From b7bb8c8e1c7075d2231c75b51c1ccd4f81518c09 Mon Sep 17 00:00:00 2001 From: Bella Luz Quintero Date: Thu, 3 Oct 2024 15:41:34 -0600 Subject: [PATCH 1/6] started definition for la obr removal Co-authored-by: saquino0827 Co-authored-by: James Herr Co-authored-by: jcrichlake <145698165+jcrichlake@users.noreply.github.com> Co-authored-by: Sylvie Co-authored-by: halprin --- .../resources/transformation_definitions.json | 18 ++++++++++++++++++ 1 file changed, 18 insertions(+) diff --git a/etor/src/main/resources/transformation_definitions.json b/etor/src/main/resources/transformation_definitions.json index 427cf0138..2c27a204b 100644 --- a/etor/src/main/resources/transformation_definitions.json +++ b/etor/src/main/resources/transformation_definitions.json @@ -167,6 +167,24 @@ } ] }, + { + "name": "laOruRemoveObservationRequests", + "description": "Removes all OBRs from an LA 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.receiver.resolve().identifier.where(extension.value = 'HD.1').value in ('R797' | 'R508')", + "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": "Overrides the values of Name of Coding System (OBR-4.3) and Alternate Identifier (OBR-4.4) in Universal Type Code (OBR-4)", From e35ddb10f8b7af87ee6f198578be10dda0f6e6be Mon Sep 17 00:00:00 2001 From: Bella Luz Quintero Date: Fri, 4 Oct 2024 10:18:06 -0600 Subject: [PATCH 2/6] swapped out identifier to represent la ochssner --- etor/src/main/resources/transformation_definitions.json | 6 +++--- 1 file changed, 3 insertions(+), 3 deletions(-) diff --git a/etor/src/main/resources/transformation_definitions.json b/etor/src/main/resources/transformation_definitions.json index 2c27a204b..0a54a330a 100644 --- a/etor/src/main/resources/transformation_definitions.json +++ b/etor/src/main/resources/transformation_definitions.json @@ -168,11 +168,11 @@ ] }, { - "name": "laOruRemoveObservationRequests", - "description": "Removes all OBRs from an LA ORU message except for the OBR with value '54089-8' in OBR-4.1. All OBXs are attached to the sole remaining OBR", + "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.receiver.resolve().identifier.where(extension.value = 'HD.1').value in ('R797' | 'R508')", + "Bundle.entry.resource.ofType(MessageHeader).destination.receiver.resolve().identifier.where(extension.value = 'HD.2,HD.3').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()" ], From 446b8531f42c06c2ab06a5d052ed4249c8185c64 Mon Sep 17 00:00:00 2001 From: Bella Luz Quintero Date: Fri, 4 Oct 2024 10:42:05 -0600 Subject: [PATCH 3/6] fix identifier condition --- etor/src/main/resources/transformation_definitions.json | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/etor/src/main/resources/transformation_definitions.json b/etor/src/main/resources/transformation_definitions.json index 0a54a330a..43116db84 100644 --- a/etor/src/main/resources/transformation_definitions.json +++ b/etor/src/main/resources/transformation_definitions.json @@ -172,7 +172,7 @@ "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.receiver.resolve().identifier.where(extension.value = 'HD.2,HD.3').value = '1.2.840.114350.1.13.286.2.7.2.695071'", + "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()" ], From 3d1eee2b41ea0459f408c48be0f86c15f36acc20 Mon Sep 17 00:00:00 2001 From: Bella Luz Quintero Date: Tue, 8 Oct 2024 13:29:29 -0600 Subject: [PATCH 4/6] updated test to include new obr removal for la ochsner Co-authored-by: James Herr --- .../RemoveObservationRequestsTest.groovy | 30 ++++++++++++++++++- 1 file changed, 29 insertions(+), 1 deletion(-) 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 9e6a4f8ac..66f9ab8ee 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/CHANGE_THIS_002_CA_ORU_R01_initial_translation_modified_for_LA.fhir") + def bundle = fhirResource.getUnderlyingResource() 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 USCD'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.getUnderlyingResource() as Bundle From 7b8e9fccdf618465d4eb5a4261aa8c50445d1600 Mon Sep 17 00:00:00 2001 From: James Herr Date: Tue, 8 Oct 2024 16:01:10 -0500 Subject: [PATCH 5/6] Added test file for ORU removal Co-Authored-By: Bella L. Quintero <96704946+pluckyswan@users.noreply.github.com> Co-Authored-By: Samuel Aquino --- .../RemoveObservationRequestsTest.groovy | 2 +- .../002_LA_ORU_R01_ORU_removal_test_file.fhir | 4239 +++++++++++++++++ 2 files changed, 4240 insertions(+), 1 deletion(-) create mode 100644 examples/LA/002_LA_ORU_R01_ORU_removal_test_file.fhir 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 66f9ab8ee..f7a9262e9 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 @@ -42,7 +42,7 @@ class RemoveObservationRequestsTest extends Specification { def "remove all LA Ochsner's OBRs except for the one with OBR-4.1 = '54089-8'"() { given: - def fhirResource = ExamplesHelper.getExampleFhirResource("../LA/CHANGE_THIS_002_CA_ORU_R01_initial_translation_modified_for_LA.fhir") + def fhirResource = ExamplesHelper.getExampleFhirResource("../LA/002_LA_ORU_R01_ORU_removal_test_file.fhir") def bundle = fhirResource.getUnderlyingResource() as Bundle def initialDiagnosticReports = HapiHelper.resourcesInBundle(bundle, DiagnosticReport).toList() 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" + } + ] + } + } + ] +} From 5253f5952b0724230ea4d9cae821b1e1b6162981 Mon Sep 17 00:00:00 2001 From: Sylvie Date: Wed, 30 Oct 2024 14:52:54 -0500 Subject: [PATCH 6/6] Update test based on refactor Co-Authored-By: Samuel Aquino --- .../transformation/custom/RemoveObservationRequestsTest.groovy | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) 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 27b5b3b45..05d0876a4 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 @@ -43,7 +43,7 @@ class RemoveObservationRequestsTest extends Specification { 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.getUnderlyingResource() as Bundle + def bundle = fhirResource.getUnderlyingData() as Bundle def initialDiagnosticReports = HapiHelper.resourcesInBundle(bundle, DiagnosticReport).toList() def initialServiceRequests = HapiHelper.resourcesInBundle(bundle, ServiceRequest).toList()