e4ebaf3785", + "resource": { + "resourceType": "Provenance", + "id": "1715633569326289084.41e56851-1759-40ac-b9b2-95e4ebaf3785", + "target": [ + { + "reference": "MessageHeader/09750e90-6433-3b6d-8f2e-1498ab5b1a9c" + }, + { + "reference": "DiagnosticReport/1715633569590972167.f37e1fad-c119-449a-8530-732121e8408f" + }, + { + "reference": "DiagnosticReport/1715633569594215417.9bf55f99-6e03-40c4-b7e2-046bb2762e0f" + } + ], + "recorded": "2023-07-06T09:37:30Z", + "activity": { + "coding": [ + { + "display": "ORU^R01^ORU_R01" + } + ] + }, + "agent": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", + "code": "author" + } + ] + }, + "who": { + "reference": "Organization/1715633569325914001.9147ee97-ab9c-4f79-9599-57c4e9526c7b" + } + } + ] + } + }, + { + "fullUrl": "Organization/1715633569325914001.9147ee97-ab9c-4f79-9599-57c4e9526c7b", + "resource": { + "resourceType": "Organization", + "id": "1715633569325914001.9147ee97-ab9c-4f79-9599-57c4e9526c7b", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "SISGDSP" + } + ] + } + }, + { + "fullUrl": "Provenance/1715633569335667501.6ee9dc46-0ea6-489b-a26d-ac0ec3a353ba", + "resource": { + "resourceType": "Provenance", + "id": "1715633569335667501.6ee9dc46-0ea6-489b-a26d-ac0ec3a353ba", + "recorded": "2024-05-13T20:52:49Z", + "policy": [ + "http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle" + ], + "activity": { + "coding": [ + { + "code": "v2-FHIR transformation" + } + ] + }, + "agent": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", + "code": "assembler" + } + ] + }, + "who": { + "reference": "Organization/1715633569335228042.bf93d65e-8e73-456c-9012-5b0e58e4c31b" + } + } + ] + } + }, + { + "fullUrl": "Organization/1715633569335228042.bf93d65e-8e73-456c-9012-5b0e58e4c31b", + "resource": { + "resourceType": "Organization", + "id": "1715633569335228042.bf93d65e-8e73-456c-9012-5b0e58e4c31b", + "identifier": [ + { + "value": "CDC PRIME - Atlanta" + }, + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0301" + } + ] + }, + "system": "urn:ietf:rfc:3986", + "value": "2.16.840.1.114222.4.1.237821" + } + ] + } + }, + { + "fullUrl": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1", + "resource": { + "resourceType": "Patient", + "id": "1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/pid-patient", + "extension": [ + { + "url": "PID.24", + "valueString": "N" + } + ] + }, + { + "url": "http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "2106-3", + "display": "White" + } + ] + } + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "2186-5", + "display": "Not Hispanic or Latino" + } + ] + } + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier", + "extension": [ + { + "url": "CX.5", + "valueString": "MR" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "PID.3" + } + ], + "type": { + "coding": [ + { + "code": "MR" + } + ] + }, + "assigner": { + "reference": "Organization/1715633569338429459.cfacee2e-6eec-42da-b2d7-2a733fc958ff" + } + } + ], + "name": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "John" + }, + { + "url": "XPN.7", + "valueString": "B" + } + ] + } + ], + "use": "official", + "family": "Smith", + "given": [ + "John" + ] + } + ], + "birthDate": "2022-02-05", + "_birthDate": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "202202050000" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime", + "valueDateTime": "2022-02-05T00:00:00Z" + } + ] + }, + "multipleBirthInteger": 1, + "contact": [ + { + "extension": [ + { + "url": "https://hl7.org/fhir/StructureDefinition/relationship", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "MTH", + "display": "Mother" + } + ] + } + } + ], + "name": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "Sarah" + } + ] + } + ], + "family": "Smith", + "given": [ + "Sarah" + ] + }, + "telecom": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "916" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "3720117" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "3720117" + } + ] + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "916" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "3729999" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "3729999" + } + ] + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + }, + "use": "work" + } + ], + "address": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line", + "extension": [ + { + "url": "SAD.1", + "valueString": "850 Marina Bay Parkway, APT 125" + } + ] + } + ] + } + ], + "line": [ + "850 Marina Bay Parkway, APT 125" + ], + "city": "Richmond", + "state": "CA", + "postalCode": "94806-4000", + "country": "USA" + } + } + ] + } + }, + { + "fullUrl": "Organization/1715633569338429459.cfacee2e-6eec-42da-b2d7-2a733fc958ff", + "resource": { + "resourceType": "Organization", + "id": "1715633569338429459.cfacee2e-6eec-42da-b2d7-2a733fc958ff", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "NPI" + } + ] + } + }, + { + "fullUrl": "Provenance/1715633569364557001.289bc187-959a-4300-801b-909e6d644da4", + "resource": { + "resourceType": "Provenance", + "id": "1715633569364557001.289bc187-959a-4300-801b-909e6d644da4", + "target": [ + { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + } + ], + "recorded": "2024-05-13T20:52:49Z", + "activity": { + "coding": [ + { + "system": "https://terminology.hl7.org/CodeSystem/v3-DataOperation", + "code": "UPDATE" + } + ] + } + } + }, + { + "fullUrl": "RelatedPerson/1715633569367826876.e71ff06d-07ee-4eca-a222-455426557e2e", + "resource": { + "resourceType": "RelatedPerson", + "id": "1715633569367826876.e71ff06d-07ee-4eca-a222-455426557e2e", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment", + "valueString": "NK1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/nk1-related-person", + "extension": [ + { + "url": "NK1.16", + "valueString": "199107010000" + } + ] + } + ], + "patient": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "relationship": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.3" + } + ], + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "MTH", + "display": "Mother" + } + ] + } + ], + "name": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "Sarah" + } + ] + } + ], + "family": "Smith", + "given": [ + "Sarah" + ] + } + ], + "telecom": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "916" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "3720117" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "3720117" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.5" + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "916" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "3729999" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "3729999" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.6" + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + }, + "use": "work" + } + ], + "birthDate": "1991-07-01", + "address": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.4" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line", + "extension": [ + { + "url": "SAD.1", + "valueString": "850 Marina Bay Parkway, APT 125" + } + ] + } + ] + } + ], + "line": [ + "850 Marina Bay Parkway, APT 125" + ], + "city": "Richmond", + "state": "CA", + "postalCode": "94806-4000", + "country": "USA" + } + ] + } + }, + { + "fullUrl": "Observation/1715633569376283459.a6494aac-2ab9-4711-bb41-61f477ebe2fd", + "resource": { + "resourceType": "Observation", + "id": "1715633569376283459.a6494aac-2ab9-4711-bb41-61f477ebe2fd", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569379363751.2fce0bb1-dcf1-45f6-b15c-41833f314fad", + "resource": { + "resourceType": "Observation", + "id": "1715633569379363751.2fce0bb1-dcf1-45f6-b15c-41833f314fad", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569381937876.029c6662-a770-4f16-b654-bcb347b7d3f7", + "resource": { + "resourceType": "Observation", + "id": "1715633569381937876.029c6662-a770-4f16-b654-bcb347b7d3f7", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569386524292.e40dfd2b-74f3-461b-aa9c-5bb60c9f4407", + "resource": { + "resourceType": "Observation", + "id": "1715633569386524292.e40dfd2b-74f3-461b-aa9c-5bb60c9f4407", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569391684959.942eaf95-161c-42b2-9a31-6d7a67981723", + "resource": { + "resourceType": "Observation", + "id": "1715633569391684959.942eaf95-161c-42b2-9a31-6d7a67981723", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569400477459.cc6b8d89-8ca9-422e-a4e5-a06f02d770af", + "resource": { + "resourceType": "Observation", + "id": "1715633569400477459.cc6b8d89-8ca9-422e-a4e5-a06f02d770af", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "TX" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system", + "valueString": "LN" + } + ], + "system": "http://loinc.org", + "code": "57724-7", + "display": "Newborn screening short narrative summary" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "valueString": "NBS Testing Lab - COMMUNITY REG MEDICAL CENTER LAB ~2823 FRESNO ST, FRESNO, CA 93721-1324\\.br\\\\.br\\Genetic Disease Laboratory - GDL 850 MARINA BAY PKWY, # G265, RICHMOND, CA 94804-6403\\.br\\\\.br\\Lab Director - Rasoul Alikhani Koupaei, PhD., Genetic Disease Laboratory, (510) 231-1790\\.br\\\\.br\\\\.br\\\\.br\\If you have any questions regarding these screening outcomes, please contact the Newborn Screening Staff at Stanford University Medical Center at (510) 412-1562. \\.br\\\\.br\\Methods and Limitations:\\.br\\\\.br\\Assays for ALD Tier-1, ALD Tier-2, Pompe Tier-1, MPS I Tier-1 and SMA were developed and/or optimized by the California Department of Public Health Genetic Disease Laboratory Branch (GDLB). Performance characteristics of aforementioned assays are determined by GDLB. The SMA assay is designed to identify 95% of SMA patients who have homozygous deletion/mutation of SMN1 gene in 5q chromosome. All aforementioned assays have not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. The assays are used for clinical purposes and should not be regarded as investigational or for research. GDLB is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) to perform high complexity genetic disease screening. \\.br\\Attention Healthcare Provider:\\.br\\\\.br\\Due to biological variability of newborns and differences in detection rates for the various disorders in the newborn period, the Newborn Screening Program will not identify all newborns with these conditions. While a positive screening result identifies newborns at an increased risk to justify a diagnostic work-up, a negative screening result does not rule out the possibility of a disorder. Health care providers should remain watchful for any sign or symptoms of these disorders in their patients. A newborn screening result should not be considered diagnostic, and cannot replace the individualized evaluation and diagnosis of an infant by a well-trained, knowledgeable health care provider. \\.br\\\\.br\\", + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569407546292.8280c469-c55f-47f9-9ce3-376da9f4ce63", + "resource": { + "resourceType": "Observation", + "id": "1715633569407546292.8280c469-c55f-47f9-9ce3-376da9f4ce63", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "TX" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system", + "valueString": "LN" + } + ], + "system": "http://loinc.org", + "code": "57129-9", + "display": "Full newborn screening summary report for display or printing" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569410316084.98e26b6b-d665-4d18-951f-117aba903fe8", + "resource": { + "resourceType": "Observation", + "id": "1715633569410316084.98e26b6b-d665-4d18-951f-117aba903fe8", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569412664917.f3b7fb35-3ff1-487a-b263-6874611ebd37", + "resource": { + "resourceType": "Observation", + "id": "1715633569412664917.f3b7fb35-3ff1-487a-b263-6874611ebd37", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569415512501.a54fb0e3-2526-4a2e-ae40-8ce5b44f97f7", + "resource": { + "resourceType": "Observation", + "id": "1715633569415512501.a54fb0e3-2526-4a2e-ae40-8ce5b44f97f7", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "3" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569417973584.82b843aa-3bde-4115-8008-c40969c92089", + "resource": { + "resourceType": "Observation", + "id": "1715633569417973584.82b843aa-3bde-4115-8008-c40969c92089", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "4" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569420239917.10270c5d-cc25-4eb4-a338-a2109dcdfee7", + "resource": { + "resourceType": "Observation", + "id": "1715633569420239917.10270c5d-cc25-4eb4-a338-a2109dcdfee7", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "5" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569423291792.62639e7d-6743-4830-bf14-2ff979350991", + "resource": { + "resourceType": "Observation", + "id": "1715633569423291792.62639e7d-6743-4830-bf14-2ff979350991", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "6" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569426264709.72a64679-75b6-42de-a686-42cc17cf640d", + "resource": { + "resourceType": "Observation", + "id": "1715633569426264709.72a64679-75b6-42de-a686-42cc17cf640d", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "7" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569429289042.e2685904-26cc-4770-9db8-a6fb9662bf06", + "resource": { + "resourceType": "Observation", + "id": "1715633569429289042.e2685904-26cc-4770-9db8-a6fb9662bf06", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "8" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569432450292.7da30982-fc0a-40cd-9ee4-c7247a65f063", + "resource": { + "resourceType": "Observation", + "id": "1715633569432450292.7da30982-fc0a-40cd-9ee4-c7247a65f063", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "9" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569435412042.7dd78fa6-7b22-4f8b-ba05-7f6b1c8edc04", + "resource": { + "resourceType": "Observation", + "id": "1715633569435412042.7dd78fa6-7b22-4f8b-ba05-7f6b1c8edc04", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "10" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569438559334.85f503a3-0751-40d0-a43e-436130856d18", + "resource": { + "resourceType": "Observation", + "id": "1715633569438559334.85f503a3-0751-40d0-a43e-436130856d18", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "11" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569446188209.ec655131-0ae3-49e2-bf0d-83b5e8d71948", + "resource": { + "resourceType": "Observation", + "id": "1715633569446188209.ec655131-0ae3-49e2-bf0d-83b5e8d71948", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "12" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569452205251.6908b528-7e22-4215-b519-b6567dd6036f", + "resource": { + "resourceType": "Observation", + "id": "1715633569452205251.6908b528-7e22-4215-b519-b6567dd6036f", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "13" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569455281417.550e3274-4e01-427d-97b2-e13d7d2cfc43", + "resource": { + "resourceType": "Observation", + "id": "1715633569455281417.550e3274-4e01-427d-97b2-e13d7d2cfc43", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "14" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569458118167.5de0d8cb-8c5c-4f48-957c-fb5052e1587f", + "resource": { + "resourceType": "Observation", + "id": "1715633569458118167.5de0d8cb-8c5c-4f48-957c-fb5052e1587f", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "15" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569461152376.4cb5995d-10bb-4335-96ad-5bd168982057", + "resource": { + "resourceType": "Observation", + "id": "1715633569461152376.4cb5995d-10bb-4335-96ad-5bd168982057", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "16" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569464398959.63dcdbcc-8f98-466a-93ec-163c76928339", + "resource": { + "resourceType": "Observation", + "id": "1715633569464398959.63dcdbcc-8f98-466a-93ec-163c76928339", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "17" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569467036126.d025ee10-5495-462f-a1bb-de95d6e31839", + "resource": { + "resourceType": "Observation", + "id": "1715633569467036126.d025ee10-5495-462f-a1bb-de95d6e31839", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "18" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569470143084.f28cfeca-c47d-4550-b861-091d9349f8f9", + "resource": { + "resourceType": "Observation", + "id": "1715633569470143084.f28cfeca-c47d-4550-b861-091d9349f8f9", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "19" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569473589917.c66deb82-920c-455a-977f-cedb884baff0", + "resource": { + "resourceType": "Observation", + "id": "1715633569473589917.c66deb82-920c-455a-977f-cedb884baff0", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "20" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569476002834.7adcff33-6ede-4076-a9de-cddfbc9549b5", + "resource": { + "resourceType": "Observation", + "id": "1715633569476002834.7adcff33-6ede-4076-a9de-cddfbc9549b5", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "21" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569478208334.81c1443b-67d5-4c5b-8e63-b3d496539e58", + "resource": { + "resourceType": "Observation", + "id": "1715633569478208334.81c1443b-67d5-4c5b-8e63-b3d496539e58", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "22" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569481130709.dc07da2d-0881-4770-b33a-f8196f35f1bf", + "resource": { + "resourceType": "Observation", + "id": "1715633569481130709.dc07da2d-0881-4770-b33a-f8196f35f1bf", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "23" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569483723626.42a5d5d3-44d7-49f3-8af2-1c31e7174b11", + "resource": { + "resourceType": "Observation", + "id": "1715633569483723626.42a5d5d3-44d7-49f3-8af2-1c31e7174b11", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "24" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569487022626.79c0b134-6506-432e-8b5f-9d8da7edb826", + "resource": { + "resourceType": "Observation", + "id": "1715633569487022626.79c0b134-6506-432e-8b5f-9d8da7edb826", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "25" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569490231542.4f0adaaf-cb92-471b-82fa-d2a9e392b4a9", + "resource": { + "resourceType": "Observation", + "id": "1715633569490231542.4f0adaaf-cb92-471b-82fa-d2a9e392b4a9", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "26" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569493017626.262f81b9-28fc-4f32-a3ba-6cc9ec2ffb7d", + "resource": { + "resourceType": "Observation", + "id": "1715633569493017626.262f81b9-28fc-4f32-a3ba-6cc9ec2ffb7d", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "27" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569497103709.aab77d7e-ff16-4c5b-845f-d662ef827b39", + "resource": { + "resourceType": "Observation", + "id": "1715633569497103709.aab77d7e-ff16-4c5b-845f-d662ef827b39", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "28" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569499747542.92ef63b7-01c7-425d-919a-ab666db5239d", + "resource": { + "resourceType": "Observation", + "id": "1715633569499747542.92ef63b7-01c7-425d-919a-ab666db5239d", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "29" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569503469917.f79ecfbe-9711-430d-9d7b-b4efb3e7dd6b", + "resource": { + "resourceType": "Observation", + "id": "1715633569503469917.f79ecfbe-9711-430d-9d7b-b4efb3e7dd6b", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "30" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569506028792.09f16ae3-7b17-444f-9fd9-d3ed5df1271b", + "resource": { + "resourceType": "Observation", + "id": "1715633569506028792.09f16ae3-7b17-444f-9fd9-d3ed5df1271b", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "31" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569509016917.beb83df8-9faf-4c77-a4fc-d0ba59b89de1", + "resource": { + "resourceType": "Observation", + "id": "1715633569509016917.beb83df8-9faf-4c77-a4fc-d0ba59b89de1", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "32" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569511809417.85c966e2-0a00-4707-af34-70b0b7022d47", + "resource": { + "resourceType": "Observation", + "id": "1715633569511809417.85c966e2-0a00-4707-af34-70b0b7022d47", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "33" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569514377501.fd77aaba-90c6-47c5-afd0-bebf3015dd5c", + "resource": { + "resourceType": "Observation", + "id": "1715633569514377501.fd77aaba-90c6-47c5-afd0-bebf3015dd5c", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "34" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569517041459.dcbb5029-07bf-49d2-b950-7b485dd1c0bf", + "resource": { + "resourceType": "Observation", + "id": "1715633569517041459.dcbb5029-07bf-49d2-b950-7b485dd1c0bf", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "35" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569519802084.ad0cd969-d279-4fd2-a7d8-a03cfbfb8bef", + "resource": { + "resourceType": "Observation", + "id": "1715633569519802084.ad0cd969-d279-4fd2-a7d8-a03cfbfb8bef", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "36" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569522286376.85bc03a0-17f7-453a-9895-40606e9d3bf1", + "resource": { + "resourceType": "Observation", + "id": "1715633569522286376.85bc03a0-17f7-453a-9895-40606e9d3bf1", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "37" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569527560001.2ee18262-5bd0-4255-8018-40ed788b22c8", + "resource": { + "resourceType": "Observation", + "id": "1715633569527560001.2ee18262-5bd0-4255-8018-40ed788b22c8", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "38" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569532503334.df9595cf-0793-4677-902f-a620f5d00966", + "resource": { + "resourceType": "Observation", + "id": "1715633569532503334.df9595cf-0793-4677-902f-a620f5d00966", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "39" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569536967584.252e15ad-42ec-4c23-984d-cd210a4daadb", + "resource": { + "resourceType": "Observation", + "id": "1715633569536967584.252e15ad-42ec-4c23-984d-cd210a4daadb", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "40" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569541771417.5c24ba56-635b-4345-a833-5e5b0873b219", + "resource": { + "resourceType": "Observation", + "id": "1715633569541771417.5c24ba56-635b-4345-a833-5e5b0873b219", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "41" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Observation/1715633569546696292.3cf90d32-79e8-4899-b143-10de63c958e7", + "resource": { + "resourceType": "Observation", + "id": "1715633569546696292.3cf90d32-79e8-4899-b143-10de63c958e7", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "42" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "CE" + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2023-07-06T09:37:30Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "interpretation": [ + { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "N" + } + ] + } + ] + } + }, + { + "fullUrl": "Specimen/1715633569561464626.2a0eface-0dad-4fd6-b98c-4f3be22c4a86", + "resource": { + "resourceType": "Specimen", + "id": "1715633569561464626.2a0eface-0dad-4fd6-b98c-4f3be22c4a86", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment", + "valueString": "OBR" + } + ] + } + }, + { + "fullUrl": "Specimen/1715633569563181417.ab41b95a-cd89-46ce-a85c-c781fe7040e4", + "resource": { + "resourceType": "Specimen", + "id": "1715633569563181417.ab41b95a-cd89-46ce-a85c-c781fe7040e4", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment", + "valueString": "OBR" + } + ] + } + }, + { + "fullUrl": "ServiceRequest/1715633569577949626.fe49fb62-56e8-4503-a68c-ea674e83bfd1", + "resource": { + "resourceType": "ServiceRequest", + "id": "1715633569577949626.fe49fb62-56e8-4503-a68c-ea674e83bfd1", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/business-event", + "valueCode": "RE" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/orc-common-order", + "extension": [ + { + "url": "orc-22-ordering-facility-address", + "valueAddress": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line", + "extension": [ + { + "url": "SAD.1", + "valueString": "300 PASTEUR DR, RM H1524" + } + ] + } + ] + } + ], + "line": [ + "300 PASTEUR DR, RM H1524" + ], + "city": "PALO ALTO", + "state": "CA", + "postalCode": "94305-2200" + } + }, + { + "url": "orc-12-ordering-provider", + "valueReference": { + "reference": "Practitioner/1715633569575503876.f4cba822-ffbf-4798-8017-53280177f921" + } + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request", + "extension": [ + { + "url": "OBR.2", + "valueIdentifier": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "FormNumber" + } + ] + } + ] + } + }, + { + "url": "OBR.22", + "valueString": "20230706093730" + }, + { + "url": "OBR.16", + "valueReference": { + "reference": "Practitioner/1715633569577283501.aa507dcf-09d2-4d2e-b555-4e632543f136" + } + } + ] + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "ORC.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "FormNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PLAC" + } + ] + } + }, + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "ORC.4" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "HospOrdNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PGN" + } + ] + } + }, + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "ORC.4" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "HospOrdNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "FGN" + } + ] + } + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "54089-8", + "display": "NB Screen Panel Patient AHIC" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "requester": { + "reference": "PractitionerRole/1715633569565433709.c21412d1-6c9f-4899-bada-f759faef2933" + } + } + }, + { + "fullUrl": "Practitioner/1715633569567152959.69a33e0f-5167-44f2-a2d8-842950adccf6", + "resource": { + "resourceType": "Practitioner", + "id": "1715633569567152959.69a33e0f-5167-44f2-a2d8-842950adccf6", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner", + "extension": [ + { + "url": "XCN.3", + "valueString": "ALAN" + }, + { + "url": "XCN.10", + "valueString": "NPI" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "ORC.12" + } + ], + "name": [ + { + "family": "CORTEZ", + "given": [ + "ALAN" + ] + } + ] + } + }, + { + "fullUrl": "Organization/1715633569569245876.741e610d-6ddd-454d-a4d8-750d1523cdb8", + "resource": { + "resourceType": "Organization", + "id": "1715633569569245876.741e610d-6ddd-454d-a4d8-750d1523cdb8", + "telecom": [ + { + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + } + ], + "address": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line", + "extension": [ + { + "url": "SAD.1", + "valueString": "300 PASTEUR DR, RM H1524" + } + ] + } + ] + } + ], + "line": [ + "300 PASTEUR DR, RM H1524" + ], + "city": "PALO ALTO", + "state": "CA", + "postalCode": "94305-2200" + } + ] + } + }, + { + "fullUrl": "PractitionerRole/1715633569565433709.c21412d1-6c9f-4899-bada-f759faef2933", + "resource": { + "resourceType": "PractitionerRole", + "id": "1715633569565433709.c21412d1-6c9f-4899-bada-f759faef2933", + "practitioner": { + "reference": "Practitioner/1715633569567152959.69a33e0f-5167-44f2-a2d8-842950adccf6" + }, + "organization": { + "reference": "Organization/1715633569569245876.741e610d-6ddd-454d-a4d8-750d1523cdb8" + } + } + }, + { + "fullUrl": "Practitioner/1715633569575503876.f4cba822-ffbf-4798-8017-53280177f921", + "resource": { + "resourceType": "Practitioner", + "id": "1715633569575503876.f4cba822-ffbf-4798-8017-53280177f921", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner", + "extension": [ + { + "url": "XCN.3", + "valueString": "ALAN" + }, + { + "url": "XCN.10", + "valueString": "NPI" + } + ] + } + ], + "name": [ + { + "family": "CORTEZ", + "given": [ + "ALAN" + ] + } + ] + } + }, + { + "fullUrl": "Practitioner/1715633569577283501.aa507dcf-09d2-4d2e-b555-4e632543f136", + "resource": { + "resourceType": "Practitioner", + "id": "1715633569577283501.aa507dcf-09d2-4d2e-b555-4e632543f136", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner", + "extension": [ + { + "url": "XCN.3", + "valueString": "Smith" + } + ] + } + ], + "name": [ + { + "family": "James", + "given": [ + "Smith" + ] + } + ] + } + }, + { + "fullUrl": "ServiceRequest/1715633569585268167.15629569-3c07-4809-b617-3cccce72088d", + "resource": { + "resourceType": "ServiceRequest", + "id": "1715633569585268167.15629569-3c07-4809-b617-3cccce72088d", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request", + "extension": [ + { + "url": "OBR.22", + "valueString": "20230706093730" + }, + { + "url": "OBR.16", + "valueReference": { + "reference": "Practitioner/1715633569584452459.a92d3791-a138-4b14-9788-ef015ab6bbf9" + } + } + ] + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "OBR.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "FormNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PLAC" + } + ] + } + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "57128-1", + "display": "Newborn Screening Report summary panel" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "requester": { + "reference": "Practitioner/1715633569579733001.7c7bb863-49ad-4887-ae0b-ea5ec7b4ada4" + } + } + }, + { + "fullUrl": "Practitioner/1715633569579733001.7c7bb863-49ad-4887-ae0b-ea5ec7b4ada4", + "resource": { + "resourceType": "Practitioner", + "id": "1715633569579733001.7c7bb863-49ad-4887-ae0b-ea5ec7b4ada4", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner", + "extension": [ + { + "url": "XCN.3", + "valueString": "Smith" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "OBR.16" + } + ], + "name": [ + { + "family": "James", + "given": [ + "Smith" + ] + } + ] + } + }, + { + "fullUrl": "Practitioner/1715633569584452459.a92d3791-a138-4b14-9788-ef015ab6bbf9", + "resource": { + "resourceType": "Practitioner", + "id": "1715633569584452459.a92d3791-a138-4b14-9788-ef015ab6bbf9", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner", + "extension": [ + { + "url": "XCN.3", + "valueString": "Smith" + } + ] + } + ], + "name": [ + { + "family": "James", + "given": [ + "Smith" + ] + } + ] + } + }, + { + "fullUrl": "DiagnosticReport/1715633569590972167.f37e1fad-c119-449a-8530-732121e8408f", + "resource": { + "resourceType": "DiagnosticReport", + "id": "1715633569590972167.f37e1fad-c119-449a-8530-732121e8408f", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "ORC.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "FormNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PLAC" + } + ] + } + }, + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "HospOrdNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PGN" + } + ] + } + }, + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "HospOrdNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "FGN" + } + ] + } + } + ], + "basedOn": [ + { + "reference": "ServiceRequest/1715633569577949626.fe49fb62-56e8-4503-a68c-ea674e83bfd1" + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "54089-8", + "display": "NB Screen Panel Patient AHIC" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2022-02-07T00:00:00Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "202202070000" + } + ] + }, + "issued": "2023-07-06T09:37:30Z", + "_issued": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "specimen": [ + { + "reference": "Specimen/1715633569561464626.2a0eface-0dad-4fd6-b98c-4f3be22c4a86" + } + ] + } + }, + { + "fullUrl": "DiagnosticReport/1715633569594215417.9bf55f99-6e03-40c4-b7e2-046bb2762e0f", + "resource": { + "resourceType": "DiagnosticReport", + "id": "1715633569594215417.9bf55f99-6e03-40c4-b7e2-046bb2762e0f", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "OBR.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "FormNumber" + } + ] + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "PLAC" + } + ] + } + } + ], + "basedOn": [ + { + "reference": "ServiceRequest/1715633569585268167.15629569-3c07-4809-b617-3cccce72088d" + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "57128-1", + "display": "Newborn Screening Report summary panel" + } + ] + }, + "subject": { + "reference": "Patient/1715633569361382459.23ae2bf0-1520-4bf8-8b97-fde45c4318a1" + }, + "effectiveDateTime": "2022-02-07T00:00:00Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "202202070000" + } + ] + }, + "issued": "2023-07-06T09:37:30Z", + "_issued": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20230706093730" + } + ] + }, + "specimen": [ + { + "reference": "Specimen/1715633569563181417.ab41b95a-cd89-46ce-a85c-c781fe7040e4" + } + ], + "result": [ + { + "reference": "Observation/1715633569376283459.a6494aac-2ab9-4711-bb41-61f477ebe2fd" + }, + { + "reference": "Observation/1715633569379363751.2fce0bb1-dcf1-45f6-b15c-41833f314fad" + }, + { + "reference": "Observation/1715633569381937876.029c6662-a770-4f16-b654-bcb347b7d3f7" + }, + { + "reference": "Observation/1715633569386524292.e40dfd2b-74f3-461b-aa9c-5bb60c9f4407" + }, + { + "reference": "Observation/1715633569391684959.942eaf95-161c-42b2-9a31-6d7a67981723" + }, + { + "reference": "Observation/1715633569400477459.cc6b8d89-8ca9-422e-a4e5-a06f02d770af" + }, + { + "reference": "Observation/1715633569407546292.8280c469-c55f-47f9-9ce3-376da9f4ce63" + }, + { + "reference": "Observation/1715633569410316084.98e26b6b-d665-4d18-951f-117aba903fe8" + }, + { + "reference": "Observation/1715633569412664917.f3b7fb35-3ff1-487a-b263-6874611ebd37" + }, + { + "reference": "Observation/1715633569415512501.a54fb0e3-2526-4a2e-ae40-8ce5b44f97f7" + }, + { + "reference": "Observation/1715633569417973584.82b843aa-3bde-4115-8008-c40969c92089" + }, + { + "reference": "Observation/1715633569420239917.10270c5d-cc25-4eb4-a338-a2109dcdfee7" + }, + { + "reference": "Observation/1715633569423291792.62639e7d-6743-4830-bf14-2ff979350991" + }, + { + "reference": "Observation/1715633569426264709.72a64679-75b6-42de-a686-42cc17cf640d" + }, + { + "reference": "Observation/1715633569429289042.e2685904-26cc-4770-9db8-a6fb9662bf06" + }, + { + "reference": "Observation/1715633569432450292.7da30982-fc0a-40cd-9ee4-c7247a65f063" + }, + { + "reference": "Observation/1715633569435412042.7dd78fa6-7b22-4f8b-ba05-7f6b1c8edc04" + }, + { + "reference": "Observation/1715633569438559334.85f503a3-0751-40d0-a43e-436130856d18" + }, + { + "reference": "Observation/1715633569446188209.ec655131-0ae3-49e2-bf0d-83b5e8d71948" + }, + { + "reference": "Observation/1715633569452205251.6908b528-7e22-4215-b519-b6567dd6036f" + }, + { + "reference": "Observation/1715633569455281417.550e3274-4e01-427d-97b2-e13d7d2cfc43" + }, + { + "reference": "Observation/1715633569458118167.5de0d8cb-8c5c-4f48-957c-fb5052e1587f" + }, + { + "reference": "Observation/1715633569461152376.4cb5995d-10bb-4335-96ad-5bd168982057" + }, + { + "reference": "Observation/1715633569464398959.63dcdbcc-8f98-466a-93ec-163c76928339" + }, + { + "reference": "Observation/1715633569467036126.d025ee10-5495-462f-a1bb-de95d6e31839" + }, + { + "reference": "Observation/1715633569470143084.f28cfeca-c47d-4550-b861-091d9349f8f9" + }, + { + "reference": "Observation/1715633569473589917.c66deb82-920c-455a-977f-cedb884baff0" + }, + { + "reference": "Observation/1715633569476002834.7adcff33-6ede-4076-a9de-cddfbc9549b5" + }, + { + "reference": "Observation/1715633569478208334.81c1443b-67d5-4c5b-8e63-b3d496539e58" + }, + { + "reference": "Observation/1715633569481130709.dc07da2d-0881-4770-b33a-f8196f35f1bf" + }, + { + "reference": "Observation/1715633569483723626.42a5d5d3-44d7-49f3-8af2-1c31e7174b11" + }, + { + "reference": "Observation/1715633569487022626.79c0b134-6506-432e-8b5f-9d8da7edb826" + }, + { + "reference": "Observation/1715633569490231542.4f0adaaf-cb92-471b-82fa-d2a9e392b4a9" + }, + { + "reference": "Observation/1715633569493017626.262f81b9-28fc-4f32-a3ba-6cc9ec2ffb7d" + }, + { + "reference": "Observation/1715633569497103709.aab77d7e-ff16-4c5b-845f-d662ef827b39" + }, + { + "reference": "Observation/1715633569499747542.92ef63b7-01c7-425d-919a-ab666db5239d" + }, + { + "reference": "Observation/1715633569503469917.f79ecfbe-9711-430d-9d7b-b4efb3e7dd6b" + }, + { + "reference": "Observation/1715633569506028792.09f16ae3-7b17-444f-9fd9-d3ed5df1271b" + }, + { + "reference": "Observation/1715633569509016917.beb83df8-9faf-4c77-a4fc-d0ba59b89de1" + }, + { + "reference": "Observation/1715633569511809417.85c966e2-0a00-4707-af34-70b0b7022d47" + }, + { + "reference": "Observation/1715633569514377501.fd77aaba-90c6-47c5-afd0-bebf3015dd5c" + }, + { + "reference": "Observation/1715633569517041459.dcbb5029-07bf-49d2-b950-7b485dd1c0bf" + }, + { + "reference": "Observation/1715633569519802084.ad0cd969-d279-4fd2-a7d8-a03cfbfb8bef" + }, + { + "reference": "Observation/1715633569522286376.85bc03a0-17f7-453a-9895-40606e9d3bf1" + }, + { + "reference": "Observation/1715633569527560001.2ee18262-5bd0-4255-8018-40ed788b22c8" + }, + { + "reference": "Observation/1715633569532503334.df9595cf-0793-4677-902f-a620f5d00966" + }, + { + "reference": "Observation/1715633569536967584.252e15ad-42ec-4c23-984d-cd210a4daadb" + }, + { + "reference": "Observation/1715633569541771417.5c24ba56-635b-4345-a833-5e5b0873b219" + }, + { + "reference": "Observation/1715633569546696292.3cf90d32-79e8-4899-b143-10de63c958e7" + } + ] + } + } + ] +} diff --git a/examples/Test/Automated/010_LA_ORU_R01_NBS_0_initial_obr_flatten_example_1.hl7 b/examples/Test/Automated/010_LA_ORU_R01_NBS_0_initial_obr_flatten_example_1.hl7 new file mode 100644 index 000000000..cfbaf96aa --- /dev/null +++ b/examples/Test/Automated/010_LA_ORU_R01_NBS_0_initial_obr_flatten_example_1.hl7 @@ -0,0 +1,76 @@ +MSH|^~\&|Natus^natus.health.state.la.us^DNS|Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|Test Department of tests^1.2.840.114350.1.13.286.2.7.2.695071^ISO|^automated-staging-test-receiver-id^L,M,N|20240101050000+0000||ORU^R01^ORU_R01|010|N|2.5.1|||AL|AL|||||LRI_NG_FRN_PROFILE^^2.16.840.1.113883.9.195.3.4^ISO~LRI_NDBS_COMPONENT^^2.16.840.1.113883.9.195.3.6^ISO~LAB_PRN_Component^^2.16.840.1.113883.9.81^ISO~LAB_TO_COMPONENT^^2.16.840.1.113883.9.22^ISO| +PID|1||1234567^^^^MR||TEST^BABY^ISO^^^^L||20240101011300||||123 TEST ST^^TESTVILLE^LA^12345^^H^^|||||||||||||||||||N| +NK1|1|TEST^PARENT^^^^^L|MTH^Mother^HL70063|123 TEST ST^^TESTVILLE^LA^12345^^H^^|^^PH^^^111^2223333^^^^^1112223333| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN| +OBR|1||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|54089-8^Newborn Screening Report summary panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN| +OBX|1|CWE|57718-9^Sample quality of Dried blood spot^LN|^1^1|LA12432-3^Acceptable^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|CWE|57130-7^Newborn screening report - overall interpretation^LN|^2^1|LA12428-1^All screening is in range for the conditions tested^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|3|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^2|LA12532-0^BIO^LN||||||P|||20240101050000|||||||||LDH - Office of Public OBX|3|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^1|LA12538-7^CH^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|4|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^3|LA12520-5^PKU^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|5|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^4|LA12513-0^MSUD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|6|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^5|LA12496-8^HCY^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|7|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^6|LA12482-8^CIT-I^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|8|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^7|LA12529-6^TYR-II^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|9|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^8|LA12470-3^ARG^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|10|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^9|LA12528-8^TYR-1^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|11|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^10|LA12482-8^CIT-I^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|12|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^11|LA12509-8^MCAD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|13|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^12|LA12531-2^VLCAD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|14|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^13|LA12507-2^LCHAD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|15|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^14|LA12524-7^SCAD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|16|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^15|LA12524-7^SCAD^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|17|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^16|LA12485-1^CPT-Ia^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|18|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^17|LA12533-8^CAH^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|19|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^18|LA12578-3^IVA or 2MBG or GA-2 or EMA^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|20|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^19|LA12493-5^GA-1^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|21|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^20|LA12495-0^GA-2^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|22|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^21|LA12466-1^3-MCC^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|23|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^22|LA12474-5^BKT^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|24|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^23|LA12508-0^MAL^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|25|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^24|LA12543-7^GALT^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|26|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^25|LA12537-9^CF^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +OBX|27|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in DBS^LN|^3^26|LA16207-5^Hemoglobinopathies^LN||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||SCI|UNSP| +SPM|1|^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO||440500007^Blood spot specimen^SCT|||||||||||||20240101050000^20240101050000|20240102050000| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN| +OBR|2||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|57717-1^Newborn screen card data panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN| +OBX|1|NM|8339-4^Body weight\S\at birth^LN|^1^1|3050|g^Grams^UCUM|||||O||||||||||||||||||QST|AOE| +OBX|2|CWE|57721-3^Reason for lab test^LN|^2^1|LA16473-3^Subsequent screen - reason unknown^LN||||||O||||||||||||||||||QST|AOE| +OBX|3|TX|57723-9^Unique bar code number^LN|^3^1|1234567||||||O||||||||||||||||||QST|AOE| +OBX|4|NM|57714-8^Obstetric estimation of gestational age^LN|^4^1|38|wk^Week^UCUM|||||O||||||||||||||||||QST|AOE| +OBX|5|TX|62326-4^Post-discharge provider practice name^LN|^5^1|8802||||||O||||||||||||||||||QST|AOE| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|3||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|54090-6^Thyroid newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46762-1^Congenital hypothyroidism newborn screen interpretation^LN^THYROID^Congenital Hypothyroidism (CH)^99LDH|^1^1|LA18592-8^In range^LN^N^Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57705-6^Congenital hypothyroidism newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|4||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|57087-9^Biotinidase newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46761-3^Biotinidase deficiency newborn screen interpretation^LN^BTD^Biotinidase^99LDH|^1^1|LA18592-8^In range^LN^N^Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57699-1^Biotinidase deficiency newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|5||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|53261-4^Amino acid newborn screen panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46733-2^Amino acidemias newborn screen interpretation^LN^AA^Amino Acid Profile**^99LDH|^1^1|LA18592-8^In range^LN^N^No Elevations Detected Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57710-6^Amino acidemias newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|6||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|57084-6^Fatty acid oxidation newborn screen panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46736-5^Fatty acid oxidation defects newborn screen interpretation^LN^FA^Fatty Acid Profile*^99LDH|^1^1|LA18592-8^In range^LN^N^No Elevations Detected Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57709-8^Fatty acid oxidation defects newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|7||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|57086-1^Congenital adrenal hyperplasia newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46758-9^Congenital adrenal hyperplasia newborn screen interpretation^LN^CAH^Congenital Adrenal Hyperplasia (CAH)^99LDH|^1^1|LA18592-8^In range^LN^N^Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57706-4^Congenital adrenal hyperplasia newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|8||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|57085-3^Organic acid newborn screen panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46744-9^Organic acidemias newborn screen interpretation^LN^OA^Organic Acid Profile***^99LDH|^1^1|LA18592-8^In range^LN^N^No Elevations Detected Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57708-0^Organic acidemias defects newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|9||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|54079-9^Galactosemia newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46737-3^Galactosemias newborn screen interpretation^LN^GALT^Galactosemia^99LDH|^1^1|LA18592-8^In range^LN^N^Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57704-9^Galactosemias newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|10||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|54078-1^Cystic fibrosis newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46769-6^Cystic fibrosis newborn screen interpretation^LN^CF^Cystic Fibrosis^99LDH|^1^1|LA18592-8^In range^LN^N^Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57707-2^Cystic fibrosis newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +ORC|RE||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO||||||||||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBR|11||20243334444^Louisiana Office of Public Health Laboratory^2.16.840.1.114222.4.3.26.3.1^ISO|54081-5^Hemoglobinopathies newborn screening panel^LN|||20240101050000||||O||||||||||||||P||||^20243334444&Louisiana Office of Public Health Laboratory&2.16.840.1.114222.4.3.26.3.1&ISO|||||||||||||||||||||57794-0^Newborn screening test results panel - Dried blood spot^LN| +OBX|1|CWE|46740-7^Hemoglobin disorders newborn screen interpretation^LN^HGB^Hemoglobinopathy^99LDH|^1^1|LA18592-8^In range^LN^FA^FA Normal^99LDH||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| +OBX|2|FT|57703-1^Hemoglobin disorders newborn screening comment/discussion^LN|^2^1|Normal||||||P|||20240101050000|||||||||LDH - Office of Public Health Laboratory^^^^^|1209 Leesville Avenue^^Baton Rouge^LA^70802|^^^^^^^^||||RSLT|UNSP| diff --git a/examples/Test/Automated/README.md b/examples/Test/Automated/README.md index 41086b82a..c7a01e231 100644 --- a/examples/Test/Automated/README.md +++ b/examples/Test/Automated/README.md @@ -15,3 +15,4 @@ The files are required to: - If it's a sample file for UCSD, which has transformation that will overwrite `MSH-6.2`, the HL7 is required to have the prefix `AUTOMATEDTEST-` in `MSH-10` as a workaround - there is special routing in ReportStream to handle this - Each file must have a unique value in `MSH-10`. We use this value to match the input and output files, so if it's not unique, we won't be able to match the files correctly - We format `MSH-10` based on the file index, like `001` (or `AUTOMATEDTEST-001` for UCSD) +- `MSH-11` needs to have a value of `N` diff --git a/rs-e2e/src/main/resources/assertion_definitions.json b/rs-e2e/src/main/resources/assertion_definitions.json index d8020c466..503cc929f 100644 --- a/rs-e2e/src/main/resources/assertion_definitions.json +++ b/rs-e2e/src/main/resources/assertion_definitions.json @@ -101,6 +101,16 @@ "OBX-3.1 = '57721-3'", "OBX.count() = 1" ] + }, + { + "name": "LA-Oschner OBR flattening", + "conditions": [ + "MSH-10 = '010'" + ], + "rules": [ + "OBR.count() = 1", + "OBR-4.1 = '54089-8'" + ] } ] }