diff --git a/.github/workflows/container-ecr-viewer.yaml b/.github/workflows/container-ecr-viewer.yaml index 6a8697323c..3017b78d9a 100644 --- a/.github/workflows/container-ecr-viewer.yaml +++ b/.github/workflows/container-ecr-viewer.yaml @@ -65,13 +65,9 @@ jobs: working-directory: ./containers/${{env.CONTAINER}} # Navigate to your Node.js app directory run: npm install - - name: Copy seed data - working-directory: ./containers/${{env.CONTAINER}} - run: cp ./cypress/assets/data.sql ./seed-scripts/sql - - name: Start ${{env.CONTAINER}} - working-directory: ./containers/${{env.CONTAINER}} - run: docker compose --env-file .env.test up -d + working-directory: ./containers/${{env.CONTAINER}}/cypress + run: docker compose --env-file ../.env.test up -d - name: Wait for server to be ready run: | @@ -93,6 +89,21 @@ jobs: containers/ecr-viewer/cypress/screenshots/* containers/ecr-viewer/cypress/videos/* + - name: Get docker logs + if: always() + working-directory: ./containers/${{env.CONTAINER}}/cypress + shell: bash + run: | + echo "Saving $container logs" + docker compose logs --timestamps >& cypress-run.log + + - name: Archive docker logs + if: always() + uses: actions/upload-artifact@v4 + with: + name: logs + path: ./containers/${{env.CONTAINER}}/cypress/cypress-run.log + lighthouse: runs-on: ubuntu-latest timeout-minutes: 20 diff --git a/containers/ecr-viewer/.gitignore b/containers/ecr-viewer/.gitignore index c0349d84cd..28ed084cb7 100644 --- a/containers/ecr-viewer/.gitignore +++ b/containers/ecr-viewer/.gitignore @@ -3,4 +3,7 @@ node_modules .env.local # localstack data -volume/ \ No newline at end of file +volume/ + +cypress/screenshots +cypress/videos \ No newline at end of file diff --git a/containers/ecr-viewer/cypress.config.ts b/containers/ecr-viewer/cypress.config.ts index e430d264cd..e9060e6967 100644 --- a/containers/ecr-viewer/cypress.config.ts +++ b/containers/ecr-viewer/cypress.config.ts @@ -10,7 +10,7 @@ export default defineConfig({ env: { BASE_PATH: `${isDev ? "/" : "/ecr-viewer"}`, }, + defaultCommandTimeout: 120000, }, video: true, - defaultCommandTimeout: 120000, }); diff --git a/containers/ecr-viewer/cypress/assets/data.sql b/containers/ecr-viewer/cypress/assets/data.sql index 12f58c8cea..f57481a23d 100644 --- a/containers/ecr-viewer/cypress/assets/data.sql +++ b/containers/ecr-viewer/cypress/assets/data.sql @@ -1,6 +1,17 @@ -INSERT INTO fhir (ecr_id, data) VALUES ('6100896d-b520-497c-b2fe-1c111c679274', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:6100896d-b520-497c-b2fe-1c111c679274", "resource": {"resourceType": "Composition", "id": "6100896d-b520-497c-b2fe-1c111c679274", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"], "source": "ecr"}, "identifier": [{"use": "official", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "value": "38381210|64871322"}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "1"}, {"url": "https://www.hl7.org/implement/standards/product_brief.cfm?product_id=436", "valueString": "2016-12-01"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2022-04-17T04:17:21Z", "title": "Initial Public Health Case Report", "confidentiality": "N", "section": [{"id": "8387d52d-4149-8faf-9cf0-55a1d72748d5", "title": "PROBLEMS - DIAGNOSES", "text": {"status": "generated", "div": "
Problem or DiagnosisProblem Status
TTP (thrombotic thrombocytopenic purpura)Active
"}, "code": {"coding": [{"code": "11450-4", "display": "PROBLEM LIST", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Thrombotic thrombocytopenic purpura (disorder)", "reference": "Condition/3907477b-3eba-59c4-6622-d3c3a81a39f4"}]}, {"id": "58ebd6f7-9c63-dac4-1f3f-c4a55907bb39", "title": "ENCOUNTERS", "text": {"status": "generated", "div": "
Encounter ReasonDate of Encounter
observation encounter20220415161500+0000
"}, "code": {"coding": [{"code": "46240-8", "display": "History of Encounters", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "dc32a83b-bbcc-85fe-5240-91c405175be5", "title": "RESULTS", "text": {"status": "generated", "div": "
Lab Test NameLab Test Result ValueLab Test Result Date
Troponin TNIH8.2|http://unitsofmeasure.org|ng/L
Troponin TNIH8.1|http://unitsofmeasure.org|ng/L
Troponin TNIH9.5|http://unitsofmeasure.org|ng/L
NT-ProBNP84|http://unitsofmeasure.org|pg/mL
Estimated Creatinine Clearance52.76|http://unitsofmeasure.org|mL/min
Symptomatic as defined by CDC?Yes
In ICU?No
Group care resident?No
Employed in healthcare?No
SARS-CoV-2 Interp:Unknown
SARS-CoV-2 PCRNegative
eGFR PediatricNot Reported
Flu B PCRNot Detected
Flu A PCRNot Detected
Calc Osmo270|http://unitsofmeasure.org|mOsmol/kg
A/G RatioUnknown
eGFR Non-African American70|http://unitsofmeasure.org|mL/min/1.73m2
eGFR African American81|http://unitsofmeasure.org|mL/min/1.73m2
Sodium135|http://unitsofmeasure.org|mmol/L
Potassium4.0|http://unitsofmeasure.org|mmol/L
Baso # Auto0.02|http://unitsofmeasure.org|x10e3/mcL
Albumin. Level3.6|http://unitsofmeasure.org|gm/dL
Mono # Auto0.60|http://unitsofmeasure.org|x10e3/mcL
Neut # Auto4.73|http://unitsofmeasure.org|x10e3/mcL
Baso % Auto0.3|http://unitsofmeasure.org|%
Eos % Auto0.7|http://unitsofmeasure.org|%
Lymph % Auto21.3|http://unitsofmeasure.org|%
Neut % Auto68.9|http://unitsofmeasure.org|%
Calcium9.1|http://unitsofmeasure.org|mg/dL
RDW-SD49.7|http://unitsofmeasure.org|Femtoliters
Immature Grans # Auto0.01|http://unitsofmeasure.org|x10e3/mcL
Lymph # Auto1.46|http://unitsofmeasure.org|x10e3/mcL
Mono % Auto8.7|http://unitsofmeasure.org|%
RDW-CV14.9|http://unitsofmeasure.org|%
Immature Grans %0.1|http://unitsofmeasure.org|%
Eos # Auto0.05|http://unitsofmeasure.org|x10e3/mcL
Chloride101|http://unitsofmeasure.org|mmol/L
BUN9|http://unitsofmeasure.org|mg/dL
Plt195|http://unitsofmeasure.org|x10e3/mcL
WBC6.87|http://unitsofmeasure.org|x10e3/mcL
TP8.9|http://unitsofmeasure.org|gm/dL
RBC4.92|http://unitsofmeasure.org|x10e6/mcL
MPV11.6|http://unitsofmeasure.org|Femtoliters
MCV90.7|http://unitsofmeasure.org|Femtoliters
MCHC33.0|http://unitsofmeasure.org|gm/dL
MCH29.9|http://unitsofmeasure.org|pg
Hgb14.7|http://unitsofmeasure.org|gm/dL
Hct44.6|http://unitsofmeasure.org|%
Glucose Level115|http://unitsofmeasure.org|mg/dL
D Dimer0.34|http://unitsofmeasure.org|mcg/mL FEU
CO228|http://unitsofmeasure.org|mmol/L
T Bili0.8|http://unitsofmeasure.org|mg/dL
AST25|http://unitsofmeasure.org|units/L
ALT19|http://unitsofmeasure.org|units/L
Alk Phos67|http://unitsofmeasure.org|units/L
BUN/Creat RatioUnknown
Anion Gap6|http://unitsofmeasure.org|mmol/L
Creatinine0.856|http://unitsofmeasure.org|mg/dL
"}, "code": {"coding": [{"code": "30954-2", "display": "RESULTS", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "Observation/94f5feb0-b01a-e1ee-e418-052f9efb84c7"}, {"reference": "Observation/78facf8f-f08a-26f9-5527-4bafe534a4f9"}, {"reference": "Observation/e5294ace-dc90-71ab-1183-0ecce3cdbb57"}, {"reference": "Observation/a5487fa0-7b9c-4b9e-d5fd-78aaf89a3bd3"}, {"reference": "Observation/a3c3b47a-bf65-775e-7f5c-2c215cdd613c"}, {"reference": "Observation/30bf6f23-8624-eaa9-fb82-678901f75c5e"}, {"reference": "Observation/c3029932-4c25-a515-b4c6-e35e5764b464"}, {"reference": "Observation/f50c588e-778b-2fb8-95ca-b2895c85dcdd"}, {"reference": "Observation/1cec98b6-3381-dd8d-360c-21d5ed818f62"}, {"reference": "Observation/7f07e455-5574-a648-1543-cba70270a4e4"}, {"reference": "Observation/562aaa4c-b024-2655-efe5-1155eab8aabc"}, {"reference": "Observation/fc5517ad-dbab-6e81-d88a-c7589f32a820"}, {"reference": "Observation/986e51be-bcb9-0e85-26de-ee93f55b9652"}, {"reference": "Observation/6a6a5554-9b68-a91a-76d9-f32c051dfa62"}, {"reference": "Observation/30b4c04b-9788-b94d-bd4b-eb849b2d9102"}, {"reference": "Observation/9082dd79-88a9-1f15-c4fd-93d955d16ecd"}, {"reference": "Observation/09b3ec87-393a-9b52-1609-db67d66cf21c"}, {"reference": "Observation/8170fe97-63af-51c4-3454-20966f4a2c7b"}, {"reference": "Observation/036a8d7b-df19-cbfa-37a7-21e9583ce4c1"}, {"reference": "Observation/e32e94e6-7415-be5d-3292-0966edd22333"}, {"reference": "Observation/b1127a40-3939-691b-d336-236f6546d029"}, {"reference": "Observation/ec7b419f-634e-4271-dc91-ba2effb97b76"}, {"reference": "Observation/f03f3593-6156-f89f-14bd-86a34685d4bc"}, {"reference": "Observation/2dd4f4d5-0f5e-ebf1-3604-fec9d6bffbd0"}, {"reference": "Observation/f2523ccf-f211-d164-ff88-33d8c6468983"}, {"reference": "Observation/1f283bd6-2d5c-1710-7d06-ec698c99493a"}, {"reference": "Observation/a9249110-9884-0b13-e66c-1c010f5e65fa"}, {"reference": "Observation/131665fd-57c3-71bd-684e-923b6f757c06"}, {"reference": "Observation/396356a0-a50c-b781-9f28-f298804e4d92"}, {"reference": "Observation/56129862-0f40-6d26-9b6a-b4ad52d28a19"}, {"reference": "Observation/98f99e5f-cc42-1a10-9513-fa6de9461791"}, {"reference": "Observation/e9649c89-9768-2ccc-02a1-21c5ba61cf90"}, {"reference": "Observation/7a12de1d-a25c-57ec-2f76-9cc36e6cc6ab"}, {"reference": "Observation/12e99bf8-7870-70c1-aeb2-3b6776d820c9"}, {"reference": "Observation/2ad0896c-fe55-1df4-7698-862223348f49"}, {"reference": "Observation/68dd9edb-14d7-3cdd-e3df-a1084fd65e71"}, {"reference": "Observation/24c9897d-8045-2680-9a81-2bed3a0bf8c1"}, {"reference": "Observation/1f783aae-998b-170b-0fe3-85c1fd49d571"}, {"reference": "Observation/dba50ebc-cd5f-f7d8-63a2-1f3dfadc9faa"}, {"reference": "Observation/ee31ebe3-89af-f9c1-5c9d-77a3d1dae142"}, {"reference": "Observation/123b523e-91bd-4ac5-ea2b-fa30625adba8"}, {"reference": "Observation/8ac33820-131e-b29f-eea9-4dca7aca7bb1"}, {"reference": "Observation/3e6d19ba-99ec-b040-a03a-ea96d6abcac1"}, {"reference": "Observation/eeb82005-0020-b4c9-48db-8b2de294e54e"}, {"reference": "Observation/a5a632d6-4369-0a9a-8907-91c8b997e869"}, {"reference": "Observation/2815bda1-1dc3-e1cc-1dd8-ebb9ee9b1717"}, {"reference": "Observation/d64acb60-f1d0-3fbd-2225-71c1eea6a741"}, {"reference": "Observation/db9c6727-aa8d-bbfa-e559-e33ba98ede46"}, {"reference": "Observation/5e514b8a-4779-67dd-4d03-b94d7d711f9b"}, {"reference": "Observation/e3325ed8-7e9b-6119-a3bd-0e210444b3ce"}, {"reference": "Observation/1f829d47-da43-84cd-31cf-86d37c899e95"}, {"reference": "Observation/2bfdc249-8248-7487-6dc7-d712929fa0bc"}, {"reference": "Observation/d01b3806-be84-5331-b6e8-30b4d70d584e"}, {"reference": "Observation/4522f2ed-ad93-341b-b5ff-ada74da2ab25"}, {"reference": "Observation/8a3e4fe5-a269-3cb1-49ff-4ef054b8fa30"}, {"reference": "Observation/54f875a6-2f8a-b093-d4c2-afa62467df93"}, {"reference": "Observation/0d5219a6-ab87-16b9-ba0f-79240342f308"}, {"reference": "Observation/d62fc0a5-46a4-7dbe-dadf-4adba4d008b8"}]}, {"id": "c000a97e-4421-7caa-ffa7-481aadaa031b", "title": "Medications Administered", "text": {"status": "generated", "div": "
Medication NameMedication Start Date
albuterol (Ventolin HFA 90 mcg/inh inhalation aerosol)20220416050100+0000
doxycycline (doxycycline hyclate 100 mg oral tablet)20220416050100+0000
predniSONE (predniSONE 50 mg oral tablet)20220416050100+0000
Sodium Chloride 0.9% intravenous solution (NS Bolus (ADULT))20220415164100+0000
dexamethasone20220415164300+0000
ipratropium-albuterol (DuoNeb)20220415164300+0000
"}, "code": {"coding": [{"code": "29549-3", "display": "Medications Administered", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "MedicationAdministration/cf9718b1-e622-e7af-3f57-7ccc11f47168"}, {"reference": "MedicationAdministration/660a34cf-6bb4-a0a0-70c1-2556ec6323f3"}, {"reference": "MedicationAdministration/4f0c772a-f2ae-e341-cf1a-7f2c778d8a53"}, {"reference": "MedicationAdministration/13d4231b-70e9-c943-f0e7-d149fdd14973"}, {"reference": "MedicationAdministration/7860e902-7286-abce-b085-f1ddf30bc76f"}, {"reference": "MedicationAdministration/c45ce1df-b3f0-999b-90a8-aa39fec61fa1"}]}, {"id": "dd08df91-869b-46df-dd36-c5c0f2ad2eae", "title": "IMMUNIZATIONS", "text": {"status": "generated", "div": "No ImmunizationInformation"}, "code": {"coding": [{"code": "11369-6", "display": "History of immunizations", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "1ee0e176-222f-864a-5b05-9a38d5189d31", "title": "SOCIAL HISTORY", "text": {"status": "generated", "div": "
Social History ObservationSocial History Observation Result
Birth SexF
Travel HistoryCOVID- 19 Testing Reason-Screening
Travel HistoryCOVID- 19 Testing Reason-Screening
Travel HistoryCOVID-19 Previously tested-No (qualifier value)
Travel HistoryExposure to severe acute respiratory syndrome coronavirus 2 (event)-No (qualifier value)
Travel HistoryMERS-CoV Travel History-No (qualifier value)
Travel HistoryTB Risk Score-
Travel HistorySymptoms of TB-No symptoms of TB
Travel HistoryHistory of tuberculosis (situation)-No known history of exposure to TB
Travel HistoryC.diff Screening-No (qualifier value)
Travel HistoryMERS-CoV Symptoms-
Travel HistoryMRSA Screen Hx MRSA-No (qualifier value)
Travel HistoryRecent Exposure to Communicable Disease-No (qualifier value)
"}, "code": {"coding": [{"code": "29762-2", "display": "Social History", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "Observation/9389af18-d1a2-58ab-ee16-0681acd78c6f"}, {"reference": "Observation/51746276-2451-9932-9e58-4f21971c62ac"}, {"reference": "Observation/e3794f31-0b96-7d3f-69d5-7b944494e540"}, {"reference": "Observation/f21fadab-af58-b443-50c0-2201075d0c25"}, {"reference": "Observation/88ab5385-5cb5-0308-a58e-bc67b2f3b725"}, {"reference": "Observation/dbe310c6-9580-0fe6-11c8-4b8caa33a9fb"}, {"reference": "Observation/f4ed88e3-7742-2dea-1a58-8505caead382"}, {"reference": "Observation/68f1da74-94b9-7976-76f3-b5354cc0f35f"}, {"reference": "Observation/994278a6-ca17-8619-c789-19b8b6bf6f9c"}, {"reference": "Observation/1e6de63d-ea70-84d6-52d2-46429d031b57"}, {"reference": "Observation/3ca15288-a6ed-8ad3-77c9-eee0ba9275be"}, {"reference": "Observation/eedc882c-0f16-276c-3bd8-b677a1a6c600"}]}, {"id": "7dbd51e8-1c15-8cfa-cbce-f6f4b9a1ed5d", "title": "Plan of Treatment", "text": {"status": "generated", "div": "No Plan Of Treatment Information"}, "code": {"coding": [{"code": "18776-5", "display": "Treatment Plan", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/ec77d178-de8a-915a-311a-1f11f2838946"}]}, {"id": "d9d29cc3-a276-3cb1-dfbf-e1c4ce391ff6", "title": "History of Present Illness", "text": {"status": "generated", "div": "
Narrative Text
Wheezing
Acute URI
Cough
Tachycardia
"}, "code": {"coding": [{"code": "10164-2", "display": "History of Present Illness", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "65225627-ffb0-e051-e796-fbbd26035fbc", "title": "Reason For Visit", "text": {"status": "generated", "div": "
text
ACUTE URI
"}, "code": {"coding": [{"code": "29299-5", "display": "Reason For Visit", "system": "http://loinc.org"}]}, "mode": "snapshot", "extension": [{"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.12", "valueString": "ACUTE URI"}]}, {"id": "fe5ea6af-6ec5-edfd-fe9b-c6b07748e2dd", "title": "Reportability Response Information Section", "text": {"status": "generated", "div": "
Reportability Response Information Section
"}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition", "valueIdentifier": {"use": "official", "type": {"coding": [{"code": "88085-6", "display": "Reportability response report Document Public health", "system": "http://loinc.org"}]}, "value": "85923796-cef7-4122-ac1a-c181799e3604"}}, {"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension", "valueCodeableConcept": {"coding": [{"code": "RRVS19", "display": "eICR processed", "system": "urn:oid:2.16.840.1.114222.4.5.274"}]}}], "code": {"coding": [{"code": "88085-6", "display": "Reportability response report Document Public health", "system": "http://loinc.org"}]}, "entry": [{"display": "Relevant Reportable Condition Observation - Infection caused by Shiga toxin producing Escherichia coli (disorder)", "reference": "Observation/2fa797d2-eae1-4932-a9d3-f2c4f3992fe1"}, {"display": "Relevant Reportable Condition Observation - Hemolytic uremic syndrome (disorder)", "reference": "Observation/30602f55-7718-4880-8045-f3dc6341ff58"}, {"display": "Relevant Reportable Condition Observation - Hemolytic uremic syndrome (disorder)", "reference": "Observation/6f6b5bd3-4eb1-4a27-89d1-a2098c124252"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "encounter": {"reference": "Encounter/60ed4165-219a-123f-5845-33a2aec9895a"}, "custodian": {"reference": "Organization/430c88de-09b3-f835-b008-e93f59ce7f15"}, "author": [{"reference": "Practitioner/eb4f8e78-f15e-116f-af46-435e15202c5d"}]}, "request": {"method": "PUT", "url": "Composition/6100896d-b520-497c-b2fe-1c111c679274"}}, {"fullUrl": "urn:uuid:60ed4165-219a-123f-5845-33a2aec9895a", "resource": {"resourceType": "Encounter", "id": "60ed4165-219a-123f-5845-33a2aec9895a", "status": "unknown", "class": {"code": "OBSENC", "display": "observation encounter", "system": "urn:oid:2.16.840.1.113883.5.4"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "Encounter/64871322/_history/32"}, {"system": "urn:oid:2.16.840.1.113883.17.8797.200", "value": "5004465497"}], "period": {"start": "2022-04-15T16:15:00Z", "end": "2022-04-16T02:21:00Z"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "location": [{"id": "2.16.840.1.113883.4.6", "location": {"reference": "Location/9d62f0ba-2587-a556-b341-fb0eb65baecd", "display": "HHN-Henderson Hospital"}, "extension": [{"url": "http://build.fhir.org/ig/HL7/case-reporting/StructureDefinition-us-ph-location-definitions.html#Location.type", "valueCodeableConcept": {"coding": [{"code": "team", "display": "Organizational team", "system": "urn:oid:2.16.840.1.113883.4.642.3.414"}]}}]}], "serviceProvider": {"reference": "Organization/6f3e61e3-7063-a3ec-4e84-841970acba40"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND"}]}], "individual": {"reference": "PractitionerRole/437d7821-6874-a7b4-4723-8b33dcfc6617"}}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Encounter/60ed4165-219a-123f-5845-33a2aec9895a"}}, {"fullUrl": "urn:uuid:9d62f0ba-2587-a556-b341-fb0eb65baecd", "resource": {"resourceType": "Location", "id": "9d62f0ba-2587-a556-b341-fb0eb65baecd", "identifier": [{"system": "http://hl7.org/fhir/sid/us-npi", "value": "1003281452"}], "name": "HHN-Henderson Hospital", "address": {"line": ["1050 W. Galleria Drive"], "city": "Henderson", "state": "NV", "country": "USA", "postalCode": "89011"}, "telecom": [{"system": "phone", "value": "(702)963-7000", "use": "work"}, {"system": "phone", "value": "(702)963-7000", "use": "work"}], "type": [{"coding": [{"code": "team", "display": "Organizational team", "system": "urn:oid:2.16.840.1.113883.4.642.3.414"}]}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Location/9d62f0ba-2587-a556-b341-fb0eb65baecd"}}, {"fullUrl": "urn:uuid:6f3e61e3-7063-a3ec-4e84-841970acba40", "resource": {"resourceType": "Organization", "id": "6f3e61e3-7063-a3ec-4e84-841970acba40", "identifier": [{"system": "http://hl7.org/fhir/sid/us-npi", "value": "1003281452"}], "name": "HHN-Henderson Hospital", "address": [{"line": ["1050 W. Galleria Drive"], "city": "Henderson", "state": "NV", "country": "USA", "postalCode": "89011"}], "telecom": [{"system": "phone", "value": "(702)963-7000", "use": "work"}, {"system": "phone", "value": "(702)963-7000", "use": "work"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/6f3e61e3-7063-a3ec-4e84-841970acba40"}}, {"fullUrl": "urn:uuid:eb4f8e78-f15e-116f-af46-435e15202c5d", "resource": {"resourceType": "Practitioner", "id": "eb4f8e78-f15e-116f-af46-435e15202c5d", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"], "source": "ecr"}, "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/_datatype", "valueString": "Responsible Party"}], "identifier": [{"system": "http://hl7.org/fhir/sid/us-npi", "value": "1326599333"}], "name": [{"family": "Nielsen", "given": ["Victoria", "K"]}], "address": [{"line": ["620 Shadow Lane"], "city": "Las Vegas", "state": "NV", "country": "US", "postalCode": "89106"}], "telecom": [{"system": "phone", "value": "((70)2)2-59-1"}]}, "request": {"method": "PUT", "url": "Practitioner/eb4f8e78-f15e-116f-af46-435e15202c5d"}}, {"resource": {"resourceType": "PractitionerRole", "id": "437d7821-6874-a7b4-4723-8b33dcfc6617", "practitioner": {"reference": "Practitioner/eb4f8e78-f15e-116f-af46-435e15202c5d"}, "organization": {"reference": "Organization/430c88de-09b3-f835-b008-e93f59ce7f15"}, "meta": {"source": "ecr"}}}, {"fullUrl": "urn:uuid:430c88de-09b3-f835-b008-e93f59ce7f15", "resource": {"resourceType": "Organization", "id": "430c88de-09b3-f835-b008-e93f59ce7f15", "identifier": [{"system": "http://hl7.org/fhir/sid/us-npi", "value": "1003281452"}], "name": "HHN-Henderson Hospital", "address": [{"line": ["1050 W. Galleria Drive"], "city": "Henderson", "state": "NV", "country": "USA", "postalCode": "89011"}], "telecom": [{"system": "phone", "value": "(702)963-7000", "use": "work"}, {"system": "phone", "value": "(702)963-7000", "use": "work"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/430c88de-09b3-f835-b008-e93f59ce7f15"}}, {"fullUrl": "urn:uuid:0e0c4ed5-f251-7818-c530-5081ac13c13c", "resource": {"resourceType": "Organization", "id": "0e0c4ed5-f251-7818-c530-5081ac13c13c", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "California Department of Public Health"}, "request": {"method": "PUT", "url": "Organization/0e0c4ed5-f251-7818-c530-5081ac13c13c"}}, {"fullUrl": "urn:uuid:2fa797d2-eae1-4932-a9d3-f2c4f3992fe1", "resource": {"resourceType": "Observation", "id": "2fa797d2-eae1-4932-a9d3-f2c4f3992fe1", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:2fa797d2-eae1-4932-a9d3-f2c4f3992fe1"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "328291000119103", "display": "Infection caused by Shiga toxin producing Escherichia coli (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Thrombotic thrombocytopenic purpura (TTP) (as a diagnosis or active problem)"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "328291000119103", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/0e0c4ed5-f251-7818-c530-5081ac13c13c", "display": "California Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/2fa797d2-eae1-4932-a9d3-f2c4f3992fe1"}}, {"fullUrl": "urn:uuid:c56015b1-ec87-3ccf-4f38-5a16943cf505", "resource": {"resourceType": "Organization", "id": "c56015b1-ec87-3ccf-4f38-5a16943cf505", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "Los Angeles County Department of Public Health"}, "request": {"method": "PUT", "url": "Organization/c56015b1-ec87-3ccf-4f38-5a16943cf505"}}, {"fullUrl": "urn:uuid:30602f55-7718-4880-8045-f3dc6341ff58", "resource": {"resourceType": "Observation", "id": "30602f55-7718-4880-8045-f3dc6341ff58", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:30602f55-7718-4880-8045-f3dc6341ff58"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "111407006", "display": "Hemolytic uremic syndrome (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Thrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem)"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "111407006", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/c56015b1-ec87-3ccf-4f38-5a16943cf505", "display": "Los Angeles County Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/30602f55-7718-4880-8045-f3dc6341ff58"}}, {"fullUrl": "urn:uuid:51c6d940-9b3f-5a47-3f39-28848156d9cd", "resource": {"resourceType": "Organization", "id": "51c6d940-9b3f-5a47-3f39-28848156d9cd", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "Nevada State Health Division"}, "request": {"method": "PUT", "url": "Organization/51c6d940-9b3f-5a47-3f39-28848156d9cd"}}, {"fullUrl": "urn:uuid:6f6b5bd3-4eb1-4a27-89d1-a2098c124252", "resource": {"resourceType": "Observation", "id": "6f6b5bd3-4eb1-4a27-89d1-a2098c124252", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:6f6b5bd3-4eb1-4a27-89d1-a2098c124252"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "111407006", "display": "Hemolytic uremic syndrome (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Thrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem)"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "111407006", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/51c6d940-9b3f-5a47-3f39-28848156d9cd", "display": "Nevada State Health Division"}]}, "request": {"method": "PUT", "url": "Observation/6f6b5bd3-4eb1-4a27-89d1-a2098c124252"}}, {"fullUrl": "urn:uuid:af325042-27ac-497c-96a8-ff8ca9af6430", "resource": {"resourceType": "Patient", "id": "af325042-27ac-497c-96a8-ff8ca9af6430", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "Patient/38381210/_history/58"}, {"system": "urn:oid:2.16.840.1.113883.17.8797.100", "value": "8225956"}, {"system": "urn:oid:2.16.840.1.113883.3.2061.100", "value": "5801038"}], "name": [{"family": "HUNTER", "given": ["VICTORIA"]}], "birthDate": "1954-11-15", "deceasedBoolean": false, "gender": "female", "extension": [{"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race", "extension": [{"url": "ombCategory", "valueCoding": {"code": "2054-5", "display": "Black or African American"}}, {"url": "text", "valueString": "Black or African American"}]}, {"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity", "extension": [{"url": "ombCategory", "valueCoding": {"code": "2186-5", "display": "Not Hispanic or Latino"}}, {"url": "text", "valueString": "Not Hispanic or Latino"}]}, {"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "extension": [{"url": "value", "valueCodeableConcept": {"coding": [{"code": "F", "display": "Female", "system": "urn:oid:2.16.840.1.113883.5.1"}]}}]}], "address": [{"line": ["309 EAST HILLCREST AVE", "APT 232"], "city": "INGLEWOOD", "state": "CA", "country": "US", "postalCode": "90301-2405"}], "telecom": [{"system": "phone", "value": "+14243569018", "use": "home"}, {"system": "email", "value": "VSEAS14@GMAIL.COM"}], "communication": [{"language": {"coding": [{"system": "urn:ietf:bcp:47", "code": "en", "display": "English"}]}}]}, "request": {"method": "PUT", "url": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, {"fullUrl": "urn:uuid:", "resource": {"resourceType": "CareTeam", "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "meta": {"source": "ecr"}}}, {"fullUrl": "urn:uuid:ec77d178-de8a-915a-311a-1f11f2838946", "resource": {"resourceType": "CarePlan", "id": "ec77d178-de8a-915a-311a-1f11f2838946", "status": "unknown", "intent": "proposal", "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "CarePlan/ec77d178-de8a-915a-311a-1f11f2838946"}}, {"fullUrl": "urn:uuid:cf9718b1-e622-e7af-3f57-7ccc11f47168", "resource": {"resourceType": "MedicationAdministration", "id": "cf9718b1-e622-e7af-3f57-7ccc11f47168", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12800594229/_history/0"}], "status": "in-progress", "effectiveDateTime": "2022-04-16T05:01:00Z", "dosage": {"dose": {"value": 2, "unit": "Puffs"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/2fc31b21-d4a7-11df-78a7-df9877b01e42"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/cf9718b1-e622-e7af-3f57-7ccc11f47168"}}, {"fullUrl": "urn:uuid:2fc31b21-d4a7-11df-78a7-df9877b01e42", "resource": {"resourceType": "Medication", "id": "2fc31b21-d4a7-11df-78a7-df9877b01e42", "code": {"coding": [{"code": "801095", "display": "60 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [Ventolin]", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/2fc31b21-d4a7-11df-78a7-df9877b01e42"}}, {"fullUrl": "urn:uuid:660a34cf-6bb4-a0a0-70c1-2556ec6323f3", "resource": {"resourceType": "MedicationAdministration", "id": "660a34cf-6bb4-a0a0-70c1-2556ec6323f3", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12800555851/_history/0"}], "status": "in-progress", "effectiveDateTime": "2022-04-16T05:01:00Z", "dosage": {"dose": {"value": 1, "unit": "Tabs"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/d7575b6a-6162-b8db-6d16-63e897574fb3"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/660a34cf-6bb4-a0a0-70c1-2556ec6323f3"}}, {"fullUrl": "urn:uuid:d7575b6a-6162-b8db-6d16-63e897574fb3", "resource": {"resourceType": "Medication", "id": "d7575b6a-6162-b8db-6d16-63e897574fb3", "code": {"coding": [{"code": "1650143", "display": "doxycycline hyclate 100 MG Oral Tablet", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/d7575b6a-6162-b8db-6d16-63e897574fb3"}}, {"fullUrl": "urn:uuid:4f0c772a-f2ae-e341-cf1a-7f2c778d8a53", "resource": {"resourceType": "MedicationAdministration", "id": "4f0c772a-f2ae-e341-cf1a-7f2c778d8a53", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12800573841/_history/0"}], "status": "in-progress", "effectiveDateTime": "2022-04-16T05:01:00Z", "dosage": {"dose": {"value": 1, "unit": "Tabs"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/f478d210-5139-3829-c1a7-9af8bf9c1665"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/4f0c772a-f2ae-e341-cf1a-7f2c778d8a53"}}, {"fullUrl": "urn:uuid:f478d210-5139-3829-c1a7-9af8bf9c1665", "resource": {"resourceType": "Medication", "id": "f478d210-5139-3829-c1a7-9af8bf9c1665", "code": {"coding": [{"code": "198148", "display": "Prednisone 50 MG Oral Tablet", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/f478d210-5139-3829-c1a7-9af8bf9c1665"}}, {"fullUrl": "urn:uuid:13d4231b-70e9-c943-f0e7-d149fdd14973", "resource": {"resourceType": "MedicationAdministration", "id": "13d4231b-70e9-c943-f0e7-d149fdd14973", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12797832827/_history/4"}], "status": "completed", "effectiveDateTime": "2022-04-15T16:41:00Z", "dosage": {"dose": {"value": 1000, "unit": "mL"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/6ad5d3bb-ad8c-1c9f-f067-d33467a34dfa"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/13d4231b-70e9-c943-f0e7-d149fdd14973"}}, {"fullUrl": "urn:uuid:6ad5d3bb-ad8c-1c9f-f067-d33467a34dfa", "resource": {"resourceType": "Medication", "id": "6ad5d3bb-ad8c-1c9f-f067-d33467a34dfa", "code": {"coding": [{"code": "1807639", "display": "1000 ML Sodium Chloride 9 MG/ML Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/6ad5d3bb-ad8c-1c9f-f067-d33467a34dfa"}}, {"fullUrl": "urn:uuid:7860e902-7286-abce-b085-f1ddf30bc76f", "resource": {"resourceType": "MedicationAdministration", "id": "7860e902-7286-abce-b085-f1ddf30bc76f", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12797811833/_history/4"}], "status": "completed", "effectiveDateTime": "2022-04-15T16:43:00Z", "dosage": {"dose": {"value": 10, "unit": "mg"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/5cb820af-1d3f-1a0b-d8ac-0153e42395ab"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/7860e902-7286-abce-b085-f1ddf30bc76f"}}, {"fullUrl": "urn:uuid:5cb820af-1d3f-1a0b-d8ac-0153e42395ab", "resource": {"resourceType": "Medication", "id": "5cb820af-1d3f-1a0b-d8ac-0153e42395ab", "code": {"coding": [{"code": "3264", "display": "Dexamethasone", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/5cb820af-1d3f-1a0b-d8ac-0153e42395ab"}}, {"fullUrl": "urn:uuid:c45ce1df-b3f0-999b-90a8-aa39fec61fa1", "resource": {"resourceType": "MedicationAdministration", "id": "c45ce1df-b3f0-999b-90a8-aa39fec61fa1", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/MedicationRequest/12797811853/_history/4"}], "status": "completed", "effectiveDateTime": "2022-04-15T16:43:00Z", "dosage": {"dose": {"value": 9, "unit": "mL"}}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "medicationReference": {"reference": "Medication/8c0b7437-87c8-1d75-990e-2c6217d3ff76"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "MedicationAdministration/c45ce1df-b3f0-999b-90a8-aa39fec61fa1"}}, {"fullUrl": "urn:uuid:8c0b7437-87c8-1d75-990e-2c6217d3ff76", "resource": {"resourceType": "Medication", "id": "8c0b7437-87c8-1d75-990e-2c6217d3ff76", "code": {"coding": [{"code": "285059", "display": "DuoNeb", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}]}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Medication/8c0b7437-87c8-1d75-990e-2c6217d3ff76"}}, {"fullUrl": "urn:uuid:3907477b-3eba-59c4-6622-d3c3a81a39f4", "resource": {"resourceType": "Condition", "id": "3907477b-3eba-59c4-6622-d3c3a81a39f4", "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Condition/p165865017/_history/165865017"}], "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "78129009", "display": "Thrombotic thrombocytopenic purpura (disorder)", "system": "http://snomed.info/sct"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "meta": {"source": "ecr"}, "extension": [{"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "111407006", "system": "http://snomed.info/sct"}]}]}, "request": {"method": "PUT", "url": "Condition/3907477b-3eba-59c4-6622-d3c3a81a39f4"}}, {"fullUrl": "urn:uuid:60683863-e16c-be81-ae5f-735cfb787db3", "resource": {"resourceType": "DiagnosticReport", "id": "60683863-e16c-be81-ae5f-735cfb787db3", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:b46c57df-7681-488d-8dbd-2e97687fa692"}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin I.cardiac [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/94f5feb0-b01a-e1ee-e418-052f9efb84c7"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/60683863-e16c-be81-ae5f-735cfb787db3"}}, {"fullUrl": "urn:uuid:94f5feb0-b01a-e1ee-e418-052f9efb84c7", "resource": {"resourceType": "Observation", "id": "94f5feb0-b01a-e1ee-e418-052f9efb84c7", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286757608/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin TNIH", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T22:26:00Z", "valueQuantity": {"value": 8.2, "unit": "ng/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/94f5feb0-b01a-e1ee-e418-052f9efb84c7"}}, {"fullUrl": "urn:uuid:86c2a926-eb7a-5afa-a509-f2f0e4d6d1bb", "resource": {"resourceType": "DiagnosticReport", "id": "86c2a926-eb7a-5afa-a509-f2f0e4d6d1bb", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:cb178d2e-569f-4eaf-8de9-aa857dfa7362"}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin I.cardiac [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/78facf8f-f08a-26f9-5527-4bafe534a4f9"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/86c2a926-eb7a-5afa-a509-f2f0e4d6d1bb"}}, {"fullUrl": "urn:uuid:78facf8f-f08a-26f9-5527-4bafe534a4f9", "resource": {"resourceType": "Observation", "id": "78facf8f-f08a-26f9-5527-4bafe534a4f9", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19285932098/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin TNIH", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T20:14:00Z", "valueQuantity": {"value": 8.1, "unit": "ng/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/78facf8f-f08a-26f9-5527-4bafe534a4f9"}}, {"fullUrl": "urn:uuid:f21f449e-c482-83c1-a3aa-1fc9ea052ce4", "resource": {"resourceType": "DiagnosticReport", "id": "f21f449e-c482-83c1-a3aa-1fc9ea052ce4", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:51947a30-9b22-4fe3-ad8d-83a11cc504e2"}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin I.cardiac [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/e5294ace-dc90-71ab-1183-0ecce3cdbb57"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f21f449e-c482-83c1-a3aa-1fc9ea052ce4"}}, {"fullUrl": "urn:uuid:e5294ace-dc90-71ab-1183-0ecce3cdbb57", "resource": {"resourceType": "Observation", "id": "e5294ace-dc90-71ab-1183-0ecce3cdbb57", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19285552731/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "10839-9", "display": "Troponin TNIH", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T19:01:00Z", "valueQuantity": {"value": 9.5, "unit": "ng/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/e5294ace-dc90-71ab-1183-0ecce3cdbb57"}}, {"fullUrl": "urn:uuid:0f861734-c8b9-8fa4-8c73-20e88b7d0958", "resource": {"resourceType": "DiagnosticReport", "id": "0f861734-c8b9-8fa4-8c73-20e88b7d0958", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:63f853f4-cadf-41f7-ba4c-081e430abeaa"}], "status": "final", "code": {"coding": [{"code": "33762-6", "display": "Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/a5487fa0-7b9c-4b9e-d5fd-78aaf89a3bd3"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/0f861734-c8b9-8fa4-8c73-20e88b7d0958"}}, {"fullUrl": "urn:uuid:a5487fa0-7b9c-4b9e-d5fd-78aaf89a3bd3", "resource": {"resourceType": "Observation", "id": "a5487fa0-7b9c-4b9e-d5fd-78aaf89a3bd3", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19285552724/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "33762-6", "display": "NT-ProBNP", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T19:01:00Z", "valueQuantity": {"value": 84, "unit": "pg/mL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/a5487fa0-7b9c-4b9e-d5fd-78aaf89a3bd3"}}, {"fullUrl": "urn:uuid:cdcec461-63fb-b4a4-5270-0bf22762d0b8", "resource": {"resourceType": "DiagnosticReport", "id": "cdcec461-63fb-b4a4-5270-0bf22762d0b8", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:3cf58e92-ea42-421b-bdbe-0c8df5ca5b90"}], "status": "final", "code": {"coding": [{"code": "35592-5", "display": "Creatinine renal clearance/1.73 sq M.predicted by Cockcroft-Gault formula, BSA formula", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/a3c3b47a-bf65-775e-7f5c-2c215cdd613c"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/cdcec461-63fb-b4a4-5270-0bf22762d0b8"}}, {"fullUrl": "urn:uuid:a3c3b47a-bf65-775e-7f5c-2c215cdd613c", "resource": {"resourceType": "Observation", "id": "a3c3b47a-bf65-775e-7f5c-2c215cdd613c", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816088/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "35592-5", "display": "Estimated Creatinine Clearance", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:38:00Z", "valueQuantity": {"value": 52.76, "unit": "mL/min"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/a3c3b47a-bf65-775e-7f5c-2c215cdd613c"}}, {"fullUrl": "urn:uuid:cd818065-61f9-6310-f48b-5255f1b0f680", "resource": {"resourceType": "DiagnosticReport", "id": "cd818065-61f9-6310-f48b-5255f1b0f680", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:1388dec4-bafe-4ea1-b649-9b78c3e96c09"}], "status": "final", "code": {"coding": [{"code": "95419-8", "display": "Whether the patient has symptoms related to condition of interest", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/30bf6f23-8624-eaa9-fb82-678901f75c5e"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/cd818065-61f9-6310-f48b-5255f1b0f680"}}, {"fullUrl": "urn:uuid:30bf6f23-8624-eaa9-fb82-678901f75c5e", "resource": {"resourceType": "Observation", "id": "30bf6f23-8624-eaa9-fb82-678901f75c5e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860526/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "95419-8", "display": "Symptomatic as defined by CDC?", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "373066001", "display": "Yes (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/30bf6f23-8624-eaa9-fb82-678901f75c5e"}}, {"fullUrl": "urn:uuid:de0b9a49-f884-cdf7-587c-c6a513d4fe2e", "resource": {"resourceType": "DiagnosticReport", "id": "de0b9a49-f884-cdf7-587c-c6a513d4fe2e", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:433df364-fa71-4172-9363-823fc86766d9"}], "status": "final", "code": {"coding": [{"code": "95420-6", "display": "Whether the patient was admitted to intensive care unit (ICU) for condition of interest", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/c3029932-4c25-a515-b4c6-e35e5764b464"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/de0b9a49-f884-cdf7-587c-c6a513d4fe2e"}}, {"fullUrl": "urn:uuid:c3029932-4c25-a515-b4c6-e35e5764b464", "resource": {"resourceType": "Observation", "id": "c3029932-4c25-a515-b4c6-e35e5764b464", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860530/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "95420-6", "display": "In ICU?", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "373067005", "display": "No (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/c3029932-4c25-a515-b4c6-e35e5764b464"}}, {"fullUrl": "urn:uuid:f53fecb0-d1e4-0e4b-d501-d58d73bf3cbf", "resource": {"resourceType": "DiagnosticReport", "id": "f53fecb0-d1e4-0e4b-d501-d58d73bf3cbf", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:3fc984f4-2d68-4c3a-97ba-00e0cf4c2331"}], "status": "final", "code": {"coding": [{"code": "95421-4", "display": "Whether patient resides in a congregate care setting", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/f50c588e-778b-2fb8-95ca-b2895c85dcdd"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f53fecb0-d1e4-0e4b-d501-d58d73bf3cbf"}}, {"fullUrl": "urn:uuid:f50c588e-778b-2fb8-95ca-b2895c85dcdd", "resource": {"resourceType": "Observation", "id": "f50c588e-778b-2fb8-95ca-b2895c85dcdd", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860536/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "95421-4", "display": "Group care resident?", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "373067005", "display": "No (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/f50c588e-778b-2fb8-95ca-b2895c85dcdd"}}, {"fullUrl": "urn:uuid:5e290d58-b0b9-5e36-b348-c87fa7581c78", "resource": {"resourceType": "DiagnosticReport", "id": "5e290d58-b0b9-5e36-b348-c87fa7581c78", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:3c1e9587-8eb7-4137-839d-a11e6b75cbfd"}], "status": "final", "code": {"coding": [{"code": "95418-0", "display": "Whether patient is employed in a healthcare setting", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/1cec98b6-3381-dd8d-360c-21d5ed818f62"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/5e290d58-b0b9-5e36-b348-c87fa7581c78"}}, {"fullUrl": "urn:uuid:1cec98b6-3381-dd8d-360c-21d5ed818f62", "resource": {"resourceType": "Observation", "id": "1cec98b6-3381-dd8d-360c-21d5ed818f62", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860534/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "95418-0", "display": "Employed in healthcare?", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "373067005", "display": "No (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/1cec98b6-3381-dd8d-360c-21d5ed818f62"}}, {"fullUrl": "urn:uuid:1c46cff6-6f74-5a63-58a1-cd3491f11335", "resource": {"resourceType": "DiagnosticReport", "id": "1c46cff6-6f74-5a63-58a1-cd3491f11335", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:3beab26e-50fd-4836-9549-1e730b5abba2"}], "status": "final", "code": {"coding": [{"code": "94309-2", "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Specimen by NAA with probe detection", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/7f07e455-5574-a648-1543-cba70270a4e4"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/1c46cff6-6f74-5a63-58a1-cd3491f11335"}}, {"fullUrl": "urn:uuid:7f07e455-5574-a648-1543-cba70270a4e4", "resource": {"resourceType": "Observation", "id": "7f07e455-5574-a648-1543-cba70270a4e4", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860540/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94309-2", "display": "SARS-CoV-2 Interp:", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/7f07e455-5574-a648-1543-cba70270a4e4"}}, {"fullUrl": "urn:uuid:2bc92294-07cd-b7da-9cd2-858e1c473750", "resource": {"resourceType": "DiagnosticReport", "id": "2bc92294-07cd-b7da-9cd2-858e1c473750", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:fa74e938-982b-434f-a9d2-715eca400918"}], "status": "final", "code": {"coding": [{"code": "94500-6", "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory system specimen by NAA with probe detection", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/562aaa4c-b024-2655-efe5-1155eab8aabc"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/2bc92294-07cd-b7da-9cd2-858e1c473750"}}, {"fullUrl": "urn:uuid:562aaa4c-b024-2655-efe5-1155eab8aabc", "resource": {"resourceType": "Observation", "id": "562aaa4c-b024-2655-efe5-1155eab8aabc", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860538/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94500-6", "display": "SARS-CoV-2 PCR", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "260385009", "display": "Negative (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/562aaa4c-b024-2655-efe5-1155eab8aabc"}}, {"fullUrl": "urn:uuid:72dc2bfd-3ced-741e-5c91-2b787f9964ea", "resource": {"resourceType": "DiagnosticReport", "id": "72dc2bfd-3ced-741e-5c91-2b787f9964ea", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:1461c0ad-c351-4369-b66c-30e8512c0249"}], "status": "final", "code": {"coding": [{"code": "50384-7", "display": "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (Schwartz)", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/fc5517ad-dbab-6e81-d88a-c7589f32a820"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/72dc2bfd-3ced-741e-5c91-2b787f9964ea"}}, {"fullUrl": "urn:uuid:fc5517ad-dbab-6e81-d88a-c7589f32a820", "resource": {"resourceType": "Observation", "id": "fc5517ad-dbab-6e81-d88a-c7589f32a820", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284799735/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "50384-7", "display": "eGFR Pediatric", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueString": "Not Reported", "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/fc5517ad-dbab-6e81-d88a-c7589f32a820"}}, {"fullUrl": "urn:uuid:cf151812-add2-39e3-3da5-5cd8cb4dafe3", "resource": {"resourceType": "DiagnosticReport", "id": "cf151812-add2-39e3-3da5-5cd8cb4dafe3", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:adc53b02-1f6a-4f30-b2d6-734b96080342"}], "status": "final", "code": {"coding": [{"code": "76080-1", "display": "Influenza virus B RNA [Presence] in Nasopharynx by NAA with probe detection", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/986e51be-bcb9-0e85-26de-ee93f55b9652"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/cf151812-add2-39e3-3da5-5cd8cb4dafe3"}}, {"fullUrl": "urn:uuid:986e51be-bcb9-0e85-26de-ee93f55b9652", "resource": {"resourceType": "Observation", "id": "986e51be-bcb9-0e85-26de-ee93f55b9652", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860544/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "76080-1", "display": "Flu B PCR", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/986e51be-bcb9-0e85-26de-ee93f55b9652"}}, {"fullUrl": "urn:uuid:4e8919d1-9bd3-5090-3d22-5ae2c983556b", "resource": {"resourceType": "DiagnosticReport", "id": "4e8919d1-9bd3-5090-3d22-5ae2c983556b", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:bf98a7a6-c7db-4954-9978-ba40fc1a00fb"}], "status": "final", "code": {"coding": [{"code": "76078-5", "display": "Influenza virus A RNA [Presence] in Nasopharynx by NAA with probe detection", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/6a6a5554-9b68-a91a-76d9-f32c051dfa62"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/4e8919d1-9bd3-5090-3d22-5ae2c983556b"}}, {"fullUrl": "urn:uuid:6a6a5554-9b68-a91a-76d9-f32c051dfa62", "resource": {"resourceType": "Observation", "id": "6a6a5554-9b68-a91a-76d9-f32c051dfa62", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19286860542/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "76078-5", "display": "Flu A PCR", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueCodeableConcept": {"coding": [{"code": "260415000", "display": "Not detected (qualifier value)", "system": "http://snomed.info/sct"}]}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/6a6a5554-9b68-a91a-76d9-f32c051dfa62"}}, {"fullUrl": "urn:uuid:f55b2d6f-290f-889f-0590-93f81a755979", "resource": {"resourceType": "DiagnosticReport", "id": "f55b2d6f-290f-889f-0590-93f81a755979", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:de9d66f9-d819-454b-9531-34865ab8d138"}], "status": "final", "code": {"coding": [{"code": "18182-6", "display": "Osmolality of Serum or Plasma by calculation", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/30b4c04b-9788-b94d-bd4b-eb849b2d9102"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f55b2d6f-290f-889f-0590-93f81a755979"}}, {"fullUrl": "urn:uuid:30b4c04b-9788-b94d-bd4b-eb849b2d9102", "resource": {"resourceType": "Observation", "id": "30b4c04b-9788-b94d-bd4b-eb849b2d9102", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816053/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "18182-6", "display": "Calc Osmo", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 270, "unit": "mOsmol/kg"}, "interpretation": [{"coding": [{"code": "L", "display": "Low", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/30b4c04b-9788-b94d-bd4b-eb849b2d9102"}}, {"fullUrl": "urn:uuid:f2ae7835-179b-cabb-0671-a59f62916914", "resource": {"resourceType": "DiagnosticReport", "id": "f2ae7835-179b-cabb-0671-a59f62916914", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:95b9bc33-746a-4950-9323-ec338e031b53"}], "status": "final", "code": {"coding": [{"code": "1759-0", "display": "Albumin/Globulin [Mass Ratio] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/9082dd79-88a9-1f15-c4fd-93d955d16ecd"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f2ae7835-179b-cabb-0671-a59f62916914"}}, {"fullUrl": "urn:uuid:9082dd79-88a9-1f15-c4fd-93d955d16ecd", "resource": {"resourceType": "Observation", "id": "9082dd79-88a9-1f15-c4fd-93d955d16ecd", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816055/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1759-0", "display": "A/G Ratio", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.7}, "interpretation": [{"coding": [{"code": "L", "display": "Low", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/9082dd79-88a9-1f15-c4fd-93d955d16ecd"}}, {"fullUrl": "urn:uuid:2c98d4dd-1b52-a225-0b17-f49fb6fc5ded", "resource": {"resourceType": "DiagnosticReport", "id": "2c98d4dd-1b52-a225-0b17-f49fb6fc5ded", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:261feb5c-1956-4f9c-9cbe-d42b81f28cd2"}], "status": "final", "code": {"coding": [{"code": "48642-3", "display": "Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/09b3ec87-393a-9b52-1609-db67d66cf21c"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/2c98d4dd-1b52-a225-0b17-f49fb6fc5ded"}}, {"fullUrl": "urn:uuid:09b3ec87-393a-9b52-1609-db67d66cf21c", "resource": {"resourceType": "Observation", "id": "09b3ec87-393a-9b52-1609-db67d66cf21c", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284799567/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "48642-3", "display": "eGFR Non-African American", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 70, "unit": "mL/min/1.73m2"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/09b3ec87-393a-9b52-1609-db67d66cf21c"}}, {"fullUrl": "urn:uuid:da1019c9-9302-e676-4214-083669e2b020", "resource": {"resourceType": "DiagnosticReport", "id": "da1019c9-9302-e676-4214-083669e2b020", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:3c4f71bf-0627-4d00-abcb-fa5ec364b78b"}], "status": "final", "code": {"coding": [{"code": "48643-1", "display": "Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/8170fe97-63af-51c4-3454-20966f4a2c7b"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/da1019c9-9302-e676-4214-083669e2b020"}}, {"fullUrl": "urn:uuid:8170fe97-63af-51c4-3454-20966f4a2c7b", "resource": {"resourceType": "Observation", "id": "8170fe97-63af-51c4-3454-20966f4a2c7b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816090/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "48643-1", "display": "eGFR African American", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 81, "unit": "mL/min/1.73m2"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/8170fe97-63af-51c4-3454-20966f4a2c7b"}}, {"fullUrl": "urn:uuid:fbeb7b6c-31dd-944e-56c1-90233fd0856c", "resource": {"resourceType": "DiagnosticReport", "id": "fbeb7b6c-31dd-944e-56c1-90233fd0856c", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:b6262f93-89cc-4789-a84e-f605ccae8c5e"}], "status": "final", "code": {"coding": [{"code": "2951-2", "display": "Sodium [Moles/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/036a8d7b-df19-cbfa-37a7-21e9583ce4c1"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/fbeb7b6c-31dd-944e-56c1-90233fd0856c"}}, {"fullUrl": "urn:uuid:036a8d7b-df19-cbfa-37a7-21e9583ce4c1", "resource": {"resourceType": "Observation", "id": "036a8d7b-df19-cbfa-37a7-21e9583ce4c1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816011/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2951-2", "display": "Sodium", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 135, "unit": "mmol/L"}, "interpretation": [{"coding": [{"code": "L", "display": "Low", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/036a8d7b-df19-cbfa-37a7-21e9583ce4c1"}}, {"fullUrl": "urn:uuid:b05eea1c-ec11-f093-5840-0d6098714366", "resource": {"resourceType": "DiagnosticReport", "id": "b05eea1c-ec11-f093-5840-0d6098714366", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:6057e95b-305b-44c7-9361-5065f60d3478"}], "status": "final", "code": {"coding": [{"code": "2823-3", "display": "Potassium [Moles/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/e32e94e6-7415-be5d-3292-0966edd22333"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/b05eea1c-ec11-f093-5840-0d6098714366"}}, {"fullUrl": "urn:uuid:e32e94e6-7415-be5d-3292-0966edd22333", "resource": {"resourceType": "Observation", "id": "e32e94e6-7415-be5d-3292-0966edd22333", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816013/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2823-3", "display": "Potassium", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 4.0, "unit": "mmol/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/e32e94e6-7415-be5d-3292-0966edd22333"}}, {"fullUrl": "urn:uuid:f31be3d3-5f59-48e5-0d6f-9386a17a88b2", "resource": {"resourceType": "DiagnosticReport", "id": "f31be3d3-5f59-48e5-0d6f-9386a17a88b2", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:a7d54876-833a-4881-bb52-83e49daacbc1"}], "status": "final", "code": {"coding": [{"code": "704-7", "display": "Basophils [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/b1127a40-3939-691b-d336-236f6546d029"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f31be3d3-5f59-48e5-0d6f-9386a17a88b2"}}, {"fullUrl": "urn:uuid:b1127a40-3939-691b-d336-236f6546d029", "resource": {"resourceType": "Observation", "id": "b1127a40-3939-691b-d336-236f6546d029", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716756/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "704-7", "display": "Baso # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.02, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/b1127a40-3939-691b-d336-236f6546d029"}}, {"fullUrl": "urn:uuid:87df5706-7697-9c91-81e2-6be211c0bed1", "resource": {"resourceType": "DiagnosticReport", "id": "87df5706-7697-9c91-81e2-6be211c0bed1", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:91b63ad1-62d9-495e-a525-84c1ff5d6e7c"}], "status": "final", "code": {"coding": [{"code": "1751-7", "display": "Albumin [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/ec7b419f-634e-4271-dc91-ba2effb97b76"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/87df5706-7697-9c91-81e2-6be211c0bed1"}}, {"fullUrl": "urn:uuid:ec7b419f-634e-4271-dc91-ba2effb97b76", "resource": {"resourceType": "Observation", "id": "ec7b419f-634e-4271-dc91-ba2effb97b76", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816033/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1751-7", "display": "Albumin. Level", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 3.6, "unit": "gm/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/ec7b419f-634e-4271-dc91-ba2effb97b76"}}, {"fullUrl": "urn:uuid:45672981-93a5-4924-6cbd-d623e1e68771", "resource": {"resourceType": "DiagnosticReport", "id": "45672981-93a5-4924-6cbd-d623e1e68771", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:1d152557-6081-46e9-a4b2-d6c39fdc5007"}], "status": "final", "code": {"coding": [{"code": "742-7", "display": "Monocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/f03f3593-6156-f89f-14bd-86a34685d4bc"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/45672981-93a5-4924-6cbd-d623e1e68771"}}, {"fullUrl": "urn:uuid:f03f3593-6156-f89f-14bd-86a34685d4bc", "resource": {"resourceType": "Observation", "id": "f03f3593-6156-f89f-14bd-86a34685d4bc", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716752/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "742-7", "display": "Mono # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.6, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/f03f3593-6156-f89f-14bd-86a34685d4bc"}}, {"fullUrl": "urn:uuid:bc79db0a-f6d7-b364-4958-f290f3293545", "resource": {"resourceType": "DiagnosticReport", "id": "bc79db0a-f6d7-b364-4958-f290f3293545", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f174a350-9105-493e-af56-734e0bbdfac9"}], "status": "final", "code": {"coding": [{"code": "751-8", "display": "Neutrophils [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/2dd4f4d5-0f5e-ebf1-3604-fec9d6bffbd0"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/bc79db0a-f6d7-b364-4958-f290f3293545"}}, {"fullUrl": "urn:uuid:2dd4f4d5-0f5e-ebf1-3604-fec9d6bffbd0", "resource": {"resourceType": "Observation", "id": "2dd4f4d5-0f5e-ebf1-3604-fec9d6bffbd0", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716748/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "751-8", "display": "Neut # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 4.73, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/2dd4f4d5-0f5e-ebf1-3604-fec9d6bffbd0"}}, {"fullUrl": "urn:uuid:487d8b63-30ef-7352-222c-4430cabed559", "resource": {"resourceType": "DiagnosticReport", "id": "487d8b63-30ef-7352-222c-4430cabed559", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:9b34b380-3f6b-4a56-a427-976ff2368ae0"}], "status": "final", "code": {"coding": [{"code": "706-2", "display": "Basophils/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/f2523ccf-f211-d164-ff88-33d8c6468983"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/487d8b63-30ef-7352-222c-4430cabed559"}}, {"fullUrl": "urn:uuid:f2523ccf-f211-d164-ff88-33d8c6468983", "resource": {"resourceType": "Observation", "id": "f2523ccf-f211-d164-ff88-33d8c6468983", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716746/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "706-2", "display": "Baso % Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.3, "unit": "%"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/f2523ccf-f211-d164-ff88-33d8c6468983"}}, {"fullUrl": "urn:uuid:0de05e72-3191-e4cf-1f03-22c3c246a813", "resource": {"resourceType": "DiagnosticReport", "id": "0de05e72-3191-e4cf-1f03-22c3c246a813", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:5baada00-232e-4386-829a-96cba2a8b858"}], "status": "final", "code": {"coding": [{"code": "713-8", "display": "Eosinophils/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/1f283bd6-2d5c-1710-7d06-ec698c99493a"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/0de05e72-3191-e4cf-1f03-22c3c246a813"}}, {"fullUrl": "urn:uuid:1f283bd6-2d5c-1710-7d06-ec698c99493a", "resource": {"resourceType": "Observation", "id": "1f283bd6-2d5c-1710-7d06-ec698c99493a", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716744/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "713-8", "display": "Eos % Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.7, "unit": "%"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/1f283bd6-2d5c-1710-7d06-ec698c99493a"}}, {"fullUrl": "urn:uuid:4eefab6f-e13f-e49e-a4cd-1c2979d25531", "resource": {"resourceType": "DiagnosticReport", "id": "4eefab6f-e13f-e49e-a4cd-1c2979d25531", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:726c4c83-eb55-488c-b5ce-2169fb851264"}], "status": "final", "code": {"coding": [{"code": "736-9", "display": "Lymphocytes/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/a9249110-9884-0b13-e66c-1c010f5e65fa"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/4eefab6f-e13f-e49e-a4cd-1c2979d25531"}}, {"fullUrl": "urn:uuid:a9249110-9884-0b13-e66c-1c010f5e65fa", "resource": {"resourceType": "Observation", "id": "a9249110-9884-0b13-e66c-1c010f5e65fa", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716740/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "736-9", "display": "Lymph % Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 21.3, "unit": "%"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/a9249110-9884-0b13-e66c-1c010f5e65fa"}}, {"fullUrl": "urn:uuid:a356b47d-9eb2-0088-f564-3a9458f89083", "resource": {"resourceType": "DiagnosticReport", "id": "a356b47d-9eb2-0088-f564-3a9458f89083", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:e9546246-d6f8-408e-a5c9-044f9026f0ce"}], "status": "final", "code": {"coding": [{"code": "770-8", "display": "Neutrophils/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/131665fd-57c3-71bd-684e-923b6f757c06"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/a356b47d-9eb2-0088-f564-3a9458f89083"}}, {"fullUrl": "urn:uuid:131665fd-57c3-71bd-684e-923b6f757c06", "resource": {"resourceType": "Observation", "id": "131665fd-57c3-71bd-684e-923b6f757c06", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716736/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "770-8", "display": "Neut % Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 68.9, "unit": "%"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/131665fd-57c3-71bd-684e-923b6f757c06"}}, {"fullUrl": "urn:uuid:6327926f-a071-367a-e4c4-cdb29d6be61d", "resource": {"resourceType": "DiagnosticReport", "id": "6327926f-a071-367a-e4c4-cdb29d6be61d", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:5b52888a-5f6c-4f86-a29f-3ede31e93cfa"}], "status": "final", "code": {"coding": [{"code": "17861-6", "display": "Calcium [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/396356a0-a50c-b781-9f28-f298804e4d92"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/6327926f-a071-367a-e4c4-cdb29d6be61d"}}, {"fullUrl": "urn:uuid:396356a0-a50c-b781-9f28-f298804e4d92", "resource": {"resourceType": "Observation", "id": "396356a0-a50c-b781-9f28-f298804e4d92", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816047/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "17861-6", "display": "Calcium", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 9.1, "unit": "mg/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/396356a0-a50c-b781-9f28-f298804e4d92"}}, {"fullUrl": "urn:uuid:bc766f3b-6f94-da9d-e547-e721f6aaa660", "resource": {"resourceType": "DiagnosticReport", "id": "bc766f3b-6f94-da9d-e547-e721f6aaa660", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:01146c5f-8608-4478-b0aa-8c07b034811c"}], "status": "final", "code": {"coding": [{"code": "21000-5", "display": "Erythrocyte distribution width [Entitic volume] by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/56129862-0f40-6d26-9b6a-b4ad52d28a19"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/bc766f3b-6f94-da9d-e547-e721f6aaa660"}}, {"fullUrl": "urn:uuid:56129862-0f40-6d26-9b6a-b4ad52d28a19", "resource": {"resourceType": "Observation", "id": "56129862-0f40-6d26-9b6a-b4ad52d28a19", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719610/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "21000-5", "display": "RDW-SD", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 49.7, "unit": "Femtoliters"}, "interpretation": [{"coding": [{"code": "H", "display": "High", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/56129862-0f40-6d26-9b6a-b4ad52d28a19"}}, {"fullUrl": "urn:uuid:328f7949-4d72-5cba-a6be-fc0a96b8f008", "resource": {"resourceType": "DiagnosticReport", "id": "328f7949-4d72-5cba-a6be-fc0a96b8f008", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:8b8ad021-51b3-4382-98b7-8e14148132c5"}], "status": "final", "code": {"coding": [{"code": "53115-2", "display": "Immature granulocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/98f99e5f-cc42-1a10-9513-fa6de9461791"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/328f7949-4d72-5cba-a6be-fc0a96b8f008"}}, {"fullUrl": "urn:uuid:98f99e5f-cc42-1a10-9513-fa6de9461791", "resource": {"resourceType": "Observation", "id": "98f99e5f-cc42-1a10-9513-fa6de9461791", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716758/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "53115-2", "display": "Immature Grans # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.01, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/98f99e5f-cc42-1a10-9513-fa6de9461791"}}, {"fullUrl": "urn:uuid:c5747235-f881-4ad6-df8a-1fb3afd71867", "resource": {"resourceType": "DiagnosticReport", "id": "c5747235-f881-4ad6-df8a-1fb3afd71867", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:364765ee-eef7-4e22-b24e-8aa8cf14bdd5"}], "status": "final", "code": {"coding": [{"code": "731-0", "display": "Lymphocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/e9649c89-9768-2ccc-02a1-21c5ba61cf90"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/c5747235-f881-4ad6-df8a-1fb3afd71867"}}, {"fullUrl": "urn:uuid:e9649c89-9768-2ccc-02a1-21c5ba61cf90", "resource": {"resourceType": "Observation", "id": "e9649c89-9768-2ccc-02a1-21c5ba61cf90", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716750/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "731-0", "display": "Lymph # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 1.46, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/e9649c89-9768-2ccc-02a1-21c5ba61cf90"}}, {"fullUrl": "urn:uuid:8144fb10-d199-01fb-4477-b20a24b37371", "resource": {"resourceType": "DiagnosticReport", "id": "8144fb10-d199-01fb-4477-b20a24b37371", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:9f236940-30f2-4494-918f-dcf3a4f43fcc"}], "status": "final", "code": {"coding": [{"code": "5905-5", "display": "Monocytes/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/7a12de1d-a25c-57ec-2f76-9cc36e6cc6ab"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/8144fb10-d199-01fb-4477-b20a24b37371"}}, {"fullUrl": "urn:uuid:7a12de1d-a25c-57ec-2f76-9cc36e6cc6ab", "resource": {"resourceType": "Observation", "id": "7a12de1d-a25c-57ec-2f76-9cc36e6cc6ab", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716742/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "5905-5", "display": "Mono % Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 8.7, "unit": "%"}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/7a12de1d-a25c-57ec-2f76-9cc36e6cc6ab"}}, {"fullUrl": "urn:uuid:231dae0e-b544-0a44-23b2-04c6fb9624ab", "resource": {"resourceType": "DiagnosticReport", "id": "231dae0e-b544-0a44-23b2-04c6fb9624ab", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:e88cf977-c8c8-498e-b3b4-8cfa5ac0f9e3"}], "status": "final", "code": {"coding": [{"code": "788-0", "display": "Erythrocyte distribution width [Ratio] by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/12e99bf8-7870-70c1-aeb2-3b6776d820c9"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/231dae0e-b544-0a44-23b2-04c6fb9624ab"}}, {"fullUrl": "urn:uuid:12e99bf8-7870-70c1-aeb2-3b6776d820c9", "resource": {"resourceType": "Observation", "id": "12e99bf8-7870-70c1-aeb2-3b6776d820c9", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719612/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "788-0", "display": "RDW-CV", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 14.9, "unit": "%"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/12e99bf8-7870-70c1-aeb2-3b6776d820c9"}}, {"fullUrl": "urn:uuid:2e9f73af-c47f-2b7d-58cb-e2e551f03651", "resource": {"resourceType": "DiagnosticReport", "id": "2e9f73af-c47f-2b7d-58cb-e2e551f03651", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:718c849d-c61c-4daa-b060-dbf72838503f"}], "status": "final", "code": {"coding": [{"code": "71695-1", "display": "Immature granulocytes/100 leukocytes in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/2ad0896c-fe55-1df4-7698-862223348f49"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/2e9f73af-c47f-2b7d-58cb-e2e551f03651"}}, {"fullUrl": "urn:uuid:2ad0896c-fe55-1df4-7698-862223348f49", "resource": {"resourceType": "Observation", "id": "2ad0896c-fe55-1df4-7698-862223348f49", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716760/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "71695-1", "display": "Immature Grans %", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.1, "unit": "%"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/2ad0896c-fe55-1df4-7698-862223348f49"}}, {"fullUrl": "urn:uuid:deb1ad2b-007b-cb22-f51b-8db83d194775", "resource": {"resourceType": "DiagnosticReport", "id": "deb1ad2b-007b-cb22-f51b-8db83d194775", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:59a3666f-2edb-440a-8590-51de9752b553"}], "status": "final", "code": {"coding": [{"code": "711-2", "display": "Eosinophils [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/68dd9edb-14d7-3cdd-e3df-a1084fd65e71"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/deb1ad2b-007b-cb22-f51b-8db83d194775"}}, {"fullUrl": "urn:uuid:68dd9edb-14d7-3cdd-e3df-a1084fd65e71", "resource": {"resourceType": "Observation", "id": "68dd9edb-14d7-3cdd-e3df-a1084fd65e71", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284716754/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "711-2", "display": "Eos # Auto", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.05, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/68dd9edb-14d7-3cdd-e3df-a1084fd65e71"}}, {"fullUrl": "urn:uuid:c2dee448-7103-1311-f9a0-f8a471836c2e", "resource": {"resourceType": "DiagnosticReport", "id": "c2dee448-7103-1311-f9a0-f8a471836c2e", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:ef25a78c-27e0-445b-aeba-5114ea4aea2a"}], "status": "final", "code": {"coding": [{"code": "2075-0", "display": "Chloride [Moles/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/24c9897d-8045-2680-9a81-2bed3a0bf8c1"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/c2dee448-7103-1311-f9a0-f8a471836c2e"}}, {"fullUrl": "urn:uuid:24c9897d-8045-2680-9a81-2bed3a0bf8c1", "resource": {"resourceType": "Observation", "id": "24c9897d-8045-2680-9a81-2bed3a0bf8c1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816015/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2075-0", "display": "Chloride", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 101, "unit": "mmol/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/24c9897d-8045-2680-9a81-2bed3a0bf8c1"}}, {"fullUrl": "urn:uuid:b70f8bea-7c74-e296-071f-0e5135b00d71", "resource": {"resourceType": "DiagnosticReport", "id": "b70f8bea-7c74-e296-071f-0e5135b00d71", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:147266ed-24a4-49fd-aa23-92506e73a938"}], "status": "final", "code": {"coding": [{"code": "3094-0", "display": "Urea nitrogen [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/1f783aae-998b-170b-0fe3-85c1fd49d571"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/b70f8bea-7c74-e296-071f-0e5135b00d71"}}, {"fullUrl": "urn:uuid:1f783aae-998b-170b-0fe3-85c1fd49d571", "resource": {"resourceType": "Observation", "id": "1f783aae-998b-170b-0fe3-85c1fd49d571", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816019/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "3094-0", "display": "BUN", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 9, "unit": "mg/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/1f783aae-998b-170b-0fe3-85c1fd49d571"}}, {"fullUrl": "urn:uuid:66557ddc-50ac-7494-eab8-a5cc65aaf1b6", "resource": {"resourceType": "DiagnosticReport", "id": "66557ddc-50ac-7494-eab8-a5cc65aaf1b6", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:e331426b-3e07-4c6d-8fd4-f558a341f5c8"}], "status": "final", "code": {"coding": [{"code": "777-3", "display": "Platelets [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/dba50ebc-cd5f-f7d8-63a2-1f3dfadc9faa"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/66557ddc-50ac-7494-eab8-a5cc65aaf1b6"}}, {"fullUrl": "urn:uuid:dba50ebc-cd5f-f7d8-63a2-1f3dfadc9faa", "resource": {"resourceType": "Observation", "id": "dba50ebc-cd5f-f7d8-63a2-1f3dfadc9faa", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719606/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "777-3", "display": "Plt", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 195, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/dba50ebc-cd5f-f7d8-63a2-1f3dfadc9faa"}}, {"fullUrl": "urn:uuid:1d3af867-307b-5c1e-7f39-493d896ca62a", "resource": {"resourceType": "DiagnosticReport", "id": "1d3af867-307b-5c1e-7f39-493d896ca62a", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:09870f87-37e5-4731-9de3-205b8e5677dd"}], "status": "final", "code": {"coding": [{"code": "6690-2", "display": "Leukocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/ee31ebe3-89af-f9c1-5c9d-77a3d1dae142"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/1d3af867-307b-5c1e-7f39-493d896ca62a"}}, {"fullUrl": "urn:uuid:ee31ebe3-89af-f9c1-5c9d-77a3d1dae142", "resource": {"resourceType": "Observation", "id": "ee31ebe3-89af-f9c1-5c9d-77a3d1dae142", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719588/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "6690-2", "display": "WBC", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 6.87, "unit": "x10e3/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/ee31ebe3-89af-f9c1-5c9d-77a3d1dae142"}}, {"fullUrl": "urn:uuid:77ad2e3b-e750-f897-a4be-c792a58b75b8", "resource": {"resourceType": "DiagnosticReport", "id": "77ad2e3b-e750-f897-a4be-c792a58b75b8", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:7a7872ad-aca5-4859-903c-865aa8632abd"}], "status": "final", "code": {"coding": [{"code": "2885-2", "display": "Protein [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/123b523e-91bd-4ac5-ea2b-fa30625adba8"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/77ad2e3b-e750-f897-a4be-c792a58b75b8"}}, {"fullUrl": "urn:uuid:123b523e-91bd-4ac5-ea2b-fa30625adba8", "resource": {"resourceType": "Observation", "id": "123b523e-91bd-4ac5-ea2b-fa30625adba8", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816051/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2885-2", "display": "TP", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 8.9, "unit": "gm/dL"}, "interpretation": [{"coding": [{"code": "H", "display": "High", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/123b523e-91bd-4ac5-ea2b-fa30625adba8"}}, {"fullUrl": "urn:uuid:f8636e52-d1dc-92c4-34d0-3b4c6bb8bcb2", "resource": {"resourceType": "DiagnosticReport", "id": "f8636e52-d1dc-92c4-34d0-3b4c6bb8bcb2", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:d31b2906-6509-419d-8b4c-d25ca76938f6"}], "status": "final", "code": {"coding": [{"code": "789-8", "display": "Erythrocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/8ac33820-131e-b29f-eea9-4dca7aca7bb1"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f8636e52-d1dc-92c4-34d0-3b4c6bb8bcb2"}}, {"fullUrl": "urn:uuid:8ac33820-131e-b29f-eea9-4dca7aca7bb1", "resource": {"resourceType": "Observation", "id": "8ac33820-131e-b29f-eea9-4dca7aca7bb1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719592/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "789-8", "display": "RBC", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 4.92, "unit": "x10e6/mcL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/8ac33820-131e-b29f-eea9-4dca7aca7bb1"}}, {"fullUrl": "urn:uuid:670c42e8-c43e-7a72-e7f7-218f34b33371", "resource": {"resourceType": "DiagnosticReport", "id": "670c42e8-c43e-7a72-e7f7-218f34b33371", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:296292aa-2428-4c8b-9ed7-88ecc4e56614"}], "status": "final", "code": {"coding": [{"code": "32623-1", "display": "Platelet mean volume [Entitic volume] in Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/3e6d19ba-99ec-b040-a03a-ea96d6abcac1"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/670c42e8-c43e-7a72-e7f7-218f34b33371"}}, {"fullUrl": "urn:uuid:3e6d19ba-99ec-b040-a03a-ea96d6abcac1", "resource": {"resourceType": "Observation", "id": "3e6d19ba-99ec-b040-a03a-ea96d6abcac1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719608/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "32623-1", "display": "MPV", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 11.6, "unit": "Femtoliters"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/3e6d19ba-99ec-b040-a03a-ea96d6abcac1"}}, {"fullUrl": "urn:uuid:075ced4c-da30-b7e6-43f2-335972063441", "resource": {"resourceType": "DiagnosticReport", "id": "075ced4c-da30-b7e6-43f2-335972063441", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:fcb76bd4-8543-40dc-82db-3ed8eea027ce"}], "status": "final", "code": {"coding": [{"code": "787-2", "display": "MCV [Entitic volume] by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/eeb82005-0020-b4c9-48db-8b2de294e54e"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/075ced4c-da30-b7e6-43f2-335972063441"}}, {"fullUrl": "urn:uuid:eeb82005-0020-b4c9-48db-8b2de294e54e", "resource": {"resourceType": "Observation", "id": "eeb82005-0020-b4c9-48db-8b2de294e54e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719598/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "787-2", "display": "MCV", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 90.7, "unit": "Femtoliters"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/eeb82005-0020-b4c9-48db-8b2de294e54e"}}, {"fullUrl": "urn:uuid:a91606eb-5f75-8d62-8173-eb7bb3615395", "resource": {"resourceType": "DiagnosticReport", "id": "a91606eb-5f75-8d62-8173-eb7bb3615395", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f58e4d56-0fb3-480d-b983-e449b62364ab"}], "status": "final", "code": {"coding": [{"code": "786-4", "display": "MCHC [Mass/volume] by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/a5a632d6-4369-0a9a-8907-91c8b997e869"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/a91606eb-5f75-8d62-8173-eb7bb3615395"}}, {"fullUrl": "urn:uuid:a5a632d6-4369-0a9a-8907-91c8b997e869", "resource": {"resourceType": "Observation", "id": "a5a632d6-4369-0a9a-8907-91c8b997e869", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719602/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "786-4", "display": "MCHC", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 33.0, "unit": "gm/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/a5a632d6-4369-0a9a-8907-91c8b997e869"}}, {"fullUrl": "urn:uuid:dc414d0c-03b4-c7a9-f19b-8fc01e3b4e59", "resource": {"resourceType": "DiagnosticReport", "id": "dc414d0c-03b4-c7a9-f19b-8fc01e3b4e59", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f45616d9-07b9-4a78-86ad-0be13b3ccf9b"}], "status": "final", "code": {"coding": [{"code": "785-6", "display": "MCH [Entitic mass] by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/2815bda1-1dc3-e1cc-1dd8-ebb9ee9b1717"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/dc414d0c-03b4-c7a9-f19b-8fc01e3b4e59"}}, {"fullUrl": "urn:uuid:2815bda1-1dc3-e1cc-1dd8-ebb9ee9b1717", "resource": {"resourceType": "Observation", "id": "2815bda1-1dc3-e1cc-1dd8-ebb9ee9b1717", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719600/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "785-6", "display": "MCH", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 29.9, "unit": "pg"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/2815bda1-1dc3-e1cc-1dd8-ebb9ee9b1717"}}, {"fullUrl": "urn:uuid:dde224f4-7ac3-6793-4ff2-9d38549d06d9", "resource": {"resourceType": "DiagnosticReport", "id": "dde224f4-7ac3-6793-4ff2-9d38549d06d9", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:58faaf53-a135-4e4c-8861-2948272f3b7e"}], "status": "final", "code": {"coding": [{"code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/d64acb60-f1d0-3fbd-2225-71c1eea6a741"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/dde224f4-7ac3-6793-4ff2-9d38549d06d9"}}, {"fullUrl": "urn:uuid:d64acb60-f1d0-3fbd-2225-71c1eea6a741", "resource": {"resourceType": "Observation", "id": "d64acb60-f1d0-3fbd-2225-71c1eea6a741", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719594/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "718-7", "display": "Hgb", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 14.7, "unit": "gm/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/d64acb60-f1d0-3fbd-2225-71c1eea6a741"}}, {"fullUrl": "urn:uuid:2c311eff-5e95-d24f-a112-d01aafef0b17", "resource": {"resourceType": "DiagnosticReport", "id": "2c311eff-5e95-d24f-a112-d01aafef0b17", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:39091871-0e3f-44d6-9b19-6c37cb32c1e9"}], "status": "final", "code": {"coding": [{"code": "4544-3", "display": "Hematocrit [Volume Fraction] of Blood by Automated count", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/db9c6727-aa8d-bbfa-e559-e33ba98ede46"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/2c311eff-5e95-d24f-a112-d01aafef0b17"}}, {"fullUrl": "urn:uuid:db9c6727-aa8d-bbfa-e559-e33ba98ede46", "resource": {"resourceType": "Observation", "id": "db9c6727-aa8d-bbfa-e559-e33ba98ede46", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284719596/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4544-3", "display": "Hct", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 44.6, "unit": "%"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/db9c6727-aa8d-bbfa-e559-e33ba98ede46"}}, {"fullUrl": "urn:uuid:56f4c4d2-5581-b8f3-f0df-7c582fef43cf", "resource": {"resourceType": "DiagnosticReport", "id": "56f4c4d2-5581-b8f3-f0df-7c582fef43cf", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:337357ca-f335-4832-a257-80eddb26e990"}], "status": "final", "code": {"coding": [{"code": "2345-7", "display": "Glucose [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/5e514b8a-4779-67dd-4d03-b94d7d711f9b"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/56f4c4d2-5581-b8f3-f0df-7c582fef43cf"}}, {"fullUrl": "urn:uuid:5e514b8a-4779-67dd-4d03-b94d7d711f9b", "resource": {"resourceType": "Observation", "id": "5e514b8a-4779-67dd-4d03-b94d7d711f9b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816023/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2345-7", "display": "Glucose Level", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 115, "unit": "mg/dL"}, "interpretation": [{"coding": [{"code": "H", "display": "High", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/5e514b8a-4779-67dd-4d03-b94d7d711f9b"}}, {"fullUrl": "urn:uuid:f7253700-55aa-4ca6-d474-c3bfe7938fe0", "resource": {"resourceType": "DiagnosticReport", "id": "f7253700-55aa-4ca6-d474-c3bfe7938fe0", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:c84a3500-fbeb-440d-8623-db566fd2ecdd"}], "status": "final", "code": {"coding": [{"code": "48065-7", "display": "Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/e3325ed8-7e9b-6119-a3bd-0e210444b3ce"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f7253700-55aa-4ca6-d474-c3bfe7938fe0"}}, {"fullUrl": "urn:uuid:e3325ed8-7e9b-6119-a3bd-0e210444b3ce", "resource": {"resourceType": "Observation", "id": "e3325ed8-7e9b-6119-a3bd-0e210444b3ce", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284775083/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "48065-7", "display": "D Dimer", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.34, "unit": "mcg/mL FEU"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/e3325ed8-7e9b-6119-a3bd-0e210444b3ce"}}, {"fullUrl": "urn:uuid:7191e3b3-6e93-d58f-7f12-8947a5ca51ae", "resource": {"resourceType": "DiagnosticReport", "id": "7191e3b3-6e93-d58f-7f12-8947a5ca51ae", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:39b8f29d-7cd8-48af-97c3-7eb095b91b2b"}], "status": "final", "code": {"coding": [{"code": "2028-9", "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/1f829d47-da43-84cd-31cf-86d37c899e95"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/7191e3b3-6e93-d58f-7f12-8947a5ca51ae"}}, {"fullUrl": "urn:uuid:1f829d47-da43-84cd-31cf-86d37c899e95", "resource": {"resourceType": "Observation", "id": "1f829d47-da43-84cd-31cf-86d37c899e95", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816017/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2028-9", "display": "CO2", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 28, "unit": "mmol/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/1f829d47-da43-84cd-31cf-86d37c899e95"}}, {"fullUrl": "urn:uuid:fb2d9fc2-2281-7d85-3e2b-d0e65dd7eeac", "resource": {"resourceType": "DiagnosticReport", "id": "fb2d9fc2-2281-7d85-3e2b-d0e65dd7eeac", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:63c00a5a-fad2-4eec-a000-4af796bc3f66"}], "status": "final", "code": {"coding": [{"code": "1975-2", "display": "Bilirubin.total [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/2bfdc249-8248-7487-6dc7-d712929fa0bc"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/fb2d9fc2-2281-7d85-3e2b-d0e65dd7eeac"}}, {"fullUrl": "urn:uuid:2bfdc249-8248-7487-6dc7-d712929fa0bc", "resource": {"resourceType": "Observation", "id": "2bfdc249-8248-7487-6dc7-d712929fa0bc", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816039/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1975-2", "display": "T Bili", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.8, "unit": "mg/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/2bfdc249-8248-7487-6dc7-d712929fa0bc"}}, {"fullUrl": "urn:uuid:473805e0-4507-046d-64f6-ea8988e7611a", "resource": {"resourceType": "DiagnosticReport", "id": "473805e0-4507-046d-64f6-ea8988e7611a", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:57c456dd-147b-436a-a31f-06265842e0ab"}], "status": "final", "code": {"coding": [{"code": "1920-8", "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/d01b3806-be84-5331-b6e8-30b4d70d584e"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/473805e0-4507-046d-64f6-ea8988e7611a"}}, {"fullUrl": "urn:uuid:d01b3806-be84-5331-b6e8-30b4d70d584e", "resource": {"resourceType": "Observation", "id": "d01b3806-be84-5331-b6e8-30b4d70d584e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816027/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1920-8", "display": "AST", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 25, "unit": "units/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/d01b3806-be84-5331-b6e8-30b4d70d584e"}}, {"fullUrl": "urn:uuid:c8d5d592-5f8b-1f61-8f67-d60f299dcd1d", "resource": {"resourceType": "DiagnosticReport", "id": "c8d5d592-5f8b-1f61-8f67-d60f299dcd1d", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:261a54fc-3b4b-4b20-b1a0-7bc5a3420137"}], "status": "final", "code": {"coding": [{"code": "1742-6", "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/4522f2ed-ad93-341b-b5ff-ada74da2ab25"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/c8d5d592-5f8b-1f61-8f67-d60f299dcd1d"}}, {"fullUrl": "urn:uuid:4522f2ed-ad93-341b-b5ff-ada74da2ab25", "resource": {"resourceType": "Observation", "id": "4522f2ed-ad93-341b-b5ff-ada74da2ab25", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816025/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1742-6", "display": "ALT", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 19, "unit": "units/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/4522f2ed-ad93-341b-b5ff-ada74da2ab25"}}, {"fullUrl": "urn:uuid:e41e6dca-4acf-7171-ea7c-713411fc3e73", "resource": {"resourceType": "DiagnosticReport", "id": "e41e6dca-4acf-7171-ea7c-713411fc3e73", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:a1ae3fa5-1aa2-4304-aa03-00cbd5abc3a8"}], "status": "final", "code": {"coding": [{"code": "6768-6", "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/8a3e4fe5-a269-3cb1-49ff-4ef054b8fa30"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/e41e6dca-4acf-7171-ea7c-713411fc3e73"}}, {"fullUrl": "urn:uuid:8a3e4fe5-a269-3cb1-49ff-4ef054b8fa30", "resource": {"resourceType": "Observation", "id": "8a3e4fe5-a269-3cb1-49ff-4ef054b8fa30", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816035/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "6768-6", "display": "Alk Phos", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 67, "unit": "units/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/8a3e4fe5-a269-3cb1-49ff-4ef054b8fa30"}}, {"fullUrl": "urn:uuid:91e1c417-fcf0-2cdd-2cac-41f95d2480b4", "resource": {"resourceType": "DiagnosticReport", "id": "91e1c417-fcf0-2cdd-2cac-41f95d2480b4", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:a14e9225-ca2c-4b41-960f-24c0f1f1f03e"}], "status": "final", "code": {"coding": [{"code": "3097-3", "display": "Urea nitrogen/Creatinine [Mass Ratio] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/54f875a6-2f8a-b093-d4c2-afa62467df93"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/91e1c417-fcf0-2cdd-2cac-41f95d2480b4"}}, {"fullUrl": "urn:uuid:54f875a6-2f8a-b093-d4c2-afa62467df93", "resource": {"resourceType": "Observation", "id": "54f875a6-2f8a-b093-d4c2-afa62467df93", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816049/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "3097-3", "display": "BUN/Creat Ratio", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 10}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/54f875a6-2f8a-b093-d4c2-afa62467df93"}}, {"fullUrl": "urn:uuid:0091d93d-8214-34a5-a4e7-58c951409d7c", "resource": {"resourceType": "DiagnosticReport", "id": "0091d93d-8214-34a5-a4e7-58c951409d7c", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:7de52dcf-a364-4662-b2e4-8a8b5e3bcb48"}], "status": "final", "code": {"coding": [{"code": "1863-0", "display": "Anion gap 4 in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/0d5219a6-ab87-16b9-ba0f-79240342f308"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/0091d93d-8214-34a5-a4e7-58c951409d7c"}}, {"fullUrl": "urn:uuid:0d5219a6-ab87-16b9-ba0f-79240342f308", "resource": {"resourceType": "Observation", "id": "0d5219a6-ab87-16b9-ba0f-79240342f308", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816043/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1863-0", "display": "Anion Gap", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 6, "unit": "mmol/L"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/0d5219a6-ab87-16b9-ba0f-79240342f308"}}, {"fullUrl": "urn:uuid:f74404ca-83d4-845a-65a9-a031730c2052", "resource": {"resourceType": "DiagnosticReport", "id": "f74404ca-83d4-845a-65a9-a031730c2052", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:0f86d34d-7572-40a4-9927-2f39ded0881a"}], "status": "final", "code": {"coding": [{"code": "2160-0", "display": "Creatinine [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}]}, "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}, "result": [{"reference": "Observation/d62fc0a5-46a4-7dbe-dadf-4adba4d008b8"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/f74404ca-83d4-845a-65a9-a031730c2052"}}, {"fullUrl": "urn:uuid:d62fc0a5-46a4-7dbe-dadf-4adba4d008b8", "resource": {"resourceType": "Observation", "id": "d62fc0a5-46a4-7dbe-dadf-4adba4d008b8", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:2.16.840.1.113883", "value": "https://fhir-ehr.cerner.com/r4/da0b5d99-573c-4f5e-aaf6-8d39fa93d033/Observation/M-19284816021/_history/1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2160-0", "display": "Creatinine", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-04-15T17:03:00Z", "valueQuantity": {"value": 0.856, "unit": "mg/dL"}, "interpretation": [{"coding": [{"code": "N", "display": "Normal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "subject": {"reference": "Patient/af325042-27ac-497c-96a8-ff8ca9af6430"}}, "request": {"method": "PUT", "url": "Observation/d62fc0a5-46a4-7dbe-dadf-4adba4d008b8"}}, {"fullUrl": "urn:uuid:9389af18-d1a2-58ab-ee16-0681acd78c6f", "resource": {"resourceType": "Observation", "id": "9389af18-d1a2-58ab-ee16-0681acd78c6f", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:43:43Z"}, "request": {"method": "PUT", "url": "Observation/9389af18-d1a2-58ab-ee16-0681acd78c6f"}}, {"fullUrl": "urn:uuid:51746276-2451-9932-9e58-4f21971c62ac", "resource": {"resourceType": "Observation", "id": "51746276-2451-9932-9e58-4f21971c62ac", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:43:40Z"}, "request": {"method": "PUT", "url": "Observation/51746276-2451-9932-9e58-4f21971c62ac"}}, {"fullUrl": "urn:uuid:e3794f31-0b96-7d3f-69d5-7b944494e540", "resource": {"resourceType": "Observation", "id": "e3794f31-0b96-7d3f-69d5-7b944494e540", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/e3794f31-0b96-7d3f-69d5-7b944494e540"}}, {"fullUrl": "urn:uuid:f21fadab-af58-b443-50c0-2201075d0c25", "resource": {"resourceType": "Observation", "id": "f21fadab-af58-b443-50c0-2201075d0c25", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/f21fadab-af58-b443-50c0-2201075d0c25"}}, {"fullUrl": "urn:uuid:88ab5385-5cb5-0308-a58e-bc67b2f3b725", "resource": {"resourceType": "Observation", "id": "88ab5385-5cb5-0308-a58e-bc67b2f3b725", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/88ab5385-5cb5-0308-a58e-bc67b2f3b725"}}, {"fullUrl": "urn:uuid:dbe310c6-9580-0fe6-11c8-4b8caa33a9fb", "resource": {"resourceType": "Observation", "id": "dbe310c6-9580-0fe6-11c8-4b8caa33a9fb", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/dbe310c6-9580-0fe6-11c8-4b8caa33a9fb"}}, {"fullUrl": "urn:uuid:f4ed88e3-7742-2dea-1a58-8505caead382", "resource": {"resourceType": "Observation", "id": "f4ed88e3-7742-2dea-1a58-8505caead382", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/f4ed88e3-7742-2dea-1a58-8505caead382"}}, {"fullUrl": "urn:uuid:68f1da74-94b9-7976-76f3-b5354cc0f35f", "resource": {"resourceType": "Observation", "id": "68f1da74-94b9-7976-76f3-b5354cc0f35f", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/68f1da74-94b9-7976-76f3-b5354cc0f35f"}}, {"fullUrl": "urn:uuid:994278a6-ca17-8619-c789-19b8b6bf6f9c", "resource": {"resourceType": "Observation", "id": "994278a6-ca17-8619-c789-19b8b6bf6f9c", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/994278a6-ca17-8619-c789-19b8b6bf6f9c"}}, {"fullUrl": "urn:uuid:1e6de63d-ea70-84d6-52d2-46429d031b57", "resource": {"resourceType": "Observation", "id": "1e6de63d-ea70-84d6-52d2-46429d031b57", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/1e6de63d-ea70-84d6-52d2-46429d031b57"}}, {"fullUrl": "urn:uuid:3ca15288-a6ed-8ad3-77c9-eee0ba9275be", "resource": {"resourceType": "Observation", "id": "3ca15288-a6ed-8ad3-77c9-eee0ba9275be", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/3ca15288-a6ed-8ad3-77c9-eee0ba9275be"}}, {"fullUrl": "urn:uuid:eedc882c-0f16-276c-3bd8-b677a1a6c600", "resource": {"resourceType": "Observation", "id": "eedc882c-0f16-276c-3bd8-b677a1a6c600", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"], "source": "ecr"}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "420008001", "display": "Travel"}], "text": "Travel History"}, "status": "final", "component": [{"code": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "LOC", "display": "Location"}]}}], "effectiveDateTime": "2022-04-15T16:18:00Z"}, "request": {"method": "PUT", "url": "Observation/eedc882c-0f16-276c-3bd8-b677a1a6c600"}}, {"fullUrl": "urn:uuid:", "resource": {"resourceType": "Observation", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}}, "request": {"method": "PUT", "url": "Observation/"}}]}') ON CONFLICT (ecr_id) DO NOTHING; -INSERT INTO fhir_metadata ( - ecr_id,patient_name_last,patient_name_first,patient_birth_date,data_source,reportable_condition,rule_summary,report_date - ) VALUES ( - '6100896d-b520-497c-b2fe-1c111c679274','HUNTER','VICTORIA','1954-11-15','DB','Infection caused by Shiga toxin producing Escherichia coli (disorder),Hemolytic uremic syndrome (disorder),Hemolytic uremic syndrome (disorder)','Thrombotic thrombocytopenic purpura (TTP) (as a diagnosis or active problem),Thrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem),Thrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem)','2022-04-15T16:15:00Z' - ) ON CONFLICT (ecr_id) DO NOTHING; \ No newline at end of file +INSERT INTO fhir (ecr_id, data) VALUES ('1.2.840.114350.1.13.478.3.7.8.688883.230886', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:1.2.840.114350.1.13.478.3.7.8.688883.230886", "resource": {"resourceType": "Composition", "id": "1.2.840.114350.1.13.478.3.7.8.688883.230886", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"], "source": "ecr"}, "identifier": [{"use": "official", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "value": "59086a94-a174-11ec-a982-0050561597b4", "assigner": {"display": "EPC"}}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "2"}, {"url": "https://www.hl7.org/implement/standards/product_brief.cfm?product_id=436", "valueString": "2016-12-01"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2022-07-28T09:01:22-05:00", "title": "Initial Public Health Case Report", "confidentiality": "N", "section": [{"id": "b7a7ed08-af88-4a31-cc4e-8dddd58b7fc8", "title": "Miscellaneous Notes", "text": {"status": "generated", "div": "Not on file documented in this encounter"}, "code": {"coding": [{"code": "10164-2", "display": "HISTORY OF PRESENT ILLNESS", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "C353C60C-0E7D-11ED-B8BA-0050561597B4", "title": "Immunizations", "text": {"status": "generated", "div": "
NameAdministration DatesNext Due
DTaP, 5 pertussis antigens vaccine (DAPTACEL)06/15/2021
Hep B, adult vaccine (Engerix/Recombivax)09/08/2020
SARS-COV-2 (COVID-19) Spikevax Vaccine, Moderna01/22/2021
documented as of this encounter"}, "code": {"coding": [{"code": "11369-6", "display": "History of Immunization Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "C35D1446-0E7D-11ED-B8BA-0050561597B4", "title": "Administered Medications", "text": {"status": "generated", "div": "Not on file documented in this encounter"}, "code": {"coding": [{"code": "29549-3", "display": "MEDICATIONS ADMINISTERED", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "60fcb933-b9b4-9c30-95c7-0f5959ed7d19", "title": "Plan of Treatment", "text": {"status": "generated", "div": "
Pending Results
NameTypePriorityAssociated DiagnosesDate/Time
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
Scheduled Orders
NameTypePriorityAssociated DiagnosesOrder Schedule
PCR Hepatitis C Virus QtLabRoutineOrdered: 5/12/22
documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/af1c1713-7fbd-ea81-9302-95cc4b8538e0"}]}, {"id": "C3659A58-0E7D-11ED-B8BA-0050561597B4", "title": "Problems", "text": {"status": "generated", "div": "
Active ProblemsNoted Date
COVID toes7/13/22
Chest pain on breathing5/26/22
Type 1 diabetes2/28/22
Overview:Formatting of this note might be different from the original.
08/30/21 28.69 kg/m\u00b2BMI Readings from Last 1 Encounters:
Plague pneumonia6/16/21
Absence of menstruation6/12/18
Foot callus8/11/17
Overview:Formatting of this note might be different from the original.
Ouch.
documented as of this encounter (statuses as of 07/28/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Foot callus", "reference": "Condition/b3261c72-c3b2-1090-e228-e4b29bafe642"}, {"display": "Problem - Absence of menstruation", "reference": "Condition/d091a7b5-acc3-3900-cd65-6a6893c7a421"}, {"display": "Problem - Plague pneumonia", "reference": "Condition/94a7a6cb-50bc-54fd-2be2-b2f1be515676"}, {"display": "Problem - Type 1 diabetes", "reference": "Condition/02e5d344-16d4-3bb4-6a4d-05ed5d68c5db"}, {"display": "Problem - Chest pain on breathing", "reference": "Condition/3bcdaef9-d201-2f29-cd86-88f93479710f"}, {"display": "Problem - COVID toes", "reference": "Condition/38e833d1-1001-9e83-4167-2684381498ac"}]}, {"id": "76c78cbd-1c55-fd84-d8df-54e0750d9eab", "title": "Reason for Visit", "text": {"status": "generated", "div": "Not on file"}, "code": {"coding": [{"code": "29299-5", "display": "REASON FOR VISIT", "system": "http://loinc.org"}]}, "mode": "snapshot", "extension": [{"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.12", "valueString": "Not on file"}]}, {"id": "C38436E8-0E7D-11ED-B8BA-0050561597B4", "title": "Results", "text": {"status": "generated", "div": "documented in this encounter"}, "code": {"coding": [{"code": "30954-2", "display": "Relevant diagnostic tests/laboratory data Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Lab Interpretation", "reference": "Observation/0fd4a673-a641-f7d0-44c4-99cd34ed7b16"}, {"display": "Organism ID", "reference": "Observation/8f7b4d09-33f1-a455-4e2d-ad3e7864168b"}, {"display": "Lab Interpretation", "reference": "Observation/e404c8ba-78c5-b1fd-5103-5090bc3c1dbb"}, {"display": "Lab Interpretation", "reference": "Observation/c5aaa190-e487-b5d2-bad1-ff5d9f3c90b2"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/b1ba1ccd-e2cd-3261-7460-be0abb6508cb"}, {"display": "Organism ID", "reference": "Observation/fd8fb9f7-2947-f9db-e85a-b4907fe11862"}, {"display": "Gram Stain Report", "reference": "Observation/b43ec4ff-ce13-aa1f-bdd0-5f29ba23b233"}, {"display": "Lab Interpretation", "reference": "Observation/ccb18a64-bfe1-43de-0c23-272ec48fc86a"}, {"display": "Organism ID", "reference": "Observation/c3527f5a-659b-1ef1-9ef7-2f5c4aeef59e"}, {"display": "Gram Stain Report", "reference": "Observation/a54dbcdf-c991-089d-dab6-e7e6d28ae3cd"}, {"display": "Lab Interpretation", "reference": "Observation/b98beee4-e17c-848a-22cc-36563ddc4a59"}, {"display": "Hepatitis C Antibody", "reference": "Observation/e3ed9f73-9034-22a0-1a9a-a68afaf8cf62"}, {"display": "Lab Interpretation", "reference": "Observation/afc22b87-aca4-4c33-5941-99e6b0c86aa3"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/af08627b-f630-177f-ca03-2300eef71e53"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/a8da9679-80d8-b797-1ec9-5764c26f64d9"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/ce9ac8ea-bb4f-fd0b-264c-98807af3da1b"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/55d8ed97-c896-4612-48a3-7427e3225e9b"}, {"display": "Lab Interpretation", "reference": "Observation/c0bcac36-62c5-5224-7b19-96161329bdeb"}, {"display": "SARS-CoV-2 Nucleic Acid (Result)", "reference": "Observation/259c0261-e650-24f3-7ccf-ec69871a431a"}, {"display": "Lab Interpretation", "reference": "Observation/01eb7b0c-1ce3-ff8b-cb73-e85b6c8ee41c"}]}, {"id": "40424402-bb83-9816-c5aa-98c00cacb77f", "title": "Social History", "text": {"status": "generated", "div": "
Tobacco UseTypesPacks/DayYears UsedDate
Smoking Tobacco: Never Assessed
Sex Assigned at BirthDate Recorded
Not on file
documented as of this encounter"}, "code": {"coding": [{"code": "29762-2", "display": "Social history Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "cb659e44-f9d5-aef2-d594-41967f8e33cb", "title": "Encounter Details", "text": {"status": "generated", "div": "
DateTypeDepartmentCare TeamDescription
2/18/22Transcribe OrdersVanderbilt University Adult Hospital1211 Medical Center DrNashville, TN 37232615-322-5000Tech, Lab, MLT
"}, "code": {"coding": [{"code": "46240-8", "display": "History of Hospitalizations+Outpatient visits Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "270772e9-a9db-86f3-ff19-5014e0bd51fc", "title": "Reportability Response Information Section", "text": {"status": "generated", "div": "
Reportability Response Information Section
"}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-type-extension", "valueCodeableConcept": {"text": "official", "coding": [{"code": "88085-6", "display": "Reportability response report Document Public health", "system": "http://loinc.org"}]}}, {"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension", "valueCodeableConcept": {"coding": [{"code": "RRVS19", "display": "eICR processed", "system": "urn:oid:2.16.840.1.114222.4.5.274"}]}}], "code": {"coding": [{"code": "88085-6", "display": "Reportability response report Document Public health", "system": "http://loinc.org"}]}, "entry": [{"display": "Relevant Reportable Condition Observation - Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "reference": "Observation/b41712c4-2a89-4acc-ac69-84e5bdbe9ebe"}, {"display": "Relevant Reportable Condition Observation - Viral hepatitis type C (disorder)", "reference": "Observation/58500c6e-8dfc-4534-8e9c-be1db7256bd6"}, {"display": "Relevant Reportable Condition Observation - Viral hepatitis type C (disorder)", "reference": "Observation/bd5e96b0-05da-4003-ac0c-eb4cc02a98cd"}, {"display": "Relevant Reportable Condition Observation - Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "reference": "Observation/f7106df9-08a6-4708-8511-388e59ea9a4d"}, {"display": "Relevant Reportable Condition Observation - Plague (disorder)", "reference": "Observation/b468a4bc-516e-4a68-b2d3-e1304ff92784"}, {"display": "Relevant Reportable Condition Observation - Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "reference": "Observation/cae6f2e7-5d8c-45c0-b38f-4e402fc5a850"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "relatesTo": [{"code": "replaces", "targetReference": {"reference": "Composition/1.2.840.114350.1.13.478.3.7.8.688883.212673"}, "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "1"}]}], "encounter": {"reference": "Encounter/fdcf4ec6-e021-52ad-3546-90f1238d3b22"}, "custodian": {"reference": "Organization/d319a926-0eb3-5847-3b21-db8b778b4f07"}, "author": [{"reference": "PractitionerRole/efa14e63-8293-a8c5-611d-cc4bb9498d66"}, {"reference": "Device/927826ea-7c33-312f-0619-2ee0bdb4dbfa"}]}, "request": {"method": "PUT", "url": "Composition/1.2.840.114350.1.13.478.3.7.8.688883.230886"}}, {"fullUrl": "urn:uuid:fdcf4ec6-e021-52ad-3546-90f1238d3b22", "resource": {"resourceType": "Encounter", "id": "fdcf4ec6-e021-52ad-3546-90f1238d3b22", "status": "unknown", "class": {"code": "AMB", "display": "Ambulatory", "system": "urn:oid:2.16.840.1.113883.5.4"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.3.698084.8", "value": "1800200448269"}], "period": {"start": "2022-02-18", "end": "2022-02-18"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "location": [{"id": "1.2.840.114350.1.13.478.3.7.2.686980", "location": {"reference": "Location/6ba9eafe-27dd-4ab0-0676-30c79eb005ce", "display": "Vanderbilt University Adult Hospital"}, "extension": [{"url": "http://build.fhir.org/ig/HL7/case-reporting/StructureDefinition-us-ph-location-definitions.html#Location.type", "valueCodeableConcept": {"coding": [{"code": "257622000", "display": "Healthcare Facility", "system": "http://snomed.info/sct"}]}}]}], "serviceProvider": {"reference": "Organization/46cead0d-8b4d-b296-5139-40922f9cc9ab"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND"}]}], "individual": {"reference": "PractitionerRole/787d8509-015e-c505-30e7-df5222bf430a"}}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Encounter/fdcf4ec6-e021-52ad-3546-90f1238d3b22"}}, {"fullUrl": "urn:uuid:6ba9eafe-27dd-4ab0-0676-30c79eb005ce", "resource": {"resourceType": "Location", "id": "6ba9eafe-27dd-4ab0-0676-30c79eb005ce", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.686980", "value": "101000148"}], "name": "Vanderbilt University Adult Hospital", "address": {"use": "work", "line": ["1211 Medical Center Dr"], "city": "Nashville", "state": "TN", "postalCode": "37232", "district": "DAVIDSON"}, "type": [{"coding": [{"code": "257622000", "display": "Healthcare Facility", "system": "http://snomed.info/sct"}]}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Location/6ba9eafe-27dd-4ab0-0676-30c79eb005ce"}}, {"fullUrl": "urn:uuid:46cead0d-8b4d-b296-5139-40922f9cc9ab", "resource": {"resourceType": "Organization", "id": "46cead0d-8b4d-b296-5139-40922f9cc9ab", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696570", "value": "101000"}], "name": "Vanderbilt University Medical Center", "address": [{"use": "work", "line": ["1211 Medical Center Dr"], "city": "Nashville", "state": "TN", "postalCode": "37232", "district": "DAVIDSON"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/46cead0d-8b4d-b296-5139-40922f9cc9ab"}}, {"fullUrl": "urn:uuid:7516aff8-8323-7317-9910-fb813592f5d1", "resource": {"resourceType": "Practitioner", "id": "7516aff8-8323-7317-9910-fb813592f5d1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"], "source": "ecr"}, "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/_datatype", "valueString": "Responsible Party"}]}, "request": {"method": "PUT", "url": "Practitioner/7516aff8-8323-7317-9910-fb813592f5d1"}}, {"resource": {"resourceType": "PractitionerRole", "id": "787d8509-015e-c505-30e7-df5222bf430a", "practitioner": {"reference": "Practitioner/7516aff8-8323-7317-9910-fb813592f5d1"}, "organization": {"reference": "Organization/7516aff8-8323-7317-9910-fb813592f5d1"}, "meta": {"source": "ecr"}}}, {"fullUrl": "urn:uuid:7516aff8-8323-7317-9910-fb813592f5d1", "resource": {"resourceType": "Organization", "id": "7516aff8-8323-7317-9910-fb813592f5d1", "name": "Vanderbilt University Medical Center", "address": [{"use": "work", "line": ["3401 West End Ave"], "city": "NASHVILLE", "state": "TN", "country": "USA", "postalCode": "37203", "district": "DAVIDSON"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/7516aff8-8323-7317-9910-fb813592f5d1"}}, {"fullUrl": "urn:uuid:d6930155-009b-92a0-d2b9-007761c45ad2", "resource": {"resourceType": "Organization", "id": "d6930155-009b-92a0-d2b9-007761c45ad2", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "California Department of Public Health", "address": [{"use": "work", "city": "Sacramento", "state": "CA"}], "telecom": [{"system": "email", "value": "CalREDIEeCR@cdph.ca.gov", "use": "work"}]}, "request": {"method": "PUT", "url": "Organization/d6930155-009b-92a0-d2b9-007761c45ad2"}}, {"fullUrl": "urn:uuid:b41712c4-2a89-4acc-ac69-84e5bdbe9ebe", "resource": {"resourceType": "Observation", "id": "b41712c4-2a89-4acc-ac69-84e5bdbe9ebe", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:b41712c4-2a89-4acc-ac69-84e5bdbe9ebe"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "840539006", "display": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/d6930155-009b-92a0-d2b9-007761c45ad2", "display": "California Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/b41712c4-2a89-4acc-ac69-84e5bdbe9ebe"}}, {"fullUrl": "urn:uuid:58500c6e-8dfc-4534-8e9c-be1db7256bd6", "resource": {"resourceType": "Observation", "id": "58500c6e-8dfc-4534-8e9c-be1db7256bd6", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:58500c6e-8dfc-4534-8e9c-be1db7256bd6"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "50711007", "display": "Viral hepatitis type C (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Detection of Hepatitis C virus antibody in a clinical specimen by any method"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "50711007", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/d6930155-009b-92a0-d2b9-007761c45ad2", "display": "California Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/58500c6e-8dfc-4534-8e9c-be1db7256bd6"}}, {"fullUrl": "urn:uuid:f87de327-7272-42ac-012d-58904caf7ef1", "resource": {"resourceType": "Organization", "id": "f87de327-7272-42ac-012d-58904caf7ef1", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "Los Angeles County Department of Public Health"}, "request": {"method": "PUT", "url": "Organization/f87de327-7272-42ac-012d-58904caf7ef1"}}, {"fullUrl": "urn:uuid:bd5e96b0-05da-4003-ac0c-eb4cc02a98cd", "resource": {"resourceType": "Observation", "id": "bd5e96b0-05da-4003-ac0c-eb4cc02a98cd", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:bd5e96b0-05da-4003-ac0c-eb4cc02a98cd"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "50711007", "display": "Viral hepatitis type C (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Detection of Hepatitis C virus antibody in a clinical specimen by any method"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "50711007", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/f87de327-7272-42ac-012d-58904caf7ef1", "display": "Los Angeles County Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/bd5e96b0-05da-4003-ac0c-eb4cc02a98cd"}}, {"fullUrl": "urn:uuid:f7106df9-08a6-4708-8511-388e59ea9a4d", "resource": {"resourceType": "Observation", "id": "f7106df9-08a6-4708-8511-388e59ea9a4d", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f7106df9-08a6-4708-8511-388e59ea9a4d"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "840539006", "display": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "COVID-19 (as a diagnosis or active problem)"}, {"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/f87de327-7272-42ac-012d-58904caf7ef1", "display": "Los Angeles County Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/f7106df9-08a6-4708-8511-388e59ea9a4d"}}, {"fullUrl": "urn:uuid:b468a4bc-516e-4a68-b2d3-e1304ff92784", "resource": {"resourceType": "Observation", "id": "b468a4bc-516e-4a68-b2d3-e1304ff92784", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:b468a4bc-516e-4a68-b2d3-e1304ff92784"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "58750007", "display": "Plague (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Plague (as a diagnosis or active problem)"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "58750007", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/f87de327-7272-42ac-012d-58904caf7ef1", "display": "Los Angeles County Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/b468a4bc-516e-4a68-b2d3-e1304ff92784"}}, {"fullUrl": "urn:uuid:21e7aca1-7a03-43dc-15e6-8f7ee24b6613", "resource": {"resourceType": "Organization", "id": "21e7aca1-7a03-43dc-15e6-8f7ee24b6613", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"], "source": "ecr"}, "active": true, "type": [{"coding": [{"system": "urn:oid:2.16.840.1.114222.4.5.232", "code": "RR7", "display": "Routing Entity"}]}], "name": "Tennessee Department of Health"}, "request": {"method": "PUT", "url": "Organization/21e7aca1-7a03-43dc-15e6-8f7ee24b6613"}}, {"fullUrl": "urn:uuid:cae6f2e7-5d8c-45c0-b38f-4e402fc5a850", "resource": {"resourceType": "Observation", "id": "cae6f2e7-5d8c-45c0-b38f-4e402fc5a850", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": "ecr"}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:cae6f2e7-5d8c-45c0-b38f-4e402fc5a850"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": "Condition", "system": "http://snomed.info/sct"}, {"code": "75323-6", "display": "Condition", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "840539006", "display": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)", "system": "http://snomed.info/sct"}]}, "extension": [{"url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension", "valueString": "Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method"}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "performer": [{"reference": "Organization/21e7aca1-7a03-43dc-15e6-8f7ee24b6613", "display": "Tennessee Department of Health"}]}, "request": {"method": "PUT", "url": "Observation/cae6f2e7-5d8c-45c0-b38f-4e402fc5a850"}}, {"fullUrl": "urn:uuid:d319a926-0eb3-5847-3b21-db8b778b4f07", "resource": {"resourceType": "Organization", "id": "d319a926-0eb3-5847-3b21-db8b778b4f07", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.2.7.5.737384.61", "value": "1104202761"}], "name": "Vanderbilt University Medical Center", "address": [{"use": "work", "line": ["3401 West End Ave"], "city": "NASHVILLE", "state": "TN", "country": "USA", "postalCode": "37203", "district": "DAVIDSON"}], "telecom": [{"system": "phone", "value": "+1-615-322-5000", "use": "work"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/d319a926-0eb3-5847-3b21-db8b778b4f07"}}, {"fullUrl": "urn:uuid:550b9626-bc9e-7d6b-c5d8-e41c2000ab85", "resource": {"resourceType": "Practitioner", "id": "550b9626-bc9e-7d6b-c5d8-e41c2000ab85", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.697780", "value": "EDILABIH"}], "name": [{"family": "Interface", "given": ["Lab"]}]}, "request": {"method": "PUT", "url": "Practitioner/550b9626-bc9e-7d6b-c5d8-e41c2000ab85"}}, {"resource": {"resourceType": "PractitionerRole", "id": "efa14e63-8293-a8c5-611d-cc4bb9498d66", "organization": {"reference": "Organization/d319a926-0eb3-5847-3b21-db8b778b4f07"}, "practitioner": {"reference": "Practitioner/550b9626-bc9e-7d6b-c5d8-e41c2000ab85"}, "meta": {"source": "ecr"}}}, {"fullUrl": "urn:uuid:927826ea-7c33-312f-0619-2ee0bdb4dbfa", "resource": {"resourceType": "Device", "id": "927826ea-7c33-312f-0619-2ee0bdb4dbfa", "identifier": [{"system": "urn:oid:1.2.840.114350.1.1", "value": "10.2"}], "manufacturer": "Epic - Version 10.2", "version": [{"value": "Epic - Version 10.2"}], "property": [{"type": {"coding": [{"system": "http://hl7.org/fhir/device-category", "code": "software", "display": "software"}]}}], "owner": {"reference": "Organization/d319a926-0eb3-5847-3b21-db8b778b4f07"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Device/927826ea-7c33-312f-0619-2ee0bdb4dbfa"}}, {"fullUrl": "urn:uuid:8f17ebaf-226e-4565-a8e4-1fd09cc4f25a", "resource": {"resourceType": "Patient", "id": "8f17ebaf-226e-4565-a8e4-1fd09cc4f25a", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.3.688884.100", "value": "VAN4N7Q2ZJL42G8"}, {"system": "urn:oid:1.2.840.114350.1.13.478.3.7.5.737384.14", "value": "002001257", "assigner": {"display": "VUMC"}}], "name": [{"use": "official", "family": "ZTEST", "given": ["APPLE"]}], "birthDate": "1965-10-05", "deceasedBoolean": false, "gender": "female", "extension": [{"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race", "extension": [{"url": "ombCategory", "valueCoding": {"code": "2106-3", "display": "White"}}, {"url": "text", "valueString": "White"}]}, {"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity", "extension": [{"url": "ombCategory", "valueCoding": {"code": "2186-5", "display": "Not Hispanic or Latino"}}, {"url": "text", "valueString": "Not Hispanic or Latino"}]}, {"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "extension": [{"url": "value", "valueCodeableConcept": {"coding": [{"display": "Not on file", "system": "urn:oid:2.16.840.1.113883.5.1"}]}}]}], "address": [{"use": "home", "line": ["999 Single Lane"], "city": "BEVERLY HILLS", "state": "CA", "country": "USA", "postalCode": "90210", "district": "LOS ANGELES"}, {"use": "home", "country": "USA"}], "telecom": [{"system": "phone", "value": "+16159999999", "use": "home"}, {"system": "phone", "value": "+16159999999", "use": "mobile"}, {"system": "email", "value": "deidre.wright@vumc.org"}, {"system": "email", "value": "none@none.com"}], "contact": [{"relationship": "sister", "telecom": [{"system": "phone", "value": "+1-615-995-9999", "use": "home"}], "address": [{"use": "home", "line": ["999 Single Court"], "city": "BEVERLY HILLS", "state": "CA", "country": "USA", "postalCode": "90210", "district": "LOS ANGELE"}]}], "communication": [{"language": {"coding": [{"system": "urn:ietf:bcp:47", "code": "en", "display": "English"}]}, "preferred": true}]}, "request": {"method": "PUT", "url": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, {"fullUrl": "urn:uuid:", "resource": {"resourceType": "CareTeam", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}}, {"fullUrl": "urn:uuid:af1c1713-7fbd-ea81-9302-95cc4b8538e0", "resource": {"resourceType": "CarePlan", "id": "af1c1713-7fbd-ea81-9302-95cc4b8538e0", "status": "unknown", "intent": "proposal", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "CarePlan/af1c1713-7fbd-ea81-9302-95cc4b8538e0"}}, {"fullUrl": "urn:uuid:b3261c72-c3b2-1090-e228-e4b29bafe642", "resource": {"resourceType": "Condition", "id": "b3261c72-c3b2-1090-e228-e4b29bafe642", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "52111"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "L84", "display": "Foot callus", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2017-08-11", "note": [{"text": "Overview:
Formatting of this note might be different from the original.

Ouch."}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Condition/b3261c72-c3b2-1090-e228-e4b29bafe642"}}, {"fullUrl": "urn:uuid:d091a7b5-acc3-3900-cd65-6a6893c7a421", "resource": {"resourceType": "Condition", "id": "d091a7b5-acc3-3900-cd65-6a6893c7a421", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "66245"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "N91.2", "display": "Absence of menstruation", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2018-06-12", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Condition/d091a7b5-acc3-3900-cd65-6a6893c7a421"}}, {"fullUrl": "urn:uuid:94a7a6cb-50bc-54fd-2be2-b2f1be515676", "resource": {"resourceType": "Condition", "id": "94a7a6cb-50bc-54fd-2be2-b2f1be515676", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "90498"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "A20.2", "display": "Plague pneumonia", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2021-06-16", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}, "extension": [{"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "58750007", "system": "http://snomed.info/sct"}]}]}, "request": {"method": "PUT", "url": "Condition/94a7a6cb-50bc-54fd-2be2-b2f1be515676"}}, {"fullUrl": "urn:uuid:02e5d344-16d4-3bb4-6a4d-05ed5d68c5db", "resource": {"resourceType": "Condition", "id": "02e5d344-16d4-3bb4-6a4d-05ed5d68c5db", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "95631"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "E10.9", "display": "Type 1 diabetes", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2022-02-28", "note": [{"text": "Overview:
Formatting of this note might be different from the original.

BMI Readings from Last 1 Encounters:
08/30/21 28.69 kg/m\u00b2"}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Condition/02e5d344-16d4-3bb4-6a4d-05ed5d68c5db"}}, {"fullUrl": "urn:uuid:3bcdaef9-d201-2f29-cd86-88f93479710f", "resource": {"resourceType": "Condition", "id": "3bcdaef9-d201-2f29-cd86-88f93479710f", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "97646"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "R07.1", "display": "Chest pain on breathing", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2022-05-26", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Condition/3bcdaef9-d201-2f29-cd86-88f93479710f"}}, {"fullUrl": "urn:uuid:38e833d1-1001-9e83-4167-2684381498ac", "resource": {"resourceType": "Condition", "id": "38e833d1-1001-9e83-4167-2684381498ac", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "98700"}], "clinicalStatus": {"coding": [{"code": "55561003", "display": "Active", "system": "http://snomed.info/sct"}]}, "category": [{"coding": [{"code": "problem-item-list", "display": "Problem List Item", "system": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"}]}], "code": {"coding": [{"code": "U07.1", "display": "COVID toes", "system": "urn:oid:2.16.840.1.113883.6.90"}]}, "onsetDateTime": "2022-07-13", "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}, "extension": [{"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}]}, "request": {"method": "PUT", "url": "Condition/38e833d1-1001-9e83-4167-2684381498ac"}}, {"fullUrl": "urn:uuid:ab60a5ef-cd7b-85b5-4967-25e649332aa2", "resource": {"resourceType": "DiagnosticReport", "id": "ab60a5ef-cd7b-85b5-4967-25e649332aa2", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061335"}], "status": "final", "code": {"coding": [{"code": "7564", "display": "Culture Bact Bld Adult", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-10T16:00:00Z", "end": "2022-03-10T16:00:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/9ee4d550-7def-a7bb-2fdf-f20c8cae4417"}, {"reference": "Observation/cda95ba3-43df-4397-eec5-441f707d2b92"}, {"reference": "Observation/0fd4a673-a641-f7d0-44c4-99cd34ed7b16"}, {"reference": "Observation/193e61f6-33de-d462-9b54-5cb847d87df2"}, {"reference": "Observation/33a1a8b7-9edd-dbd8-aed7-dca324d0f26d"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/ab60a5ef-cd7b-85b5-4967-25e649332aa2"}}, {"fullUrl": "urn:uuid:22c6cdd0-bde1-e220-9ba4-2c2802f795ad", "resource": {"resourceType": "Organization", "id": "22c6cdd0-bde1-e220-9ba4-2c2802f795ad", "name": "VUMC CERNER LAB", "address": [{"use": "work", "line": ["4605 TVC VUMC", "1301 Medical Center Drive"], "city": "NASHVILLE", "state": "TN", "country": "USA", "postalCode": "37232-5310", "district": "DAVIDSON"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}}, {"fullUrl": "urn:uuid:9ee4d550-7def-a7bb-2fdf-f20c8cae4417", "resource": {"resourceType": "Observation", "id": "9ee4d550-7def-a7bb-2fdf-f20c8cae4417", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061335.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4319", "display": "Final Report", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-10T20:45:49Z", "valueString": "Staphylococcus aureus
Gram Positive Cocci Restreak for isolation Isolated from Aerobic bottle", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T16:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:08:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061335.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/9ee4d550-7def-a7bb-2fdf-f20c8cae4417"}}, {"fullUrl": "urn:uuid:e3ece69c-0968-59c9-47dd-f16db731621a", "resource": {"resourceType": "Organization", "id": "e3ece69c-0968-59c9-47dd-f16db731621a", "name": "VUMC CERNER LAB", "address": [{"line": ["4605 TVC VUMC", "1301 Medical Center Drive"], "city": "NASHVILLE", "state": "TN", "postalCode": "37232-5310"}], "telecom": [{"system": "phone", "value": "+1-615-875-5227"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}}, {"fullUrl": "urn:uuid:cda95ba3-43df-4397-eec5-441f707d2b92", "resource": {"resourceType": "Observation", "id": "cda95ba3-43df-4397-eec5-441f707d2b92", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061335.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1810114", "display": "Organism ID", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-10T20:45:49Z", "valueString": "Staphylococcus aureus", "interpretation": [{"coding": [{"code": "A", "display": "POSITIVE", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T16:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:08:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061335.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/cda95ba3-43df-4397-eec5-441f707d2b92"}}, {"fullUrl": "urn:uuid:0fd4a673-a641-f7d0-44c4-99cd34ed7b16", "resource": {"resourceType": "Observation", "id": "0fd4a673-a641-f7d0-44c4-99cd34ed7b16", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061335"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-10T20:45:49Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T16:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:08:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/0fd4a673-a641-f7d0-44c4-99cd34ed7b16"}}, {"fullUrl": "urn:uuid:193e61f6-33de-d462-9b54-5cb847d87df2", "resource": {"resourceType": "Observation", "id": "193e61f6-33de-d462-9b54-5cb847d87df2", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061335"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-10T20:45:49Z", "valueCodeableConcept": {"coding": [{"code": "4", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T16:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:08:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/193e61f6-33de-d462-9b54-5cb847d87df2"}}, {"fullUrl": "urn:uuid:33a1a8b7-9edd-dbd8-aed7-dca324d0f26d", "resource": {"resourceType": "Observation", "id": "33a1a8b7-9edd-dbd8-aed7-dca324d0f26d", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2220", "value": "2061335.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "3092008", "display": "Staphylococcus aureus", "system": "http://snomed.info/sct"}]}, "effectivePeriod": {"start": "2022-03-10T20:45:49Z", "end": "2022-03-10T20:45:49Z"}, "component": [{"code": {"coding": [{"code": "28-1", "display": "Ampicillin", "system": "http://loinc.org"}]}, "valueString": "3: Resistant", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "524-9", "display": "Vancomycin", "system": "http://loinc.org"}]}, "valueString": "0.03: Susceptible", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "20396-8", "display": "Levofloxacin", "system": "http://loinc.org"}]}, "valueString": "2: Intermediate", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/33a1a8b7-9edd-dbd8-aed7-dca324d0f26d"}}, {"fullUrl": "urn:uuid:7a5042f1-929f-9ac4-7487-871153389b05", "resource": {"resourceType": "DiagnosticReport", "id": "7a5042f1-929f-9ac4-7487-871153389b05", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061336"}], "status": "final", "code": {"coding": [{"code": "1126", "display": "Culture Bact Urine", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-10T20:30:00Z", "end": "2022-03-10T20:30:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/ee5ad9e0-d10d-3a20-67d1-b24aa9c078e5"}, {"reference": "Observation/8f7b4d09-33f1-a455-4e2d-ad3e7864168b"}, {"reference": "Observation/e404c8ba-78c5-b1fd-5103-5090bc3c1dbb"}, {"reference": "Observation/22018deb-2619-8967-920c-f280e1272ca7"}, {"reference": "Observation/3120c1a5-9ceb-8f65-1edf-ea9360c7ee99"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/7a5042f1-929f-9ac4-7487-871153389b05"}}, {"fullUrl": "urn:uuid:ee5ad9e0-d10d-3a20-67d1-b24aa9c078e5", "resource": {"resourceType": "Observation", "id": "ee5ad9e0-d10d-3a20-67d1-b24aa9c078e5", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061336.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4319", "display": "Final Report", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-10T20:58:41Z", "valueString": ">100,000 cfu/ml Proteus mirabilis", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T20:30:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:49:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061336.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/ee5ad9e0-d10d-3a20-67d1-b24aa9c078e5"}}, {"fullUrl": "urn:uuid:8f7b4d09-33f1-a455-4e2d-ad3e7864168b", "resource": {"resourceType": "Observation", "id": "8f7b4d09-33f1-a455-4e2d-ad3e7864168b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061336.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "41852-5", "display": "Organism ID", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-10T20:58:41Z", "valueString": "Proteus mirabilis", "interpretation": [{"coding": [{"code": "A", "display": "POSITIVE", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T20:30:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:49:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061336.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/8f7b4d09-33f1-a455-4e2d-ad3e7864168b"}}, {"fullUrl": "urn:uuid:e404c8ba-78c5-b1fd-5103-5090bc3c1dbb", "resource": {"resourceType": "Observation", "id": "e404c8ba-78c5-b1fd-5103-5090bc3c1dbb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061336"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-10T20:58:41Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T20:30:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:49:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/e404c8ba-78c5-b1fd-5103-5090bc3c1dbb"}}, {"fullUrl": "urn:uuid:22018deb-2619-8967-920c-f280e1272ca7", "resource": {"resourceType": "Observation", "id": "22018deb-2619-8967-920c-f280e1272ca7", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061336"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-10T20:58:41Z", "valueCodeableConcept": {"coding": [{"code": "4", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-03-10T20:30:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-10T20:49:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/22018deb-2619-8967-920c-f280e1272ca7"}}, {"fullUrl": "urn:uuid:3120c1a5-9ceb-8f65-1edf-ea9360c7ee99", "resource": {"resourceType": "Observation", "id": "3120c1a5-9ceb-8f65-1edf-ea9360c7ee99", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2220", "value": "2061336.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "73457008", "display": "Proteus mirabilis", "system": "http://snomed.info/sct"}]}, "effectivePeriod": {"start": "2022-03-10T20:58:41Z", "end": "2022-03-10T20:58:41Z"}, "component": [{"code": {"coding": [{"code": "44-8", "display": "Aztreonam", "system": "http://loinc.org"}]}, "valueString": "0.75: Resistant", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "116-4", "display": "Cefoxitin", "system": "http://loinc.org"}]}, "valueString": "0.25: Intermediate", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "20396-8", "display": "Levofloxacin", "system": "http://loinc.org"}]}, "valueString": "0.05: Susceptible", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/3120c1a5-9ceb-8f65-1edf-ea9360c7ee99"}}, {"fullUrl": "urn:uuid:1a321a61-6b63-3640-a9db-80c4d452a463", "resource": {"resourceType": "DiagnosticReport", "id": "1a321a61-6b63-3640-a9db-80c4d452a463", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061337"}], "status": "final", "code": {"coding": [{"code": "7564", "display": "Culture Bact Bld Adult", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-11T14:51:00Z", "end": "2022-03-11T14:51:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/4718136a-acb0-24d3-3254-7f6fcc129d63"}, {"reference": "Observation/a86329ee-93c0-8502-1df6-ec9e22a421ec"}, {"reference": "Observation/c5aaa190-e487-b5d2-bad1-ff5d9f3c90b2"}, {"reference": "Observation/1778d5d0-25c7-5ce6-15a5-dd57a44df856"}, {"reference": "Observation/b6543a6e-0953-3e8f-1ffe-913573b6d8ab"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/1a321a61-6b63-3640-a9db-80c4d452a463"}}, {"fullUrl": "urn:uuid:4718136a-acb0-24d3-3254-7f6fcc129d63", "resource": {"resourceType": "Observation", "id": "4718136a-acb0-24d3-3254-7f6fcc129d63", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061337.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4319", "display": "Final Report", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-11T15:15:01Z", "valueString": "Staphylococcus aureus
Gram positive cocci; restreak for isolation Isolated from Aerobic bottle", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061337.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/4718136a-acb0-24d3-3254-7f6fcc129d63"}}, {"fullUrl": "urn:uuid:a86329ee-93c0-8502-1df6-ec9e22a421ec", "resource": {"resourceType": "Observation", "id": "a86329ee-93c0-8502-1df6-ec9e22a421ec", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061337.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "1810114", "display": "Organism ID", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-11T15:15:01Z", "valueString": "Staphylococcus aureus", "interpretation": [{"coding": [{"code": "A", "display": "POSITIVE", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061337.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/a86329ee-93c0-8502-1df6-ec9e22a421ec"}}, {"fullUrl": "urn:uuid:c5aaa190-e487-b5d2-bad1-ff5d9f3c90b2", "resource": {"resourceType": "Observation", "id": "c5aaa190-e487-b5d2-bad1-ff5d9f3c90b2", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061337"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-11T15:15:01Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T14:51:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/c5aaa190-e487-b5d2-bad1-ff5d9f3c90b2"}}, {"fullUrl": "urn:uuid:1778d5d0-25c7-5ce6-15a5-dd57a44df856", "resource": {"resourceType": "Observation", "id": "1778d5d0-25c7-5ce6-15a5-dd57a44df856", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061337"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-11T15:15:01Z", "valueCodeableConcept": {"coding": [{"code": "4", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T14:51:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T14:51:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/1778d5d0-25c7-5ce6-15a5-dd57a44df856"}}, {"fullUrl": "urn:uuid:b6543a6e-0953-3e8f-1ffe-913573b6d8ab", "resource": {"resourceType": "Observation", "id": "b6543a6e-0953-3e8f-1ffe-913573b6d8ab", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2220", "value": "2061337.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "3092008", "display": "Staphylococcus aureus", "system": "http://snomed.info/sct"}]}, "effectivePeriod": {"start": "2022-03-11T15:15:01Z", "end": "2022-03-11T15:15:01Z"}, "component": [{"code": {"coding": [{"code": "28-1", "display": "Ampicillin", "system": "http://loinc.org"}]}, "valueString": "0.25: Susceptible", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "428-3", "display": "Rifampin", "system": "http://loinc.org"}]}, "valueString": "0.75: Resistant", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "524-9", "display": "Vancomycin", "system": "http://loinc.org"}]}, "valueString": "0.05: Susceptible", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/b6543a6e-0953-3e8f-1ffe-913573b6d8ab"}}, {"fullUrl": "urn:uuid:6146a6d6-1b2c-26e8-82db-dab711b57aeb", "resource": {"resourceType": "DiagnosticReport", "id": "6146a6d6-1b2c-26e8-82db-dab711b57aeb", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061338"}], "status": "final", "code": {"coding": [{"code": "118332", "display": "FISH ALL Pnl", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-11T19:05:00Z", "end": "2022-03-11T19:05:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/0c7d57dc-a961-8ffe-4593-540dba80b4b0"}, {"reference": "Observation/d3a8b35b-4563-2594-abd7-7d433ff0f7e8"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/6146a6d6-1b2c-26e8-82db-dab711b57aeb"}}, {"fullUrl": "urn:uuid:0c7d57dc-a961-8ffe-4593-540dba80b4b0", "resource": {"resourceType": "Observation", "id": "0c7d57dc-a961-8ffe-4593-540dba80b4b0", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.1000", "value": "2061338"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "NAR", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-03-11T19:27:37Z", "valueString": "FISH REPORT

Request#:CG-22-0000003
Service date:3/11/2022 13:05


FISH IMPRESSION:

Abnormal for homozygous deletion of CDKN2A locus at 9p21 in __% of cells.

FISH KARYOTYPE:



nuc ish (DXZ1x1,DYZ3x1,D18Z1x2)[200]

\u00a0
\u00a0
\u00a0



COMMENTS:



Results of the FISH studies with the 21 DNA probes described above were analyzed in at least 200 cells per probe and no abnormal signal patterns were detected for the target regions of chromosomes 1, 4, 7, 9, 10, 11, 12, 14, 17, 19, 21, and 22.

Normal cut off values for probes:

1.0% for t(1;19) PBX1/TCF3
1.0% for t(9;22) BCR/ABL1
1.0% for KMT2A (11q23)
1.0% for t(12;21) ETV6/RUNX1
1.0% for IKZF1/CEP7
3.0% for CEP 4
2.0% for CEP 10
2.0% for CEP 17
1.0% for CDKN2A/CEP9 (9p21)
1.0% for IGH breakapart
1.0% for ABL2 breakapart
1.0% for ABL1 breakapart

These probes were developed by Vysis and their performance characteristics determined by VUMC as required by the CLIA ''88 regulations. \u00a0These probes have not been cleared or approved by the U.S. Food and Drug administration.


Ferrin Courtney Wheeler, PhD, FACMG
reviewed and approved

Electronically signed out by:
Mavrak, Geoffrey A

on 03/11/2022

Clinical History: \u00a0ALL
Specimen List: Blood
Date In Lab: 3/11/2022 13:09
Date Collected: 3/11/2022 13:05

Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln,
Nashville, TN 37204 \u00a0phone 615-875-0228, fax 615-875-0234", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T19:05:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T19:09:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061338.Narrative"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/0c7d57dc-a961-8ffe-4593-540dba80b4b0"}}, {"fullUrl": "urn:uuid:d3a8b35b-4563-2594-abd7-7d433ff0f7e8", "resource": {"resourceType": "Observation", "id": "d3a8b35b-4563-2594-abd7-7d433ff0f7e8", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061338"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-11T19:27:37Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T19:05:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T19:09:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/d3a8b35b-4563-2594-abd7-7d433ff0f7e8"}}, {"fullUrl": "urn:uuid:5511c790-c926-ebf4-ddf6-d7399b240627", "resource": {"resourceType": "DiagnosticReport", "id": "5511c790-c926-ebf4-ddf6-d7399b240627", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061339"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-11T19:05:00Z", "end": "2022-03-11T19:05:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/b1ba1ccd-e2cd-3261-7460-be0abb6508cb"}, {"reference": "Observation/b4965bf2-9a65-df39-676b-acc5151db64b"}, {"reference": "Observation/1608e68e-f7a2-5b9c-6804-e4b70d59b2ef"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/5511c790-c926-ebf4-ddf6-d7399b240627"}}, {"fullUrl": "urn:uuid:b1ba1ccd-e2cd-3261-7460-be0abb6508cb", "resource": {"resourceType": "Observation", "id": "b1ba1ccd-e2cd-3261-7460-be0abb6508cb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061339.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-11T19:49:19Z", "valueString": "Not Detected", "referenceRange": [{"text": "Not Detected"}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T19:05:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T19:46:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061339.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/b1ba1ccd-e2cd-3261-7460-be0abb6508cb"}}, {"fullUrl": "urn:uuid:b4965bf2-9a65-df39-676b-acc5151db64b", "resource": {"resourceType": "Observation", "id": "b4965bf2-9a65-df39-676b-acc5151db64b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061339.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-11T19:49:19Z", "valueString": "Nares
This test was performed using the Hologic Panther COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T19:05:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T19:46:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061339.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/b4965bf2-9a65-df39-676b-acc5151db64b"}}, {"fullUrl": "urn:uuid:1608e68e-f7a2-5b9c-6804-e4b70d59b2ef", "resource": {"resourceType": "Observation", "id": "1608e68e-f7a2-5b9c-6804-e4b70d59b2ef", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061339"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-11T19:49:19Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-03-11T19:05:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-11T19:46:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/1608e68e-f7a2-5b9c-6804-e4b70d59b2ef"}}, {"fullUrl": "urn:uuid:3527c2d8-04b9-85fb-97a0-40c2d934c89e", "resource": {"resourceType": "DiagnosticReport", "id": "3527c2d8-04b9-85fb-97a0-40c2d934c89e", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061341"}], "status": "final", "code": {"coding": [{"code": "1184", "display": "Culture Bact CSF", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-17T18:11:00Z", "end": "2022-03-17T18:11:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/76575a63-5c88-47b0-a864-c23dcb081118"}, {"reference": "Observation/fd8fb9f7-2947-f9db-e85a-b4907fe11862"}, {"reference": "Observation/b43ec4ff-ce13-aa1f-bdd0-5f29ba23b233"}, {"reference": "Observation/ccb18a64-bfe1-43de-0c23-272ec48fc86a"}, {"reference": "Observation/4c53fc75-b70b-0975-e53c-bb6c2ae9a2ee"}, {"reference": "Observation/de25789d-94d4-3e7e-9b81-ee00c00d0300"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/3527c2d8-04b9-85fb-97a0-40c2d934c89e"}}, {"fullUrl": "urn:uuid:76575a63-5c88-47b0-a864-c23dcb081118", "resource": {"resourceType": "Observation", "id": "76575a63-5c88-47b0-a864-c23dcb081118", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061341.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4319", "display": "Final Report", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-17T18:27:30Z", "valueString": "Light growth Acinetobacter baumannii", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061341.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/76575a63-5c88-47b0-a864-c23dcb081118"}}, {"fullUrl": "urn:uuid:fd8fb9f7-2947-f9db-e85a-b4907fe11862", "resource": {"resourceType": "Observation", "id": "fd8fb9f7-2947-f9db-e85a-b4907fe11862", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061341.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "41852-5", "display": "Organism ID", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:27:30Z", "valueString": "Acinetobacter baumannii", "interpretation": [{"coding": [{"code": "A", "display": "POSITIVE", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061341.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/fd8fb9f7-2947-f9db-e85a-b4907fe11862"}}, {"fullUrl": "urn:uuid:b43ec4ff-ce13-aa1f-bdd0-5f29ba23b233", "resource": {"resourceType": "Observation", "id": "b43ec4ff-ce13-aa1f-bdd0-5f29ba23b233", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061341.3"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "664-3", "display": "Gram Stain Report", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:27:30Z", "valueString": "1+ Gram negative rod", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061341.Comp3"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/b43ec4ff-ce13-aa1f-bdd0-5f29ba23b233"}}, {"fullUrl": "urn:uuid:ccb18a64-bfe1-43de-0c23-272ec48fc86a", "resource": {"resourceType": "Observation", "id": "ccb18a64-bfe1-43de-0c23-272ec48fc86a", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061341"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:27:30Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:11:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/ccb18a64-bfe1-43de-0c23-272ec48fc86a"}}, {"fullUrl": "urn:uuid:4c53fc75-b70b-0975-e53c-bb6c2ae9a2ee", "resource": {"resourceType": "Observation", "id": "4c53fc75-b70b-0975-e53c-bb6c2ae9a2ee", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061341"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-17T18:27:30Z", "valueCodeableConcept": {"coding": [{"code": "4", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:11:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:11:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/4c53fc75-b70b-0975-e53c-bb6c2ae9a2ee"}}, {"fullUrl": "urn:uuid:de25789d-94d4-3e7e-9b81-ee00c00d0300", "resource": {"resourceType": "Observation", "id": "de25789d-94d4-3e7e-9b81-ee00c00d0300", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2220", "value": "2061341.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "91288006", "display": "Acinetobacter baumannii", "system": "http://snomed.info/sct"}]}, "effectivePeriod": {"start": "2022-03-17T18:27:30Z", "end": "2022-03-17T18:27:30Z"}, "component": [{"code": {"coding": [{"code": "12-5", "display": "Amikacin", "system": "http://loinc.org"}]}, "valueString": "0.25: Susceptible", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"display": "Avycaz (Ceftazidime/Avibactam)"}]}, "valueString": "0.05: Intermediate", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}, {"code": {"coding": [{"code": "20396-8", "display": "Levofloxacin", "system": "http://loinc.org"}]}, "valueString": "0.75: Resistant", "extension": [{"url": "methodCode originalText", "valueString": "MIC"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/de25789d-94d4-3e7e-9b81-ee00c00d0300"}}, {"fullUrl": "urn:uuid:bb6e1277-19e2-20d8-e066-b673e3f4e64e", "resource": {"resourceType": "DiagnosticReport", "id": "bb6e1277-19e2-20d8-e066-b673e3f4e64e", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061342"}], "status": "final", "code": {"coding": [{"code": "1184", "display": "Culture Bact CSF", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-17T18:34:00Z", "end": "2022-03-17T18:34:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/5e9c3af0-1345-5615-9bea-92f096a9119b"}, {"reference": "Observation/c3527f5a-659b-1ef1-9ef7-2f5c4aeef59e"}, {"reference": "Observation/a54dbcdf-c991-089d-dab6-e7e6d28ae3cd"}, {"reference": "Observation/b98beee4-e17c-848a-22cc-36563ddc4a59"}, {"reference": "Observation/e3a35173-054f-f553-c780-91251e855233"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/bb6e1277-19e2-20d8-e066-b673e3f4e64e"}}, {"fullUrl": "urn:uuid:5e9c3af0-1345-5615-9bea-92f096a9119b", "resource": {"resourceType": "Observation", "id": "5e9c3af0-1345-5615-9bea-92f096a9119b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061342.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "4319", "display": "Final Report", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-17T18:50:19Z", "valueString": "Moderate growth Neisseria meningitidis", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061342.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/5e9c3af0-1345-5615-9bea-92f096a9119b"}}, {"fullUrl": "urn:uuid:c3527f5a-659b-1ef1-9ef7-2f5c4aeef59e", "resource": {"resourceType": "Observation", "id": "c3527f5a-659b-1ef1-9ef7-2f5c4aeef59e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061342.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "41852-5", "display": "Organism ID", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:50:19Z", "valueString": "Neisseria meningitidis", "interpretation": [{"coding": [{"code": "A", "display": "POSITIVE", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061342.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/c3527f5a-659b-1ef1-9ef7-2f5c4aeef59e"}}, {"fullUrl": "urn:uuid:a54dbcdf-c991-089d-dab6-e7e6d28ae3cd", "resource": {"resourceType": "Observation", "id": "a54dbcdf-c991-089d-dab6-e7e6d28ae3cd", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061342.3"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "664-3", "display": "Gram Stain Report", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:50:19Z", "valueString": "3+ Gram negative diplococci; restreak for isolation
1+ White Blood Cells", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061342.Comp3"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/a54dbcdf-c991-089d-dab6-e7e6d28ae3cd"}}, {"fullUrl": "urn:uuid:b98beee4-e17c-848a-22cc-36563ddc4a59", "resource": {"resourceType": "Observation", "id": "b98beee4-e17c-848a-22cc-36563ddc4a59", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061342"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-17T18:50:19Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:34:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/b98beee4-e17c-848a-22cc-36563ddc4a59"}}, {"fullUrl": "urn:uuid:e3a35173-054f-f553-c780-91251e855233", "resource": {"resourceType": "Observation", "id": "e3a35173-054f-f553-c780-91251e855233", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061342"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-17T18:50:19Z", "valueCodeableConcept": {"coding": [{"code": "4", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "CSF"}, {"url": "specimen collection time", "valueDateTime": "2022-03-17T18:34:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-17T18:34:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/e3a35173-054f-f553-c780-91251e855233"}}, {"fullUrl": "urn:uuid:39fcb48c-9053-faa9-98cb-2a1ce588d7f7", "resource": {"resourceType": "DiagnosticReport", "id": "39fcb48c-9053-faa9-98cb-2a1ce588d7f7", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061343"}], "status": "final", "code": {"coding": [{"code": "122509", "display": "Results Called", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-22T18:27:00Z", "end": "2022-03-22T18:27:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/61b0c9cc-bb30-5a96-6aaf-709b346dbffb"}, {"reference": "Observation/4831520f-6c63-01d8-9b8f-81d87e1dc958"}, {"reference": "Observation/06369bed-34af-8c66-ef9b-1f6044c083cd"}, {"reference": "Observation/08cefdf8-5e5b-be8c-1557-393357004de8"}, {"reference": "Observation/ab49d704-9ffd-a9d5-3bd8-c98f76f61a0c"}, {"reference": "Observation/6b017b13-b56c-e330-2396-f588cad727f9"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/39fcb48c-9053-faa9-98cb-2a1ce588d7f7"}}, {"fullUrl": "urn:uuid:61b0c9cc-bb30-5a96-6aaf-709b346dbffb", "resource": {"resourceType": "Observation", "id": "61b0c9cc-bb30-5a96-6aaf-709b346dbffb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061343.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "5205", "display": "Test Called", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-22T18:30:20Z", "valueString": "k", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061343.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/61b0c9cc-bb30-5a96-6aaf-709b346dbffb"}}, {"fullUrl": "urn:uuid:4831520f-6c63-01d8-9b8f-81d87e1dc958", "resource": {"resourceType": "Observation", "id": "4831520f-6c63-01d8-9b8f-81d87e1dc958", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061343.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "5208", "display": "Reason Called", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-22T18:30:20Z", "valueString": "QNS", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061343.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/4831520f-6c63-01d8-9b8f-81d87e1dc958"}}, {"fullUrl": "urn:uuid:06369bed-34af-8c66-ef9b-1f6044c083cd", "resource": {"resourceType": "Observation", "id": "06369bed-34af-8c66-ef9b-1f6044c083cd", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061343.3"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "5212", "display": "Called To", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-22T18:30:20Z", "valueString": "test", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061343.Comp3"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/06369bed-34af-8c66-ef9b-1f6044c083cd"}}, {"fullUrl": "urn:uuid:08cefdf8-5e5b-be8c-1557-393357004de8", "resource": {"resourceType": "Observation", "id": "08cefdf8-5e5b-be8c-1557-393357004de8", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061343.4"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "5296", "display": "Read Back", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-22T18:30:20Z", "valueString": "Yes", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061343.Comp4"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/08cefdf8-5e5b-be8c-1557-393357004de8"}}, {"fullUrl": "urn:uuid:ab49d704-9ffd-a9d5-3bd8-c98f76f61a0c", "resource": {"resourceType": "Observation", "id": "ab49d704-9ffd-a9d5-3bd8-c98f76f61a0c", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061343.5"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "6286", "display": "Collector ID", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-22T18:30:20Z", "valueString": "test123", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061343.Comp5"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/ab49d704-9ffd-a9d5-3bd8-c98f76f61a0c"}}, {"fullUrl": "urn:uuid:6b017b13-b56c-e330-2396-f588cad727f9", "resource": {"resourceType": "Observation", "id": "6b017b13-b56c-e330-2396-f588cad727f9", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061343"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-22T18:30:20Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-03-22T18:27:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-22T18:29:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/6b017b13-b56c-e330-2396-f588cad727f9"}}, {"fullUrl": "urn:uuid:4538ab6c-4608-a981-f44f-918c3393bfcf", "resource": {"resourceType": "DiagnosticReport", "id": "4538ab6c-4608-a981-f44f-918c3393bfcf", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061344"}], "status": "final", "code": {"coding": [{"code": "LAB6386", "display": "DRUG TOXICOLOGY MONITORING BASE PNL W/CONF, ORAL FL-QSTD", "system": "http://www.ama-assn.org/go/cpt"}]}, "effectivePeriod": {"start": "2022-03-29T18:53:00Z", "end": "2022-03-29T18:53:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/6fc06f11-d0f4-9553-2798-e8dd822678fe"}, {"reference": "Observation/db8797cb-3129-eff4-9d78-a04b2326f0a2"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/4538ab6c-4608-a981-f44f-918c3393bfcf"}}, {"fullUrl": "urn:uuid:6fc06f11-d0f4-9553-2798-e8dd822678fe", "resource": {"resourceType": "Observation", "id": "6fc06f11-d0f4-9553-2798-e8dd822678fe", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061344.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "17855", "display": "Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-03-29T20:10:54Z", "valueString": "VUMC patients: \u00a0Results faxed to Vanderbilt Medical Record.
VPLS clients: \u00a0 See separate report sent to client.", "note": [{"text": "This test was performed at: Quest Laboratory,Location Varies,,,,,,"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oral"}, {"url": "specimen collection time", "valueDateTime": "2022-03-29T18:53:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-29T19:07:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061344.Comp1"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/6fc06f11-d0f4-9553-2798-e8dd822678fe"}}, {"fullUrl": "urn:uuid:db8797cb-3129-eff4-9d78-a04b2326f0a2", "resource": {"resourceType": "Observation", "id": "db8797cb-3129-eff4-9d78-a04b2326f0a2", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061344"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-29T20:10:54Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oral"}, {"url": "specimen collection time", "valueDateTime": "2022-03-29T18:53:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-29T19:07:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/db8797cb-3129-eff4-9d78-a04b2326f0a2"}}, {"fullUrl": "urn:uuid:c86958f4-4bd2-7450-15ff-4c490820f58f", "resource": {"resourceType": "DiagnosticReport", "id": "c86958f4-4bd2-7450-15ff-4c490820f58f", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061345"}], "status": "final", "code": {"coding": [{"code": "201700", "display": "Pharmacogenomics", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-03-31T22:36:00Z", "end": "2022-03-31T22:36:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/2e9477e8-412b-905c-270f-16ca12bff791"}, {"reference": "Observation/ed66ccf7-584a-1142-b9a4-8fe01b6f21fb"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/c86958f4-4bd2-7450-15ff-4c490820f58f"}}, {"fullUrl": "urn:uuid:2e9477e8-412b-905c-270f-16ca12bff791", "resource": {"resourceType": "Observation", "id": "2e9477e8-412b-905c-270f-16ca12bff791", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.1000", "value": "2061345"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "NAR", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-03-31T22:51:17Z", "valueString": "Pharmacogenomics: Final Report

Request #: MD-22-0000041

Service Date: 3/31/2022 17:36

Reason for Request: Genotyping for Determination of Drug Efficacy, Dosage and Safety

Type of Specimen: DNA

Date Received: 3/31/2022 17:44

Date Reported: 3/31/2022 17:51

Interpretation:
Results from this assay may indicate dosage adjustments or medication alternatives that should be considered for this patient. Additional information regarding the implications of these results is available at www.mydruggenome.org.

For VUMC patients, clinical decision support regarding the management of this patient with respect to specific drugs based upon the patient''s genotype as listed below is available in the patient''s electronic medical record under Genomic Indicators. Clinical decision support may also be provided for some drugs through order entry and medication prescribing tools utilized within the VUMC system.



Comments:

Results:

CYP2C19 - \u00a0Cancelled

CYP2C9 - \u00a0 Cancelled

CYP2D6 - \u00a0 Cancelled \u00a0

CYP3A5 - \u00a0 Cancelled

CYP4F2 - \u00a0 Cancelled

DPYD - \u00a0 \u00a0 Cancelled

NUDT15 - \u00a0 Cancelled

SLCO1B1 - \u00a0Cancelled \u00a0 \u00a0 \u00a0

TPMT - \u00a0 \u00a0 Cancelled

VKORC1 - \u00a0 Cancelled \u00a0 \u00a0
\u00a0
These results should be correlated with other laboratory and clinical findings and additional testing should be considered if clinically indicated.
\u00a0 \u00a0

Methodology:

DNA was extracted from this specimen and screened for 37 variants in 10 genes that are associated with drug absorption, distribution, metabolism, excretion or response. The reported genotypes were determined using PCR amplification and oligonucleotide primers specific for each interrogated region of the genes listed within this panel. Fluorophore labeled probes were used to identify each variant.

Variants analyzed in this assay include: CYP2C19 *2, *3, *4, *6, *8, *17; CYP2C9 *2, *3, *6, *8; CYP3A5 *3, *6, *7; CYP4F2 *3; DPYD *2A, *13, c.557A>G, c.1236G>A (HapB3), c.2846A>T; \u00a0NUDT15 *2 or *3; SLCO1B1 *5; TPMT *2, *3B, *3C, *4; VKORC1 promoter variant c.-1639G>A; and CYP2D6 copy number and variants *2, *2A, *3, *4, *6, *7, *9, *10, *17, *29 and *41. A *1 allele is considered the reference (normal) sequence and is reported if none of the variants analyzed for a particular gene is detected. This assay is specific for the variants listed above and cannot exclude the presence of other variants within these genes that may affect the pharmacologic function of the protein product encoded by these genes. In most cases, variants for a particular gene exist on separate alleles; however, for individuals in which multiple variants in the same gene are detected, this assay cannot determine if the variants are on the same allele or on different alleles. Further, due to the highly polymorphic
nature of these regions, rare variants may exist that could affect the sensitivity or specificity of this assay and lead to a false-negative or a false-positive result.


Electronically signed out by:
Barba, Elizabeth

on 03/31/2022

This assay has not been cleared or approved by the US Food and Drug Administration. The performance of this assay was tested and validated prior to use for patient testing. This test is used for clinical purposes and should not be regarded as investigational or research. This laboratory is regulated by the Clinical Laboratory Improvement Act of 1988.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "DNA"}, {"url": "specimen collection time", "valueDateTime": "2022-03-31T22:36:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-31T22:44:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061345.Narrative"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/2e9477e8-412b-905c-270f-16ca12bff791"}}, {"fullUrl": "urn:uuid:ed66ccf7-584a-1142-b9a4-8fe01b6f21fb", "resource": {"resourceType": "Observation", "id": "ed66ccf7-584a-1142-b9a4-8fe01b6f21fb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061345"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-03-31T22:51:17Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "DNA"}, {"url": "specimen collection time", "valueDateTime": "2022-03-31T22:36:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-03-31T22:44:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/ed66ccf7-584a-1142-b9a4-8fe01b6f21fb"}}, {"fullUrl": "urn:uuid:b0f590a6-4bf5-7add-9716-2bd3ba6defb2", "resource": {"resourceType": "DiagnosticReport", "id": "b0f590a6-4bf5-7add-9716-2bd3ba6defb2", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061347"}], "status": "final", "code": {"coding": [{"code": "118330", "display": "Cytogenomic SNP microarray", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-04-04T16:55:00Z", "end": "2022-04-04T16:55:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/2a4f8fb5-f957-3c30-1353-a30aa441a12b"}, {"reference": "Observation/2e70be1d-fa6c-0256-cf67-f695f5bba1ac"}, {"reference": "Observation/97b316f7-bb96-051f-adba-72ddc4ae5825"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/b0f590a6-4bf5-7add-9716-2bd3ba6defb2"}}, {"fullUrl": "urn:uuid:2a4f8fb5-f957-3c30-1353-a30aa441a12b", "resource": {"resourceType": "Observation", "id": "2a4f8fb5-f957-3c30-1353-a30aa441a12b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.1000", "value": "2061347"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "NAR", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-04-18T19:57:02Z", "valueString": "MICROARRAY REPORT- Corrected

Request#: CG-22-0000006
Service date: 4/4/2022 11:55

Microarray Result:
Normal female

Microarray Interpretation:
SNP chromosomal microarray analysis (CMA) of a blood sample from this patient demonstrated no copy number changes of known clinical significance. No large regions of homozygosity (ROH) were detected. The ISCN nomenclature describing this result is: arr(X,1-22)x2.
Electronically signed out by:
Benfield, Luis A

on 04/18/2022
___________________________________________________________________

Clinical indication:
Specimen List: Blood
Date in Lab: 4/18/2022 14:46
Date Collected: 4/4/2022 11:55
___________________________________________________________________

Disclaimer:

Copy number gains less than 400 kb in size and copy number losses less than 200 kb in size will not be reported unless they represent a known or suspected clinically relevant imbalance. The reporting of copy number variants less than 100 kb in size is at the discretion of the laboratory and some clinically relevant copy number changes under 50 kb may not be reported due to limitations in probe coverage in certain genomic regions. Copy number changes of any size with no apparent clinical significance (likely benign or benign) have not been discussed in this report but may be available upon request. Regions of homozygosity (ROH) less than 10 Mb in size will not be reported unless the ROH is clinically relevant for potential uniparental disomy. Genome-wide ROH under 2% will not be reported. Copy number variants less than 200 kb associated with a carrier status for autosomal recessive conditions will not be reported unless specifically indicated in the reason for referral.

This microarray was designed and manufactured by Affymetrix for the sole purpose of identifying DNA copy number gains and losses associated with chromosomal imbalances and regions of homozygosity (ROH) associated with uniparental isodisomy (isoUPD).This microarray will detect aneuploidy, deletions and duplications of loci represented on the microarray. \u00a0It will not detect balanced alterations including: reciprocal translocations, inversions and balanced insertions. It will not detect point mutations and imbalances less than 10 kb. \u00a0Failure to detect an alteration at any locus does not exclude the diagnosis of any of the disorders represented on the microarray. This assay is not designed to detect mosaic gains and losses and its performance in detecting mosaicism has not been established. This test was developed and its performance characteristics determined by Affymetrix as required by CLIA \u00c2\u201988 regulations. This test is used for clinical purposes and the accuracy and precision has
been established and verified by this laboratory. This test has not been cleared or approved by the U.S. Food and Drug Administration.

Interpretation of copy number variants is performed using VUMC-laboratory maintained databases as well as the following resources:
Database of Genomic Variants (http://dgv.tcag.ca/dgv/app/home)
Online Mendelian Inheritance in Man (http://www.omim.org/)
UCSC Genome Bioinformatics (http://genome.ucsc.edu/cgi-bin/hgGateway)
ClinGen Clinical Genome Resource (http://www.ncbi.nlm.nih.gov/projects/dbvar/clingen)
DECIPHER Database (https://decipher.sanger.ac.uk/browser)
PubMed-NCBI (http://www.ncbi.nlm.nih.gov/pubmed)
Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). PMID: 31690835

Method:
Microarray platform: ThermoFisher Scientific CytoScanTM HD Cytogenetics Solution
Version: 1.1 (Based on UCSC hg19 assembly)
Number of loci analyzed: 2,696,550
Mean probe spacing: <700 bp






Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln,
Nashville, TN 37204 \u00a0phone 615-875-0228, fax 615-875-0234", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-04-04T16:55:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-04-18T19:46:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061347.Narrative"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/2a4f8fb5-f957-3c30-1353-a30aa441a12b"}}, {"fullUrl": "urn:uuid:2e70be1d-fa6c-0256-cf67-f695f5bba1ac", "resource": {"resourceType": "Observation", "id": "2e70be1d-fa6c-0256-cf67-f695f5bba1ac", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2061347"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-04-18T19:57:02Z", "valueString": "testing comment", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-04-04T16:55:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-04-18T19:46:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061347.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/2e70be1d-fa6c-0256-cf67-f695f5bba1ac"}}, {"fullUrl": "urn:uuid:97b316f7-bb96-051f-adba-72ddc4ae5825", "resource": {"resourceType": "Observation", "id": "97b316f7-bb96-051f-adba-72ddc4ae5825", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061347"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-04-18T19:57:02Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-04-04T16:55:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-04-18T19:46:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/97b316f7-bb96-051f-adba-72ddc4ae5825"}}, {"fullUrl": "urn:uuid:802747f4-9918-ee48-2856-c20c752c6645", "resource": {"resourceType": "DiagnosticReport", "id": "802747f4-9918-ee48-2856-c20c752c6645", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061369"}], "status": "final", "code": {"coding": [{"code": "196880", "display": "Hepatitis C IgG w/Rfx PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-05-12T11:00:00Z", "end": "2022-05-12T11:00:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/e3ed9f73-9034-22a0-1a9a-a68afaf8cf62"}, {"reference": "Observation/afc22b87-aca4-4c33-5941-99e6b0c86aa3"}, {"reference": "Observation/dd78234e-ddd5-20c2-cdc5-f63ee975bff9"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/802747f4-9918-ee48-2856-c20c752c6645"}}, {"fullUrl": "urn:uuid:e3ed9f73-9034-22a0-1a9a-a68afaf8cf62", "resource": {"resourceType": "Observation", "id": "e3ed9f73-9034-22a0-1a9a-a68afaf8cf62", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2061369.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "13955-0", "display": "Hepatitis C Antibody", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-05-12T16:35:53Z", "valueString": "Positive", "referenceRange": [{"text": "Negative"}], "interpretation": [{"coding": [{"code": "A", "display": "Abnormal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "note": [{"text": "Negative: Antibodies to HCV not detected; does not exclude possibility of infection with HCV.
Equivocal: Antibodies to HCV may or may not be present; repeat serologic testing in approximately 8 weeks or nucleic acid testing is recommended to assess possible infection.
Positive: Presumptive history of HCV infection; nucleic acid testing recommended to document viral replication."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-05-12T11:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-05-12T16:30:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2061369.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "50711007", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/e3ed9f73-9034-22a0-1a9a-a68afaf8cf62"}}, {"fullUrl": "urn:uuid:afc22b87-aca4-4c33-5941-99e6b0c86aa3", "resource": {"resourceType": "Observation", "id": "afc22b87-aca4-4c33-5941-99e6b0c86aa3", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061369"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-05-12T16:35:53Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-05-12T11:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-05-12T16:30:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/afc22b87-aca4-4c33-5941-99e6b0c86aa3"}}, {"fullUrl": "urn:uuid:dd78234e-ddd5-20c2-cdc5-f63ee975bff9", "resource": {"resourceType": "Observation", "id": "dd78234e-ddd5-20c2-cdc5-f63ee975bff9", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2061369"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-05-12T16:35:53Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Blood"}, {"url": "specimen collection time", "valueDateTime": "2022-05-12T11:00:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-05-12T16:30:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/dd78234e-ddd5-20c2-cdc5-f63ee975bff9"}}, {"fullUrl": "urn:uuid:ae456a81-149c-3f23-43ce-5926fac20dde", "resource": {"resourceType": "DiagnosticReport", "id": "ae456a81-149c-3f23-43ce-5926fac20dde", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122243"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-07-27T20:49:00Z", "end": "2022-07-27T20:49:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/af08627b-f630-177f-ca03-2300eef71e53"}, {"reference": "Observation/40308380-4572-2b9f-0259-8f1601cfcdf0"}, {"reference": "Observation/8d5d6609-faa9-0217-3042-c8596d6cbbf1"}, {"reference": "Observation/6c06aa82-366e-0e31-5746-5e2207b3e155"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/ae456a81-149c-3f23-43ce-5926fac20dde"}}, {"fullUrl": "urn:uuid:af08627b-f630-177f-ca03-2300eef71e53", "resource": {"resourceType": "Observation", "id": "af08627b-f630-177f-ca03-2300eef71e53", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122243.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:13Z", "valueString": "Not Detected", "referenceRange": [{"text": "Not Detected"}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "BAL"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122243.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/af08627b-f630-177f-ca03-2300eef71e53"}}, {"fullUrl": "urn:uuid:40308380-4572-2b9f-0259-8f1601cfcdf0", "resource": {"resourceType": "Observation", "id": "40308380-4572-2b9f-0259-8f1601cfcdf0", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122243.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-07-28T14:01:13Z", "valueString": "BAL
This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "BAL"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122243.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/40308380-4572-2b9f-0259-8f1601cfcdf0"}}, {"fullUrl": "urn:uuid:8d5d6609-faa9-0217-3042-c8596d6cbbf1", "resource": {"resourceType": "Observation", "id": "8d5d6609-faa9-0217-3042-c8596d6cbbf1", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2122243"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-07-28T14:01:13Z", "valueString": "Ordered by Romney H Humphries", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "BAL"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122243.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/8d5d6609-faa9-0217-3042-c8596d6cbbf1"}}, {"fullUrl": "urn:uuid:6c06aa82-366e-0e31-5746-5e2207b3e155", "resource": {"resourceType": "Observation", "id": "6c06aa82-366e-0e31-5746-5e2207b3e155", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122243"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-07-28T14:01:13Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "BAL"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/6c06aa82-366e-0e31-5746-5e2207b3e155"}}, {"fullUrl": "urn:uuid:06d5021b-8933-cbbf-21f9-b65e190e4d26", "resource": {"resourceType": "DiagnosticReport", "id": "06d5021b-8933-cbbf-21f9-b65e190e4d26", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122244"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-07-27T20:49:00Z", "end": "2022-07-27T20:49:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/a8da9679-80d8-b797-1ec9-5764c26f64d9"}, {"reference": "Observation/e605efde-3f95-cb5e-584d-12e9bd074321"}, {"reference": "Observation/ca55457c-0806-2526-d15b-855bba6c9acc"}, {"reference": "Observation/8c5423fd-f8dc-6cbc-9d40-331c2134ea9f"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/06d5021b-8933-cbbf-21f9-b65e190e4d26"}}, {"fullUrl": "urn:uuid:a8da9679-80d8-b797-1ec9-5764c26f64d9", "resource": {"resourceType": "Observation", "id": "a8da9679-80d8-b797-1ec9-5764c26f64d9", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122244.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:14Z", "valueString": "Not Detected", "referenceRange": [{"text": "Not Detected"}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122244.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/a8da9679-80d8-b797-1ec9-5764c26f64d9"}}, {"fullUrl": "urn:uuid:e605efde-3f95-cb5e-584d-12e9bd074321", "resource": {"resourceType": "Observation", "id": "e605efde-3f95-cb5e-584d-12e9bd074321", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122244.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-07-28T14:01:14Z", "valueString": "Nares
This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122244.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/e605efde-3f95-cb5e-584d-12e9bd074321"}}, {"fullUrl": "urn:uuid:ca55457c-0806-2526-d15b-855bba6c9acc", "resource": {"resourceType": "Observation", "id": "ca55457c-0806-2526-d15b-855bba6c9acc", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2122244"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-07-28T14:01:14Z", "valueString": "Ordered by Romney H Humphries", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122244.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/ca55457c-0806-2526-d15b-855bba6c9acc"}}, {"fullUrl": "urn:uuid:8c5423fd-f8dc-6cbc-9d40-331c2134ea9f", "resource": {"resourceType": "Observation", "id": "8c5423fd-f8dc-6cbc-9d40-331c2134ea9f", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122244"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-07-28T14:01:14Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nares"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/8c5423fd-f8dc-6cbc-9d40-331c2134ea9f"}}, {"fullUrl": "urn:uuid:05fd6b87-b487-9ee9-2d85-2e3fef068126", "resource": {"resourceType": "DiagnosticReport", "id": "05fd6b87-b487-9ee9-2d85-2e3fef068126", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122245"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-07-27T20:49:00Z", "end": "2022-07-27T20:49:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/ce9ac8ea-bb4f-fd0b-264c-98807af3da1b"}, {"reference": "Observation/6da9c8a9-b803-409e-f974-4c0246074661"}, {"reference": "Observation/93744457-9d4e-547a-1999-fec04bdba045"}, {"reference": "Observation/513543e4-6465-d95d-efb4-b3aa6cf25015"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/05fd6b87-b487-9ee9-2d85-2e3fef068126"}}, {"fullUrl": "urn:uuid:ce9ac8ea-bb4f-fd0b-264c-98807af3da1b", "resource": {"resourceType": "Observation", "id": "ce9ac8ea-bb4f-fd0b-264c-98807af3da1b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122245.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:15Z", "valueString": "Not Detected", "referenceRange": [{"text": "Not Detected"}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nasopharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122245.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/ce9ac8ea-bb4f-fd0b-264c-98807af3da1b"}}, {"fullUrl": "urn:uuid:6da9c8a9-b803-409e-f974-4c0246074661", "resource": {"resourceType": "Observation", "id": "6da9c8a9-b803-409e-f974-4c0246074661", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122245.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-07-28T14:01:15Z", "valueString": "Nasopharynx
This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nasopharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122245.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/6da9c8a9-b803-409e-f974-4c0246074661"}}, {"fullUrl": "urn:uuid:93744457-9d4e-547a-1999-fec04bdba045", "resource": {"resourceType": "Observation", "id": "93744457-9d4e-547a-1999-fec04bdba045", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2122245"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-07-28T14:01:15Z", "valueString": "Ordered by Romney H Humphries", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nasopharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122245.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/93744457-9d4e-547a-1999-fec04bdba045"}}, {"fullUrl": "urn:uuid:513543e4-6465-d95d-efb4-b3aa6cf25015", "resource": {"resourceType": "Observation", "id": "513543e4-6465-d95d-efb4-b3aa6cf25015", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122245"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-07-28T14:01:15Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Nasopharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/513543e4-6465-d95d-efb4-b3aa6cf25015"}}, {"fullUrl": "urn:uuid:7b775111-c523-1b39-70f6-4644619796f5", "resource": {"resourceType": "DiagnosticReport", "id": "7b775111-c523-1b39-70f6-4644619796f5", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122246"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-07-27T20:49:00Z", "end": "2022-07-27T20:49:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/55d8ed97-c896-4612-48a3-7427e3225e9b"}, {"reference": "Observation/b4bc2708-6174-3295-5ddf-0484b06ae3b4"}, {"reference": "Observation/26531afa-b417-3fc1-1ab4-ac0fe728c034"}, {"reference": "Observation/c0bcac36-62c5-5224-7b19-96161329bdeb"}, {"reference": "Observation/a1f13b27-0d59-f1db-2ab8-978b752be322"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/7b775111-c523-1b39-70f6-4644619796f5"}}, {"fullUrl": "urn:uuid:55d8ed97-c896-4612-48a3-7427e3225e9b", "resource": {"resourceType": "Observation", "id": "55d8ed97-c896-4612-48a3-7427e3225e9b", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122246.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:16Z", "valueString": "Detected", "referenceRange": [{"text": "Not Detected"}], "interpretation": [{"coding": [{"code": "A", "display": "Abnormal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oropharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122246.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/55d8ed97-c896-4612-48a3-7427e3225e9b"}}, {"fullUrl": "urn:uuid:b4bc2708-6174-3295-5ddf-0484b06ae3b4", "resource": {"resourceType": "Observation", "id": "b4bc2708-6174-3295-5ddf-0484b06ae3b4", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122246.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-07-28T14:01:16Z", "valueString": "Oropharynx
This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oropharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122246.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/b4bc2708-6174-3295-5ddf-0484b06ae3b4"}}, {"fullUrl": "urn:uuid:26531afa-b417-3fc1-1ab4-ac0fe728c034", "resource": {"resourceType": "Observation", "id": "26531afa-b417-3fc1-1ab4-ac0fe728c034", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2122246"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-07-28T14:01:16Z", "valueString": "Ordered by Romney H Humphries", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oropharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122246.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/26531afa-b417-3fc1-1ab4-ac0fe728c034"}}, {"fullUrl": "urn:uuid:c0bcac36-62c5-5224-7b19-96161329bdeb", "resource": {"resourceType": "Observation", "id": "c0bcac36-62c5-5224-7b19-96161329bdeb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122246"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:16Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oropharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/c0bcac36-62c5-5224-7b19-96161329bdeb"}}, {"fullUrl": "urn:uuid:a1f13b27-0d59-f1db-2ab8-978b752be322", "resource": {"resourceType": "Observation", "id": "a1f13b27-0d59-f1db-2ab8-978b752be322", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122246"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-07-28T14:01:16Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Oropharynx"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/a1f13b27-0d59-f1db-2ab8-978b752be322"}}, {"fullUrl": "urn:uuid:590d2c83-924b-707c-73f4-3aa9b4f1359d", "resource": {"resourceType": "DiagnosticReport", "id": "590d2c83-924b-707c-73f4-3aa9b4f1359d", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122247"}], "status": "final", "code": {"coding": [{"code": "191589", "display": "SARS-CoV-2 PCR", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.696580"}]}, "effectivePeriod": {"start": "2022-07-27T20:49:00Z", "end": "2022-07-27T20:49:00Z"}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"reference": "Organization/22c6cdd0-bde1-e220-9ba4-2c2802f795ad"}], "result": [{"reference": "Observation/259c0261-e650-24f3-7ccf-ec69871a431a"}, {"reference": "Observation/d2b4826f-802c-87d2-20ac-34dade169167"}, {"reference": "Observation/7dbb8280-9206-097a-3b7a-c2dfc712459e"}, {"reference": "Observation/01eb7b0c-1ce3-ff8b-cb73-e85b6c8ee41c"}, {"reference": "Observation/d218e3d4-5585-f9f0-a926-c2740482ac49"}], "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "DiagnosticReport/590d2c83-924b-707c-73f4-3aa9b4f1359d"}}, {"fullUrl": "urn:uuid:259c0261-e650-24f3-7ccf-ec69871a431a", "resource": {"resourceType": "Observation", "id": "259c0261-e650-24f3-7ccf-ec69871a431a", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122247.1"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "94533-7", "display": "SARS-CoV-2 Nucleic Acid (Result)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:17Z", "valueString": "Detected", "referenceRange": [{"text": "Not Detected"}], "interpretation": [{"coding": [{"code": "A", "display": "Abnormal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "note": [{"text": "This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample."}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Other"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122247.Comp1"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "840539006", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/259c0261-e650-24f3-7ccf-ec69871a431a"}}, {"fullUrl": "urn:uuid:d2b4826f-802c-87d2-20ac-34dade169167", "resource": {"resourceType": "Observation", "id": "d2b4826f-802c-87d2-20ac-34dade169167", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.6.798268.2000", "value": "2122247.2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "16535", "display": "SARS-CoV-2 Nucleic Acid Method (Comment)", "system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768282"}]}, "effectiveDateTime": "2022-07-28T14:01:17Z", "valueString": "Other
This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Other"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122247.Comp2"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "performer": [{"display": "VUMC CERNER LAB", "reference": "Organization/e3ece69c-0968-59c9-47dd-f16db731621a"}]}, "request": {"method": "PUT", "url": "Observation/d2b4826f-802c-87d2-20ac-34dade169167"}}, {"fullUrl": "urn:uuid:7dbb8280-9206-097a-3b7a-c2dfc712459e", "resource": {"resourceType": "Observation", "id": "7dbb8280-9206-097a-3b7a-c2dfc712459e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.7.798268.71", "value": "2122247"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "RAC", "system": "urn:oid:1.2.840.114350.1.72.1.5220"}]}, "effectiveDateTime": "2022-07-28T14:01:17Z", "valueString": "Ordered by Romney H Humphries", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Other"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.478.3.7.2.798268.2122247.ResultingAgencyComment"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/7dbb8280-9206-097a-3b7a-c2dfc712459e"}}, {"fullUrl": "urn:uuid:01eb7b0c-1ce3-ff8b-cb73-e85b6c8ee41c", "resource": {"resourceType": "Observation", "id": "01eb7b0c-1ce3-ff8b-cb73-e85b6c8ee41c", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122247"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "56850-1", "display": "Lab Interpretation", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-07-28T14:01:17Z", "valueString": "Abnormal", "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Other"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/01eb7b0c-1ce3-ff8b-cb73-e85b6c8ee41c"}}, {"fullUrl": "urn:uuid:d218e3d4-5585-f9f0-a926-c2740482ac49", "resource": {"resourceType": "Observation", "id": "d218e3d4-5585-f9f0-a926-c2740482ac49", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.798268", "value": "2122247"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "effectiveDateTime": "2022-07-28T14:01:17Z", "valueCodeableConcept": {"coding": [{"code": "16", "system": "urn:oid:1.2.840.114350.1.72.1.5007"}]}, "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Other"}, {"url": "specimen collection time", "valueDateTime": "2022-07-27T20:49:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-07-27T20:58:00Z"}]}], "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/d218e3d4-5585-f9f0-a926-c2740482ac49"}}, {"fullUrl": "urn:uuid:1cfb73a5-128f-a51c-c396-fb20cd8e2456", "resource": {"resourceType": "Observation", "id": "1cfb73a5-128f-a51c-c396-fb20cd8e2456", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.1.1040.1", "value": "Z31828^^72166-2"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history"}]}], "status": "final", "code": {"coding": [{"code": "72166-2", "display": "Tobacco smoking status NHIS", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "266927001", "display": "Tobacco smoking consumption unknown", "system": "http://snomed.info/sct"}]}, "subject": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}}, "request": {"method": "PUT", "url": "Observation/1cfb73a5-128f-a51c-c396-fb20cd8e2456"}}, {"fullUrl": "urn:uuid:", "resource": {"resourceType": "Observation", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": "ecr"}}, "request": {"method": "PUT", "url": "Observation/"}}, {"fullUrl": "urn:uuid:f5e25af7-945a-cf66-d2d0-8942935165a2", "resource": {"resourceType": "Immunization", "id": "f5e25af7-945a-cf66-d2d0-8942935165a2", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "86940"}], "occurrenceDateTime": "2021-01-22", "note": {"text": "SARS-COV-2 (COVID-19) Spikevax Vaccine, Moderna"}, "vaccineCode": {"coding": [{"code": "80777-273-10", "system": "urn:oid:2.16.840.1.113883.6.69"}]}, "lotNumber": "LLSFJK", "manufacturer": {"reference": "Organization/57fcc148-b440-3a80-749b-780325e9680d"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/8f17ebaf-226e-4565-a8e4-1fd09cc4f25a"}, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Immunization/f5e25af7-945a-cf66-d2d0-8942935165a2"}}, {"fullUrl": "urn:uuid:57fcc148-b440-3a80-749b-780325e9680d", "resource": {"resourceType": "Organization", "id": "57fcc148-b440-3a80-749b-780325e9680d", "name": "Moderna US, Inc.", "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Organization/57fcc148-b440-3a80-749b-780325e9680d"}}, {"fullUrl": "urn:uuid:875c24ee-6be0-066b-ca5f-e73b2d914f5b", "resource": {"resourceType": "Immunization", "id": "875c24ee-6be0-066b-ca5f-e73b2d914f5b", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "90497"}], "occurrenceDateTime": "2020-09-08", "note": {"text": "Hep B, adult vaccine (Engerix/Recombivax)"}, "vaccineCode": {"coding": [{"display": "Hep B, adult vaccine (Engerix/Recombivax)"}]}, "status": "completed", "primarySource": true, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Immunization/875c24ee-6be0-066b-ca5f-e73b2d914f5b"}}, {"fullUrl": "urn:uuid:3c8af1dd-2983-5d97-d5f1-f6dd57e9eba1", "resource": {"resourceType": "Immunization", "id": "3c8af1dd-2983-5d97-d5f1-f6dd57e9eba1", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.478.3.7.2.768076", "value": "90499"}], "occurrenceDateTime": "2021-06-15", "note": {"text": "DTaP, 5 pertussis antigens vaccine (DAPTACEL)"}, "vaccineCode": {"coding": [{"display": "DTaP, 5 pertussis antigens vaccine (DAPTACEL)"}]}, "status": "completed", "primarySource": true, "meta": {"source": "ecr"}}, "request": {"method": "PUT", "url": "Immunization/3c8af1dd-2983-5d97-d5f1-f6dd57e9eba1"}}]}') ON CONFLICT (ecr_id) DO NOTHING; +WITH inserted_data AS ( + INSERT INTO ecr_data ( + eICR_ID, patient_name_last, patient_name_first, patient_birth_date, data_source, report_date + ) VALUES ( + '1.2.840.114350.1.13.478.3.7.8.688883.230886', 'ZTEST', 'APPLE', '1965-10-05', 'DB', '2022-02-18' + ) + ON CONFLICT (eICR_ID) DO NOTHING + RETURNING eICR_ID +), inserted_condition AS ( + INSERT INTO ecr_rr_conditions (uuid, eICR_ID, condition) + VALUES (uuid_generate_v4(), (SELECT eICR_ID FROM inserted_data), 'Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder),Viral hepatitis type C (disorder),Viral hepatitis type C (disorder),Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder),Plague (disorder),Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)') + RETURNING uuid +) +INSERT INTO ecr_rr_rule_summaries (uuid, ecr_rr_conditions_id, rule_summary) +VALUES (uuid_generate_v4(), (SELECT uuid FROM inserted_condition), 'Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method,Detection of Hepatitis C virus antibody in a clinical specimen by any method,Detection of Hepatitis C virus antibody in a clinical specimen by any method,COVID-19 (as a diagnosis or active problem),Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method,Plague (as a diagnosis or active problem),Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any method') +RETURNING (SELECT eICR_ID FROM inserted_data); \ No newline at end of file diff --git a/containers/ecr-viewer/cypress/docker-compose.yml b/containers/ecr-viewer/cypress/docker-compose.yml new file mode 100644 index 0000000000..fdd6dbc026 --- /dev/null +++ b/containers/ecr-viewer/cypress/docker-compose.yml @@ -0,0 +1,32 @@ +services: + # PostgreSQL database + postgres: + image: "postgres:alpine" + ports: + - "5432:5432" + volumes: + - ../sql/core.sql:/docker-entrypoint-initdb.d/core.sql + - ../seed-scripts/sql/01-init.sql:/docker-entrypoint-initdb.d/01-init.sql + - ./assets/data.sql:/docker-entrypoint-initdb.d/data.sql + - ../seed-scripts/sql/.pgpass/:/usr/local/lib/.pgpass + environment: + - POSTGRES_USER=postgres + - PGUSER=postgres + - POSTGRES_PASSWORD=pw + - POSTGRES_DB=ecr_viewer_db + healthcheck: + test: ["CMD-SHELL", "pg_isready"] + interval: 2s + timeout: 5s + retries: 20 + + # Next.js app + ecr-viewer: + build: + context: ../../.. + dockerfile: ./containers/ecr-viewer/Dockerfile + ports: + - "3000:3000" + environment: + - DATABASE_URL=${DATABASE_URL:-postgres://postgres:pw@db:5432/ecr_viewer_db} + - APP_ENV=${APP_ENV:-prod} diff --git a/containers/ecr-viewer/cypress/e2e/app.cy.tsx b/containers/ecr-viewer/cypress/e2e/app.cy.tsx index 11d60eef8c..e5e711026e 100644 --- a/containers/ecr-viewer/cypress/e2e/app.cy.tsx +++ b/containers/ecr-viewer/cypress/e2e/app.cy.tsx @@ -2,11 +2,13 @@ describe("Happy Path", () => { it("Should load the eCR Viewer for a known ID", () => { // Visit a valid URL const basePath = Cypress.env("BASE_PATH") || ""; - cy.visit(`${basePath}/view-data?id=6100896d-b520-497c-b2fe-1c111c679274`); + cy.visit( + `${basePath}/view-data?id=1.2.840.114350.1.13.478.3.7.8.688883.230886`, + ); // Gets the expected content cy.get("#patient-summary").contains("Patient Summary"); - cy.contains("VICTORIA HUNTER"); + cy.contains("APPLE ZTEST"); }); }); diff --git a/containers/ecr-viewer/docker-compose.yml b/containers/ecr-viewer/docker-compose.yml index fe9fb5b815..e78da116b3 100644 --- a/containers/ecr-viewer/docker-compose.yml +++ b/containers/ecr-viewer/docker-compose.yml @@ -4,7 +4,8 @@ services: ports: - "5432:5432" volumes: - - ./seed-scripts/sql/:/docker-entrypoint-initdb.d/ + - ./sql/core.sql:/docker-entrypoint-initdb.d/core.sql + - ./seed-scripts/sql/01-init.sql:/docker-entrypoint-initdb.d/01-init.sql - ./seed-scripts/sql/.pgpass/:/usr/local/lib/.pgpass environment: - POSTGRES_USER=postgres diff --git a/containers/ecr-viewer/next-env.d.ts b/containers/ecr-viewer/next-env.d.ts index 4f11a03dc6..40c3d68096 100644 --- a/containers/ecr-viewer/next-env.d.ts +++ b/containers/ecr-viewer/next-env.d.ts @@ -2,4 +2,4 @@ /// // NOTE: This file should not be edited -// see https://nextjs.org/docs/basic-features/typescript for more information. +// see https://nextjs.org/docs/app/building-your-application/configuring/typescript for more information. diff --git a/containers/ecr-viewer/package.json b/containers/ecr-viewer/package.json index 40cd32e5e8..cc413d51a6 100644 --- a/containers/ecr-viewer/package.json +++ b/containers/ecr-viewer/package.json @@ -16,7 +16,7 @@ "update-cypress-data": "docker compose -f ./seed-scripts/docker-compose-create-sql.yml up --build --abort-on-container-exit", "cypress:open": "cypress open", "cypress:run": "cypress run", - "cypress:run-local": "cp ./cypress/assets/data.sql ./seed-scripts/sql && docker compose --env-file .env.test up db -d && concurrently --kill-others 'npm run dev' 'npx wait-on http://localhost:3000 && NODE_ENV=dev cypress run ; docker compose down && rm ./seed-scripts/sql/data.sql'", + "cypress:run-local": "docker compose -f cypress/docker-compose.yml --env-file .env.test up postgres -d && concurrently --kill-others 'npm run dev' 'npx wait-on http://localhost:3000 && NODE_ENV=dev cypress run ; docker compose down'", "cypress:run-prod": "NODE_ENV=production cypress run" }, "dependencies": { diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.html b/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.html deleted file mode 100644 index a456b8cbc4..0000000000 --- a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.html +++ /dev/null @@ -1,246 +0,0 @@ - - - - - - Reportability Response - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PatientHUNTER, VICTORIA
Patient ID(s)Patient/38381210/_history/58 2.16.840.1.113883 -
- 8225956 2.16.840.1.113883.17.8797.100 -
- 5801038 2.16.840.1.113883.3.2061.100 -
-
Contact info309 EAST HILLCREST AVE -
- APT 232 -
- INGLEWOOD, CA 90301-2405, US -
-
Date of BirthNovember 15, 1954
SexFemale
RaceBlack or African American
EthnicityNot Hispanic or Latino
Preferred LanguageInformation not available
- - - - - - - - - -
Primary Information Recipient:Nielsen, Victoria
Contact info620 Shadow Lane -
- Las Vegas, NV 89106, US -
-
- - - - - - -
eICR Identifier: 6100896d-b520-497c-b2fe-1c111c679274
-
-
-

- Subject: -

-

Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.

-

-
-
-
-
-

- Summary: -

-

-

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient

-

- "Infection caused by Shiga toxin producing Escherichia coli (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report. -
-

-

- "Hemolytic uremic syndrome (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report. -
-

-

- "Hemolytic uremic syndrome (disorder)" is reportable to "Nevada State Health Division". The initial case report was sent to "Nevada State Health Division". Additional information may be required for this report. -
-

-

- "Infection caused by Shiga toxin producing Escherichia coli (disorder)" for "Local Public Health Agency" -

-

- Reporting is required within "immediate". Reporting to this Public Health Agency is based on "Patient home address" -
-

-

- > Local Health Department Contact Information (Information only) -
-
-
-

-

- "Hemolytic uremic syndrome (disorder)" for "Los Angeles County Department of Public Health" -

-

- "Hemolytic uremic syndrome (disorder)" for "Nevada State Health Division" -

-

- > () -
-
-
-

-

- Additional Resources: -
-

-

- > (Information only) -
-
-
> (Information only) -
-
-
-

-

-
-
-
- - diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.xml b/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.xml deleted file mode 100644 index 8d5d9b5e04..0000000000 --- a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_RR.xml +++ /dev/null @@ -1,2 +0,0 @@ -Reportability Response309 EAST HILLCREST AVEAPT 232INGLEWOODCA90301-2405USVICTORIAHUNTERAPHL | Association of Public Health Laboratories.8515 Georgia Avenue, Suite 700Silver SpringMD20910US620 Shadow LaneLas VegasNV89106USVictoriaKNielsenHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA620 Shadow LaneLas VegasNV89106USVictoriaKNielsenHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA1050 W. Galleria DriveHendersonNV89011USRyanLabuz6900 N. Durango Dr.Las VegasNV89149USSeanMStevens1050 W. Galleria DriveHendersonNV89011USRyanLabuz6900 N. Durango Dr.Las VegasNV89149USSeanMStevens2075 E FLAMINGO RDLAS VEGASNV000000000USStaffPhysicianEd1050 W. Galleria DriveHendersonNV89011USAHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA
.
Subject:Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.
.
Summary:Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient"Infection caused by Shiga toxin producing Escherichia coli (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report.
"Hemolytic uremic syndrome (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report.
"Hemolytic uremic syndrome (disorder)" is reportable to "Nevada State Health Division". The initial case report was sent to "Nevada State Health Division". Additional information may be required for this report.
"Infection caused by Shiga toxin producing Escherichia coli (disorder)" for "Local Public Health Agency" Reporting is required within "immediate". Reporting to this Public Health Agency is based on "Patient home address"
> Local Health Department Contact Information (Information only)

"Hemolytic uremic syndrome (disorder)" for "Los Angeles County Department of Public Health" "Hemolytic uremic syndrome (disorder)" for "Nevada State Health Division" > ()

Additional Resources:
> (Information only)

> (Information only)

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. - California Department of Public HealthCalifornia Department of Public HealthThrombotic thrombocytopenic purpura (TTP) (as a diagnosis or active problem)Local Health Department Contact InformationSouthern Nevada Health District (SNHD)Southern Nevada Health District (SNHD)Los Angeles County Department of Public HealthLos Angeles County Department of Public HealthThrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem)Nevada State Health DivisionNevada State Health DivisionThrombotic Thrombocytopenic Purpura (TTP) (as a diagnosis or active problem)
\ No newline at end of file diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.xml b/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.xml deleted file mode 100644 index 45411d9706..0000000000 --- a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.xml +++ /dev/null @@ -1 +0,0 @@ -Initial Public Health Case Report309 EAST HILLCREST AVEAPT 232INGLEWOODCA90301-2405USVICTORIAHUNTERHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA620 Shadow LaneLas VegasNV89106USVictoriaKNielsenHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA1050 W. Galleria DriveHendersonNV89011USRyanLabuz6900 N. Durango Dr.Las VegasNV89149USSeanMStevens1050 W. Galleria DriveHendersonNV89011USRyanLabuz6900 N. Durango Dr.Las VegasNV89149USSeanMStevens2075 E FLAMINGO RDLAS VEGASNV000000000USStaffPhysicianEd1050 W. Galleria DriveHendersonNV89011USAHHN-Henderson Hospital1050 W. Galleria DriveHendersonNV89011USA
PROBLEMS - DIAGNOSES
Problem or DiagnosisProblem Status
TTP (thrombotic thrombocytopenic purpura)Active
ENCOUNTERS
Encounter ReasonDate of Encounter
observation encounter20220415161500+0000
RESULTS
Lab Test NameLab Test Result ValueLab Test Result Date
Troponin TNIH8.2|http://unitsofmeasure.org|ng/L2022-04-15T22:26:00.000Z
Troponin TNIH8.1|http://unitsofmeasure.org|ng/L2022-04-15T20:14:00.000Z
Troponin TNIH9.5|http://unitsofmeasure.org|ng/L2022-04-15T19:01:00.000Z
NT-ProBNP84|http://unitsofmeasure.org|pg/mL2022-04-15T19:01:00.000Z
Estimated Creatinine Clearance52.76|http://unitsofmeasure.org|mL/min2022-04-15T17:38:00.000Z
Symptomatic as defined by CDC?Yes2022-04-15T17:03:00.000Z
In ICU?No2022-04-15T17:03:00.000Z
Group care resident?No2022-04-15T17:03:00.000Z
Employed in healthcare?No2022-04-15T17:03:00.000Z
SARS-CoV-2 Interp:Unknown2022-04-15T17:03:00.000Z
SARS-CoV-2 PCRNegative2022-04-15T17:03:00.000Z
eGFR PediatricNot Reported2022-04-15T17:03:00.000Z
Flu B PCRNot Detected2022-04-15T17:03:00.000Z
Flu A PCRNot Detected2022-04-15T17:03:00.000Z
Calc Osmo270|http://unitsofmeasure.org|mOsmol/kg2022-04-15T17:03:00.000Z
A/G RatioUnknown2022-04-15T17:03:00.000Z
eGFR Non-African American70|http://unitsofmeasure.org|mL/min/1.73m22022-04-15T17:03:00.000Z
eGFR African American81|http://unitsofmeasure.org|mL/min/1.73m22022-04-15T17:03:00.000Z
Sodium135|http://unitsofmeasure.org|mmol/L2022-04-15T17:03:00.000Z
Potassium4.0|http://unitsofmeasure.org|mmol/L2022-04-15T17:03:00.000Z
Baso # Auto0.02|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Albumin. Level3.6|http://unitsofmeasure.org|gm/dL2022-04-15T17:03:00.000Z
Mono # Auto0.60|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Neut # Auto4.73|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Baso % Auto0.3|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Eos % Auto0.7|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Lymph % Auto21.3|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Neut % Auto68.9|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Calcium9.1|http://unitsofmeasure.org|mg/dL2022-04-15T17:03:00.000Z
RDW-SD49.7|http://unitsofmeasure.org|Femtoliters2022-04-15T17:03:00.000Z
Immature Grans # Auto0.01|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Lymph # Auto1.46|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Mono % Auto8.7|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
RDW-CV14.9|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Immature Grans %0.1|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Eos # Auto0.05|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
Chloride101|http://unitsofmeasure.org|mmol/L2022-04-15T17:03:00.000Z
BUN9|http://unitsofmeasure.org|mg/dL2022-04-15T17:03:00.000Z
Plt195|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
WBC6.87|http://unitsofmeasure.org|x10e3/mcL2022-04-15T17:03:00.000Z
TP8.9|http://unitsofmeasure.org|gm/dL2022-04-15T17:03:00.000Z
RBC4.92|http://unitsofmeasure.org|x10e6/mcL2022-04-15T17:03:00.000Z
MPV11.6|http://unitsofmeasure.org|Femtoliters2022-04-15T17:03:00.000Z
MCV90.7|http://unitsofmeasure.org|Femtoliters2022-04-15T17:03:00.000Z
MCHC33.0|http://unitsofmeasure.org|gm/dL2022-04-15T17:03:00.000Z
MCH29.9|http://unitsofmeasure.org|pg2022-04-15T17:03:00.000Z
Hgb14.7|http://unitsofmeasure.org|gm/dL2022-04-15T17:03:00.000Z
Hct44.6|http://unitsofmeasure.org|%2022-04-15T17:03:00.000Z
Glucose Level115|http://unitsofmeasure.org|mg/dL2022-04-15T17:03:00.000Z
D Dimer0.34|http://unitsofmeasure.org|mcg/mL FEU2022-04-15T17:03:00.000Z
CO228|http://unitsofmeasure.org|mmol/L2022-04-15T17:03:00.000Z
T Bili0.8|http://unitsofmeasure.org|mg/dL2022-04-15T17:03:00.000Z
AST25|http://unitsofmeasure.org|units/L2022-04-15T17:03:00.000Z
ALT19|http://unitsofmeasure.org|units/L2022-04-15T17:03:00.000Z
Alk Phos67|http://unitsofmeasure.org|units/L2022-04-15T17:03:00.000Z
BUN/Creat RatioUnknown2022-04-15T17:03:00.000Z
Anion Gap6|http://unitsofmeasure.org|mmol/L2022-04-15T17:03:00.000Z
Creatinine0.856|http://unitsofmeasure.org|mg/dL2022-04-15T17:03:00.000Z
Not Reported
Medications Administered
Medication NameMedication Start Date
albuterol (Ventolin HFA 90 mcg/inh inhalation aerosol)20220416050100+0000
doxycycline (doxycycline hyclate 100 mg oral tablet)20220416050100+0000
predniSONE (predniSONE 50 mg oral tablet)20220416050100+0000
Sodium Chloride 0.9% intravenous solution (NS Bolus (ADULT))20220415164100+0000
dexamethasone20220415164300+0000
ipratropium-albuterol (DuoNeb)20220415164300+0000
IMMUNIZATIONSNo ImmunizationInformation
SOCIAL HISTORY
Social History ObservationSocial History Observation Result
Birth SexF
Travel HistoryCOVID- 19 Testing Reason-Screening
Travel HistoryCOVID- 19 Testing Reason-Screening
Travel HistoryCOVID-19 Previously tested-No (qualifier value)
Travel HistoryExposure to severe acute respiratory syndrome coronavirus 2 (event)-No (qualifier value)
Travel HistoryMERS-CoV Travel History-No (qualifier value)
Travel HistoryTB Risk Score-
Travel HistorySymptoms of TB-No symptoms of TB
Travel HistoryHistory of tuberculosis (situation)-No known history of exposure to TB
Travel HistoryC.diff Screening-No (qualifier value)
Travel HistoryMERS-CoV Symptoms-
Travel HistoryMRSA Screen Hx MRSA-No (qualifier value)
Travel HistoryRecent Exposure to Communicable Disease-No (qualifier value)
COVID- 19 Testing Reason-ScreeningCOVID- 19 Testing Reason-ScreeningCOVID-19 Previously tested-No (qualifier value)Exposure to severe acute respiratory syndrome coronavirus 2 (event)-No (qualifier value)MERS-CoV Travel History-No (qualifier value)TB Risk Score-Symptoms of TB-No symptoms of TBHistory of tuberculosis (situation)-No known history of exposure to TBC.diff Screening-No (qualifier value)MERS-CoV Symptoms-MRSA Screen Hx MRSA-No (qualifier value)Recent Exposure to Communicable Disease-No (qualifier value)
Plan of TreatmentNo Plan Of Treatment Information
History of Present Illness
Narrative Text
Wheezing
Acute URI
Cough
Tachycardia
Reason For Visit
text
ACUTE URI
\ No newline at end of file diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.html b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.html new file mode 100644 index 0000000000..d173c6cd55 --- /dev/null +++ b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.html @@ -0,0 +1,274 @@ + + + + + + Reportability Response + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
PatientZtest, Apple
Patient ID(s)VAN4N7Q2ZJL42G8 1.2.840.114350.1.13.478.3.7.3.688884.100 +
+ 002001257 1.2.840.114350.1.13.478.3.7.5.737384.14 +
+
Contact info Primary Home: +
+ 999 Single Lane +
+ BEVERLY HILLS, CA 90210, USA +
+
Date of BirthOctober 5, 1965
SexFemale
RaceWhite
EthnicityNot Hispanic or Latino
Preferred Languageeng
+ + + + + + + + + +
Primary Information Recipient:,
Contact info
+ + + + + + +
eICR Identifier: 1.2.840.114350.1.13.478.3.7.8.688883.230886
+
+
+ Subject: +

Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.

+
+
+
+ Summary: +

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient.

+

+ "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report."Viral hepatitis type C (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report. +
+

+

+ "Viral hepatitis type C (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report."Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report."Plague (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report. +
+

+

+ "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Tennessee Department of Health". The initial case report was sent to "Tennessee Department of Health". Additional information may be required for this report. +
+

+

+ "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Local Public Health Agency" +

+

+ Reporting is required immediately. Reporting to this Public Health Agency is based on "Patient home address" +
+

+

+ > CDC COVID-19 webpage (Information only) +
+
+
> Local Health Department Contact Information (Information only) +
+
+
+

+

+ "Viral hepatitis type C (disorder)" for "Local Public Health Agency" +

+

+ Reporting is required within "7 Day(s)". Reporting to this Public Health Agency is based on "Patient home address" +
+

+

+ > Local Health Department Contact Information (Information only) +
+
+
+

+

+ "Viral hepatitis type C (disorder)" for "Los Angeles County Department of Public Health" +

+

+ "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Los Angeles County Department of Public Health" +

+

+ Reporting is required immediately. Reporting to this Public Health Agency is based on "Patient home address" +
+

+

+ > CDC COVID-19 webpage (Information only) +
+
+
> Los Angeles County Department of Public Health Office of the Chief Medical Informatics Officer IRIS System 241 North Figueroa Street Los Angeles, CA 90012 213-288-7696 (Information only) +
+
+
+

+

+ "Plague (disorder)" for "Los Angeles County Department of Public Health" +

+

+ "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Tennessee Department of Health" +

+

+ Reporting is required within "1 Day(s)". Reporting to this Public Health Agency is based on "Provider facility address" +
+

+

+ > CDC COVID-19 webpage (Information only) +
+
+
> If you have questions, please contact TDH by phone at (615)741-7247. (Information only) +
+
+
+

+

+ Additional Resources: +
+

+

+ > This includes references to more specific COVID reporting guidance for Tennessee. (Information only) +
+
+
> Link to PDF version of 2021 Tennessee Reportable Conditions. (Information only) +
+
+
+

+
+
+
+ + diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.xml b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.xml new file mode 100644 index 0000000000..efbfbadd99 --- /dev/null +++ b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_RR.xml @@ -0,0 +1,4 @@ +Reportability Response999 Single LaneLOS ANGELESBEVERLY HILLSCA90210USAUSAAppleZtestVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USAAPHL | Association of Public Health Laboratories.8515 Georgia Avenue, Suite 700Silver SpringMD20910USVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USATranscribe OrdersVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USALabVanderbilt University Adult Hospital1211 Medical Center DrDAVIDSONNashvilleTN37232Vanderbilt University Medical Center1211 Medical Center DrDAVIDSONNashvilleTN37232Vanderbilt University Medical Center
.
Subject:Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.
.Summary:Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient."Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report."Viral hepatitis type C (disorder)" is reportable to "Local Public Health Agency". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report.
"Viral hepatitis type C (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report."Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report."Plague (disorder)" is reportable to "Los Angeles County Department of Public Health". The initial case report was sent to "Los Angeles County Department of Public Health". Additional information may be required for this report.
"Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "Tennessee Department of Health". The initial case report was sent to "Tennessee Department of Health". Additional information may be required for this report.
"Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Local Public Health Agency" Reporting is required immediately. Reporting to this Public Health Agency is based on "Patient home address"
> CDC COVID-19 webpage (Information only)

> Local Health Department Contact Information (Information only)

"Viral hepatitis type C (disorder)" for "Local Public Health Agency" Reporting is required within "7 Day(s)". Reporting to this Public Health Agency is based on "Patient home address"
> Local Health Department Contact Information (Information only)

"Viral hepatitis type C (disorder)" for "Los Angeles County Department of Public Health" "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Los Angeles County Department of Public Health" Reporting is required immediately. Reporting to this Public Health Agency is based on "Patient home address"
> CDC COVID-19 webpage (Information only)

> Los Angeles County Department of Public Health Office of the Chief Medical Informatics Officer IRIS System 241 North Figueroa Street Los Angeles, CA 90012 213-288-7696 (Information only)

"Plague (disorder)" for "Los Angeles County Department of Public Health" "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "Tennessee Department of Health" Reporting is required within "1 Day(s)". Reporting to this Public Health Agency is based on "Provider facility address"
> CDC COVID-19 webpage (Information only)

> If you have questions, please contact TDH by phone at (615)741-7247. (Information only)

Additional Resources:
> This includes references to more specific COVID reporting guidance for Tennessee. (Information only)

> Link to PDF version of 2021 Tennessee Reportable Conditions. (Information only)

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. SacramentoCACalifornia Department of Public HealthSacramentoCACalifornia Department of Public HealthDetection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any methodCDC COVID-19 webpageLocal Health Department Contact InformationSacramentoCACalifornia Department of Public HealthSacramentoCACalifornia Department of Public HealthDetection of Hepatitis C virus antibody in a clinical specimen by any methodLocal Health Department Contact Information Los Angeles County Department of Public HealthLos Angeles County Department of Public HealthDetection of Hepatitis C virus antibody in a clinical specimen by any methodLos Angeles County Department of Public HealthLos Angeles County Department of Public HealthCOVID-19 (as a diagnosis or active problem)Detection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any methodCDC COVID-19 webpageLos Angeles County Department of Public Health Office of the Chief Medical Informatics Officer IRIS System 241 North Figueroa Street Los Angeles, CA 90012 213-288-7696Los Angeles County Department of Public HealthLos Angeles County Department of Public HealthPlague (as a diagnosis or active problem)Communicable and Environmental Diseases and Emergency Preparedness +Andrew Johnson Towerr +710 James Robertson Parkway, Nashville, TN 37243 +NashvilleTNTennessee Department of HealthTennessee Department of HealthDetection of SARS-CoV-2 nucleic acid in a clinical or post-mortem specimen by any methodCDC COVID-19 webpageIf you have questions, please contact TDH by phone at (615)741-7247.This includes references to more specific COVID reporting guidance for Tennessee.Link to PDF version of 2021 Tennessee Reportable Conditions.
\ No newline at end of file diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.html b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.html similarity index 73% rename from containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.html rename to containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.html index a22b77a50c..2b4bc8d6d7 100644 --- a/containers/ecr-viewer/seed-scripts/baseECR/cypress/6100896d-b520-497c-b2fe-1c111c679274/CDA_eICR.html +++ b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.html @@ -1168,7 +1168,7 @@ +
+
+

Emergency Contact

+
+ +
+ + (Sister) + + 44160 1.2.840.114350.1.13.478.3.7.2.827665 +
+
+
+

Contact

+
+
+
Primary Home
+
+

999 Single Court

+

BEVERLY HILLS, CA

+

90210, USA

+
-
email: VSEAS14@GMAIL.COM
+
tel: (Primary Home) +1-615-995-9999
@@ -1296,13 +1335,84 @@

Author

Time:
-
04/15/2022, 16:15
+
07/28/2022, 09:01
+
+
+
Lab Interface
+
+
+
EDILABIH OID: 1.2.840.114350.1.13.478.3.7.2.697780
+
+
+
+
+

Contact

+
+
+
+
+ +
+
+

Author Organization

+
+
+
Vanderbilt University Medical Center
+
+
+
1104202761 OID: 1.2.840.114350.1.13.478.2.7.5.737384.61
+
+
+
+
+

Contact

+
+
+
Work Place
+
+

3401 West End Ave

+

NASHVILLE, TN

+

37203, USA

+
+
+
+
tel: (Work Place) +1-615-322-5000
+
+
+
+
+
+
+

Author

+
+
+
Time:
+
07/28/2022, 09:01
+
+
+
+
+
+
10.2 OID: 1.2.840.114350.1.1
+
+
+
+

Contact

+
+
+
+
+
+
+
+

Author Organization

+
-
Victoria Nielsen
+
Vanderbilt University Medical Center
-
1326599333 NPI (US)
+
1104202761 OID: 1.2.840.114350.1.13.478.2.7.5.737384.61
@@ -1310,15 +1420,15 @@

Author

Contact

-
+
Work Place
-

620 Shadow Lane

-

Las Vegas, NV

-

89106, US

+

3401 West End Ave

+

NASHVILLE, TN

+

37203, USA

-
tel: ((70)2)2-59-1
+
tel: (Work Place) +1-615-322-5000
@@ -1331,862 +1441,2628 @@

Encounter

Identifier
-
Encounter/64871322/_history/32 OID: 2.16.840.1.113883
+
1800200448269 OID: 1.2.840.114350.1.13.478.3.7.3.698084.8
Type
-
observation encounter
+
Transcribe Orders
Date
- From: 04/15/2022, 16:15 + From: 02/18/2022
- To: 04/16/2022, 02:21 + To: 02/18/2022
Location
-
Organizational team of HHN-Henderson Hospital
-
-
-
-

Responsible Party

-
Victoria Nielsen of HHN-Henderson Hospital
-
-
-

Contact

-
-
-
-
-

620 Shadow Lane

-

Las Vegas, NV

-

89106, US

-
-
-
-
tel: ((70)2)2-59-1
-
+
Vanderbilt University Adult Hospital of Vanderbilt University Medical Center
-
+
+
+
-

PROBLEMS - DIAGNOSES

+

Miscellaneous Notes

-
- - - - - - - - - - - -
Problem or DiagnosisProblem Status
- TTP (thrombotic thrombocytopenic purpura) - - Active -
-
+ Not on file + documented in this encounter
-

ENCOUNTERS

+

Immunizations

- +
+ + + + + - + - - + + + + + + + +
Encounter ReasonDate of EncounterNameAdministration DatesNext Due
- observation encounter - - 20220415161500+0000 -
DTaP, 5 pertussis antigens vaccine (DAPTACEL) + 06/15/2021 +
Hep B, adult vaccine (Engerix/Recombivax) + 09/08/2020 +
SARS-COV-2 (COVID-19) Spikevax Vaccine, Moderna + 01/22/2021 +
+ documented as of this encounter +
+
+
+

Administered Medications

+
+ Not on file + documented in this encounter
-

RESULTS

+

Plan of Treatment

- +
+ Pending Results + + + + + + - + - - - - - - - + - - - - - - - - - - - - - - - - - - + PCR SARS-CoV-2 and Influenza A/B + - + + PCR SARS-CoV-2 and Influenza A/B + - + + PCR SARS-CoV-2 and Influenza A/B + - + + PCR SARS-CoV-2 and Influenza A/B + - + + PCR SARS-CoV-2 and Influenza A/B + + +
Lab Test NameLab Test Result ValueLab Test Result DateNameTypePriorityAssociated DiagnosesDate/Time
- Troponin TNIH - - 8.2|http://unitsofmeasure.org|ng/L - - 2022-04-15T22:26:00.000Z -
- Troponin TNIH - - 8.1|http://unitsofmeasure.org|ng/L - - 2022-04-15T20:14:00.000Z -
- Troponin TNIH - - 9.5|http://unitsofmeasure.org|ng/L - - 2022-04-15T19:01:00.000Z -
- NT-ProBNP - - 84|http://unitsofmeasure.org|pg/mL - - 2022-04-15T19:01:00.000Z -
- Estimated Creatinine Clearance - - 52.76|http://unitsofmeasure.org|mL/min - - 2022-04-15T17:38:00.000Z -
- Symptomatic as defined by CDC? - - Yes - - 2022-04-15T17:03:00.000Z -
- In ICU? - - No - - 2022-04-15T17:03:00.000Z -
- Group care resident? - - No - - 2022-04-15T17:03:00.000Z -
- Employed in healthcare? - - No - - 2022-04-15T17:03:00.000Z - LabRoutine07/27/2022 3:49 PM CDT
- SARS-CoV-2 Interp: - - Unknown - - 2022-04-15T17:03:00.000Z - LabRoutine07/27/2022 3:49 PM CDT
- SARS-CoV-2 PCR - - Negative - - 2022-04-15T17:03:00.000Z - LabRoutine07/27/2022 3:49 PM CDT
- eGFR Pediatric - - Not Reported - - 2022-04-15T17:03:00.000Z - LabRoutine07/27/2022 3:49 PM CDT
- Flu B PCR - - Not Detected - - 2022-04-15T17:03:00.000Z - LabRoutine07/27/2022 3:49 PM CDT
+
+
+ + Scheduled Orders + + + + + + + - + - + + + + PCR Hepatitis C Virus Qt + + +
- Flu A PCR - - Not Detected - - 2022-04-15T17:03:00.000Z - NameTypePriorityAssociated DiagnosesOrder Schedule
- Calc Osmo - - 270|http://unitsofmeasure.org|mOsmol/kg - - 2022-04-15T17:03:00.000Z - LabRoutineOrdered: 5/12/22
+
+ documented as of this encounter +
+
+
+

Problems

+
+
+ + + + + + - + - - + + + + - - + + - - + + - - + - - + + - - + + - - + + - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - +
- A/G Ratio - - Unknown - - 2022-04-15T17:03:00.000Z - Active ProblemsNoted Date
- eGFR Non-African American - - 70|http://unitsofmeasure.org|mL/min/1.73m2 - - 2022-04-15T17:03:00.000Z -
COVID toes7/13/22
- eGFR African American - - 81|http://unitsofmeasure.org|mL/min/1.73m2 - - 2022-04-15T17:03:00.000Z -
Chest pain on breathing5/26/22
- Sodium - - 135|http://unitsofmeasure.org|mmol/L - - 2022-04-15T17:03:00.000Z -
Type 1 diabetes2/28/22
- Potassium - - 4.0|http://unitsofmeasure.org|mmol/L - - 2022-04-15T17:03:00.000Z +
+

Overview:

+ + Formatting of this note might be different from the original. +
+ BMI Readings from Last 1 Encounters: +
+ 08/30/21 28.69 kg/m² +
+
+
- Baso # Auto - - 0.02|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
Plague pneumonia6/16/21
- Albumin. Level - - 3.6|http://unitsofmeasure.org|gm/dL - - 2022-04-15T17:03:00.000Z -
Absence of menstruation6/12/18
- Mono # Auto - - 0.60|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
Foot callus8/11/17
- Neut # Auto - - 4.73|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- Baso % Auto - - 0.3|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Eos % Auto - - 0.7|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Lymph % Auto - - 21.3|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Neut % Auto - - 68.9|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Calcium - - 9.1|http://unitsofmeasure.org|mg/dL - - 2022-04-15T17:03:00.000Z -
- RDW-SD - - 49.7|http://unitsofmeasure.org|Femtoliters - - 2022-04-15T17:03:00.000Z -
- Immature Grans # Auto - - 0.01|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- Lymph # Auto - - 1.46|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- Mono % Auto - - 8.7|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- RDW-CV - - 14.9|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Immature Grans % - - 0.1|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Eos # Auto - - 0.05|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- Chloride - - 101|http://unitsofmeasure.org|mmol/L - - 2022-04-15T17:03:00.000Z -
- BUN - - 9|http://unitsofmeasure.org|mg/dL - - 2022-04-15T17:03:00.000Z -
- Plt - - 195|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- WBC - - 6.87|http://unitsofmeasure.org|x10e3/mcL - - 2022-04-15T17:03:00.000Z -
- TP - - 8.9|http://unitsofmeasure.org|gm/dL - - 2022-04-15T17:03:00.000Z -
- RBC - - 4.92|http://unitsofmeasure.org|x10e6/mcL - - 2022-04-15T17:03:00.000Z -
- MPV - - 11.6|http://unitsofmeasure.org|Femtoliters - - 2022-04-15T17:03:00.000Z -
- MCV - - 90.7|http://unitsofmeasure.org|Femtoliters - - 2022-04-15T17:03:00.000Z -
- MCHC - - 33.0|http://unitsofmeasure.org|gm/dL - - 2022-04-15T17:03:00.000Z -
- MCH - - 29.9|http://unitsofmeasure.org|pg - - 2022-04-15T17:03:00.000Z -
- Hgb - - 14.7|http://unitsofmeasure.org|gm/dL - - 2022-04-15T17:03:00.000Z -
- Hct - - 44.6|http://unitsofmeasure.org|% - - 2022-04-15T17:03:00.000Z -
- Glucose Level - - 115|http://unitsofmeasure.org|mg/dL - - 2022-04-15T17:03:00.000Z -
- D Dimer - - 0.34|http://unitsofmeasure.org|mcg/mL FEU - - 2022-04-15T17:03:00.000Z -
- CO2 - - 28|http://unitsofmeasure.org|mmol/L - - 2022-04-15T17:03:00.000Z -
- T Bili - - 0.8|http://unitsofmeasure.org|mg/dL - - 2022-04-15T17:03:00.000Z -
- AST - - 25|http://unitsofmeasure.org|units/L - - 2022-04-15T17:03:00.000Z -
- ALT - - 19|http://unitsofmeasure.org|units/L - - 2022-04-15T17:03:00.000Z -
- Alk Phos - - 67|http://unitsofmeasure.org|units/L - - 2022-04-15T17:03:00.000Z -
- BUN/Creat Ratio - - Unknown - - 2022-04-15T17:03:00.000Z -
- Anion Gap - - 6|http://unitsofmeasure.org|mmol/L - - 2022-04-15T17:03:00.000Z -
- Creatinine - - 0.856|http://unitsofmeasure.org|mg/dL - - 2022-04-15T17:03:00.000Z +
+

Overview:

+ + Formatting of this note might be different from the original. +
+ Ouch. +
+
+ documented as of this encounter (statuses as of 07/28/2022)
-

Medications Administered

+

Reason for Visit

-
- - - - - - - - - - - - - - - - - - - - - - - - - - -
Medication NameMedication Start Date
- albuterol (Ventolin HFA 90 mcg/inh inhalation aerosol) - - 20220416050100+0000 -
- doxycycline (doxycycline hyclate 100 mg oral tablet) - - 20220416050100+0000 -
- predniSONE (predniSONE 50 mg oral tablet) - - 20220416050100+0000 -
- Sodium Chloride 0.9% intravenous solution (NS Bolus (ADULT)) - - 20220415164100+0000 -
- dexamethasone - - 20220415164300+0000 -
- ipratropium-albuterol (DuoNeb) - - 20220415164300+0000 -
-
+ Not on file
-

IMMUNIZATIONS

-
No ImmunizationInformation
+

Results

+
+
    +
  • + (ABNORMAL) SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Detected + (A) + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + Other +
    +
    + This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Other07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + Ordered by Romney H Humphries +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Detected + (A) + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + Oropharynx +
    +
    + This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Oropharynx07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + Ordered by Romney H Humphries +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Not Detected + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + Nasopharynx +
    +
    + This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Nasopharynx07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + Ordered by Romney H Humphries +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Not Detected + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + Nares +
    +
    + This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Nares07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + Ordered by Romney H Humphries +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Not Detected + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + BAL +
    +
    + This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BAL07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + Ordered by Romney H Humphries +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Hepatitis C IgG w/Rfx PCR (05/12/2022 6:00 AM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Hepatitis C Antibody + Positive + (A) + NegativeVUMC CERNER LAB
    + + Comment: +
    + + Positive: Presumptive history of HCV infection; nucleic acid testing recommended to document viral replication. +
    +
    + Equivocal: Antibodies to HCV may or may not be present; repeat serologic testing in approximately 8 weeks or nucleic acid testing is recommended to assess possible infection. +
    +
    + Negative: Antibodies to HCV not detected; does not exclude possibility of infection with HCV. +
    +
    +
    +
    +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood05/12/2022 6:00 AM CDT05/12/2022 11:30 AM CDT
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Charles W Stratton MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + Cytogenomic SNP microarray (04/04/2022 11:55 AM CDT): +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood04/04/2022 11:55 AM CDT04/18/2022 2:46 PM CDT
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    VUMC CERNER LAB - 04/18/2022 2:57 PM CDT

    +

    + MICROARRAY REPORT- Corrected +
    + +
    + Request#: CG-22-0000006 +
    + Service date: 4/4/2022 11:55 +
    + +
    + Microarray Result: +
    + Normal female +
    + +
    + Microarray Interpretation: +
    + SNP chromosomal microarray analysis (CMA) of a blood sample from this patient demonstrated no copy number changes of known clinical significance. No large regions of homozygosity (ROH) were detected. The ISCN nomenclature describing this result is: arr(X,1-22)x2. +
    + Electronically signed out by: +
    + Benfield, Luis A +
    + +
    + on 04/18/2022 +
    + ___________________________________________________________________ +
    + +
    + Clinical indication: +
    + Specimen List: Blood +
    + Date in Lab: 4/18/2022 14:46 +
    + Date Collected: 4/4/2022 11:55 +
    + ___________________________________________________________________ +
    + +
    + Disclaimer: +
    + +
    + Copy number gains less than 400 kb in size and copy number losses less than 200 kb in size will not be reported unless they represent a known or suspected clinically relevant imbalance. The reporting of copy number variants less than 100 kb in size is at the discretion of the laboratory and some clinically relevant copy number changes under 50 kb may not be reported due to limitations in probe coverage in certain genomic regions. Copy number changes of any size with no apparent clinical significance (likely benign or benign) have not been discussed in this report but may be available upon request. Regions of homozygosity (ROH) less than 10 Mb in size will not be reported unless the ROH is clinically relevant for potential uniparental disomy. Genome-wide ROH under 2% will not be reported. Copy number variants less than 200 kb associated with a carrier status for autosomal recessive conditions will not be reported unless specifically indicated in the reason for referral. +
    + +
    + This microarray was designed and manufactured by Affymetrix for the sole purpose of identifying DNA copy number gains and losses associated with chromosomal imbalances and regions of homozygosity (ROH) associated with uniparental isodisomy (isoUPD).This microarray will detect aneuploidy, deletions and duplications of loci represented on the microarray.  It will not detect balanced alterations including: reciprocal translocations, inversions and balanced insertions. It will not detect point mutations and imbalances less than 10 kb.  Failure to detect an alteration at any locus does not exclude the diagnosis of any of the disorders represented on the microarray. This assay is not designed to detect mosaic gains and losses and its performance in detecting mosaicism has not been established. This test was developed and its performance characteristics determined by Affymetrix as required by CLIA Â’88 regulations. This test is used for clinical purposes and the accuracy and precision has +
    + been established and verified by this laboratory. This test has not been cleared or approved by the U.S. Food and Drug Administration. +
    + +
    + Interpretation of copy number variants is performed using VUMC-laboratory maintained databases as well as the following resources: +
    + Database of Genomic Variants (http://dgv.tcag.ca/dgv/app/home) +
    + Online Mendelian Inheritance in Man (http://www.omim.org/) +
    + UCSC Genome Bioinformatics (http://genome.ucsc.edu/cgi-bin/hgGateway) +
    + ClinGen Clinical Genome Resource (http://www.ncbi.nlm.nih.gov/projects/dbvar/clingen) +
    + DECIPHER Database (https://decipher.sanger.ac.uk/browser) +
    + PubMed-NCBI (http://www.ncbi.nlm.nih.gov/pubmed) +
    + Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). PMID: 31690835 +
    + +
    + Method: +
    + Microarray platform: ThermoFisher Scientific CytoScanTM HD Cytogenetics Solution +
    + Version: 1.1 (Based on UCSC hg19 assembly) +
    + Number of loci analyzed: 2,696,550 +
    + Mean probe spacing: <700 bp +
    + +
    + +
    + +
    + +
    + +
    + +
    + Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln, +
    + Nashville, TN 37204  phone 615-875-0228, fax 615-875-0234 +

    +
    +
    +
    + + + + + + + + + + + +
    Resulting Agency Comment
    +

    + testing comment +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Carda Testprovqa MDLAB GENETIC TESTING
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + Pharmacogenomics (03/31/2022 5:36 PM CDT): +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    DNA03/31/2022 5:36 PM CDT03/31/2022 5:44 PM CDT
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    VUMC CERNER LAB - 03/31/2022 5:51 PM CDT

    +

    + Pharmacogenomics: Final Report +
    + +
    + Request #: MD-22-0000041 +
    + +
    + Service Date: 3/31/2022 17:36 +
    + +
    + Reason for Request: Genotyping for Determination of Drug Efficacy, Dosage and Safety +
    + +
    + Type of Specimen: DNA +
    + +
    + Date Received: 3/31/2022 17:44 +
    + +
    + Date Reported: 3/31/2022 17:51 +
    + +
    + Interpretation: +
    + Results from this assay may indicate dosage adjustments or medication alternatives that should be considered for this patient. Additional information regarding the implications of these results is available at www.mydruggenome.org. +
    + +
    + For VUMC patients, clinical decision support regarding the management of this patient with respect to specific drugs based upon the patient's genotype as listed below is available in the patient's electronic medical record under Genomic Indicators. Clinical decision support may also be provided for some drugs through order entry and medication prescribing tools utilized within the VUMC system. +
    + +
    + +
    + +
    + Comments: +
    + +
    + Results: +
    + +
    + CYP2C19 -  Cancelled +
    + +
    + CYP2C9 -   Cancelled +
    + +
    + CYP2D6 -   Cancelled   +
    + +
    + CYP3A5 -   Cancelled +
    + +
    + CYP4F2 -   Cancelled +
    + +
    + DPYD -     Cancelled +
    + +
    + NUDT15 -   Cancelled +
    + +
    + SLCO1B1 -  Cancelled       +
    + +
    + TPMT -     Cancelled +
    + +
    + VKORC1 -   Cancelled     +
    +   +
    + These results should be correlated with other laboratory and clinical findings and additional testing should be considered if clinically indicated. +
    +     +
    + +
    + Methodology: +
    + +
    + DNA was extracted from this specimen and screened for 37 variants in 10 genes that are associated with drug absorption, distribution, metabolism, excretion or response. The reported genotypes were determined using PCR amplification and oligonucleotide primers specific for each interrogated region of the genes listed within this panel. Fluorophore labeled probes were used to identify each variant. +
    + +
    + Variants analyzed in this assay include: CYP2C19 *2, *3, *4, *6, *8, *17; CYP2C9 *2, *3, *6, *8; CYP3A5 *3, *6, *7; CYP4F2 *3; DPYD *2A, *13, c.557A>G, c.1236G>A (HapB3), c.2846A>T;  NUDT15 *2 or *3; SLCO1B1 *5; TPMT *2, *3B, *3C, *4; VKORC1 promoter variant c.-1639G>A; and CYP2D6 copy number and variants *2, *2A, *3, *4, *6, *7, *9, *10, *17, *29 and *41. A *1 allele is considered the reference (normal) sequence and is reported if none of the variants analyzed for a particular gene is detected. This assay is specific for the variants listed above and cannot exclude the presence of other variants within these genes that may affect the pharmacologic function of the protein product encoded by these genes. In most cases, variants for a particular gene exist on separate alleles; however, for individuals in which multiple variants in the same gene are detected, this assay cannot determine if the variants are on the same allele or on different alleles. Further, due to the highly polymorphic +
    + nature of these regions, rare variants may exist that could affect the sensitivity or specificity of this assay and lead to a false-negative or a false-positive result. +
    + +
    + +
    + Electronically signed out by: +
    + Barba, Elizabeth +
    + +
    + on 03/31/2022 +
    + +
    + This assay has not been cleared or approved by the US Food and Drug Administration. The performance of this assay was tested and validated prior to use for patient testing. This test is used for clinical purposes and should not be regarded as investigational or research. This laboratory is regulated by the Clinical Laboratory Improvement Act of 1988. +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Carda Testprovqa MDLAB GENETIC TESTING
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl-QSTD (03/29/2022 1:53 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl + + VUMC patients:  Results faxed to Vanderbilt Medical Record. +
    + VPLS clients:   See separate report sent to client. +
    +
    +
    VUMC CERNER LAB
    + + Comment: + This test was performed at: Quest Laboratory,Location Varies,,,,,, + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Oral03/29/2022 1:53 PM CDT03/29/2022 2:07 PM CDT
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Carda Testprovqa MDLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + Results Called (03/22/2022 1:27 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Test CalledkVUMC CERNER LAB
    Reason CalledQNSVUMC CERNER LAB
    Called TotestVUMC CERNER LAB
    Read BackYesVUMC CERNER LAB
    Collector IDtest123VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood03/22/2022 1:27 PM CDT03/22/2022 1:29 PM CDT
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    E Mark Watts MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Culture Bact CSF (03/17/2022 1:34 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Final ReportModerate growth Neisseria meningitidisVUMC CERNER LAB
    Organism ID + Neisseria meningitidis + (POSITIVE) + VUMC CERNER LAB
    Gram Stain Report + + 3+ Gram negative diplococci; restreak for isolation +
    + 1+ White Blood Cells +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    CSF03/17/2022 1:34 PM CDT03/17/2022 1:34 PM CDT
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Culture Bact CSF (03/17/2022 1:11 PM CDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Final ReportLight growth Acinetobacter baumanniiVUMC CERNER LAB
    Organism ID + Acinetobacter baumannii + (POSITIVE) + VUMC CERNER LAB
    Gram Stain Report1+ Gram negative rodVUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    CSF03/17/2022 1:11 PM CDT03/17/2022 1:11 PM CDT
    +
    +
    + + + + + + + + + + + + + + + + + + + + + +
    OrganismAntibioticMethodSusceptibility
    Acinetobacter baumanniiAmikacinMIC +

    0.25: Susceptible

    +
    Acinetobacter baumanniiAvycaz (Ceftazidime/Avibactam)MIC +

    0.05: Intermediate

    +
    Acinetobacter baumanniiLevofloxacinMIC +

    0.75: Resistant

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + SARS-CoV-2 PCR (03/11/2022 1:05 PM CST): +
    + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    SARS-CoV-2 Nucleic Acid (Result) + Not Detected + Not DetectedVUMC CERNER LAB
    + + Comment: +
    + + A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample. +
    +
    + This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions. +
    +
    +
    +
    +
    SARS-CoV-2 Nucleic Acid Method (Comment) + + Nares +
    +
    + This test was performed using the Hologic Panther COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes. +
    +
    +
    VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Nares03/11/2022 1:05 PM CST03/11/2022 1:46 PM CST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB BODY FLUIDS AND STOOLS ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + FISH ALL Pnl (03/11/2022 1:05 PM CST): +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood03/11/2022 1:05 PM CST03/11/2022 1:09 PM CST
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    VUMC CERNER LAB - 03/11/2022 1:27 PM CST

    +

    + FISH REPORT +
    + +
    + Request#:CG-22-0000003 +
    + Service date:3/11/2022 13:05 +
    + +
    + +
    + FISH IMPRESSION: +
    + +
    + Abnormal for homozygous deletion of CDKN2A locus at 9p21 in __% of cells. +
    + +
    + FISH KARYOTYPE: +
    + +
    + +
    + +
    + nuc ish (DXZ1x1,DYZ3x1,D18Z1x2)[200] +
    + +
    +   +
    +   +
    +   +
    + +
    + +
    + +
    + COMMENTS: +
    + +
    + +
    + +
    + Results of the FISH studies with the 21 DNA probes described above were analyzed in at least 200 cells per probe and no abnormal signal patterns were detected for the target regions of chromosomes 1, 4, 7, 9, 10, 11, 12, 14, 17, 19, 21, and 22. +
    + +
    + Normal cut off values for probes: +
    + +
    + 1.0% for t(1;19) PBX1/TCF3 +
    + 1.0% for t(9;22) BCR/ABL1 +
    + 1.0% for KMT2A (11q23) +
    + 1.0% for t(12;21) ETV6/RUNX1 +
    + 1.0% for IKZF1/CEP7 +
    + 3.0% for CEP 4 +
    + 2.0% for CEP 10 +
    + 2.0% for CEP 17 +
    + 1.0% for CDKN2A/CEP9 (9p21) +
    + 1.0% for IGH breakapart +
    + 1.0% for ABL2 breakapart +
    + 1.0% for ABL1 breakapart +
    + +
    + These probes were developed by Vysis and their performance characteristics determined by VUMC as required by the CLIA '88 regulations.  These probes have not been cleared or approved by the U.S. Food and Drug administration. +
    + +
    + +
    + Ferrin Courtney Wheeler, PhD, FACMG +
    + reviewed and approved +
    + +
    + Electronically signed out by: +
    + Mavrak, Geoffrey A +
    + +
    + on 03/11/2022 +
    + +
    + Clinical History:  ALL +
    + Specimen List: Blood +
    + Date In Lab: 3/11/2022 13:09 +
    + Date Collected: 3/11/2022 13:05 +
    + +
    + Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln, +
    + Nashville, TN 37204  phone 615-875-0228, fax 615-875-0234 +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB GENETIC TESTING
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Culture Bact Bld Adult (03/11/2022 8:51 AM CST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Final Report + + Staphylococcus aureus +
    + Gram positive cocci; restreak for isolation Isolated from Aerobic bottle +
    +
    +
    VUMC CERNER LAB
    Organism ID + Staphylococcus aureus + (POSITIVE) + VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood (Antecub)03/11/2022 8:51 AM CST03/11/2022 8:51 AM CST
    +
    +
    + + + + + + + + + + + + + + + + + + + + + +
    OrganismAntibioticMethodSusceptibility
    Staphylococcus aureusAmpicillinMIC +

    0.25: Susceptible

    +
    Staphylococcus aureusRifampinMIC +

    0.75: Resistant

    +
    Staphylococcus aureusVancomycinMIC +

    0.05: Susceptible

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Culture Bact Urine (03/10/2022 2:30 PM CST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Final Report>100,000 cfu/ml Proteus mirabilisVUMC CERNER LAB
    Organism ID + Proteus mirabilis + (POSITIVE) + VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Urine03/10/2022 2:30 PM CST03/10/2022 2:49 PM CST
    +
    +
    + + + + + + + + + + + + + + + + + + + + + +
    OrganismAntibioticMethodSusceptibility
    Proteus mirabilisAztreonamMIC +

    0.75: Resistant

    +
    Proteus mirabilisCefoxitinMIC +

    0.25: Intermediate

    +
    Proteus mirabilisLevofloxacinMIC +

    0.05: Susceptible

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
  • + (ABNORMAL) Culture Bact Bld Adult (03/10/2022 10:00 AM CST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Final Report + + Staphylococcus aureus +
    + Gram Positive Cocci Restreak for isolation Isolated from Aerobic bottle +
    +
    +
    VUMC CERNER LAB
    Organism ID + Staphylococcus aureus + (POSITIVE) + VUMC CERNER LAB
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    Blood (Antecub)03/10/2022 10:00 AM CST03/10/2022 2:08 PM CST
    +
    +
    + + + + + + + + + + + + + + + + + + + + + +
    OrganismAntibioticMethodSusceptibility
    Staphylococcus aureusAmpicillinMIC +

    3: Resistant

    +
    Staphylococcus aureusVancomycinMIC +

    0.03: Susceptible

    +
    Staphylococcus aureusLevofloxacinMIC +

    2: Intermediate

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Katelyn Kennedy Atwater MDLAB MICROBIOLOGY - GENERAL ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    VUMC CERNER LAB

    +
    +

    4605 TVC VUMC

    +

    1301 Medical Center Drive

    +
    +

    NASHVILLE, TN 37232-5310

    +
    +

    615-875-5227

    +
    +
    +
  • +
+ documented in this encounter +
-

SOCIAL HISTORY

+

Social History

- +
+ + + + + + - + - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - +
Social History ObservationSocial History Observation ResultTobacco UseTypesPacks/DayYears UsedDate
- Birth Sex - - F -
- Travel History - - COVID- 19 Testing Reason-Screening -
- Travel History - - COVID- 19 Testing Reason-Screening -
- Travel History - - COVID-19 Previously tested-No (qualifier value) -
- Travel History - - Exposure to severe acute respiratory syndrome coronavirus 2 (event)-No (qualifier value) -
- Travel History - - MERS-CoV Travel History-No (qualifier value) -
- Travel History - - TB Risk Score- -
- Travel History - - Symptoms of TB-No symptoms of TB -
- Travel History - - History of tuberculosis (situation)-No known history of exposure to TB -
- Travel History - - C.diff Screening-No (qualifier value) -
- Travel History - - MERS-CoV Symptoms- -
- Travel History - - MRSA Screen Hx MRSA-No (qualifier value) -
- Travel History - - Recent Exposure to Communicable Disease-No (qualifier value) - Smoking Tobacco: Never Assessed
-
-
-
-

Plan of Treatment

-
No Plan Of Treatment Information
-
-
-

History of Present Illness

-
- +
+ + + + - + - - - - - - - - - - - + +
Narrative TextSex Assigned at BirthDate Recorded
- Wheezing -
- Acute URI -
- Cough -
- Tachycardia -
Not on file
+ documented as of this encounter
-

Reason For Visit

+

Encounter Details

- +
+ + + + + - + - - + +
textDateTypeDepartmentCare TeamDescription
- ACUTE URI -
2/18/22Transcribe Orders +

Vanderbilt University Adult Hospital

+

1211 Medical Center Dr

+

Nashville, TN 37232

+

615-322-5000

+
+

Tech, Lab, MLT

+
@@ -2198,21 +4074,21 @@

Reason For Vi

Document maintained by

-
HHN-Henderson Hospital
+
Vanderbilt University Medical Center

Contact

-
+
Work Place
-

1050 W. Galleria Drive

-

Henderson, NV

-

89011, USA

+

3401 West End Ave

+

NASHVILLE, TN

+

37203, USA

-
tel: (Work Place) (702)963-7000
+
tel: (Work Place) +1-615-322-5000
@@ -2228,7 +4104,7 @@

Document Information

- OID: 6100896d-b520-497c-b2fe-1c111c67927404/17/2022, 04:17 + OID: 1.2.840.114350.1.13.478.3.7.8.688883.23088607/28/2022, 09:01 diff --git a/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.xml b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.xml new file mode 100644 index 0000000000..ad7e9d3568 --- /dev/null +++ b/containers/ecr-viewer/seed-scripts/baseECR/cypress/61f13d32-b25c-4fb6-998b-73de2dbf87f2/CDA_eICR.xml @@ -0,0 +1 @@ +Initial Public Health Case Report999 Single LaneLOS ANGELESBEVERLY HILLSCA90210USAUSAAppleZtestVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USAVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USATranscribe OrdersVanderbilt University Medical Center3401 West End AveDAVIDSONNASHVILLETN37203USALabVanderbilt University Adult Hospital1211 Medical Center DrDAVIDSONNashvilleTN37232Vanderbilt University Medical Center1211 Medical Center DrDAVIDSONNashvilleTN37232Vanderbilt University Medical Center
Miscellaneous NotesNot on filedocumented in this encounter
Immunizations
NameAdministration DatesNext Due
DTaP, 5 pertussis antigens vaccine (DAPTACEL)06/15/2021
Hep B, adult vaccine (Engerix/Recombivax)09/08/2020
SARS-COV-2 (COVID-19) Spikevax Vaccine, Moderna01/22/2021
documented as of this encounter
LLSFJKModerna US, Inc.NurseOneFamily MedicineRN
Administered MedicationsNot on filedocumented in this encounter
Plan of Treatment
Pending Results
NameTypePriorityAssociated DiagnosesDate/Time
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
PCR SARS-CoV-2 and Influenza A/BLabRoutine07/27/2022 3:49 PM CDT
Scheduled Orders
NameTypePriorityAssociated DiagnosesOrder Schedule
PCR Hepatitis C Virus QtLabRoutineOrdered: 5/12/22
documented as of this encounter
Problems
Active ProblemsNoted Date
COVID toes7/13/22
Chest pain on breathing5/26/22
Type 1 diabetes2/28/22
Overview: Formatting of this note might be different from the original.
BMI Readings from Last 1 Encounters:
08/30/21 28.69 kg/m²

Plague pneumonia6/16/21
Absence of menstruation6/12/18
Foot callus8/11/17
Overview: Formatting of this note might be different from the original.
Ouch.

documented as of this encounter (statuses as of 07/28/2022)
Reason for VisitNot on file
Results(ABNORMAL) SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Detected (A)Not DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)Other

This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Other07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
Resulting Agency Comment
Ordered by Romney H Humphries
Authorizing ProviderResult Type
No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Detected (A)Not DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)Oropharynx

This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Oropharynx07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
Resulting Agency Comment
Ordered by Romney H Humphries
Authorizing ProviderResult Type
No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Not DetectedNot DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)Nasopharynx

This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Nasopharynx07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
Resulting Agency Comment
Ordered by Romney H Humphries
Authorizing ProviderResult Type
No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Not DetectedNot DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)Nares

This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Nares07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
Resulting Agency Comment
Ordered by Romney H Humphries
Authorizing ProviderResult Type
No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Not DetectedNot DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)BAL

This test was performed using the Roche 6800 COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
BAL07/27/2022 3:49 PM CDT07/27/2022 3:58 PM CDT
Resulting Agency Comment
Ordered by Romney H Humphries
Authorizing ProviderResult Type
No PcpLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Hepatitis C IgG w/Rfx PCR (05/12/2022 6:00 AM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Hepatitis C AntibodyPositive (A)NegativeVUMC CERNER LAB
Comment:
Positive: Presumptive history of HCV infection; nucleic acid testing recommended to document viral replication.

Equivocal: Antibodies to HCV may or may not be present; repeat serologic testing in approximately 8 weeks or nucleic acid testing is recommended to assess possible infection.

Negative: Antibodies to HCV not detected; does not exclude possibility of infection with HCV.

Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood05/12/2022 6:00 AM CDT05/12/2022 11:30 AM CDT
Authorizing ProviderResult Type
Charles W Stratton MDLAB BLOOD ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
Cytogenomic SNP microarray (04/04/2022 11:55 AM CDT)
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood04/04/2022 11:55 AM CDT04/18/2022 2:46 PM CDT
Narrative
VUMC CERNER LAB - 04/18/2022 2:57 PM CDTMICROARRAY REPORT- Corrected

Request#: CG-22-0000006
Service date: 4/4/2022 11:55

Microarray Result:
Normal female

Microarray Interpretation:
SNP chromosomal microarray analysis (CMA) of a blood sample from this patient demonstrated no copy number changes of known clinical significance. No large regions of homozygosity (ROH) were detected. The ISCN nomenclature describing this result is: arr(X,1-22)x2.
Electronically signed out by:
Benfield, Luis A

on 04/18/2022
___________________________________________________________________

Clinical indication:
Specimen List: Blood
Date in Lab: 4/18/2022 14:46
Date Collected: 4/4/2022 11:55
___________________________________________________________________

Disclaimer:

Copy number gains less than 400 kb in size and copy number losses less than 200 kb in size will not be reported unless they represent a known or suspected clinically relevant imbalance. The reporting of copy number variants less than 100 kb in size is at the discretion of the laboratory and some clinically relevant copy number changes under 50 kb may not be reported due to limitations in probe coverage in certain genomic regions. Copy number changes of any size with no apparent clinical significance (likely benign or benign) have not been discussed in this report but may be available upon request. Regions of homozygosity (ROH) less than 10 Mb in size will not be reported unless the ROH is clinically relevant for potential uniparental disomy. Genome-wide ROH under 2% will not be reported. Copy number variants less than 200 kb associated with a carrier status for autosomal recessive conditions will not be reported unless specifically indicated in the reason for referral.

This microarray was designed and manufactured by Affymetrix for the sole purpose of identifying DNA copy number gains and losses associated with chromosomal imbalances and regions of homozygosity (ROH) associated with uniparental isodisomy (isoUPD).This microarray will detect aneuploidy, deletions and duplications of loci represented on the microarray.  It will not detect balanced alterations including: reciprocal translocations, inversions and balanced insertions. It will not detect point mutations and imbalances less than 10 kb.  Failure to detect an alteration at any locus does not exclude the diagnosis of any of the disorders represented on the microarray. This assay is not designed to detect mosaic gains and losses and its performance in detecting mosaicism has not been established. This test was developed and its performance characteristics determined by Affymetrix as required by CLIA Â’88 regulations. This test is used for clinical purposes and the accuracy and precision has
been established and verified by this laboratory. This test has not been cleared or approved by the U.S. Food and Drug Administration.

Interpretation of copy number variants is performed using VUMC-laboratory maintained databases as well as the following resources:
Database of Genomic Variants (http://dgv.tcag.ca/dgv/app/home)
Online Mendelian Inheritance in Man (http://www.omim.org/)
UCSC Genome Bioinformatics (http://genome.ucsc.edu/cgi-bin/hgGateway)
ClinGen Clinical Genome Resource (http://www.ncbi.nlm.nih.gov/projects/dbvar/clingen)
DECIPHER Database (https://decipher.sanger.ac.uk/browser)
PubMed-NCBI (http://www.ncbi.nlm.nih.gov/pubmed)
Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). PMID: 31690835

Method:
Microarray platform: ThermoFisher Scientific CytoScanTM HD Cytogenetics Solution
Version: 1.1 (Based on UCSC hg19 assembly)
Number of loci analyzed: 2,696,550
Mean probe spacing: <700 bp






Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln,
Nashville, TN 37204  phone 615-875-0228, fax 615-875-0234
Resulting Agency Comment
testing comment
Authorizing ProviderResult Type
Carda Testprovqa MDLAB GENETIC TESTING
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
Pharmacogenomics (03/31/2022 5:36 PM CDT)
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
DNA03/31/2022 5:36 PM CDT03/31/2022 5:44 PM CDT
Narrative
VUMC CERNER LAB - 03/31/2022 5:51 PM CDTPharmacogenomics: Final Report

Request #: MD-22-0000041

Service Date: 3/31/2022 17:36

Reason for Request: Genotyping for Determination of Drug Efficacy, Dosage and Safety

Type of Specimen: DNA

Date Received: 3/31/2022 17:44

Date Reported: 3/31/2022 17:51

Interpretation:
Results from this assay may indicate dosage adjustments or medication alternatives that should be considered for this patient. Additional information regarding the implications of these results is available at www.mydruggenome.org.

For VUMC patients, clinical decision support regarding the management of this patient with respect to specific drugs based upon the patient's genotype as listed below is available in the patient's electronic medical record under Genomic Indicators. Clinical decision support may also be provided for some drugs through order entry and medication prescribing tools utilized within the VUMC system.



Comments:

Results:

CYP2C19 -  Cancelled

CYP2C9 -   Cancelled

CYP2D6 -   Cancelled  

CYP3A5 -   Cancelled

CYP4F2 -   Cancelled

DPYD -     Cancelled

NUDT15 -   Cancelled

SLCO1B1 -  Cancelled      

TPMT -     Cancelled

VKORC1 -   Cancelled    
 
These results should be correlated with other laboratory and clinical findings and additional testing should be considered if clinically indicated.
   

Methodology:

DNA was extracted from this specimen and screened for 37 variants in 10 genes that are associated with drug absorption, distribution, metabolism, excretion or response. The reported genotypes were determined using PCR amplification and oligonucleotide primers specific for each interrogated region of the genes listed within this panel. Fluorophore labeled probes were used to identify each variant.

Variants analyzed in this assay include: CYP2C19 *2, *3, *4, *6, *8, *17; CYP2C9 *2, *3, *6, *8; CYP3A5 *3, *6, *7; CYP4F2 *3; DPYD *2A, *13, c.557A>G, c.1236G>A (HapB3), c.2846A>T;  NUDT15 *2 or *3; SLCO1B1 *5; TPMT *2, *3B, *3C, *4; VKORC1 promoter variant c.-1639G>A; and CYP2D6 copy number and variants *2, *2A, *3, *4, *6, *7, *9, *10, *17, *29 and *41. A *1 allele is considered the reference (normal) sequence and is reported if none of the variants analyzed for a particular gene is detected. This assay is specific for the variants listed above and cannot exclude the presence of other variants within these genes that may affect the pharmacologic function of the protein product encoded by these genes. In most cases, variants for a particular gene exist on separate alleles; however, for individuals in which multiple variants in the same gene are detected, this assay cannot determine if the variants are on the same allele or on different alleles. Further, due to the highly polymorphic
nature of these regions, rare variants may exist that could affect the sensitivity or specificity of this assay and lead to a false-negative or a false-positive result.


Electronically signed out by:
Barba, Elizabeth

on 03/31/2022

This assay has not been cleared or approved by the US Food and Drug Administration. The performance of this assay was tested and validated prior to use for patient testing. This test is used for clinical purposes and should not be regarded as investigational or research. This laboratory is regulated by the Clinical Laboratory Improvement Act of 1988.
Authorizing ProviderResult Type
Carda Testprovqa MDLAB GENETIC TESTING
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl-QSTD (03/29/2022 1:53 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Drug Toxicology Monitoring Base Pnl w/Conf, Oral FlVUMC patients:  Results faxed to Vanderbilt Medical Record.
VPLS clients:   See separate report sent to client.
VUMC CERNER LAB
Comment: This test was performed at: Quest Laboratory,Location Varies,,,,,,
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Oral03/29/2022 1:53 PM CDT03/29/2022 2:07 PM CDT
Authorizing ProviderResult Type
Carda Testprovqa MDLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
Results Called (03/22/2022 1:27 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Test CalledkVUMC CERNER LAB
Reason CalledQNSVUMC CERNER LAB
Called TotestVUMC CERNER LAB
Read BackYesVUMC CERNER LAB
Collector IDtest123VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood03/22/2022 1:27 PM CDT03/22/2022 1:29 PM CDT
Authorizing ProviderResult Type
E Mark Watts MDLAB BLOOD ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Culture Bact CSF (03/17/2022 1:34 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Final ReportModerate growth Neisseria meningitidisVUMC CERNER LAB
Organism IDNeisseria meningitidis (POSITIVE)VUMC CERNER LAB
Gram Stain Report3+ Gram negative diplococci; restreak for isolation
1+ White Blood Cells
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
CSF03/17/2022 1:34 PM CDT03/17/2022 1:34 PM CDT
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Culture Bact CSF (03/17/2022 1:11 PM CDT)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Final ReportLight growth Acinetobacter baumanniiVUMC CERNER LAB
Organism IDAcinetobacter baumannii (POSITIVE)VUMC CERNER LAB
Gram Stain Report1+ Gram negative rodVUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
CSF03/17/2022 1:11 PM CDT03/17/2022 1:11 PM CDT
OrganismAntibioticMethodSusceptibility
Acinetobacter baumanniiAmikacinMIC0.25: Susceptible
Acinetobacter baumanniiAvycaz (Ceftazidime/Avibactam)MIC0.05: Intermediate
Acinetobacter baumanniiLevofloxacinMIC0.75: Resistant
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
SARS-CoV-2 PCR (03/11/2022 1:05 PM CST)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
SARS-CoV-2 Nucleic Acid (Result)Not DetectedNot DetectedVUMC CERNER LAB
Comment:
A detected result is positive and indicates the presence of the virus in the sample. A not detected result indicates that the test did not detect the virus in the sample.

This test was performed using a multiplexed nucleic acid amplification test that is labeled Emergence Use Only by the U.S. FDA. Results of this test should not be used as the sole basis for diagnosis, treatment, or other management decisions.

SARS-CoV-2 Nucleic Acid Method (Comment)Nares

This test was performed using the Hologic Panther COVID-19 test. This test is currently approved for clinical diagnostic testing under Emergency Use Authorization of the FDA; the result should not be considered experimental or for research purposes.
VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Nares03/11/2022 1:05 PM CST03/11/2022 1:46 PM CST
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB BODY FLUIDS AND STOOLS ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
FISH ALL Pnl (03/11/2022 1:05 PM CST)
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood03/11/2022 1:05 PM CST03/11/2022 1:09 PM CST
Narrative
VUMC CERNER LAB - 03/11/2022 1:27 PM CSTFISH REPORT

Request#:CG-22-0000003
Service date:3/11/2022 13:05


FISH IMPRESSION:

Abnormal for homozygous deletion of CDKN2A locus at 9p21 in __% of cells.

FISH KARYOTYPE:



nuc ish (DXZ1x1,DYZ3x1,D18Z1x2)[200]

 
 
 



COMMENTS:



Results of the FISH studies with the 21 DNA probes described above were analyzed in at least 200 cells per probe and no abnormal signal patterns were detected for the target regions of chromosomes 1, 4, 7, 9, 10, 11, 12, 14, 17, 19, 21, and 22.

Normal cut off values for probes:

1.0% for t(1;19) PBX1/TCF3
1.0% for t(9;22) BCR/ABL1
1.0% for KMT2A (11q23)
1.0% for t(12;21) ETV6/RUNX1
1.0% for IKZF1/CEP7
3.0% for CEP 4
2.0% for CEP 10
2.0% for CEP 17
1.0% for CDKN2A/CEP9 (9p21)
1.0% for IGH breakapart
1.0% for ABL2 breakapart
1.0% for ABL1 breakapart

These probes were developed by Vysis and their performance characteristics determined by VUMC as required by the CLIA '88 regulations.  These probes have not been cleared or approved by the U.S. Food and Drug administration.


Ferrin Courtney Wheeler, PhD, FACMG
reviewed and approved

Electronically signed out by:
Mavrak, Geoffrey A

on 03/11/2022

Clinical History:  ALL
Specimen List: Blood
Date In Lab: 3/11/2022 13:09
Date Collected: 3/11/2022 13:05

Testing performed at Vanderbilt Cytogenetics One Hundred Oaks Laboratory, Suite 21100, 719 Thompson Ln,
Nashville, TN 37204  phone 615-875-0228, fax 615-875-0234
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB GENETIC TESTING
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Culture Bact Bld Adult (03/11/2022 8:51 AM CST)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Final ReportStaphylococcus aureus
Gram positive cocci; restreak for isolation Isolated from Aerobic bottle
VUMC CERNER LAB
Organism IDStaphylococcus aureus (POSITIVE)VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood (Antecub)03/11/2022 8:51 AM CST03/11/2022 8:51 AM CST
OrganismAntibioticMethodSusceptibility
Staphylococcus aureusAmpicillinMIC0.25: Susceptible
Staphylococcus aureusRifampinMIC0.75: Resistant
Staphylococcus aureusVancomycinMIC0.05: Susceptible
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Culture Bact Urine (03/10/2022 2:30 PM CST)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Final Report>100,000 cfu/ml Proteus mirabilisVUMC CERNER LAB
Organism IDProteus mirabilis (POSITIVE)VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Urine03/10/2022 2:30 PM CST03/10/2022 2:49 PM CST
OrganismAntibioticMethodSusceptibility
Proteus mirabilisAztreonamMIC0.75: Resistant
Proteus mirabilisCefoxitinMIC0.25: Intermediate
Proteus mirabilisLevofloxacinMIC0.05: Susceptible
Authorizing ProviderResult Type
Adam Clark Seegmiller MDLAB MICROBIOLOGY - GENERAL ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
(ABNORMAL) Culture Bact Bld Adult (03/10/2022 10:00 AM CST)
ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
Final ReportStaphylococcus aureus
Gram Positive Cocci Restreak for isolation Isolated from Aerobic bottle
VUMC CERNER LAB
Organism IDStaphylococcus aureus (POSITIVE)VUMC CERNER LAB
Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
Blood (Antecub)03/10/2022 10:00 AM CST03/10/2022 2:08 PM CST
OrganismAntibioticMethodSusceptibility
Staphylococcus aureusAmpicillinMIC3: Resistant
Staphylococcus aureusVancomycinMIC0.03: Susceptible
Staphylococcus aureusLevofloxacinMIC2: Intermediate
Authorizing ProviderResult Type
Katelyn Kennedy Atwater MDLAB MICROBIOLOGY - GENERAL ORDERABLES
Performing OrganizationAddressCity/State/ZIP CodePhone Number
VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLE, TN 37232-5310615-875-5227
documented in this encounter
Culture Bact Bld AdultVanderbilt University Medical Center TSTInternal Medicine719 THOMPSON LANESUITE 38500DAVIDSONNASHVILLETN37204USAKatelynKennedyAtwater MDAntecubFinal ReportVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyOrganism IDStaphylococcus aureusPOSITIVEVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalStaphylococcus aureusAmpicillin3: ResistantMICVancomycin0.03: SusceptibleMICLevofloxacin2: IntermediateMICCulture Bact UrineVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDFinal Report>100,000 cfu/ml Proteus mirabilisVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyOrganism IDProteus mirabilisPOSITIVEVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalProteus mirabilisAztreonam0.75: ResistantMICCefoxitin0.25: IntermediateMICLevofloxacin0.05: SusceptibleMICCulture Bact Bld AdultVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDAntecubFinal ReportVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyOrganism IDStaphylococcus aureusPOSITIVEVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalStaphylococcus aureusAmpicillin0.25: SusceptibleMICRifampin0.75: ResistantMICVancomycin0.05: SusceptibleMICFISH ALL PnlVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNarrativeSARS-CoV-2 PCRVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDSARS-CoV-2 Nucleic Acid (Result)Not DetectedVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyCulture Bact CSFVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDFinal ReportLight growth Acinetobacter baumanniiVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyOrganism IDAcinetobacter baumanniiPOSITIVEVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyGram Stain Report1+ Gram negative rodVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalAcinetobacter baumanniiAmikacin0.25: SusceptibleMICAvycaz (Ceftazidime/Avibactam)0.05: IntermediateMICLevofloxacin0.75: ResistantMICCulture Bact CSFVanderbilt University Medical Center TSTPathology, Hematology1301 MEDICAL CENTER DRIVE4605 THE VANDERBILT CLINICDAVIDSONNASHVILLETN37232USAAdamClarkSeegmiller MDFinal ReportModerate growth Neisseria meningitidisVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyOrganism IDNeisseria meningitidisPOSITIVEVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyGram Stain ReportVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalResults CalledVanderbilt University Medical Center TST415 South Pollard StreetVintonVA24179USAEMarkWatts MDTest CalledkVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyReason CalledQNSVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyCalled TotestVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyRead BackYesVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyCollector IDtest123VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyDrug Toxicology Monitoring Base Pnl w/Conf, Oral Fl-QSTDVanderbilt University Medical Center TSTCardiology123 SOUTH MAIN STREETSUITE 621DAVIDSONGOODLETTSVILLETN37072USACardaTestprovqa MDDrug Toxicology Monitoring Base Pnl w/Conf, Oral FlVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyPharmacogenomicsVanderbilt University Medical Center TSTCardiology123 SOUTH MAIN STREETSUITE 621DAVIDSONGOODLETTSVILLETN37072USACardaTestprovqa MDVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNarrativeCytogenomic SNP microarrayVanderbilt University Medical Center TSTCardiology123 SOUTH MAIN STREETSUITE 621DAVIDSONGOODLETTSVILLETN37072USACardaTestprovqa MDVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNarrativeHepatitis C IgG w/Rfx PCRVanderbilt University Medical Center TSTPathology1161 21st Avenue SouthC3321 A, Medical Center NorthDAVIDSONNashvilleTN37232-2561USACharlesWStratton MDHepatitis C AntibodyPositiveAbnormalVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNegativeNegativeLab InterpretationAbnormalSARS-CoV-2 PCRVanderbilt University Medical Center TSTUSANoPcpSARS-CoV-2 Nucleic Acid (Result)Not DetectedVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskySARS-CoV-2 PCRVanderbilt University Medical Center TSTUSANoPcpSARS-CoV-2 Nucleic Acid (Result)Not DetectedVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskySARS-CoV-2 PCRVanderbilt University Medical Center TSTUSANoPcpSARS-CoV-2 Nucleic Acid (Result)Not DetectedVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskySARS-CoV-2 PCRVanderbilt University Medical Center TSTUSANoPcpSARS-CoV-2 Nucleic Acid (Result)DetectedAbnormalVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormalSARS-CoV-2 PCRVanderbilt University Medical Center TSTUSANoPcpSARS-CoV-2 Nucleic Acid (Result)DetectedAbnormalVUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyNot DetectedNot DetectedSARS-CoV-2 Nucleic Acid Method (Comment)VUMC CERNER LAB4605 TVC VUMC1301 Medical Center DriveNASHVILLETN37232-5310Adam Seegmiller; Jennifer B. GordetskyLab InterpretationAbnormal
Social History
Tobacco UseTypesPacks/DayYears UsedDate
Smoking Tobacco: Never Assessed
Sex Assigned at BirthDate Recorded
Not on file
documented as of this encounter
Encounter Details
DateTypeDepartmentCare TeamDescription
2/18/22Transcribe OrdersVanderbilt University Adult Hospital1211 Medical Center DrNashville, TN 37232615-322-5000Tech, Lab, MLT
LabTechMLTLab1211 Medical Center DrDAVIDSONNashvilleTN37232Vanderbilt University Adult HospitalLab
\ No newline at end of file diff --git a/containers/ecr-viewer/seed-scripts/create-e2e-sql.py b/containers/ecr-viewer/seed-scripts/create-e2e-sql.py index 65ed63222d..42ceea385b 100644 --- a/containers/ecr-viewer/seed-scripts/create-e2e-sql.py +++ b/containers/ecr-viewer/seed-scripts/create-e2e-sql.py @@ -37,11 +37,22 @@ def save_sql_insert_metadata(metadata): rule_summary = parsed_values["rule_summary"] report_date = parsed_values["report_date"] data_source = "DB" - query = f"""INSERT INTO fhir_metadata ( - ecr_id,patient_name_last,patient_name_first,patient_birth_date,data_source,reportable_condition,rule_summary,report_date - ) VALUES ( - '{ecr_id}','{last_name}','{first_name}','{birth_date}','{data_source}','{reportable_condition}','{rule_summary}',{'NULL' if report_date is None else f"'{report_date}'"} - ) ON CONFLICT (ecr_id) DO NOTHING;\n""" + query = f"""WITH inserted_data AS ( + INSERT INTO ecr_data ( + eICR_ID, patient_name_last, patient_name_first, patient_birth_date, data_source, report_date + ) VALUES ( + '{ecr_id}', '{last_name}', '{first_name}', '{birth_date}', '{data_source}', {'NULL' if report_date is None else f"'{report_date}'"} + ) + ON CONFLICT (eICR_ID) DO NOTHING + RETURNING eICR_ID +), inserted_condition AS ( + INSERT INTO ecr_rr_conditions (uuid, eICR_ID, condition) + VALUES (uuid_generate_v4(), (SELECT eICR_ID FROM inserted_data), '{reportable_condition}') + RETURNING uuid +) +INSERT INTO ecr_rr_rule_summaries (uuid, ecr_rr_conditions_id, rule_summary) +VALUES (uuid_generate_v4(), (SELECT uuid FROM inserted_condition), '{rule_summary}') +RETURNING (SELECT eICR_ID FROM inserted_data);""" output_file.write(query) diff --git a/containers/ecr-viewer/seed-scripts/docker-compose.yml b/containers/ecr-viewer/seed-scripts/docker-compose.yml index b9f45ef8e4..62fe8236c5 100644 --- a/containers/ecr-viewer/seed-scripts/docker-compose.yml +++ b/containers/ecr-viewer/seed-scripts/docker-compose.yml @@ -126,8 +126,8 @@ services: ports: - "5432:5432" volumes: - - ../sql/:/docker-entrypoint-initdb.d/ - - ./sql/:/docker-entrypoint-initdb.d/ + - ./sql/01-init.sql:/docker-entrypoint-initdb.d/01-init.sql + - ../sql/core.sql:/docker-entrypoint-initdb.d/core.sql - ./sql/.pgpass/:/usr/local/lib/.pgpass - db:/var/lib/postgresql/data environment: diff --git a/containers/ecr-viewer/seed-scripts/sql/01-init.sql b/containers/ecr-viewer/seed-scripts/sql/01-init.sql index 6707fe7602..8808d17938 100644 --- a/containers/ecr-viewer/seed-scripts/sql/01-init.sql +++ b/containers/ecr-viewer/seed-scripts/sql/01-init.sql @@ -5,18 +5,4 @@ CREATE TABLE IF NOT EXISTS fhir ( data JSONB NOT NULL, date_created TIMESTAMPTZ NOT NULL DEFAULT NOW(), PRIMARY KEY (ecr_id) -); - -CREATE TABLE IF NOT EXISTS fhir_metadata( - ecr_id VARCHAR(200) NOT NULL, - data_source VARCHAR(2) NOT NULL, -- S3 or DB - data_link VARCHAR(500), -- Link to the data - patient_name_first VARCHAR(100) NOT NULL, - patient_name_last VARCHAR(100) NOT NULL, - patient_birth_date DATE NOT NULL, - reportable_condition VARCHAR(10000), - rule_summary VARCHAR(10000), - report_date DATE, - date_created TIMESTAMPTZ NOT NULL DEFAULT NOW(), - PRIMARY KEY (ecr_id) -) \ No newline at end of file +); \ No newline at end of file diff --git a/containers/ecr-viewer/sql/core.sql b/containers/ecr-viewer/sql/core.sql index 1cdd09296c..fce52e1962 100644 --- a/containers/ecr-viewer/sql/core.sql +++ b/containers/ecr-viewer/sql/core.sql @@ -1,10 +1,13 @@ +CREATE EXTENSION IF NOT EXISTS "uuid-ossp"; + CREATE TABLE ecr_data ( eICR_ID VARCHAR(200) PRIMARY KEY, data_source VARCHAR(2), -- S3 or DB - data_link VARCHAR(500), -- Link to the data + fhir_reference_link VARCHAR(500), -- Link to the ecr fhir bundle patient_name_first VARCHAR(100), patient_name_last VARCHAR(100), patient_birth_date DATE, + date_created TIMESTAMPTZ NOT NULL DEFAULT NOW(), report_date DATE ); diff --git a/containers/ecr-viewer/src/app/api/save-fhir-data/save-fhir-data-service.ts b/containers/ecr-viewer/src/app/api/save-fhir-data/save-fhir-data-service.ts index f510036276..a18516f797 100644 --- a/containers/ecr-viewer/src/app/api/save-fhir-data/save-fhir-data-service.ts +++ b/containers/ecr-viewer/src/app/api/save-fhir-data/save-fhir-data-service.ts @@ -430,7 +430,7 @@ export const saveMetadataToSqlServer = async ( * @param metadata - The FHIR bundle metadata to be saved. * @param ecrId - The unique identifier for the Electronic Case Reporting (ECR) associated with the FHIR bundle. * @returns A promise that resolves when the FHIR bundle metadata is successfully saved to postgres. - * @throws {Error} Throws an error if the FHIR bundle metadata cannot be saved to postgress. + * @throws {Error} Throws an error if the FHIR bundle metadata cannot be saved to postgres. */ export const saveMetadataToPostgres = async ( metadata: BundleMetadata, @@ -442,7 +442,6 @@ export const saveMetadataToPostgres = async ( const { ParameterizedQuery: PQ } = pgPromise; - let addMetadata = undefined; if (process.env.METADATA_DATABASE_SCHEMA == "extended") { return NextResponse.json( { @@ -451,27 +450,37 @@ export const saveMetadataToPostgres = async ( }, { status: 501 }, ); - } else { - addMetadata = new PQ({ - text: "INSERT INTO fhir_metadata (ecr_id,patient_name_last,patient_name_first,patient_birth_date,data_source,reportable_condition,rule_summary,report_date) VALUES ($1, $2, $3, $4, $5, $6, $7, $8) RETURNING ecr_id", - values: [ - ecrId, - metadata.first_name, - metadata.last_name, - metadata.birth_date, - "DB", - metadata.reportable_condition, - metadata.rule_summary, - metadata.report_date, - ], - }); } + const saveToEcrData = new PQ({ + text: "INSERT INTO ecr_data (eICR_ID,patient_name_last,patient_name_first,patient_birth_date,data_source,report_date) VALUES ($1, $2, $3, $4, $5, $6) RETURNING eICR_ID", + values: [ + ecrId, + metadata.last_name, + metadata.first_name, + metadata.birth_date, + "DB", + metadata.report_date, + ], + }); + + const saveRRConditions = new PQ({ + text: "INSERT INTO ecr_rr_conditions (uuid, eICR_ID, condition) VALUES (uuid_generate_v4(), $1, $2) RETURNING uuid", + values: [ecrId, metadata.reportable_condition], + }); try { - const saveECR = await database.one(addMetadata); + const saveECR = await database.one(saveToEcrData); + const savedRRCondition = await database.one(saveRRConditions); + + const saveRRSummary = new PQ({ + text: "INSERT INTO ecr_rr_rule_summaries (uuid, ecr_rr_conditions_id,rule_summary) VALUES (uuid_generate_v4(), $1, $2)", + values: [savedRRCondition.uuid, metadata.rule_summary], + }); + + await database.none(saveRRSummary); return NextResponse.json( - { message: "Success. Saved metadata to database: " + saveECR.ecr_id }, + { message: "Success. Saved metadata to database: " + saveECR.eICR_ID }, { status: 200 }, ); } catch (error: any) { diff --git a/containers/ecr-viewer/src/app/api/services/listEcrDataService.ts b/containers/ecr-viewer/src/app/api/services/listEcrDataService.ts index 0e3036db29..283ef40caf 100644 --- a/containers/ecr-viewer/src/app/api/services/listEcrDataService.ts +++ b/containers/ecr-viewer/src/app/api/services/listEcrDataService.ts @@ -6,13 +6,13 @@ import { } from "@/app/services/formatService"; export type EcrMetadataModel = { - ecr_id: string; + eicr_id: string; data_source: "DB" | "S3"; data_link: string; patient_name_first: string; patient_name_last: string; patient_birth_date: Date; - reportable_condition: string; + condition: string; rule_summary: string; report_date: Date; date_created: Date; @@ -38,13 +38,14 @@ export async function listEcrData( startIndex: number, itemsPerPage: number, ): Promise { - const fhirMetadataQuery = - "SELECT ecr_id, patient_name_first, patient_name_last, patient_birth_date, report_date, reportable_condition, rule_summary, date_created FROM fhir_metadata order by date_created DESC OFFSET " + + const ecrDataQuery = + "SELECT ed.eICR_ID, ed.patient_name_first, ed.patient_name_last, ed.patient_birth_date, ed.date_created, ed.report_date, erc.condition, ers.rule_summary, ed.report_date FROM ecr_data ed LEFT JOIN ecr_rr_conditions erc ON ed.eICR_ID = erc.eICR_ID LEFT JOIN ecr_rr_rule_summaries ers ON erc.uuid = ers.ecr_rr_conditions_id order by ed.report_date DESC OFFSET " + startIndex + " ROWS FETCH NEXT " + itemsPerPage + " ROWS ONLY"; - let list = await database.manyOrNone(fhirMetadataQuery); + const list = await database.manyOrNone(ecrDataQuery); + return processMetadata(list); } @@ -58,13 +59,13 @@ export const processMetadata = ( ): EcrDisplay[] => { return responseBody.map((object) => { return { - ecrId: object.ecr_id || "", + ecrId: object.eicr_id || "", patient_first_name: object.patient_name_first || "", patient_last_name: object.patient_name_last || "", patient_date_of_birth: object.patient_birth_date ? formatDate(new Date(object.patient_birth_date!).toISOString()) : "", - reportable_condition: object.reportable_condition || "", + reportable_condition: object.condition || "", rule_summary: object.rule_summary || "", date_created: object.date_created ? convertUTCToLocalString( @@ -81,10 +82,10 @@ export const processMetadata = ( }; /** - * Retrieves the total number of eCRs stored in the fhir table. + * Retrieves the total number of eCRs stored in the ecr_data table. * @returns A promise resolving to the total number of eCRs. */ export const getTotalEcrCount = async (): Promise => { - let number = await database.one("SELECT count(*) FROM fhir_metadata"); + let number = await database.one("SELECT count(*) FROM ecr_data"); return number.count; }; diff --git a/containers/ecr-viewer/src/app/api/tests/listEcrDataService.test.tsx b/containers/ecr-viewer/src/app/api/tests/listEcrDataService.test.tsx index f771caaa00..e292098ffb 100644 --- a/containers/ecr-viewer/src/app/api/tests/listEcrDataService.test.tsx +++ b/containers/ecr-viewer/src/app/api/tests/listEcrDataService.test.tsx @@ -19,26 +19,26 @@ describe("listEcrDataService", () => { it("should map each object in responseBody to the correct output structure", () => { const responseBody: EcrMetadataModel[] = [ { - ecr_id: "ecr1", + eicr_id: "ecr1", date_created: new Date(), patient_name_first: "Test", patient_name_last: "Person", patient_birth_date: new Date(), report_date: new Date(), - reportable_condition: "Long", + condition: "Long", rule_summary: "Longer", data_source: "DB", data: "", data_link: "", }, { - ecr_id: "ecr2", + eicr_id: "ecr2", date_created: new Date(), patient_name_first: "Another", patient_name_last: "Test", patient_birth_date: new Date(), report_date: new Date(), - reportable_condition: "Stuff", + condition: "Stuff", rule_summary: "Other stuff", data_source: "DB", data: "", @@ -103,7 +103,7 @@ describe("listEcrDataService", () => { database.manyOrNone = jest.fn(() => Promise.resolve([])); const actual = await listEcrData(startIndex, itemsPerPage); expect(database.manyOrNone).toHaveBeenCalledExactlyOnceWith( - "SELECT ecr_id, patient_name_first, patient_name_last, patient_birth_date, report_date, reportable_condition, rule_summary, date_created FROM fhir_metadata order by date_created DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", + "SELECT ed.eICR_ID, ed.patient_name_first, ed.patient_name_last, ed.patient_birth_date, ed.date_created, ed.report_date, erc.condition, ers.rule_summary, ed.report_date FROM ecr_data ed LEFT JOIN ecr_rr_conditions erc ON ed.eICR_ID = erc.eICR_ID LEFT JOIN ecr_rr_rule_summaries ers ON erc.uuid = ers.ecr_rr_conditions_id order by ed.report_date DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", ); expect(actual).toBeEmpty(); }); @@ -112,13 +112,13 @@ describe("listEcrDataService", () => { database.manyOrNone<{ EcrMetadataModel }> = jest.fn(() => Promise.resolve([ { - ecr_id: "1234", + eicr_id: "1234", date_created: new Date("2024-06-21T12:00:00Z"), patient_birth_date: new Date("11/07/1954"), patient_name_first: "Billy", patient_name_last: "Bob", report_date: new Date("06/21/2024 8:00 AM EDT"), - reportable_condition: "stuff", + condition: "stuff", rule_summary: "yup", data: "", data_link: "", @@ -132,7 +132,7 @@ describe("listEcrDataService", () => { const actual: EcrDisplay[] = await listEcrData(startIndex, itemsPerPage); expect(database.manyOrNone).toHaveBeenCalledExactlyOnceWith( - "SELECT ecr_id, patient_name_first, patient_name_last, patient_birth_date, report_date, reportable_condition, rule_summary, date_created FROM fhir_metadata order by date_created DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", + "SELECT ed.eICR_ID, ed.patient_name_first, ed.patient_name_last, ed.patient_birth_date, ed.date_created, ed.report_date, erc.condition, ers.rule_summary, ed.report_date FROM ecr_data ed LEFT JOIN ecr_rr_conditions erc ON ed.eICR_ID = erc.eICR_ID LEFT JOIN ecr_rr_rule_summaries ers ON erc.uuid = ers.ecr_rr_conditions_id order by ed.report_date DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", ); expect(actual).toEqual([ { @@ -152,13 +152,13 @@ describe("listEcrDataService", () => { database.manyOrNone<{ EcrMetadataModel }> = jest.fn(() => Promise.resolve([ { - ecr_id: "1234", + eicr_id: "1234", date_created: new Date("2024-06-21T12:00:00Z"), patient_name_first: "boy", patient_name_last: "lnam", patient_birth_date: new Date("1990-01-01T05:00:00.000Z"), report_date: new Date("2024-06-20T04:00:00.000Z"), - reportable_condition: "sick", + condition: "sick", rule_summary: "stuff", data: "", data_link: "", @@ -171,7 +171,7 @@ describe("listEcrDataService", () => { let itemsPerPage = 25; const actual: EcrDisplay[] = await listEcrData(startIndex, itemsPerPage); expect(database.manyOrNone).toHaveBeenCalledExactlyOnceWith( - "SELECT ecr_id, patient_name_first, patient_name_last, patient_birth_date, report_date, reportable_condition, rule_summary, date_created FROM fhir_metadata order by date_created DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", + "SELECT ed.eICR_ID, ed.patient_name_first, ed.patient_name_last, ed.patient_birth_date, ed.date_created, ed.report_date, erc.condition, ers.rule_summary, ed.report_date FROM ecr_data ed LEFT JOIN ecr_rr_conditions erc ON ed.eICR_ID = erc.eICR_ID LEFT JOIN ecr_rr_rule_summaries ers ON erc.uuid = ers.ecr_rr_conditions_id order by ed.report_date DESC OFFSET 0 ROWS FETCH NEXT 25 ROWS ONLY", ); expect(actual).toEqual([ {