diff --git a/containers/ecr-viewer/seed-scripts/sql/data.sql b/containers/ecr-viewer/seed-scripts/sql/data.sql
index 71cfd3aaa7..bc9286b069 100644
--- a/containers/ecr-viewer/seed-scripts/sql/data.sql
+++ b/containers/ecr-viewer/seed-scripts/sql/data.sql
@@ -1,75 +1,75 @@
-INSERT INTO fhir (ecr_id, data) VALUES ('1.2.840.114350.1.13.202.3.7.8.688883.486', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:1.2.840.114350.1.13.202.3.7.8.688883.486", "resource": {"resourceType": "Composition", "id": "1.2.840.114350.1.13.202.3.7.8.688883.486", "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": "28beb5ae-3f68-11ed-8bdc-005056a7fb21", "assigner": {"display": "EPC"}}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "30"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2022-10-04T17:04:37-07:00", "title": "Initial Public Health Case Report", "confidentiality": "N", "section": [{"id": "c80f67bb-6876-6ad5-ea57-46aea1afa973", "title": "Miscellaneous Notes", "text": {"status": "generated", "div": "Addendum Note - Gregory, Lindsey - Wed Sep 28, 2022 12:00 PM PDT Addendum Note - Cshs, Hybrid Physician W Mycslink, MD - Wed Sep 28, 2022 12:00 PM PDT Inactive Administered Medications - up to 3 most recent administrations Medication Order MAR Action Action Date Dose Rate Site alum-mag hydroxide-simeth (MAALOX) 200-200-20 mg/5 mL oral suspension 15 mL 15 mL, Oral, ONCE (IN CLINIC), On Wed 9/28/22 at 2100, For 1 dose, Order WILL be automatically substituted with P&T Approved equivalent per protocol. SHAKE WELL prior to use. Given 09/28/2022 8:37 PM PDT 15 mL aspirin tablet 325 mg 325 mg, Oral, ONCE, On Wed 9/28/22 at 2100, For 1 dose Given 09/28/2022 8:37 PM PDT 325 mg lidocaine (XYLOCAINE) 2% viscous oral solution 5 mL, Swish and Spit, ONCE (IN CLINIC), On Wed 9/28/22 at 2100, For 1 dose Given 09/28/2022 8:37 PM PDT 5 mL
documented in this encounter"}, "code": {"coding": [{"code": "29549-3", "display": "MEDICATIONS ADMINISTERED", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "MedicationAdministration/367be6b3-75f2-2053-63e4-f0a6f1d6bff1"}, {"reference": "MedicationAdministration/3d9ad81e-9518-1b14-44a8-cc86725ed68c"}, {"reference": "MedicationAdministration/b3a81224-d404-4fd4-3134-5c54815acd0f"}]}, {"id": "ca51a58e-d5d5-8f6d-28be-f526ca11481f", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Not on file documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/5ddcb7d6-d32c-e91c-f715-cf239eb4aee6"}]}, {"id": "4D3C57C8-4441-11ED-B2C1-005056A7FB21", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date Coronavirus infection 9/28/22 Close exposure to COVID-19 virus 9/28/22 Seasonal allergies 9/24/22
Pregnant Estimated Date of Delivery Comments Yes 5/6/23 Based on Est. Date of Conception
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Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharyngeal (NASOPHARYNGEAL) 09/29/2002 8:01 AM PDT 09/29/2022
Narrative LABCORP - 09/29/2022 2:13 PM PDT Performed at: \u00a001 - Labcorp Burlington 1447 York Court, Burlington, NC \u00a0272153361 Lab Director: Sanjai Nagendra MD, Phone: \u00a08007624344
Authorizing Provider Result Type Hybrid Physician W Mycslink Cshs MD MICRO (NON-CULT) ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number LABCORP 13112 Evening Creek Dr, Ste 200 San Diego, CA 92128 858-668-3700
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Smokeless Tobacco: Never
Alcohol Use Standard Drinks/Week Comments Never 0 (1 standard drink = 0.6 oz pure alcohol)
Education Answer Date Recorded What is the highest level of school you have completed or the highest degree you have received? Bachelor''s degree (e.g., BA, AB, BS) 09/24/2022
Sex Assigned at Birth Date Recorded Female 09/24/2022 12:34 PM PDT
documented as of this encounter"}, "code": {"coding": [{"code": "29762-2", "display": "Social history Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "8cfa32e2-c143-2ba9-dc72-266a3ba673c6", "title": "Encounter Details", "text": {"status": "generated", "div": "Date Type Department Care Team Description 9/28/22 Office Visit CSMG Internal Medicine 8767 Wilshire Blvd 2nd Floor BEVERLY HILLS, CA 90211 310-385-6031 Canavan, Allison H, MD 8631 W. THIRD STREET STE 510E LOS ANGELES, CA 90048 310-385-3380 (Work) 310-385-3224 (Fax) allison.canavan@cshs.org
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"Detected", "referenceRange": [{"text": "Not Detected"}], "interpretation": [{"coding": [{"code": "A", "display": "Abnormal", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}], "note": [{"elems": [{"elemText": "test"}], "text": "revoked sooner.Name Administration Dates Next Due DTAP-HIB-IPV (PENTACEL) 04/16/2010 HEP A (ADULT) 2 DOSE 11/11/2011 HEP B (PED,ADOLESCENT) 3 DOSE 03/21/1974 MENINGOCOCCAL CONJUGATE,MENACTRA (PED/ADOL/ADULT) 11/16/2020 TDAP, (ADOL/ADULT) 11/10/2020
documented as of this encounter"}, "code": {"coding": [{"code": "11369-6", "display": "History of Immunization Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "A853DBC0-3F70-11ED-9549-C301D81100B2", "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": "6d1df88a-f3cd-9182-f066-12c46b2c4e7c", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Not on file documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/bf85e464-6cc4-65ca-5dbd-46f690c9ecd2"}]}, {"id": "A8648114-3F70-11ED-9549-C301D81100B2", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date Bipolar I disorder 11/19/20 Reactive depression 11/19/20 Rheumatoid arthritis with negative rheumatoid factor 11/16/20 Arthralgia of both ankles 11/16/20 Anxiety 11/10/20 Asthma 11/10/20 Knee pain 4/29/19 Sprain of calcaneofibular ligament of right ankle 4/16/19 Last Assessment & Plan: Formatting of this note might be different from the original.
documented as of this encounter (statuses as of 09/28/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Sprain of calcaneofibular ligament of right ankle", "reference": "Condition/fb4c40a4-602f-9cf0-11c0-903b1f3d9e94"}, {"display": "Problem - Knee pain", "reference": "Condition/3f9a9eb2-f922-634e-c26f-78392130df06"}, {"display": "Problem - Anxiety", "reference": "Condition/f64c32dd-26f5-383c-7f50-ca6ec3f463c0"}, {"display": "Problem - Asthma", "reference": "Condition/5375a206-9dc9-92cf-2f48-6a5d46a47ef4"}, {"display": "Problem - Rheumatoid arthritis with negative rheumatoid factor", "reference": "Condition/971021ee-126c-7d7f-0883-1a86d90514ed"}, {"display": "Problem - Arthralgia of both ankles", "reference": "Condition/115026c9-25f8-0790-a139-274c4d50499a"}, {"display": "Problem - Bipolar I disorder", "reference": "Condition/f3abd872-80c0-6c83-5135-a2343b415038"}, {"display": "Problem - Reactive depression", "reference": "Condition/b8e04fe5-d35c-c8c5-af3f-64ea83195682"}]}, {"id": "bc4fa35c-b96e-3a71-cf37-37e4323e8ae2", "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": "A87B29AA-3F70-11ED-9549-C301D81100B2", "title": "Results", "text": {"status": "generated", "div": "Stool Pathogens, NAAT, 12 to 25 Targets (09/28/2022 1:51 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Campylobacter, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Salmonella, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shigella/EIEC, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cyclospora cayetanensis, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 09/28/2022 1:51 PM PDT 09/28/2022 1:51 PM PDT
Authorizing Provider Result Type Ambhp1 Test MD MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) 501 S. Buena Vista Street Burbank, CA 91505 818-847-6000
(ABNORMAL) Stool Pathogens, NAAT, 12 to 25 Targets (09/28/2022 1:51 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Campylobacter, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Salmonella, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli O157, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shigella/EIEC, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cyclospora cayetanensis, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) GI Pathogens Panel Acceptable LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 09/28/2022 1:51 PM PDT 09/28/2022 1:51 PM PDT
Authorizing Provider Result Type Ambhp1 Test MD MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) 501 S. Buena Vista Street Burbank, CA 91505 818-847-6000
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Smokeless Tobacco: Never
Alcohol Use Standard Drinks/Week Comments Yes 0 (1 standard drink = 0.6 oz pure alcohol)
Sex Assigned at Birth Date 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": "5abe51f9-01ae-f8a2-2f7d-baae46ee02f4", "title": "Encounter Details", "text": {"status": "generated", "div": "Date Type Department Care Team Description 9/28/22 Lab Requisition PROVIDENCE ST JOSEPH MED CTR LABORATORY 501 S Buena Vista St Burbank, CA 91505-4809 818-847-6060 Test, Ambhp1, MD 2001 LIND AVE RENTON, WA 98059
"}, "code": {"coding": [{"code": "46240-8", "display": "History of Hospitalizations+Outpatient visits Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "c3ba19d3-057b-6424-d7d2-7db4599f5eb9", "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": "2e64023d-de5e-432e-b735-9cfd31698ec1"}}, {"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 - Salmonella infection (disorder)", "reference": "Observation/fa9132af-ef98-4952-bc98-1460db345c8b"}, {"display": "Relevant Reportable Condition Observation - Shigellosis (disorder)", "reference": "Observation/f268007e-af41-4c35-890f-812a647f7dbc"}, {"display": "Relevant Reportable Condition Observation - Salmonella infection (disorder)", "reference": "Observation/a727c08e-5ed2-4dae-a0f9-0119f0f0cafe"}, {"display": "Relevant Reportable Condition Observation - Shigellosis (disorder)", "reference": "Observation/8d338edc-151e-4e85-922f-77868183af3b"}]}], "subject": {"reference": "Patient/03044837-6b1f-473e-9304-747e748a01b6"}, "relatesTo": [{"code": "replaces", "targetReference": {"reference": "Composition/1.2.840.114350.1.13.297.3.7.8.688883.538440"}, "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "14"}]}], "encounter": {"reference": "Encounter/ec64cd62-282b-9c29-bdd3-f59d3aa15b3a"}, "custodian": {"reference": "Organization/401e4e5a-69e1-bdf6-7016-6aa11dfdd01f"}, "author": [{"reference": "Practitioner/80746d38-56d1-93cd-febe-13ad0807a14b"}, {"reference": "Device/b663c1d0-8444-6b01-8f54-5ae6146d7572"}]}, "request": {"method": "PUT", "url": "Composition/1.2.840.114350.1.13.297.3.7.8.688883.538441"}}, {"fullUrl": "urn:uuid:ec64cd62-282b-9c29-bdd3-f59d3aa15b3a", "resource": {"resourceType": "Encounter", "id": "ec64cd62-282b-9c29-bdd3-f59d3aa15b3a", "status": "unknown", "class": {"code": "AMB", "display": "Ambulatory", "system": "urn:oid:2.16.840.1.113883.5.4"}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.3.698084.8", "value": "50000595021"}], "period": {"start": "2022-09-28", "end": "2022-09-28"}, "subject": {"reference": "Patient/03044837-6b1f-473e-9304-747e748a01b6"}, "location": [{"id": "1.2.840.114350.1.13.297.3.7.2.686980", "location": {"reference": "Location/64cbd9e3-1a67-d754-a098-211ca812a775", "display": "PROVIDENCE ST JOSEPH MED CTR LABORATORY"}, "extension": [{"url": "http://build.fhir.org/ig/HL7/case-reporting/StructureDefinition-us-ph-location-definitions.html#Location.type", "valueCodeableConcept": {"coding": [{"code": "257622000", "display": "Healthcare 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"request": {"method": "PUT", "url": "Location/64cbd9e3-1a67-d754-a098-211ca812a775"}}, {"fullUrl": "urn:uuid:1dde1de0-65fa-bed4-6e56-e6bf9a47315a", "resource": {"resourceType": "Practitioner", "id": "1dde1de0-65fa-bed4-6e56-e6bf9a47315a", "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"}], "name": [{"use": "usual", "text": "Providence California"}], "address": [{"use": "work", "line": ["4733 TORRANCE BLVD #4400"], "city": "TORRANCE", "state": "CA", "country": "USA", "postalCode": "90503", "district": "LOS ANGELES"}]}, "request": {"method": "PUT", "url": "Practitioner/1dde1de0-65fa-bed4-6e56-e6bf9a47315a"}}, {"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:fa9132af-ef98-4952-bc98-1460db345c8b", "resource": {"resourceType": "Observation", "id": "fa9132af-ef98-4952-bc98-1460db345c8b", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:fa9132af-ef98-4952-bc98-1460db345c8b"}], "status": "final", "code": {"coding": [{"code": "64572001", "display": 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"performer": [{"reference": "Organization/d6930155-009b-92a0-d2b9-007761c45ad2", "display": "California Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/f268007e-af41-4c35-890f-812a647f7dbc"}}, {"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:a727c08e-5ed2-4dae-a0f9-0119f0f0cafe", "resource": {"resourceType": "Observation", "id": "a727c08e-5ed2-4dae-a0f9-0119f0f0cafe", "meta": {"profile": 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"request": {"method": "PUT", "url": "Observation/a727c08e-5ed2-4dae-a0f9-0119f0f0cafe"}}, {"fullUrl": "urn:uuid:8d338edc-151e-4e85-922f-77868183af3b", "resource": {"resourceType": "Observation", "id": "8d338edc-151e-4e85-922f-77868183af3b", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:8d338edc-151e-4e85-922f-77868183af3b"}], "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": "36188001", "display": "Shigellosis (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 Enteroinvasive E coli (EIEC) 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["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:17867d44-a3bf-11ec-81e0-9e7eef92c510"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs"}]}], "status": "final", "code": {"coding": [{"code": "39156-5", "display": "BMI (Body Mass Index)", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-03-14T13:48:00-04:00", "valueQuantity": {"value": 25.0, "unit": "kg/m2"}, "subject": {"reference": "Patient/21658529-67aa-40ec-bd67-1abd29d0383f"}}, "request": {"method": "PUT", "url": "Observation/dcd0af93-2eca-0d28-f1fe-5f2b65c7d182"}}, {"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:e039458e-80f3-c37d-b65d-13104026df7c", "resource": {"resourceType": "Immunization", "id": "e039458e-80f3-c37d-b65d-13104026df7c", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f388d4f6-a451-11ec-81e0-9e7eef92c510"}], "occurrenceString": "Unknown", "note": {"text": "Date patient received Moderna COVID-19 vaccine?"}, "vaccineCode": {"coding": [{"display": "Date patient received Moderna COVID-19 vaccine?"}]}, "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/e039458e-80f3-c37d-b65d-13104026df7c"}}, {"fullUrl": "urn:uuid:81335318-8424-a5e6-822b-3f53ce03b63f", "resource": {"resourceType": "Organization", "id": "81335318-8424-a5e6-822b-3f53ce03b63f", "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}}, {"fullUrl": "urn:uuid:1a48c335-8a9e-7bda-75f9-af0445296e13", "resource": {"resourceType": "Immunization", "id": "1a48c335-8a9e-7bda-75f9-af0445296e13", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f388d4f7-a451-11ec-81e0-9e7eef92c510"}], "occurrenceString": "Unknown", "note": {"text": "Date patient received Anthrax vaccine?"}, "vaccineCode": {"coding": [{"display": "Date patient received Anthrax vaccine?"}]}, "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/1a48c335-8a9e-7bda-75f9-af0445296e13"}}, {"fullUrl": "urn:uuid:bcfaf410-afa8-fd9b-0c32-c576d29e07a8", "resource": {"resourceType": "Immunization", "id": "bcfaf410-afa8-fd9b-0c32-c576d29e07a8", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f388d4f8-a451-11ec-81e0-9e7eef92c510"}], "occurrenceString": "Unknown", "note": {"text": "Date patient received Rabies vaccine?"}, "vaccineCode": {"coding": [{"display": "Date patient received Rabies vaccine?"}]}, "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/bcfaf410-afa8-fd9b-0c32-c576d29e07a8"}}, {"fullUrl": "urn:uuid:aa075e3f-76f3-257c-5a92-53cc47956fd7", "resource": {"resourceType": "Immunization", "id": "aa075e3f-76f3-257c-5a92-53cc47956fd7", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f388d4f9-a451-11ec-81e0-9e7eef92c510"}], "protocolApplied": [{"doseNumberPositiveInt": "1"}], "occurrenceDateTime": "2022-03-15T07:20:00-04:00", "note": {"text": "anthrax"}, "vaccineCode": {"coding": [{"code": "24", "display": "anthrax", "system": "urn:oid:2.16.840.1.113883.12.292"}]}, "lotNumber": "LOT9911Z", "manufacturer": {"reference": "Organization/1e2d10a1-e4d3-ac11-3b25-56396aee4ba2"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/21658529-67aa-40ec-bd67-1abd29d0383f"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/aa075e3f-76f3-257c-5a92-53cc47956fd7"}}, {"fullUrl": "urn:uuid:1e2d10a1-e4d3-ac11-3b25-56396aee4ba2", "resource": {"resourceType": "Organization", "id": "1e2d10a1-e4d3-ac11-3b25-56396aee4ba2", "name": "PFIZER & OTHER CHARACTERS", "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Organization/1e2d10a1-e4d3-ac11-3b25-56396aee4ba2"}}, {"fullUrl": "urn:uuid:a3f370a2-468a-f8e3-4ce6-7eb6821ae036", "resource": {"resourceType": "Immunization", "id": "a3f370a2-468a-f8e3-4ce6-7eb6821ae036", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:8bdb0ffa-a9d2-11ec-81e0-9e7eef92c510"}], "occurrenceString": "Unknown", "note": {"text": "RIG"}, "vaccineCode": {"coding": [{"code": "34", "display": "RIG", "system": "urn:oid:2.16.840.1.113883.12.292"}]}, "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/21658529-67aa-40ec-bd67-1abd29d0383f"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/a3f370a2-468a-f8e3-4ce6-7eb6821ae036"}}, {"fullUrl": "urn:uuid:6689c3f5-f256-9c28-bd98-89905630f28d", "resource": {"resourceType": "Immunization", "id": "6689c3f5-f256-9c28-bd98-89905630f28d", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:66d08d45-ab7b-11ec-81e0-9e7eef92c510"}], "protocolApplied": [{"doseNumberPositiveInt": "2"}], "occurrenceDateTime": "2022-03-24T09:34:00-04:00", "note": {"text": "anthrax"}, "vaccineCode": {"coding": [{"code": "24", "display": "anthrax", "system": "urn:oid:2.16.840.1.113883.12.292"}]}, "lotNumber": "LOT942X", "manufacturer": {"reference": "Organization/fb121477-4011-40b3-40fe-f884cdfecd6a"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/21658529-67aa-40ec-bd67-1abd29d0383f"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/6689c3f5-f256-9c28-bd98-89905630f28d"}}, {"fullUrl": "urn:uuid:fb121477-4011-40b3-40fe-f884cdfecd6a", "resource": {"resourceType": "Organization", "id": "fb121477-4011-40b3-40fe-f884cdfecd6a", "name": "JOHNSON AND JOHNSON", "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Organization/fb121477-4011-40b3-40fe-f884cdfecd6a"}}]}') ON CONFLICT (ecr_id) DO NOTHING;
-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"}], "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": "Name Administration Dates Next 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, Moderna 01/22/2021
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 Name Type Priority Associated Diagnoses Date/Time PCR SARS-CoV-2 and Influenza A/B Lab Routine 07/27/2022 3:49 PM CDT PCR SARS-CoV-2 and Influenza A/B Lab Routine 07/27/2022 3:49 PM CDT PCR SARS-CoV-2 and Influenza A/B Lab Routine 07/27/2022 3:49 PM CDT PCR SARS-CoV-2 and Influenza A/B Lab Routine 07/27/2022 3:49 PM CDT PCR SARS-CoV-2 and Influenza A/B Lab Routine 07/27/2022 3:49 PM CDT
Scheduled Orders Name Type Priority Associated Diagnoses Order Schedule PCR Hepatitis C Virus Qt Lab Routine Ordered: 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 Problems Noted Date COVID toes 7/13/22 Chest pain on breathing 5/26/22 Type 1 diabetes 2/28/22 Overview: Formatting of this note might be different from the original. Plague pneumonia 6/16/21 Absence of menstruation 6/12/18 Foot callus 8/11/17 Overview: Formatting of this note might be different from the original.
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": "(ABNORMAL) SARS-CoV-2 PCR (07/27/2022 3:49 PM CDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Detected (A) Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Other 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Detected (A) Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Oropharynx 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharynx 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nares 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time BAL 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Hepatitis C Antibody Positive (A) Negative VUMC CERNER LAB Comment:
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 05/12/2022 6:00 AM CDT 05/12/2022 11:30 AM CDT
Authorizing Provider Result Type Charles W Stratton MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time Blood 04/04/2022 11:55 AM CDT 04/18/2022 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. \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
Resulting Agency Comment testing comment
Authorizing Provider Result Type Carda Testprovqa MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time DNA 03/31/2022 5:36 PM CDT 03/31/2022 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 - \u00a0Cancelled CYP2C9 - \u00a0 Cancelled CYP2D6 - \u00a0 Cancelled CYP3A5 - \u00a0 Cancelled CYP4F2 - \u00a0 Cancelled DPYD - \u00a0 \u00a0 Cancelled NUDT15 - \u00a0 Cancelled SLCO1B1 - \u00a0Cancelled TPMT - \u00a0 \u00a0 Cancelled VKORC1 - \u00a0 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; \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.
Authorizing Provider Result Type Carda Testprovqa MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl VUMC CERNER LAB Comment: This test was performed at: Quest Laboratory,Location Varies,,,,,,
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Oral 03/29/2022 1:53 PM CDT 03/29/2022 2:07 PM CDT
Authorizing Provider Result Type Carda Testprovqa MD LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Test Called k VUMC CERNER LAB Reason Called QNS VUMC CERNER LAB Called To test VUMC CERNER LAB Read Back Yes VUMC CERNER LAB Collector ID test123 VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 03/22/2022 1:27 PM CDT 03/22/2022 1:29 PM CDT
Authorizing Provider Result Type E Mark Watts MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report Moderate growth Neisseria meningitidis VUMC CERNER LAB Organism ID Neisseria meningitidis (POSITIVE) VUMC CERNER LAB Gram Stain Report VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time CSF 03/17/2022 1:34 PM CDT 03/17/2022 1:34 PM CDT
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report Light growth Acinetobacter baumannii VUMC CERNER LAB Organism ID Acinetobacter baumannii (POSITIVE) VUMC CERNER LAB Gram Stain Report 1+ Gram negative rod VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time CSF 03/17/2022 1:11 PM CDT 03/17/2022 1:11 PM CDT
Organism Antibiotic Method Susceptibility Acinetobacter baumannii Amikacin MIC 0.25: Susceptible Acinetobacter baumannii Avycaz (Ceftazidime/Avibactam) MIC 0.05: Intermediate Acinetobacter baumannii Levofloxacin MIC 0.75: Resistant
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nares 03/11/2022 1:05 PM CST 03/11/2022 1:46 PM CST
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time Blood 03/11/2022 1:05 PM CST 03/11/2022 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. \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
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report VUMC CERNER LAB Organism ID Staphylococcus aureus (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood (Antecub) 03/11/2022 8:51 AM CST 03/11/2022 8:51 AM CST
Organism Antibiotic Method Susceptibility Staphylococcus aureus Ampicillin MIC 0.25: Susceptible Staphylococcus aureus Rifampin MIC 0.75: Resistant Staphylococcus aureus Vancomycin MIC 0.05: Susceptible
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report >100,000 cfu/ml Proteus mirabilis VUMC CERNER LAB Organism ID Proteus mirabilis (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine 03/10/2022 2:30 PM CST 03/10/2022 2:49 PM CST
Organism Antibiotic Method Susceptibility Proteus mirabilis Aztreonam MIC 0.75: Resistant Proteus mirabilis Cefoxitin MIC 0.25: Intermediate Proteus mirabilis Levofloxacin MIC 0.05: Susceptible
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report VUMC CERNER LAB Organism ID Staphylococcus aureus (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood (Antecub) 03/10/2022 10:00 AM CST 03/10/2022 2:08 PM CST
Organism Antibiotic Method Susceptibility Staphylococcus aureus Ampicillin MIC 3: Resistant Staphylococcus aureus Vancomycin MIC 0.03: Susceptible Staphylococcus aureus Levofloxacin MIC 2: Intermediate
Authorizing Provider Result Type Katelyn Kennedy Atwater MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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documented as of this encounter (statuses as of 12/14/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Bilateral malignant neoplasm of lower outer quadrant of breast in female", "reference": "Condition/98767c9b-63c8-d80d-cb16-c5de734acf22"}, {"display": "Problem - Malignant neoplasm of overlapping sites of pancreas", "reference": "Condition/bdb1e7a1-1a09-7792-df6c-2d85488986ee"}, {"display": "Problem - Malignant neoplasm of urinary bladder neck", "reference": "Condition/42aa13bf-77c4-c57f-a250-987c1f593967"}, {"display": "Problem - Headache", "reference": "Condition/6d11bcdf-55ee-e348-07c9-0282605e48e0"}, {"display": "Problem - Backache", "reference": "Condition/2c6ddcbf-126f-2226-1c11-dd647aa44643"}, {"display": "Problem - Malignant neoplasm of lower-inner quadrant of left breast in female, estrogen receptor positive", "reference": "Condition/6f1ba581-bdef-0d47-9b23-308987970f1b"}]}, {"id": "eef25da4-bea1-2e77-4a0c-12f50e7be15e", "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": "BEBC8CEE-B12D-11EC-842B-C301D81100B2", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) Stool Pathogens, NAAT, 12 to 25 Targets (03/31/2022 11:52 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Campylobacter, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) C. Diff Toxin A/B, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Salmonella, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli O157, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Shigella/EIEC, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Cyclospora cayetanensis, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 03/31/2022 11:52 AM PDT 03/31/2022 11:52 AM PDT
Authorizing Provider Result Type Authorizing Provider MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) 2121 Santa Monica Blvd Santa Monica, CA 90404 310-829-8800
Tobacco Use Types Packs/Day Years Used Date Never Assessed
Sex Assigned at Birth Date 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": "4976facc-887a-460b-f47e-a6613230befd", "title": "Pregnancy Section", "text": {"status": "generated", "div": "Pregnancy Section
"}, "code": {"coding": [{"code": "90767-5", "display": "Pregnancy summary Document", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "e535411b-2bfd-1b1e-8ec4-2a55e7118359", "title": "Encounter Details", "text": {"status": "generated", "div": "Date Type Department Care Team Description 3/31/22 Lab Requisition PROVIDENCE SAINT JOHN''S HEALTH CTR CLINICAL LABORATORY 2121 Santa Monica Blvd Santa Monica, CA 90404-2303 310-829-8116 Provider, Authorizing
"}, "code": {"coding": [{"code": "46240-8", "display": "History of Hospitalizations+Outpatient visits Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "efc5f38f-e6a2-bef6-d775-78f0bcb241b7", "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": "10123456-be91-4444-8888-9c12c0a6edc0"}}, {"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 - Cyclosporiasis (disorder)", "reference": "Observation/f61d4bbc-d1d5-4bef-b2f6-d32e8db54596"}, {"display": "Relevant Reportable Condition Observation - Cyclosporiasis (disorder)", "reference": 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["ecr"]}}, "request": {"method": "PUT", "url": "Encounter/b99ed74e-acf4-992c-48e3-6d88d7414248"}}, {"fullUrl": "urn:uuid:c32f95de-ab42-7854-3caf-a820a71322ec", "resource": {"resourceType": "Location", "id": "c32f95de-ab42-7854-3caf-a820a71322ec", "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.2.686980", "value": "5033333328"}], "name": "PROVIDENCE SAINT JOHN''S HEALTH CTR CLINICAL LABORATORY", "address": {"use": "work", "line": ["2121 Santa Monica Blvd"], "city": "Santa Monica", "state": "CA", "country": "USA", "postalCode": "90404-2303", "district": "LOS ANGELES"}, "type": [{"coding": [{"code": "257622000", "display": "Healthcare Facility", "system": "http://snomed.info/sct"}]}], "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Location/c32f95de-ab42-7854-3caf-a820a71322ec"}}, {"fullUrl": "urn:uuid:05e3841e-5475-feeb-5758-d8a8e29c00ca", "resource": {"resourceType": "Practitioner", "id": "05e3841e-5475-feeb-5758-d8a8e29c00ca", "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": "urn:ietf:rfc:3986", "value": "urn:uuid:787878-5656"}], "name": [{"use": "usual", "text": "Providence California"}], "address": [{"use": "work", "line": ["4733 TORRANCE BLVD #4400"], "city": "TORRANCE", "state": "CA", "country": "USA", "postalCode": "90503", "district": "LOS ANGELES"}]}, "request": {"method": "PUT", "url": "Practitioner/05e3841e-5475-feeb-5758-d8a8e29c00ca"}}, {"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:f61d4bbc-d1d5-4bef-b2f6-d32e8db54596", "resource": {"resourceType": "Observation", "id": "f61d4bbc-d1d5-4bef-b2f6-d32e8db54596", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:f61d4bbc-d1d5-4bef-b2f6-d32e8db54596"}], "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": "240372001", "display": "Cyclosporiasis (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 Cyclospora cayetanensis nucleic acid in a clinical specimen, including stool, intestinal fluid, intestinal aspirate, and intestinal biopsy, by any method"}], "performer": [{"reference": "Organization/0e0c4ed5-f251-7818-c530-5081ac13c13c", "display": "California Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/f61d4bbc-d1d5-4bef-b2f6-d32e8db54596"}}, {"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:ef6c19e4-cc1a-4c09-8c48-a8ae2da78dfc", "resource": {"resourceType": "Observation", "id": "ef6c19e4-cc1a-4c09-8c48-a8ae2da78dfc", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:ef6c19e4-cc1a-4c09-8c48-a8ae2da78dfc"}], "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": "240372001", "display": "Cyclosporiasis (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 Cyclospora cayetanensis nucleic acid in a 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"urn:uuid:334a7b0b-e775-63c1-3461-49e6c5e1e3c1", "resource": {"resourceType": "Observation", "id": "334a7b0b-e775-63c1-3461-49e6c5e1e3c1", "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": "2022-05-13T07:31:02Z"}, "request": {"method": "PUT", "url": "Observation/334a7b0b-e775-63c1-3461-49e6c5e1e3c1"}}, {"fullUrl": "urn:uuid:c368a59d-afcf-2b68-0ed6-164deb6eddfd", "resource": {"resourceType": "Observation", "id": "c368a59d-afcf-2b68-0ed6-164deb6eddfd", "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": "2022-05-13T07:25:22Z"}, "request": {"method": "PUT", "url": "Observation/c368a59d-afcf-2b68-0ed6-164deb6eddfd"}}, {"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 (ecr_id, data) VALUES ('1.2.840.114350.1.13.478.3.7.8.688883.252732', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:1.2.840.114350.1.13.478.3.7.8.688883.252732", "resource": {"resourceType": "Composition", "id": "1.2.840.114350.1.13.478.3.7.8.688883.252732", "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": "5e539dbe-8abe-11ed-847f-0050561597b4", "assigner": {"display": "EPC"}}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "1"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2023-01-02T10:56:25-06:00", "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": "64E19122-8ABE-11ED-8CA0-0050561597B4", "title": "Immunizations", "text": {"status": "generated", "div": "Name Administration Dates Next Due DTaP, 5 pertussis antigens vaccine (DAPTACEL) 06/15/2021 Hep B, adult vaccine (Engerix/Recombivax) 09/08/2020 SARS-COV-2 (COVID-19) RED CAP +BLUE LABEL VACCINE, MODERNA 12+YO 01/22/2021
documented as of this encounter"}, "code": {"coding": [{"code": "11369-6", "display": "History of Immunization Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "651F5430-8ABE-11ED-8CA0-0050561597B4", "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": "eb08daad-1e00-4280-4846-4276acb00888", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Pending Results Name Type Priority Associated Diagnoses Date/Time PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST
documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/581a29d4-5295-5382-5460-cf0582ee5bca"}]}, {"id": "656AD662-8ABE-11ED-8CA0-0050561597B4", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date COVID toes 7/13/22 Chest pain on breathing 5/26/22 Type 1 diabetes 2/28/22 Overview: Formatting of this note might be different from the original. Plague pneumonia 6/16/21 Absence of menstruation 6/12/18 Foot callus 8/11/17 Overview: Formatting of this note might be different from the original.
documented as of this encounter (statuses as of 01/02/2023)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Foot callus", "reference": "Condition/74e3244b-afcc-1fd0-4cbb-864d85303dbc"}, {"display": "Problem - Absence of menstruation", "reference": "Condition/85d00c53-2448-939b-80ea-c251042ef350"}, {"display": "Problem - Plague pneumonia", "reference": "Condition/c6bc07dc-6be8-ff50-ac51-e096139f444d"}, {"display": "Problem - Type 1 diabetes", "reference": "Condition/e47bddd9-8edd-ab04-1bc8-188ae3662beb"}, {"display": "Problem - Chest pain on breathing", "reference": "Condition/694d2d3f-df71-cd20-678b-51afdae3edab"}, {"display": "Problem - COVID toes", "reference": "Condition/f978ebec-b7b8-dc2e-e0fc-e4ceed3bafb5"}]}, {"id": "5d711639-f946-34e2-2122-7c3928afe35b", "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": "65909D70-8ABE-11ED-8CA0-0050561597B4", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) CBC (04/11/2022 10:23 AM CDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 10.9 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 4.91 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 14.9 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 46 (H) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 93 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 30.3 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 32.7 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 51.0 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 15.0 (H) 11.1 - 14.3 % VUMC CERNER LAB Platelet 88 (L) 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.4 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.00 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 04/11/2022 10:23 AM CDT 04/11/2022 10:24 AM CDT
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) CBC (01/27/2022 2:39 PM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 18.7 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 2.81 (L) 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 9.2 (L) 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 30 (L) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 106 (H) 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 32.7 (H) 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 30.9 (L) 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 57.2 (H) 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 14.6 (H) 11.1 - 14.3 % VUMC CERNER LAB Platelet 123 (L) 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.8 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.05 (H) 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 01/27/2022 2:39 PM CST 01/27/2022 2:41 PM CST
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) CBC (12/08/2021 9:55 AM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 19.3 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 2.28 (L) 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 7.1 (L) 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 22 (L) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 97 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 31.1 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 32.0 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 47.8 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 13.4 11.1 - 14.3 % VUMC CERNER LAB Platelet 209 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.2 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.00 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 12/08/2021 9:55 AM CST 12/08/2021 9:56 AM CST
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) PCR SARS-CoV-2 and Influenza A/B (12/07/2021 4:16 PM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: Influenza A PCR (Result) Not Detected Not Detected VUMC CERNER LAB Influenza B PCR (Result) Detected (A) Not Detected VUMC CERNER LAB Influenza SARS-CoV-2 (Specimen Type) Nasopharynx VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharynx 12/07/2021 4:16 PM CST 12/07/2021 4:17 PM CST
Resulting Agency Comment Ordered by MD, JONATHAN E SCHMITZ MD,
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/62c205fb-325f-10a1-324f-7d92c46f2bfd"}]}, {"id": "7DBB6534-8315-11ED-ABD3-C301D81100B2", "title": "Problems", "text": {"status": "generated", "div": "No known active problems documented as of this encounter (statuses as of 12/23/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "Condition/bb410dc7-007f-c649-1bed-2c00e676edfb"}]}, {"id": "2cfa1813-6ae8-c2d9-e243-2a17fef007cb", "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": "7DE49C56-8315-11ED-ABD3-C301D81100B2", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 12:56 PM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Specific Gravity, Urine 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Not Indicated Creatinine, Urine, Random 43 Not Established mg/dL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Fentanyl Screen, Urine Positive (A) Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 12/23/2022 12:56 PM PST 12/23/2022 12:56 PM PST
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 2:59 PM PST Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Midwife Obstetrics CNM URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 11:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Specific Gravity, Urine 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Not Indicated Creatinine, Urine, Random 100 Not Established mg/dL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Fentanyl Screen, Urine Positive (A) Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 12/23/2022 11:16 AM PST 12/23/2022 11:16 AM PST
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 11:35 AM PST Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Valerie Krozel MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) PSA, Screen (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature PSA 8.00 (H) 0.06 - 4.00 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Victor J Aaen MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) PSA, Diagnostic (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature PSA 8.00 (H) 0.06 - 4.00 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) CEA (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature CEA 50.0 (H) 0.3 - 3.0 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) CA 125, Quant (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Cancer Antigen 125 12,200 (H) 6 - 35 U/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
CA 19-9, Quant (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature CA 19 9 10 1 - 37 U/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 10:17 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Positive (A) Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.011 1.003 - 1.035 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 44 Not Established mg/dL 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/19/2022 10:17 AM PDT 10/19/2022 10:17 AM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 11:29 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Valerie Krozel MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 8:31 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.011 1.003 - 1.035 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 55 Not Established mg/dL 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/19/2022 8:31 AM PDT 10/19/2022 8:31 AM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:04 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Shssurgmd Ord MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/11/2022 12:29 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.014 1.003 - 1.035 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 63 Not Established mg/dL 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/11/2022 12:29 PM PDT 10/11/2022 12:30 PM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:00 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Ruth A Fischer-Wright MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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documented in this encounter"}, "code": {"coding": [{"code": "29549-3", "display": "MEDICATIONS ADMINISTERED", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "MedicationAdministration/367be6b3-75f2-2053-63e4-f0a6f1d6bff1"}, {"reference": "MedicationAdministration/3d9ad81e-9518-1b14-44a8-cc86725ed68c"}, {"reference": "MedicationAdministration/b3a81224-d404-4fd4-3134-5c54815acd0f"}]}, {"id": "ca51a58e-d5d5-8f6d-28be-f526ca11481f", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Not on file documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/5ddcb7d6-d32c-e91c-f715-cf239eb4aee6"}]}, {"id": "4D3C57C8-4441-11ED-B2C1-005056A7FB21", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date Coronavirus infection 9/28/22 Close exposure to COVID-19 virus 9/28/22 Seasonal allergies 9/24/22
Pregnant Estimated Date of Delivery Comments Yes 5/6/23 Based on Est. Date of Conception
documented as of this encounter (statuses as of 10/04/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Seasonal allergies", "reference": "Condition/1c2932d2-ae86-4b76-fafa-b0a12b17a027"}, {"display": "Problem - Coronavirus infection", "reference": "Condition/1e7e7161-de05-f41e-f064-c227e43edd3e"}, {"display": "Problem - Close exposure to COVID-19 virus", "reference": "Condition/6cb5bd36-5db9-68d4-ec94-afc3f96f6392"}]}, {"id": "578e38a5-2cc7-00e0-1769-ea74746c5fe8", "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": "4D3F4866-4441-11ED-B2C1-005056A7FB21", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) CORONAVIRUS (COVID-19), PCR (09/29/2002 8:01 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2, RNA Detected (A) Not Detected LABCORP Comment:
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharyngeal (NASOPHARYNGEAL) 09/29/2002 8:01 AM PDT 09/29/2022
Narrative LABCORP - 09/29/2022 2:13 PM PDT Performed at: \u00a001 - Labcorp Burlington 1447 York Court, Burlington, NC \u00a0272153361 Lab Director: Sanjai Nagendra MD, Phone: \u00a08007624344
Authorizing Provider Result Type Hybrid Physician W Mycslink Cshs MD MICRO (NON-CULT) ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number LABCORP 13112 Evening Creek Dr, Ste 200 San Diego, CA 92128 858-668-3700
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Smokeless Tobacco: Never
Alcohol Use Standard Drinks/Week Comments Never 0 (1 standard drink = 0.6 oz pure alcohol)
Education Answer Date Recorded What is the highest level of school you have completed or the highest degree you have received? Bachelor''s degree (e.g., BA, AB, BS) 09/24/2022
Sex Assigned at Birth Date Recorded Female 09/24/2022 12:34 PM PDT
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Diff Toxin A/B, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Salmonella, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli O157, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Shigella/EIEC, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Cyclospora cayetanensis, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\ufffd FILMARRAY\ufffd 2.0 SYSTEM 03/31/2022 1:04 PM PDT PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 03/31/2022 11:52 AM PDT 03/31/2022 11:52 AM PDT
Authorizing Provider Result Type Authorizing Provider MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE SAINT JOHN''S HEALTH CENTER LAB (CLIA 05D0059345) 2121 Santa Monica Blvd Santa Monica, CA 90404 310-829-8800
Tobacco Use Types Packs/Day Years Used Date Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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["http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:5aff7416-7a1f-4922-a9a9-cb04338b25a5"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history"}]}], "status": "final", "code": {"coding": [{"code": "11341-5", "display": "History of Occupation", "system": "http://loinc.org"}]}, "effectivePeriod": {"start": "2017-12-16"}, "valueCodeableConcept": {"coding": [{"code": "3600", "display": "Nursing, psychiatric, and home health aides", "system": "urn:oid:2.16.840.1.113883.6.240"}]}, "component": [{"code": {"coding": [{"code": "74159-5", "display": "Work Schedule", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "NS", "display": "Night Shift", "system": "urn:oid:2.16.840.1.113883.5.1063"}]}}, {"code": {"coding": [{"code": "63761-1", "display": "What were your main activities or duties for this job", "system": "http://loinc.org"}]}, "valueString": "Patient care"}, {"code": {"coding": [{"code": "87729-0", "display": "History of Occupational Hazard", "system": "http://loinc.org"}]}, "valueString": "Infectious Disease"}, {"code": {"coding": [{"code": "87707-6", "display": "Job supervisory level or pay grade", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "C-6", "display": "C6 - Manager", "system": "urn:oid:2.16.840.1.114222.4.5.327"}]}}, {"code": {"coding": [{"code": "86188-0", "display": "History of Occupation Industry", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "8270", "display": "Nursing care facilities", "system": "http://snomed.info/sct"}]}}, {"code": {"coding": [{"code": "85104-8", "display": "Compensation and Sector Employment Type", "system": "http://loinc.org"}]}, "valueCodeableConcept": {"coding": [{"code": "PWNSE", "display": "Paid non-governmental work, not self-employed", "system": "urn:oid:2.16.840.1.113883.5.1139"}]}}], "subject": {"reference": "Patient/b5ed3762-a9db-41e6-bf8a-22e39a5464e1"}}, "request": {"method": "PUT", "url": "Observation/965db622-e821-a004-71b9-f6959814516f"}}, {"fullUrl": "urn:uuid:51487854-3257-0685-a4cf-f191347b317e", "resource": {"resourceType": "Observation", "id": "51487854-3257-0685-a4cf-f191347b317e", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:7916c040-f9a4-447d-95e7-3e4877582959"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history"}]}], "status": "final", "code": {"coding": [{"code": "87510-4", "display": "Date of Retirement", "system": "http://loinc.org"}]}, "valueQuantity": {"value": 20171216}, "subject": {"reference": "Patient/b5ed3762-a9db-41e6-bf8a-22e39a5464e1"}}, "request": {"method": "PUT", "url": "Observation/51487854-3257-0685-a4cf-f191347b317e"}}, {"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 (ecr_id, data) VALUES ('1.2.840.114350.1.13.297.3.7.8.688883.538441', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:1.2.840.114350.1.13.297.3.7.8.688883.538441", "resource": {"resourceType": "Composition", "id": "1.2.840.114350.1.13.297.3.7.8.688883.538441", "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": "7a89f990-3f70-11ed-9549-c301d81100b2", "assigner": {"display": "EPC"}}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "15"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2022-09-28T14:01:01-07:00", "title": "Initial Public Health Case Report", "confidentiality": "N", "section": [{"id": "6d477942-5761-6b2c-f5fc-bdf036a1fe7e", "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": "A84C7F7E-3F70-11ED-9549-C301D81100B2", "title": "Immunizations", "text": {"status": "generated", "div": "Name Administration Dates Next Due DTAP-HIB-IPV (PENTACEL) 04/16/2010 HEP A (ADULT) 2 DOSE 11/11/2011 HEP B (PED,ADOLESCENT) 3 DOSE 03/21/1974 MENINGOCOCCAL CONJUGATE,MENACTRA (PED/ADOL/ADULT) 11/16/2020 TDAP, (ADOL/ADULT) 11/10/2020
documented as of this encounter"}, "code": {"coding": [{"code": "11369-6", "display": "History of Immunization Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "A853DBC0-3F70-11ED-9549-C301D81100B2", "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": "6d1df88a-f3cd-9182-f066-12c46b2c4e7c", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Not on file documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/bf85e464-6cc4-65ca-5dbd-46f690c9ecd2"}]}, {"id": "A8648114-3F70-11ED-9549-C301D81100B2", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date Bipolar I disorder 11/19/20 Reactive depression 11/19/20 Rheumatoid arthritis with negative rheumatoid factor 11/16/20 Arthralgia of both ankles 11/16/20 Anxiety 11/10/20 Asthma 11/10/20 Knee pain 4/29/19 Sprain of calcaneofibular ligament of right ankle 4/16/19 Last Assessment & Plan: Formatting of this note might be different from the original.
documented as of this encounter (statuses as of 09/28/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Sprain of calcaneofibular ligament of right ankle", "reference": "Condition/fb4c40a4-602f-9cf0-11c0-903b1f3d9e94"}, {"display": "Problem - Knee pain", "reference": "Condition/3f9a9eb2-f922-634e-c26f-78392130df06"}, {"display": "Problem - Anxiety", "reference": "Condition/f64c32dd-26f5-383c-7f50-ca6ec3f463c0"}, {"display": "Problem - Asthma", "reference": "Condition/5375a206-9dc9-92cf-2f48-6a5d46a47ef4"}, {"display": "Problem - Rheumatoid arthritis with negative rheumatoid factor", "reference": "Condition/971021ee-126c-7d7f-0883-1a86d90514ed"}, {"display": "Problem - Arthralgia of both ankles", "reference": "Condition/115026c9-25f8-0790-a139-274c4d50499a"}, {"display": "Problem - Bipolar I disorder", "reference": "Condition/f3abd872-80c0-6c83-5135-a2343b415038"}, {"display": "Problem - Reactive depression", "reference": "Condition/b8e04fe5-d35c-c8c5-af3f-64ea83195682"}]}, {"id": "bc4fa35c-b96e-3a71-cf37-37e4323e8ae2", "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": "A87B29AA-3F70-11ED-9549-C301D81100B2", "title": "Results", "text": {"status": "generated", "div": "Stool Pathogens, NAAT, 12 to 25 Targets (09/28/2022 1:51 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Campylobacter, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Salmonella, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shigella/EIEC, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cyclospora cayetanensis, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 1:59 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 09/28/2022 1:51 PM PDT 09/28/2022 1:51 PM PDT
Authorizing Provider Result Type Ambhp1 Test MD MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) 501 S. Buena Vista Street Burbank, CA 91505 818-847-6000
(ABNORMAL) Stool Pathogens, NAAT, 12 to 25 Targets (09/28/2022 1:51 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Campylobacter, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Plesiomonas shigelloides, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Salmonella, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Vibrio cholerae, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Yersinia enterocolitica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli O157, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EAEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (EPEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. Coli (ETEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shiga-Like Toxin E. Coli (STEC), NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Shigella/EIEC, NAAT DETECTED (AA) Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cryptosporidium, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Cyclospora cayetanensis, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) E. histolytica, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Giardia lamblia, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Adenovirus F 40/41, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Astrovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Norovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Rotavirus A, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) Sapovirus, NAAT Not Detected Not Detected LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) GI Pathogens Panel Acceptable LAB DEVICE: BIOFIRE\u00ae FILMARRAY\u00ae 2.0 SYSTEM 09/28/2022 2:00 PM PDT PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675)
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Stool STOOL SPECIMEN / Unknown 09/28/2022 1:51 PM PDT 09/28/2022 1:51 PM PDT
Authorizing Provider Result Type Ambhp1 Test MD MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY (CLIA 05D0672675) 501 S. Buena Vista Street Burbank, CA 91505 818-847-6000
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Smokeless Tobacco: Never
Alcohol Use Standard Drinks/Week Comments Yes 0 (1 standard drink = 0.6 oz pure alcohol)
Sex Assigned at Birth Date 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": "5abe51f9-01ae-f8a2-2f7d-baae46ee02f4", "title": "Encounter Details", "text": {"status": "generated", "div": "Date Type Department Care Team Description 9/28/22 Lab Requisition PROVIDENCE ST JOSEPH MED CTR LABORATORY 501 S Buena Vista St Burbank, CA 91505-4809 818-847-6060 Test, Ambhp1, MD 2001 LIND AVE RENTON, WA 98059
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Scheduled Orders Name Type Priority Associated Diagnoses Order Schedule PCR Hepatitis C Virus Qt Lab Routine Ordered: 5/12/22
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Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Other 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Detected (A) Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Oropharynx 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharynx 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nares 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time BAL 07/27/2022 3:49 PM CDT 07/27/2022 3:58 PM CDT
Resulting Agency Comment Ordered by Romney H Humphries
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Hepatitis C Antibody Positive (A) Negative VUMC CERNER LAB Comment:
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 05/12/2022 6:00 AM CDT 05/12/2022 11:30 AM CDT
Authorizing Provider Result Type Charles W Stratton MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time Blood 04/04/2022 11:55 AM CDT 04/18/2022 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. \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
Resulting Agency Comment testing comment
Authorizing Provider Result Type Carda Testprovqa MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time DNA 03/31/2022 5:36 PM CDT 03/31/2022 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 - \u00a0Cancelled CYP2C9 - \u00a0 Cancelled CYP2D6 - \u00a0 Cancelled CYP3A5 - \u00a0 Cancelled CYP4F2 - \u00a0 Cancelled DPYD - \u00a0 \u00a0 Cancelled NUDT15 - \u00a0 Cancelled SLCO1B1 - \u00a0Cancelled TPMT - \u00a0 \u00a0 Cancelled VKORC1 - \u00a0 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; \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.
Authorizing Provider Result Type Carda Testprovqa MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Drug Toxicology Monitoring Base Pnl w/Conf, Oral Fl VUMC CERNER LAB Comment: This test was performed at: Quest Laboratory,Location Varies,,,,,,
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Oral 03/29/2022 1:53 PM CDT 03/29/2022 2:07 PM CDT
Authorizing Provider Result Type Carda Testprovqa MD LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Test Called k VUMC CERNER LAB Reason Called QNS VUMC CERNER LAB Called To test VUMC CERNER LAB Read Back Yes VUMC CERNER LAB Collector ID test123 VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 03/22/2022 1:27 PM CDT 03/22/2022 1:29 PM CDT
Authorizing Provider Result Type E Mark Watts MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report Moderate growth Neisseria meningitidis VUMC CERNER LAB Organism ID Neisseria meningitidis (POSITIVE) VUMC CERNER LAB Gram Stain Report VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time CSF 03/17/2022 1:34 PM CDT 03/17/2022 1:34 PM CDT
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report Light growth Acinetobacter baumannii VUMC CERNER LAB Organism ID Acinetobacter baumannii (POSITIVE) VUMC CERNER LAB Gram Stain Report 1+ Gram negative rod VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time CSF 03/17/2022 1:11 PM CDT 03/17/2022 1:11 PM CDT
Organism Antibiotic Method Susceptibility Acinetobacter baumannii Amikacin MIC 0.25: Susceptible Acinetobacter baumannii Avycaz (Ceftazidime/Avibactam) MIC 0.05: Intermediate Acinetobacter baumannii Levofloxacin MIC 0.75: Resistant
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: SARS-CoV-2 Nucleic Acid Method (Comment) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nares 03/11/2022 1:05 PM CST 03/11/2022 1:46 PM CST
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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 / Laterality Collection Method / Volume Collection Time Received Time Blood 03/11/2022 1:05 PM CST 03/11/2022 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. \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
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB GENETIC TESTING
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report VUMC CERNER LAB Organism ID Staphylococcus aureus (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood (Antecub) 03/11/2022 8:51 AM CST 03/11/2022 8:51 AM CST
Organism Antibiotic Method Susceptibility Staphylococcus aureus Ampicillin MIC 0.25: Susceptible Staphylococcus aureus Rifampin MIC 0.75: Resistant Staphylococcus aureus Vancomycin MIC 0.05: Susceptible
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report >100,000 cfu/ml Proteus mirabilis VUMC CERNER LAB Organism ID Proteus mirabilis (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine 03/10/2022 2:30 PM CST 03/10/2022 2:49 PM CST
Organism Antibiotic Method Susceptibility Proteus mirabilis Aztreonam MIC 0.75: Resistant Proteus mirabilis Cefoxitin MIC 0.25: Intermediate Proteus mirabilis Levofloxacin MIC 0.05: Susceptible
Authorizing Provider Result Type Adam Clark Seegmiller MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone 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) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Final Report VUMC CERNER LAB Organism ID Staphylococcus aureus (POSITIVE) VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood (Antecub) 03/10/2022 10:00 AM CST 03/10/2022 2:08 PM CST
Organism Antibiotic Method Susceptibility Staphylococcus aureus Ampicillin MIC 3: Resistant Staphylococcus aureus Vancomycin MIC 0.03: Susceptible Staphylococcus aureus Levofloxacin MIC 2: Intermediate
Authorizing Provider Result Type Katelyn Kennedy Atwater MD LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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"}, "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": "abf3ed7a-034b-44d6-a7e0-4c8aad440e1a"}}, {"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)", 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"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": "Practitioner/550b9626-bc9e-7d6b-c5d8-e41c2000ab85"}, {"reference": "Device/a57ef88d-1c60-d952-e7ca-5e9e16c7ef05"}]}, "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": 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Manual Initiation Reason Date t March 16th, 2022 7:30am
Procedure Name Ordered Date Scheduled Date Arterial Blood Glucose January 25th, 2021 9:39am March 14th, 2021 5:08pm Ammonia January 25th, 2021 9:39am January 25th, 2021 9:38am
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"Immunization/c107f857-c7df-41bf-c259-80e282420aea"}}, {"fullUrl": "urn:uuid:c2b06db8-b19e-8ed2-0f8e-8d263b5e4492", "resource": {"resourceType": "Immunization", "id": "c2b06db8-b19e-8ed2-0f8e-8d263b5e4492", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:9f98c254-e2da-4d1d-3ea8-fb4369e96ac1"}], "occurrenceDateTime": "2019-02-08", "note": {"text": "RotaTeq"}, "vaccineCode": {"coding": [{"code": "119", "display": "RotaTeq", "system": "urn:oid:2.16.840.1.113883.12.292"}]}, "lotNumber": "53465464", "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/8c766d5b-aa9a-4aa7-a12d-0992e44f599f"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/c2b06db8-b19e-8ed2-0f8e-8d263b5e4492"}}, {"fullUrl": "urn:uuid:22b0039b-a495-cd97-935d-84c4b094a395", "resource": {"resourceType": "Immunization", "id": "22b0039b-a495-cd97-935d-84c4b094a395", "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:99323c0f-bfbe-4cf2-9687-821cca99346f"}], "occurrenceDateTime": "2019-02-06", "note": {"text": "Varicella Virus Vaccine"}, "vaccineCode": {"coding": [{"code": "21", "display": "Varicella Virus Vaccine", "system": "urn:oid:2.16.840.1.113883.12.292"}]}, "lotNumber": "6545646564", "manufacturer": {"reference": "Organization/81335318-8424-a5e6-822b-3f53ce03b63f"}, "status": "completed", "primarySource": true, "patient": {"reference": "Patient/8c766d5b-aa9a-4aa7-a12d-0992e44f599f"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "Immunization/22b0039b-a495-cd97-935d-84c4b094a395"}}]}') ON CONFLICT (ecr_id) DO NOTHING;
+INSERT INTO fhir (ecr_id, data) VALUES ('1.2.840.114350.1.13.478.3.7.8.688883.252732', '{"resourceType": "Bundle", "type": "batch", "entry": [{"fullUrl": "urn:uuid:1.2.840.114350.1.13.478.3.7.8.688883.252732", "resource": {"resourceType": "Composition", "id": "1.2.840.114350.1.13.478.3.7.8.688883.252732", "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": "5e539dbe-8abe-11ed-847f-0050561597b4", "assigner": {"display": "EPC"}}], "extension": [{"url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString": "1"}], "status": "final", "type": {"coding": [{"code": "55751-2", "display": "Initial Public Health Case Report", "system": "http://loinc.org"}]}, "date": "2023-01-02T10:56:25-06:00", "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": "64E19122-8ABE-11ED-8CA0-0050561597B4", "title": "Immunizations", "text": {"status": "generated", "div": "Name Administration Dates Next Due DTaP, 5 pertussis antigens vaccine (DAPTACEL) 06/15/2021 Hep B, adult vaccine (Engerix/Recombivax) 09/08/2020 SARS-COV-2 (COVID-19) RED CAP +BLUE LABEL VACCINE, MODERNA 12+YO 01/22/2021
documented as of this encounter"}, "code": {"coding": [{"code": "11369-6", "display": "History of Immunization Narrative", "system": "http://loinc.org"}]}, "mode": "snapshot"}, {"id": "651F5430-8ABE-11ED-8CA0-0050561597B4", "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": "eb08daad-1e00-4280-4846-4276acb00888", "title": "Plan of Treatment", "text": {"status": "generated", "div": "Pending Results Name Type Priority Associated Diagnoses Date/Time PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST PCR SARS-CoV-2 and Influenza A/B Lab Routine 12/07/2021 4:16 PM CST
documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/581a29d4-5295-5382-5460-cf0582ee5bca"}]}, {"id": "656AD662-8ABE-11ED-8CA0-0050561597B4", "title": "Problems", "text": {"status": "generated", "div": "Active Problems Noted Date COVID toes 7/13/22 Chest pain on breathing 5/26/22 Type 1 diabetes 2/28/22 Overview: Formatting of this note might be different from the original. Plague pneumonia 6/16/21 Absence of menstruation 6/12/18 Foot callus 8/11/17 Overview: Formatting of this note might be different from the original.
documented as of this encounter (statuses as of 01/02/2023)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"display": "Problem - Foot callus", "reference": "Condition/74e3244b-afcc-1fd0-4cbb-864d85303dbc"}, {"display": "Problem - Absence of menstruation", "reference": "Condition/85d00c53-2448-939b-80ea-c251042ef350"}, {"display": "Problem - Plague pneumonia", "reference": "Condition/c6bc07dc-6be8-ff50-ac51-e096139f444d"}, {"display": "Problem - Type 1 diabetes", "reference": "Condition/e47bddd9-8edd-ab04-1bc8-188ae3662beb"}, {"display": "Problem - Chest pain on breathing", "reference": "Condition/694d2d3f-df71-cd20-678b-51afdae3edab"}, {"display": "Problem - COVID toes", "reference": "Condition/f978ebec-b7b8-dc2e-e0fc-e4ceed3bafb5"}]}, {"id": "5d711639-f946-34e2-2122-7c3928afe35b", "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": "65909D70-8ABE-11ED-8CA0-0050561597B4", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) CBC (04/11/2022 10:23 AM CDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 10.9 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 4.91 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 14.9 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 46 (H) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 93 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 30.3 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 32.7 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 51.0 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 15.0 (H) 11.1 - 14.3 % VUMC CERNER LAB Platelet 88 (L) 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.4 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.00 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 04/11/2022 10:23 AM CDT 04/11/2022 10:24 AM CDT
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) CBC (01/27/2022 2:39 PM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 18.7 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 2.81 (L) 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 9.2 (L) 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 30 (L) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 106 (H) 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 32.7 (H) 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 30.9 (L) 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 57.2 (H) 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 14.6 (H) 11.1 - 14.3 % VUMC CERNER LAB Platelet 123 (L) 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.8 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.05 (H) 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 01/27/2022 2:39 PM CST 01/27/2022 2:41 PM CST
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) CBC (12/08/2021 9:55 AM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature White Blood Cells 19.3 (H) 3.9 - 10.7 x10(3)/mcL VUMC CERNER LAB Red Blood Cells 2.28 (L) 4.00 - 5.50 x10(6)/mcL VUMC CERNER LAB Hemoglobin 7.1 (L) 11.8 - 16.0 gm/dL VUMC CERNER LAB Hematocrit 22 (L) 36 - 43 % VUMC CERNER LAB Mean Cell Volume 97 81 - 98 fL VUMC CERNER LAB Mean Cell Hemoglobin 31.1 27.0 - 32.0 pg VUMC CERNER LAB Mean Cell Hemoglobin Concentration 32.0 31.0 - 35.0 gm/dL VUMC CERNER LAB RDW SD 47.8 37.4 - 52.4 fL VUMC CERNER LAB RDW CV 13.4 11.1 - 14.3 % VUMC CERNER LAB Platelet 209 135 - 371 x10(3)/mcL VUMC CERNER LAB Mean Platelet Volume 10.2 9.3 - 12.8 fL VUMC CERNER LAB Nucleated RBC 0 0 - 0 /100 WBC VUMC CERNER LAB Nucleated RBC Abs 0.00 0.00 - 0.00 x10(3)/mcL VUMC CERNER LAB Comment: This test was performed at: Vanderbilt Tullahoma-Harton Laboratory,CLIA# 44D0309812,Donald E. Trummel, MD, Medical Director,1805 N Jackson St,Tullahoma,TN,37388,USA
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood 12/08/2021 9:55 AM CST 12/08/2021 9:56 AM CST
Resulting Agency Comment Ordered by DR. TEST ZTEST SR
Authorizing Provider Result Type No Pcp LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
(ABNORMAL) PCR SARS-CoV-2 and Influenza A/B (12/07/2021 4:16 PM CST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature SARS-CoV-2 Nucleic Acid (Result) Not Detected Not Detected VUMC CERNER LAB Comment: Influenza A PCR (Result) Not Detected Not Detected VUMC CERNER LAB Influenza B PCR (Result) Detected (A) Not Detected VUMC CERNER LAB Influenza SARS-CoV-2 (Specimen Type) Nasopharynx VUMC CERNER LAB
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Nasopharynx 12/07/2021 4:16 PM CST 12/07/2021 4:17 PM CST
Resulting Agency Comment Ordered by MD, JONATHAN E SCHMITZ MD,
Authorizing Provider Result Type No Pcp LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number VUMC CERNER LAB 4605 TVC VUMC 1301 Medical Center Drive NASHVILLE, TN 37232-5310 615-875-5227
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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"Organization/f87de327-7272-42ac-012d-58904caf7ef1", "display": "Los Angeles County Department of Public Health"}]}, "request": {"method": "PUT", "url": "Observation/1f7899f5-7b71-459a-8638-43a985952098"}}, {"fullUrl": "urn:uuid:ac693c84-dc85-45c0-8e90-86c1b15b07cf", "resource": {"resourceType": "Observation", "id": "ac693c84-dc85-45c0-8e90-86c1b15b07cf", "meta": {"profile": ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"], "source": ["ecr"]}, "identifier": [{"system": "urn:ietf:rfc:3986", "value": "urn:uuid:ac693c84-dc85-45c0-8e90-86c1b15b07cf"}], "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/ac693c84-dc85-45c0-8e90-86c1b15b07cf"}}, {"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"]}, {"use": "usual", "text": "Vanderbilt University Medical Center"}], "address": [{"use": "work", "line": ["3401 West End Ave"], "city": "NASHVILLE", "state": "TN", "country": "USA", "postalCode": "37203", "district": "DAVIDSON"}]}, "request": {"method": "PUT", "url": "Practitioner/550b9626-bc9e-7d6b-c5d8-e41c2000ab85"}}, {"fullUrl": "urn:uuid:2223e92a-58eb-e5f3-fb29-9d540c657fde", "resource": {"resourceType": "Device", "id": "2223e92a-58eb-e5f3-fb29-9d540c657fde", "identifier": [{"system": "urn:oid:1.2.840.114350.1.1", "value": "10.2"}], "type": {"coding": [{"display": "Epic - Version 10.2"}]}, "manufacturer": "Epic - Version 10.2", "version": [{"value": "Epic - Version 10.2"}], "category": {"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/2223e92a-58eb-e5f3-fb29-9d540c657fde"}}, {"fullUrl": "urn:uuid:45494cf8-9fae-49b1-a5e4-9ab1a3f9acb1", "resource": {"resourceType": "Patient", "id": "45494cf8-9fae-49b1-a5e4-9ab1a3f9acb1", "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": "http://hl7.org/fhir/sid/us-ssn", "value": "123122254", "assigner": {"display": "Social Security Administration"}}, {"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": "+16155555555", "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/45494cf8-9fae-49b1-a5e4-9ab1a3f9acb1"}}, {"fullUrl": "urn:uuid:", "resource": {"resourceType": "CareTeam", "subject": {"reference": "Patient/45494cf8-9fae-49b1-a5e4-9ab1a3f9acb1"}, "meta": {"source": ["ecr"]}}}, {"fullUrl": "urn:uuid:581a29d4-5295-5382-5460-cf0582ee5bca", "resource": {"resourceType": "CarePlan", "id": "581a29d4-5295-5382-5460-cf0582ee5bca", "status": "unknown", "intent": "proposal", "subject": {"reference": "Patient/45494cf8-9fae-49b1-a5e4-9ab1a3f9acb1"}, "meta": {"source": ["ecr"]}}, "request": {"method": "PUT", "url": "CarePlan/581a29d4-5295-5382-5460-cf0582ee5bca"}}, {"fullUrl": "urn:uuid:74e3244b-afcc-1fd0-4cbb-864d85303dbc", "resource": {"resourceType": "Condition", "id": "74e3244b-afcc-1fd0-4cbb-864d85303dbc", "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: Pending Results Name Type Priority Associated Diagnoses Date/Time Drugs Of Abuse Comprehensive Screen, Ur Lab STAT 12/23/2022 11:13 AM PST
Scheduled Orders Name Type Priority Associated Diagnoses Order Schedule Drugs Of Abuse Comprehensive Screen, Ur Lab Routine One Time for 1 Occurrences starting 12/23/22 until 12/23/22
documented as of this encounter"}, "code": {"coding": [{"code": "18776-5", "display": "Plan of care note", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "CarePlan/62c205fb-325f-10a1-324f-7d92c46f2bfd"}]}, {"id": "7DBB6534-8315-11ED-ABD3-C301D81100B2", "title": "Problems", "text": {"status": "generated", "div": "No known active problems documented as of this encounter (statuses as of 12/23/2022)"}, "code": {"coding": [{"code": "11450-4", "display": "Problem list - Reported", "system": "http://loinc.org"}]}, "mode": "snapshot", "entry": [{"reference": "Condition/bb410dc7-007f-c649-1bed-2c00e676edfb"}]}, {"id": "2cfa1813-6ae8-c2d9-e243-2a17fef007cb", "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": "7DE49C56-8315-11ED-ABD3-C301D81100B2", "title": "Results", "text": {"status": "generated", "div": "(ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 12:56 PM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Specific Gravity, Urine 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Not Indicated Creatinine, Urine, Random 43 Not Established mg/dL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Fentanyl Screen, Urine Positive (A) Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 2:59 PM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 12/23/2022 12:56 PM PST 12/23/2022 12:56 PM PST
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 2:59 PM PST Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Midwife Obstetrics CNM URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 11:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Specific Gravity, Urine 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Not Indicated Creatinine, Urine, Random 100 Not Established mg/dL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Fentanyl Screen, Urine Positive (A) Negative LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 12/23/2022 11:35 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 12/23/2022 11:16 AM PST 12/23/2022 11:16 AM PST
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 11:35 AM PST Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Valerie Krozel MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) PSA, Screen (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature PSA 8.00 (H) 0.06 - 4.00 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Victor J Aaen MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) PSA, Diagnostic (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature PSA 8.00 (H) 0.06 - 4.00 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) CEA (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature CEA 50.0 (H) 0.3 - 3.0 ng/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) CA 125, Quant (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Cancer Antigen 125 12,200 (H) 6 - 35 U/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
CA 19-9, Quant (11/23/2022 9:16 AM PST) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature CA 19 9 10 1 - 37 U/mL LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS\u00ae 7500 11/23/2022 9:17 AM PST HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values.
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Blood Venipuncture / Unknown 11/23/2022 9:16 AM PST 11/23/2022 9:16 AM PST
Authorizing Provider Result Type Ruth A Fischer-Wright MD LAB BLOOD ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 10:17 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Positive (A) Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.011 1.003 - 1.035 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 44 Not Established mg/dL 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 11:29 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/19/2022 10:17 AM PDT 10/19/2022 10:17 AM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 11:29 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Valerie Krozel MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 8:31 AM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.011 1.003 - 1.035 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 55 Not Established mg/dL 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 10:04 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/19/2022 8:31 AM PDT 10/19/2022 8:31 AM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:04 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Shssurgmd Ord MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
(ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/11/2022 12:29 PM PDT) Component Value Ref Range Test Method Analysis Time Performed At Pathologist Signature Phencyclidine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Benzodiazepines Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cocaine: Cut-off conc 150 ng/mL Barbiturates Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Amphetamine Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Cannabinoids Screen, Urine Positive (A) Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: THC: Cut-off conc 50 ng/mL Opiates Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Opiates: Cut-off conc 300 ng/mL Methadone Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Methadone: Cut-off conc 300 ng/mL Fentanyl Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Fentanyl: Cut-off conc 1 ng/mL Ethyl Glucuronide Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Ethyl Glucuronide: Cut-off conc 500 ng/mL Buprenorphine Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Buprenorphine: Cut-off conc 5 ng/mL Oxycodone Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: MDMA Screen, Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Specific Gravity, Urine 1.014 1.003 - 1.035 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Creatinine, Urine, Random 63 Not Established mg/dL 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Mitragynine (Kratom), Urine Negative Negative 10/19/2022 10:00 AM PDT HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) Comment: Mitragynine: Cut-off conc 50 ng/mL
Specimen (Source) Anatomical Location / Laterality Collection Method / Volume Collection Time Received Time Urine Collection / Unknown 10/11/2022 12:29 PM PDT 10/11/2022 12:30 PM PDT
Narrative HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:00 AM PDT Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). Only positive maternal and neonatal screening results reflex for confirmation and are reported separately.
Authorizing Provider Result Type Ruth A Fischer-Wright MD URINE ORDERABLES
Performing Organization Address City/State/ZIP Code Phone Number HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) One Hoag Drive Newport Beach, CA 92663 949-764-5600
Tobacco Use Types Packs/Day Years Used Date Smoking Tobacco: Never Assessed
Sex Assigned at Birth Date Recorded Not on file
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source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp10"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/2bb61b17-ba37-9261-bd66-7ebebdeac417"}}, {"fullUrl": "urn:uuid:e84a6bbd-68d7-22c3-5857-13db5fb54eeb", "resource": {"resourceType": "Observation", "id": "e84a6bbd-68d7-22c3-5857-13db5fb54eeb", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.11"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "58359-1", "display": "Buprenorphine Screen, Urine", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueString": "Negative", "referenceRange": [{"text": "Negative"}], "note": [{"elems": [{"elemText": "test"}], "text": "Buprenorphine: Cut-off conc 5 ng/mL"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp11"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/e84a6bbd-68d7-22c3-5857-13db5fb54eeb"}}, {"fullUrl": "urn:uuid:f71b4396-d4c0-6c47-3fbf-955842e3388f", "resource": {"resourceType": "Observation", "id": "f71b4396-d4c0-6c47-3fbf-955842e3388f", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.12"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "19642-8", "display": "Oxycodone Screen, Urine", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueString": "Negative", "referenceRange": [{"text": "Negative"}], "note": [{"elems": [{"elemText": "test"}], "text": "Oxycodone: Cut-off conc 100 ng/mL"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp12"}]}, {"url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code", "coding": [{"code": "242253008", "system": "http://snomed.info/sct"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/f71b4396-d4c0-6c47-3fbf-955842e3388f"}}, {"fullUrl": "urn:uuid:ce99c778-0609-2d85-3839-1406856d1117", "resource": {"resourceType": "Observation", "id": "ce99c778-0609-2d85-3839-1406856d1117", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.13"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "19568-5", "display": "MDMA Screen, Urine", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueString": "Negative", "referenceRange": [{"text": "Negative"}], "note": [{"elems": [{"elemText": "test"}], "text": "MDMA: Cut-off conc 500 ng/mL"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp13"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/ce99c778-0609-2d85-3839-1406856d1117"}}, {"fullUrl": "urn:uuid:845276dc-1c1e-6a0b-ab28-3d13ce98615d", "resource": {"resourceType": "Observation", "id": "845276dc-1c1e-6a0b-ab28-3d13ce98615d", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.14"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "53326-5", "display": "Specific Gravity, Urine", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueQuantity": {"value": 1.014}, "referenceRange": [{"text": "1.003 - 1.035 ", "low": {"value": 1.003}, "high": {"value": 1.035}}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp14"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/845276dc-1c1e-6a0b-ab28-3d13ce98615d"}}, {"fullUrl": "urn:uuid:577e78fe-c7f3-c9bf-96d5-39155be2c312", "resource": {"resourceType": "Observation", "id": "577e78fe-c7f3-c9bf-96d5-39155be2c312", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.15"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "2161-8", "display": "Creatinine, Urine, Random", "system": "http://loinc.org"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueQuantity": {"value": 63, "unit": "mg/dL"}, "referenceRange": [{"text": "Not Established"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp15"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/577e78fe-c7f3-c9bf-96d5-39155be2c312"}}, {"fullUrl": "urn:uuid:c5106d12-5251-7946-7ba4-996a79789b96", "resource": {"resourceType": "Observation", "id": "c5106d12-5251-7946-7ba4-996a79789b96", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.6.798268.2000", "value": "386313.16"}], "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory"}]}], "status": "final", "code": {"coding": [{"code": "12162", "display": "Mitragynine (Kratom), Urine", "system": "urn:oid:1.2.840.114350.1.13.297.3.7.2.768282"}]}, "effectiveDateTime": "2022-10-19T17:00:43Z", "valueString": "Negative", "referenceRange": [{"text": "Negative"}], "note": [{"elems": [{"elemText": "test"}], "text": "Mitragynine: Cut-off conc 50 ng/mL"}], "extension": [{"url": "http://hl7.org/fhir/R4/specimen.html", "extension": [{"url": "specimen source", "valueString": "Urine"}, {"url": "specimen collection time", "valueDateTime": "2022-10-11T19:29:00Z"}, {"url": "specimen receive time", "valueDateTime": "2022-10-11T19:30:02Z"}, {"url": "observation entry reference value", "valueString": "#Result.1.2.840.114350.1.13.297.3.7.2.798268.386313.Comp16"}]}], "subject": {"reference": "Patient/6c4b6fc2-773a-44c5-8881-d27bf2ef3cde"}, "performer": [{"display": "HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)", "reference": "Organization/ac8b5158-e7f2-f163-e69c-eaddb22dad8a"}]}, "request": {"method": "PUT", "url": "Observation/c5106d12-5251-7946-7ba4-996a79789b96"}}, {"fullUrl": "urn:uuid:ca818bf4-a6d4-a6f8-e0b1-b1e76f8546d2", "resource": {"resourceType": "Observation", "id": "ca818bf4-a6d4-a6f8-e0b1-b1e76f8546d2", "meta": {"profile": ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"], "source": ["ecr"]}, "identifier": [{"system": "urn:oid:1.2.840.114350.1.13.297.3.7.7.798268.1000", "value": "386313"}], "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": "2022-10-19T17:00:43Z", "valueString": "Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing).;
@@ -406,12 +407,14 @@ export const evaluateOrganismsReportData = (
* @param fhirBundle - The FHIR bundle containing lab and RR data.
* @param labReports - An array of DiagnosticReport objects
* @param mappings - An object containing the FHIR path mappings.
+ * @param accordionHeadingLevel - Heading level for the title of AccordionLabResults.
* @returns An array of the Diagnostic reports Elements and Organization Display Data
*/
export const evaluateLabInfoData = (
fhirBundle: Bundle,
labReports: any[],
mappings: PathMappings,
+ accordionHeadingLevel?: HeadingLevel,
): LabReportElementData[] => {
// the keys are the organization id, the value is an array of jsx elements of diagnsotic reports
let organizationElements: ResultObject = {};
@@ -522,6 +525,7 @@ export const evaluateLabInfoData = (
abnormalTag={checkAbnormalTag(labReportJson)}
content={content}
organizationId={organizationId}
+ headingLevel={accordionHeadingLevel}
/>
);
organizationElements = groupElementByOrgId(
diff --git a/containers/ecr-viewer/src/app/tests/components/__snapshots__/LabInfo.test.tsx.snap b/containers/ecr-viewer/src/app/tests/components/__snapshots__/LabInfo.test.tsx.snap
index 3856ff25ba..a4fd882ca8 100644
--- a/containers/ecr-viewer/src/app/tests/components/__snapshots__/LabInfo.test.tsx.snap
+++ b/containers/ecr-viewer/src/app/tests/components/__snapshots__/LabInfo.test.tsx.snap
@@ -113,7 +113,7 @@ Burbank, CA
data-testid="accordion"
>
= ({
@@ -25,6 +27,7 @@ export const AccordionLabResults: React.FC
= ({
content,
organizationId,
collapsedByDefault = false,
+ headingLevel = "h5",
}: AccordionLabResultsProps): React.JSX.Element => {
return (
= ({
content: content,
expanded: collapsedByDefault,
id: title,
- headingLevel: "h5",
- className: `acc_item_${organizationId}`,
+ headingLevel,
+ className: `acc_item_${organizationId} side-nav-ignore`,
},
]}
className={`accordion-rr accordion_${organizationId} margin-bottom-3`}