diff --git a/frontend-react/.storybook/main.ts b/frontend-react/.storybook/main.ts index 13ebd1eb528..44023d4d391 100644 --- a/frontend-react/.storybook/main.ts +++ b/frontend-react/.storybook/main.ts @@ -2,12 +2,8 @@ import type { StorybookConfig } from "@storybook/react-vite"; import remarkToc from "remark-mdx-toc"; const config: StorybookConfig = { - stories: [ - "../src/**/*.stories.mdx", - "../src/**/*.stories.@(js|jsx|ts|tsx)", - ], + stories: ["../src/**/*.stories.mdx", "../src/**/*.stories.@(js|jsx|ts|tsx)"], addons: [ - "storybook-addon-remix-react-router", "@storybook/addon-links", "@storybook/addon-essentials", "@storybook/addon-interactions", @@ -30,9 +26,7 @@ const config: StorybookConfig = { core: {}, async viteFinal(config, { configType }) { // Exclude our mdx plugin from vite config in favor of storybook's - config.plugins = config.plugins?.filter( - (x: any, i) => x.name !== "@mdx-js/rollup", - ); + config.plugins = config.plugins?.filter((x: any, i) => x.name !== "@mdx-js/rollup"); return { ...config, diff --git a/frontend-react/e2e/mocks/message-test.ts b/frontend-react/e2e/mocks/message-test.ts new file mode 100644 index 00000000000..8ea8ee8f0e0 --- /dev/null +++ b/frontend-react/e2e/mocks/message-test.ts @@ -0,0 +1,116 @@ +export const MOCK_GET_TEST_MESSAGES = [ + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/0dfb154c-7ddc-46c0-89a3-a41062ade63f+Covid+FluA+FluB.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"7af24542-2326-42a2-b2ff-91643f58df11"},"type":"message","timestamp":"2024-12-13T16:47:23.709Z","entry":[{"fullUrl":"MessageHeader/70e9034c-086b-49ee-ab90-d6d86bc4e2d5","resource":{"resourceType":"MessageHeader","id":"70e9034c-086b-49ee-ab90-d6d86bc4e2d5","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/084e548e-cdec-4265-a0be-0aac8102a37c"},{"reference":"DiagnosticReport/7af24542-2326-42a2-b2ff-91643f58df11"}]}},{"fullUrl":"Provenance/084e548e-cdec-4265-a0be-0aac8102a37c","resource":{"resourceType":"Provenance","id":"084e548e-cdec-4265-a0be-0aac8102a37c","recorded":"2024-12-13T16:47:23.709Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/7af24542-2326-42a2-b2ff-91643f58df11","resource":{"resourceType":"DiagnosticReport","id":"7af24542-2326-42a2-b2ff-91643f58df11","identifier":[{"value":"7af24542-2326-42a2-b2ff-91643f58df11"}],"basedOn":[{"reference":"ServiceRequest/88c40c58-6035-4f5f-9f87-f648ff05bee2"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"100972-9"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T16:32:23+00:00","issued":"2024-12-13T16:47:23+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/12c9e4f1-a331-4baa-81cf-cefd81f7d508"},{"reference":"Observation/3806652e-c382-453e-adad-609577607fa3"},{"reference":"Observation/9936ae7d-a2cb-4d16-b4df-328390a0e753"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"de97f7fe-d47d-436d-ad89-c30a5558f340"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T16:32:23+00:00","collection":{"collectedDateTime":"2024-12-13T16:32:23+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/88c40c58-6035-4f5f-9f87-f648ff05bee2","resource":{"resourceType":"ServiceRequest","id":"88c40c58-6035-4f5f-9f87-f648ff05bee2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T16:47:23+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"100972-9"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/f47abe8f-6609-4068-adde-a8c8e3efb9ae"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/400b8dfc-08cb-36e4-acb3-c0c1b8ebffef"},{"reference":"Observation/5e922494-6a0e-3de1-9e15-bcf39c3cabe6"},{"reference":"Observation/b9117601-5573-3b81-b255-78093bdd4584"},{"reference":"Observation/00e3386d-d4a1-3e12-8559-25bb36b7594f"},{"reference":"Observation/b19560f9-6fed-35b2-88f1-b38dcc9d1100"}]}},{"fullUrl":"Device/ba078d69-2eda-4128-8b29-c132fe9f2e95","resource":{"resourceType":"Device","id":"ba078d69-2eda-4128-8b29-c132fe9f2e95","identifier":[{"value":"No Equipment"}],"manufacturer":"Pfizer Inc.","deviceName":[{"name":"Lucira by Pfizer COVID-19 & Flu Test","type":"model-name"}]}},{"fullUrl":"PractitionerRole/f47abe8f-6609-4068-adde-a8c8e3efb9ae","resource":{"resourceType":"PractitionerRole","id":"f47abe8f-6609-4068-adde-a8c8e3efb9ae","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/12c9e4f1-a331-4baa-81cf-cefd81f7d508","resource":{"resourceType":"Observation","id":"12c9e4f1-a331-4baa-81cf-cefd81f7d508","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95608-6"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T16:47:23.618Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Lucira by Pfizer COVID-19 & Flu Test_Pfizer Inc."}}],"coding":[{"display":"Lucira by Pfizer COVID-19 & Flu Test"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/ba078d69-2eda-4128-8b29-c132fe9f2e95"}}},{"fullUrl":"Observation/3806652e-c382-453e-adad-609577607fa3","resource":{"resourceType":"Observation","id":"3806652e-c382-453e-adad-609577607fa3","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"100973-7"}],"text":"Flu A"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T16:47:23.618Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Lucira by Pfizer COVID-19 & Flu Test_Pfizer Inc."}}],"coding":[{"display":"Lucira by Pfizer COVID-19 & Flu Test"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/ba078d69-2eda-4128-8b29-c132fe9f2e95"}}},{"fullUrl":"Observation/9936ae7d-a2cb-4d16-b4df-328390a0e753","resource":{"resourceType":"Observation","id":"9936ae7d-a2cb-4d16-b4df-328390a0e753","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"100974-5"}],"text":"Flu B"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T16:47:23.618Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Lucira by Pfizer COVID-19 & Flu Test_Pfizer Inc."}}],"coding":[{"display":"Lucira by Pfizer COVID-19 & Flu Test"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/ba078d69-2eda-4128-8b29-c132fe9f2e95"}}},{"fullUrl":"Observation/400b8dfc-08cb-36e4-acb3-c0c1b8ebffef","resource":{"resourceType":"Observation","id":"400b8dfc-08cb-36e4-acb3-c0c1b8ebffef","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/5e922494-6a0e-3de1-9e15-bcf39c3cabe6","resource":{"resourceType":"Observation","id":"5e922494-6a0e-3de1-9e15-bcf39c3cabe6","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/b9117601-5573-3b81-b255-78093bdd4584","resource":{"resourceType":"Observation","id":"b9117601-5573-3b81-b255-78093bdd4584","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/00e3386d-d4a1-3e12-8559-25bb36b7594f","resource":{"resourceType":"Observation","id":"00e3386d-d4a1-3e12-8559-25bb36b7594f","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/b19560f9-6fed-35b2-88f1-b38dcc9d1100","resource":{"resourceType":"Observation","id":"b19560f9-6fed-35b2-88f1-b38dcc9d1100","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/6815b3d5-0afa-49e4-98a6-5569b21ad6c8+Covid-FluA+FluB+RSV.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"e6a6bddd-b88c-4440-8283-cdd308612004"},"type":"message","timestamp":"2024-12-13T17:42:26.890Z","entry":[{"fullUrl":"MessageHeader/a510e988-eae6-436a-b217-9ec6bca14d25","resource":{"resourceType":"MessageHeader","id":"a510e988-eae6-436a-b217-9ec6bca14d25","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/841f334f-d2e0-45da-a940-57898e0ee786"},{"reference":"DiagnosticReport/e6a6bddd-b88c-4440-8283-cdd308612004"}]}},{"fullUrl":"Provenance/841f334f-d2e0-45da-a940-57898e0ee786","resource":{"resourceType":"Provenance","id":"841f334f-d2e0-45da-a940-57898e0ee786","recorded":"2024-12-13T17:42:26.890Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/e6a6bddd-b88c-4440-8283-cdd308612004","resource":{"resourceType":"DiagnosticReport","id":"e6a6bddd-b88c-4440-8283-cdd308612004","identifier":[{"value":"e6a6bddd-b88c-4440-8283-cdd308612004"}],"basedOn":[{"reference":"ServiceRequest/2c397f99-1416-4973-88cc-6de7e4cab040"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T17:27:26+00:00","issued":"2024-12-13T17:42:26+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/c826838d-e0a4-4b1b-830a-977b3c4e6d75"},{"reference":"Observation/25cdd3f2-4c38-445e-a6d8-0fdaec03b476"},{"reference":"Observation/d48c62d2-d3ba-4ea5-8ee3-6f4976485dfd"},{"reference":"Observation/b748f9e5-576c-4ae3-8cd7-3b0997787db7"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"0c5bc2c2-0384-4f23-9cdf-7dcbffc8c921"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T17:27:26+00:00","collection":{"collectedDateTime":"2024-12-13T17:27:26+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/2c397f99-1416-4973-88cc-6de7e4cab040","resource":{"resourceType":"ServiceRequest","id":"2c397f99-1416-4973-88cc-6de7e4cab040","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T17:42:26+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/144ec93d-4dbe-480a-98b9-79f1c03e6e96"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/8b49484d-3d1d-3a65-927f-a8606fa45435"},{"reference":"Observation/f8b7c844-ba2c-37f4-948e-2f4074951860"},{"reference":"Observation/9fa9d865-44ca-3af6-a600-5e217247b9d8"},{"reference":"Observation/442e0540-802f-37e1-b32c-6291788429e4"},{"reference":"Observation/a80c1460-470a-3116-a928-5d0630d98113"}]}},{"fullUrl":"Device/1850504d-7833-4c09-aca6-07340d453911","resource":{"resourceType":"Device","id":"1850504d-7833-4c09-aca6-07340d453911","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"Cepheid","deviceName":[{"name":"Xpert Xpress SARS-CoV-2/Flu/RSV","type":"model-name"}]}},{"fullUrl":"PractitionerRole/144ec93d-4dbe-480a-98b9-79f1c03e6e96","resource":{"resourceType":"PractitionerRole","id":"144ec93d-4dbe-480a-98b9-79f1c03e6e96","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/c826838d-e0a4-4b1b-830a-977b3c4e6d75","resource":{"resourceType":"Observation","id":"c826838d-e0a4-4b1b-830a-977b3c4e6d75","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94502-2"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T17:42:26.814Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Xpert Xpress SARS-CoV-2/Flu/RSV_Cepheid"}}],"coding":[{"display":"Xpert Xpress SARS-CoV-2/Flu/RSV"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/1850504d-7833-4c09-aca6-07340d453911"}}},{"fullUrl":"Observation/25cdd3f2-4c38-445e-a6d8-0fdaec03b476","resource":{"resourceType":"Observation","id":"25cdd3f2-4c38-445e-a6d8-0fdaec03b476","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92141-1"}],"text":"Flu B"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T17:42:26.814Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Xpert Xpress SARS-CoV-2/Flu/RSV_Cepheid"}}],"coding":[{"display":"Xpert Xpress SARS-CoV-2/Flu/RSV"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/1850504d-7833-4c09-aca6-07340d453911"}}},{"fullUrl":"Observation/d48c62d2-d3ba-4ea5-8ee3-6f4976485dfd","resource":{"resourceType":"Observation","id":"d48c62d2-d3ba-4ea5-8ee3-6f4976485dfd","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T17:42:26.814Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Xpert Xpress SARS-CoV-2/Flu/RSV_Cepheid"}}],"coding":[{"display":"Xpert Xpress SARS-CoV-2/Flu/RSV"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/1850504d-7833-4c09-aca6-07340d453911"}}},{"fullUrl":"Observation/b748f9e5-576c-4ae3-8cd7-3b0997787db7","resource":{"resourceType":"Observation","id":"b748f9e5-576c-4ae3-8cd7-3b0997787db7","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92142-9"}],"text":"Flu A"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T17:42:26.814Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"Xpert Xpress SARS-CoV-2/Flu/RSV_Cepheid"}}],"coding":[{"display":"Xpert Xpress SARS-CoV-2/Flu/RSV"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/1850504d-7833-4c09-aca6-07340d453911"}}},{"fullUrl":"Observation/8b49484d-3d1d-3a65-927f-a8606fa45435","resource":{"resourceType":"Observation","id":"8b49484d-3d1d-3a65-927f-a8606fa45435","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/f8b7c844-ba2c-37f4-948e-2f4074951860","resource":{"resourceType":"Observation","id":"f8b7c844-ba2c-37f4-948e-2f4074951860","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/9fa9d865-44ca-3af6-a600-5e217247b9d8","resource":{"resourceType":"Observation","id":"9fa9d865-44ca-3af6-a600-5e217247b9d8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/442e0540-802f-37e1-b32c-6291788429e4","resource":{"resourceType":"Observation","id":"442e0540-802f-37e1-b32c-6291788429e4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/a80c1460-470a-3116-a928-5d0630d98113","resource":{"resourceType":"Observation","id":"a80c1460-470a-3116-a928-5d0630d98113","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/69ef481e-f936-4e7f-8862-f0830a175cdc+Covid+AOE.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"94cc1832-a214-425a-b5ed-04cd09c1338f"},"type":"message","timestamp":"2024-12-13T18:57:39.439Z","entry":[{"fullUrl":"MessageHeader/b880fa09-c0de-4ca9-a412-852906505dd4","resource":{"resourceType":"MessageHeader","id":"b880fa09-c0de-4ca9-a412-852906505dd4","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/57991306-5c70-4a1d-bf7b-20eeab34f554"},{"reference":"DiagnosticReport/94cc1832-a214-425a-b5ed-04cd09c1338f"}]}},{"fullUrl":"Provenance/57991306-5c70-4a1d-bf7b-20eeab34f554","resource":{"resourceType":"Provenance","id":"57991306-5c70-4a1d-bf7b-20eeab34f554","recorded":"2024-12-13T18:57:39.439Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/94cc1832-a214-425a-b5ed-04cd09c1338f","resource":{"resourceType":"DiagnosticReport","id":"94cc1832-a214-425a-b5ed-04cd09c1338f","identifier":[{"value":"94cc1832-a214-425a-b5ed-04cd09c1338f"}],"basedOn":[{"reference":"ServiceRequest/10d6ad4d-cf76-4532-9cd4-cc6f96e453d2"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95608-6"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T18:42:39+00:00","issued":"2024-12-13T18:57:39+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/f90c664f-777d-4173-bb48-3eb6cd604f13"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"229ddcd1-56d8-42ae-8a91-b93d2f66dc18"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T18:42:39+00:00","collection":{"collectedDateTime":"2024-12-13T18:42:39+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/10d6ad4d-cf76-4532-9cd4-cc6f96e453d2","resource":{"resourceType":"ServiceRequest","id":"10d6ad4d-cf76-4532-9cd4-cc6f96e453d2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T18:57:39+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95608-6"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/ff30984b-13c7-4458-abad-3813c18c5401"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/7687daf7-02d9-4bf1-98f4-85e50978307a"},{"reference":"Observation/022c2921-8072-488a-af45-5821f9b47249"},{"reference":"Observation/56e0a830-ecb2-4eaa-89e9-8eff1d5890fe"},{"reference":"Observation/af30594f-3662-44fa-a109-cf342d5e8d3a"},{"reference":"Observation/1422d8fc-72a4-3c01-ac96-4f27f3d39048"},{"reference":"Observation/92751032-9c20-3ebc-9b3f-6acd8ca7e804"},{"reference":"Observation/800c0811-6284-37fb-83b6-8104f80bb16d"},{"reference":"Observation/b321ce80-948d-3b3f-ac46-dae71f5a95a4"},{"reference":"Observation/297813fc-30ec-3efc-899f-25b469f82a96"},{"reference":"Observation/59a22c51-a25b-34b9-a15c-40c1c3b3efdc"}]}},{"fullUrl":"Device/41f6b249-3018-4ccd-be7c-33c89aa91cff","resource":{"resourceType":"Device","id":"41f6b249-3018-4ccd-be7c-33c89aa91cff","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"BioFire Defense","deviceName":[{"name":"BioFire COVID-19 Test","type":"model-name"}]}},{"fullUrl":"PractitionerRole/ff30984b-13c7-4458-abad-3813c18c5401","resource":{"resourceType":"PractitionerRole","id":"ff30984b-13c7-4458-abad-3813c18c5401","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/f90c664f-777d-4173-bb48-3eb6cd604f13","resource":{"resourceType":"Observation","id":"f90c664f-777d-4173-bb48-3eb6cd604f13","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95608-6"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T18:57:39.371Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"BioFire COVID-19 Test_BioFire Defense, LLC"}}],"coding":[{"display":"BioFire COVID-19 Test"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/41f6b249-3018-4ccd-be7c-33c89aa91cff"}}},{"fullUrl":"Observation/7687daf7-02d9-4bf1-98f4-85e50978307a","resource":{"resourceType":"Observation","id":"7687daf7-02d9-4bf1-98f4-85e50978307a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/022c2921-8072-488a-af45-5821f9b47249","resource":{"resourceType":"Observation","id":"022c2921-8072-488a-af45-5821f9b47249","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/56e0a830-ecb2-4eaa-89e9-8eff1d5890fe","resource":{"resourceType":"Observation","id":"56e0a830-ecb2-4eaa-89e9-8eff1d5890fe","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/af30594f-3662-44fa-a109-cf342d5e8d3a","resource":{"resourceType":"Observation","id":"af30594f-3662-44fa-a109-cf342d5e8d3a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/1422d8fc-72a4-3c01-ac96-4f27f3d39048","resource":{"resourceType":"Observation","id":"1422d8fc-72a4-3c01-ac96-4f27f3d39048","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/92751032-9c20-3ebc-9b3f-6acd8ca7e804","resource":{"resourceType":"Observation","id":"92751032-9c20-3ebc-9b3f-6acd8ca7e804","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueDateTime":"2024-12-13"}},{"fullUrl":"Observation/800c0811-6284-37fb-83b6-8104f80bb16d","resource":{"resourceType":"Observation","id":"800c0811-6284-37fb-83b6-8104f80bb16d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/b321ce80-948d-3b3f-ac46-dae71f5a95a4","resource":{"resourceType":"Observation","id":"b321ce80-948d-3b3f-ac46-dae71f5a95a4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/297813fc-30ec-3efc-899f-25b469f82a96","resource":{"resourceType":"Observation","id":"297813fc-30ec-3efc-899f-25b469f82a96","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/59a22c51-a25b-34b9-a15c-40c1c3b3efdc","resource":{"resourceType":"Observation","id":"59a22c51-a25b-34b9-a15c-40c1c3b3efdc","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/b87585d8-8ba9-4001-b176-1d42213539b3+CV+FluAB+RSV-AOE.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"7162d6b6-1e12-4976-8560-43ed4528b321"},"type":"message","timestamp":"2024-12-13T21:10:28.818Z","entry":[{"fullUrl":"MessageHeader/bed5e952-bec8-4496-b07f-451d2c9dc307","resource":{"resourceType":"MessageHeader","id":"bed5e952-bec8-4496-b07f-451d2c9dc307","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/4ebbe63d-b80f-48a2-81a1-ec4303a33304"},{"reference":"DiagnosticReport/7162d6b6-1e12-4976-8560-43ed4528b321"}]}},{"fullUrl":"Provenance/4ebbe63d-b80f-48a2-81a1-ec4303a33304","resource":{"resourceType":"Provenance","id":"4ebbe63d-b80f-48a2-81a1-ec4303a33304","recorded":"2024-12-13T21:10:28.818Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/7162d6b6-1e12-4976-8560-43ed4528b321","resource":{"resourceType":"DiagnosticReport","id":"7162d6b6-1e12-4976-8560-43ed4528b321","identifier":[{"value":"7162d6b6-1e12-4976-8560-43ed4528b321"}],"basedOn":[{"reference":"ServiceRequest/3d470a4a-0bbf-49ea-8045-e70326e74483"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T20:55:28+00:00","issued":"2024-12-13T21:10:28+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/c4bd0235-35f3-46ce-8909-fce10a1e42ee"},{"reference":"Observation/14db270c-4efc-45ce-ad81-1cf63b592897"},{"reference":"Observation/7b8cd953-8bee-4d2b-84e5-7c8022d2a0df"},{"reference":"Observation/83cef18c-3b7c-4f21-94b1-8b2cf4b8cc91"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"63324d19-4115-4919-ad94-3ec551e3b3cc"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T20:55:28+00:00","collection":{"collectedDateTime":"2024-12-13T20:55:28+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/3d470a4a-0bbf-49ea-8045-e70326e74483","resource":{"resourceType":"ServiceRequest","id":"3d470a4a-0bbf-49ea-8045-e70326e74483","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T21:10:28+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/1cc2e5c8-0b87-401b-92f4-2a460294f473"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/747fcfcc-ea22-3b72-ba63-795fb7d62cd4"},{"reference":"Observation/71548b46-d81a-3005-a86a-b48c224cef1e"},{"reference":"Observation/0b195811-d5a0-3cc4-bc57-0f22ec9f741a"},{"reference":"Observation/53653f10-0b7d-35bb-b70e-83b5a0878eae"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/1cc2e5c8-0b87-401b-92f4-2a460294f473","resource":{"resourceType":"PractitionerRole","id":"1cc2e5c8-0b87-401b-92f4-2a460294f473","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/c4bd0235-35f3-46ce-8909-fce10a1e42ee","resource":{"resourceType":"Observation","id":"c4bd0235-35f3-46ce-8909-fce10a1e42ee","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:10:28.750Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/14db270c-4efc-45ce-ad81-1cf63b592897","resource":{"resourceType":"Observation","id":"14db270c-4efc-45ce-ad81-1cf63b592897","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:10:28.750Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/7b8cd953-8bee-4d2b-84e5-7c8022d2a0df","resource":{"resourceType":"Observation","id":"7b8cd953-8bee-4d2b-84e5-7c8022d2a0df","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:10:28.750Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/83cef18c-3b7c-4f21-94b1-8b2cf4b8cc91","resource":{"resourceType":"Observation","id":"83cef18c-3b7c-4f21-94b1-8b2cf4b8cc91","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:10:28.750Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/747fcfcc-ea22-3b72-ba63-795fb7d62cd4","resource":{"resourceType":"Observation","id":"747fcfcc-ea22-3b72-ba63-795fb7d62cd4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","code":"UNK","display":"unknown"}]}}},{"fullUrl":"Observation/71548b46-d81a-3005-a86a-b48c224cef1e","resource":{"resourceType":"Observation","id":"71548b46-d81a-3005-a86a-b48c224cef1e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/0b195811-d5a0-3cc4-bc57-0f22ec9f741a","resource":{"resourceType":"Observation","id":"0b195811-d5a0-3cc4-bc57-0f22ec9f741a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/53653f10-0b7d-35bb-b70e-83b5a0878eae","resource":{"resourceType":"Observation","id":"53653f10-0b7d-35bb-b70e-83b5a0878eae","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/c263039f-33cb-4689-ae92-92772c384206+CV+FluAB+RSV+AOE.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"fa3e321e-7d16-4ac8-b8fe-0051ec08e163"},"type":"message","timestamp":"2024-12-13T21:02:20.846Z","entry":[{"fullUrl":"MessageHeader/3a258dfa-f933-4ceb-a78d-da23736d20e1","resource":{"resourceType":"MessageHeader","id":"3a258dfa-f933-4ceb-a78d-da23736d20e1","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/84a85fdb-57be-4a43-962b-869c2510f794"},{"reference":"DiagnosticReport/fa3e321e-7d16-4ac8-b8fe-0051ec08e163"}]}},{"fullUrl":"Provenance/84a85fdb-57be-4a43-962b-869c2510f794","resource":{"resourceType":"Provenance","id":"84a85fdb-57be-4a43-962b-869c2510f794","recorded":"2024-12-13T21:02:20.846Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/fa3e321e-7d16-4ac8-b8fe-0051ec08e163","resource":{"resourceType":"DiagnosticReport","id":"fa3e321e-7d16-4ac8-b8fe-0051ec08e163","identifier":[{"value":"fa3e321e-7d16-4ac8-b8fe-0051ec08e163"}],"basedOn":[{"reference":"ServiceRequest/0d403a52-6fad-4f11-954e-4451574f51e7"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T20:47:20+00:00","issued":"2024-12-13T21:02:20+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/2d14470d-6da4-4999-ab77-83464438ad23"},{"reference":"Observation/2c502f6b-a310-45d9-9a27-249bedce15af"},{"reference":"Observation/2c9a3455-c2a8-444a-bb94-9bf07dde78a7"},{"reference":"Observation/f677e9d3-9242-4796-9dee-6d486e3bcfb3"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"ac8688dd-bf52-4893-847c-a6472356625d"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T20:47:20+00:00","collection":{"collectedDateTime":"2024-12-13T20:47:20+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/0d403a52-6fad-4f11-954e-4451574f51e7","resource":{"resourceType":"ServiceRequest","id":"0d403a52-6fad-4f11-954e-4451574f51e7","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T21:02:20+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/4523d5bb-9d55-4403-a8f2-6842a1f0ad22"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/385ffb30-7126-4992-8312-056937230a9c"},{"reference":"Observation/c3e15853-88bc-42ef-bb39-c0574649fcbc"},{"reference":"Observation/3f11adef-c516-4d04-bb60-02edcbb4bef9"},{"reference":"Observation/c254a12a-52c0-46b8-9cc7-5250be36354c"},{"reference":"Observation/a4278115-51b2-36c0-ba0b-5d4f04e5c7c6"},{"reference":"Observation/6f17687c-669d-3b06-94f1-99869c671090"},{"reference":"Observation/f65ac6e6-7b6e-38b3-87cd-1e36b6e5af75"},{"reference":"Observation/0764c9c6-c24f-3b1c-b19d-93077b4f8953"},{"reference":"Observation/ebcf8739-467b-3957-ac2d-5fc952c7f280"},{"reference":"Observation/4b335914-ab45-35b9-a54b-86c7bd6fed21"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/4523d5bb-9d55-4403-a8f2-6842a1f0ad22","resource":{"resourceType":"PractitionerRole","id":"4523d5bb-9d55-4403-a8f2-6842a1f0ad22","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/2d14470d-6da4-4999-ab77-83464438ad23","resource":{"resourceType":"Observation","id":"2d14470d-6da4-4999-ab77-83464438ad23","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:02:20.784Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/2c502f6b-a310-45d9-9a27-249bedce15af","resource":{"resourceType":"Observation","id":"2c502f6b-a310-45d9-9a27-249bedce15af","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:02:20.784Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/2c9a3455-c2a8-444a-bb94-9bf07dde78a7","resource":{"resourceType":"Observation","id":"2c9a3455-c2a8-444a-bb94-9bf07dde78a7","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:02:20.784Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/f677e9d3-9242-4796-9dee-6d486e3bcfb3","resource":{"resourceType":"Observation","id":"f677e9d3-9242-4796-9dee-6d486e3bcfb3","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T21:02:20.784Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/385ffb30-7126-4992-8312-056937230a9c","resource":{"resourceType":"Observation","id":"385ffb30-7126-4992-8312-056937230a9c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/c3e15853-88bc-42ef-bb39-c0574649fcbc","resource":{"resourceType":"Observation","id":"c3e15853-88bc-42ef-bb39-c0574649fcbc","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/3f11adef-c516-4d04-bb60-02edcbb4bef9","resource":{"resourceType":"Observation","id":"3f11adef-c516-4d04-bb60-02edcbb4bef9","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/c254a12a-52c0-46b8-9cc7-5250be36354c","resource":{"resourceType":"Observation","id":"c254a12a-52c0-46b8-9cc7-5250be36354c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/a4278115-51b2-36c0-ba0b-5d4f04e5c7c6","resource":{"resourceType":"Observation","id":"a4278115-51b2-36c0-ba0b-5d4f04e5c7c6","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/6f17687c-669d-3b06-94f1-99869c671090","resource":{"resourceType":"Observation","id":"6f17687c-669d-3b06-94f1-99869c671090","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueDateTime":"2024-12-13"}},{"fullUrl":"Observation/f65ac6e6-7b6e-38b3-87cd-1e36b6e5af75","resource":{"resourceType":"Observation","id":"f65ac6e6-7b6e-38b3-87cd-1e36b6e5af75","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/0764c9c6-c24f-3b1c-b19d-93077b4f8953","resource":{"resourceType":"Observation","id":"0764c9c6-c24f-3b1c-b19d-93077b4f8953","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/ebcf8739-467b-3957-ac2d-5fc952c7f280","resource":{"resourceType":"Observation","id":"ebcf8739-467b-3957-ac2d-5fc952c7f280","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/4b335914-ab45-35b9-a54b-86c7bd6fed21","resource":{"resourceType":"Observation","id":"4b335914-ab45-35b9-a54b-86c7bd6fed21","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-12-13T21:21:22Z", + fileName: "FHIR/dc424275-746e-4ba5-8484-b40cd8949387+Covid-AOE.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"e7c52285-37e9-4470-87ac-aa49f9274c55"},"type":"message","timestamp":"2024-12-13T17:50:00.319Z","entry":[{"fullUrl":"MessageHeader/47475f4a-6b65-4a83-915f-d311cd33b1be","resource":{"resourceType":"MessageHeader","id":"47475f4a-6b65-4a83-915f-d311cd33b1be","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"a121ea2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-12T20:43:41Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"a121ea2","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/210ece5c-d87e-47fa-8576-d3714b1e1535"},{"reference":"DiagnosticReport/e7c52285-37e9-4470-87ac-aa49f9274c55"}]}},{"fullUrl":"Provenance/210ece5c-d87e-47fa-8576-d3714b1e1535","resource":{"resourceType":"Provenance","id":"210ece5c-d87e-47fa-8576-d3714b1e1535","recorded":"2024-12-13T17:50:00.319Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}]}},{"fullUrl":"DiagnosticReport/e7c52285-37e9-4470-87ac-aa49f9274c55","resource":{"resourceType":"DiagnosticReport","id":"e7c52285-37e9-4470-87ac-aa49f9274c55","identifier":[{"value":"e7c52285-37e9-4470-87ac-aa49f9274c55"}],"basedOn":[{"reference":"ServiceRequest/4ce973f6-caf3-4dd5-ae5e-eecd7ce8afb6"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95970-0"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"effectiveDateTime":"2024-12-13T17:35:00+00:00","issued":"2024-12-13T17:50:00+00:00","specimen":[{"reference":"Specimen/16c1fa8b-d61c-443c-8ef2-36089b7b4590"}],"result":[{"reference":"Observation/ea798ab8-38ad-4475-a8d8-e074f69c517a"}]}},{"fullUrl":"Patient/31382731-88cc-4ad6-8295-749b640576db","resource":{"resourceType":"Patient","id":"31382731-88cc-4ad6-8295-749b640576db","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"31382731-88cc-4ad6-8295-749b640576db"}],"name":[{"family":"Flannery","given":["Jane"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"home"},{"system":"email","value":"testing1@navapbc.com","use":"home"}],"gender":"female","birthDate":"2001-01-03","address":[{"line":["3001 Boston St"],"city":"Pittsburgh","state":"PA","postalCode":"15223","country":"USA"}],"managingOrganization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/719ec8ad-cf59-405a-9832-c4065945c130","resource":{"resourceType":"Organization","id":"719ec8ad-cf59-405a-9832-c4065945c130","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D4567890"}],"name":"Testing Lab","telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1101 Boyce Rd","Suite 5"],"city":"Pittsburgh","district":"Allegheny","state":"PA","postalCode":"15241-3908","country":"USA"}]}},{"fullUrl":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","resource":{"resourceType":"Practitioner","id":"ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9","identifier":[{"system":"http://hl7.org/fhir/sid/us-npi","value":"1245319599"}],"name":[{"family":"McTester","given":["Phil","Mid"]}],"telecom":[{"system":"phone","value":"(530) 867 5309","use":"work"}],"address":[{"line":["1001 N GALLATIN AVENUE"],"city":"UNIONTOWN","state":"PA","postalCode":"15401","country":"USA"}]}},{"fullUrl":"Specimen/16c1fa8b-d61c-443c-8ef2-36089b7b4590","resource":{"resourceType":"Specimen","id":"16c1fa8b-d61c-443c-8ef2-36089b7b4590","identifier":[{"value":"3ef48ab8-017e-4797-b4da-c07059b00407"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"122555007"}],"text":"Venous blood specimen"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"receivedTime":"2024-12-13T17:35:00+00:00","collection":{"collectedDateTime":"2024-12-13T17:35:00+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"119297000"}],"text":"Blood specimen (specimen)"}}}},{"fullUrl":"ServiceRequest/4ce973f6-caf3-4dd5-ae5e-eecd7ce8afb6","resource":{"resourceType":"ServiceRequest","id":"4ce973f6-caf3-4dd5-ae5e-eecd7ce8afb6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-13T17:50:00+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95970-0"}]},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"requester":{"reference":"PractitionerRole/dd190d79-f71c-41ad-b83b-c6978bbf7d7f"},"performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"supportingInfo":[{"reference":"Observation/6544b586-d524-3ae6-a1ef-75a0e5ef3327"},{"reference":"Observation/0bb7040d-792b-3933-92e0-06c4917247d5"},{"reference":"Observation/6b4a3d7b-d287-39b5-9d48-77ed86ffb690"},{"reference":"Observation/f52acbf5-6f81-370a-846b-3150c74693df"},{"reference":"Observation/7812fe4a-c0c4-3c34-a362-2d8b6a941e42"}]}},{"fullUrl":"Device/950de1c6-20ba-4b53-94a3-a454107181aa","resource":{"resourceType":"Device","id":"950de1c6-20ba-4b53-94a3-a454107181aa","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"Adaptive Biotechnologies Corporation","deviceName":[{"name":"T-Detect COVID Test","type":"model-name"}]}},{"fullUrl":"PractitionerRole/dd190d79-f71c-41ad-b83b-c6978bbf7d7f","resource":{"resourceType":"PractitionerRole","id":"dd190d79-f71c-41ad-b83b-c6978bbf7d7f","practitioner":{"reference":"Practitioner/ee29ccf5-631d-4b35-a6d4-30a61c0eb8d9"},"organization":{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/ea798ab8-38ad-4475-a8d8-e074f69c517a","resource":{"resourceType":"Observation","id":"ea798ab8-38ad-4475-a8d8-e074f69c517a","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95970-0"}],"text":"COVID-19"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"issued":"2024-12-13T17:50:00.247Z","performer":[{"reference":"Organization/719ec8ad-cf59-405a-9832-c4065945c130"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"T-Detect COVID Test_Adaptive Biotechnologies Corporation"}}],"coding":[{"display":"T-Detect COVID Test"}]},"specimen":{"reference":"Specimen/16c1fa8b-d61c-443c-8ef2-36089b7b4590"},"device":{"reference":"Device/950de1c6-20ba-4b53-94a3-a454107181aa"}}},{"fullUrl":"Observation/6544b586-d524-3ae6-a1ef-75a0e5ef3327","resource":{"resourceType":"Observation","id":"6544b586-d524-3ae6-a1ef-75a0e5ef3327","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/0bb7040d-792b-3933-92e0-06c4917247d5","resource":{"resourceType":"Observation","id":"0bb7040d-792b-3933-92e0-06c4917247d5","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/6b4a3d7b-d287-39b5-9d48-77ed86ffb690","resource":{"resourceType":"Observation","id":"6b4a3d7b-d287-39b5-9d48-77ed86ffb690","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/f52acbf5-6f81-370a-846b-3150c74693df","resource":{"resourceType":"Observation","id":"f52acbf5-6f81-370a-846b-3150c74693df","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/7812fe4a-c0c4-3c34-a362-2d8b6a941e42","resource":{"resourceType":"Observation","id":"7812fe4a-c0c4-3c34-a362-2d8b6a941e42","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/31382731-88cc-4ad6-8295-749b640576db"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2024-09-06T20:16:34Z", + fileName: "e491f4fb-f2c5-4473-8db2-206ea04991e8.fhir", + reportBody: + '{"resourceType":"Bundle","id":"1724718682338198000.dfdafb40-2854-4f45-a1f3-0898bce538a3","meta":{"lastUpdated":"2024-08-26T17:31:22.338-07:00"},"identifier":{"system":"https://reportstream.cdc.gov/prime-router","value":"MT_COCAA_ORU_AAPHELR.1.6214638"},"type":"message","timestamp":"2028-08-08T08:28:05.000-07:00","entry":[{"fullUrl":"MessageHeader/1724718682345526000.fc263124-d11d-4b71-9755-a7feb9cf7ede","resource":{"resourceType":"MessageHeader","id":"1724718682345526000.fc263124-d11d-4b71-9755-a7feb9cf7ede","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P"}]},"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/encoding-characters","valueString":"^~\\\\&#"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/msh-message-header","extension":[{"url":"MSH.7","valueString":"20280808092805-0600"},{"url":"MSH.21","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"HL7"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.113883.1.11"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"PHLabReport-NoAck"}}]}],"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU^R01^ORU_R01"},"destination":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144.2.5"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"MSH.5"}],"name":"DCEED.ELR","endpoint":"urn:oid:2.16.840.1.114222.4.1.144.2.5","receiver":{"reference":"Organization/1724718682345236000.9859b1ea-4ae9-4a99-bf13-36fd2c7fa42f"}}],"sender":{"reference":"Organization/1724718682344288000.5c5a6835-ab19-4b7d-bf9b-350f10b28136"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.3.2.2.1.321.111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"MSH.3"}],"software":"Laboratory Applicati","version":"5.67","endpoint":"urn:oid:2.16.840.1.114222.4.3.2.2.1.321.111"}}},{"fullUrl":"Organization/1724718682344288000.5c5a6835-ab19-4b7d-bf9b-350f10b28136","resource":{"resourceType":"Organization","id":"1724718682344288000.5c5a6835-ab19-4b7d-bf9b-350f10b28136","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682345236000.9859b1ea-4ae9-4a99-bf13-36fd2c7fa42f","resource":{"resourceType":"Organization","id":"1724718682345236000.9859b1ea-4ae9-4a99-bf13-36fd2c7fa42f","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"MSH.6"}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"CDPHE"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.2,HD.3"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"ISO"}]},"system":"urn:ietf:rfc:3986","value":"2.16.840.1.114222.4.1.144"}]}},{"fullUrl":"Provenance/1724718682347402000.6cfdea3d-c6f8-414b-85ac-27564d5b4217","resource":{"resourceType":"Provenance","id":"1724718682347402000.6cfdea3d-c6f8-414b-85ac-27564d5b4217","target":[{"reference":"MessageHeader/1724718682345526000.fc263124-d11d-4b71-9755-a7feb9cf7ede"},{"reference":"DiagnosticReport/1724718682770913000.8de914cb-fa9b-4134-be9a-d24fa59c9cf4"},{"reference":"DiagnosticReport/1724718682776510000.9357cd0b-bdd5-490b-8b36-43e25f51a7b9"},{"reference":"DiagnosticReport/1724718682779595000.db9d25f0-aaa1-43e2-9061-54ce099eb891"},{"reference":"DiagnosticReport/1724718682781570000.fe74efdb-80df-465a-8822-efbc6bcaad2e"},{"reference":"DiagnosticReport/1724718682782953000.b200bdd9-44d5-4096-819f-bda82aefea2d"}],"recorded":"2028-08-08T09:28:05-06:00","activity":{"coding":[{"display":"ORU^R01^ORU_R01"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"who":{"reference":"Organization/1724718682347203000.03e1e1d0-108b-4382-9cde-dfdbd8697642"}}],"entity":[{"role":"source","what":{"reference":"Device/1724718682348753000.1a5a441e-6f30-45cd-99b2-33909e39845d"}}]}},{"fullUrl":"Organization/1724718682347203000.03e1e1d0-108b-4382-9cde-dfdbd8697642","resource":{"resourceType":"Organization","id":"1724718682347203000.03e1e1d0-108b-4382-9cde-dfdbd8697642","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682348657000.2e7f1c64-aef3-470a-8ed1-24df52434a20","resource":{"resourceType":"Organization","id":"1724718682348657000.2e7f1c64-aef3-470a-8ed1-24df52434a20","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"MEDITECH"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"1.3.6.1.4.1.24310"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"MEDITECH"}],"name":"MEDITECH, Inc."}},{"fullUrl":"Device/1724718682348753000.1a5a441e-6f30-45cd-99b2-33909e39845d","resource":{"resourceType":"Device","id":"1724718682348753000.1a5a441e-6f30-45cd-99b2-33909e39845d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/1724718682348657000.2e7f1c64-aef3-470a-8ed1-24df52434a20"}}],"manufacturer":"MEDITECH, Inc.","deviceName":[{"name":"Laboratory Applicati","type":"manufacturer-name"}],"modelNumber":"20210810","version":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueDateTime":"2021-08-10","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810"}]}}],"value":"5.67"}]}},{"fullUrl":"Provenance/1724718682349716000.450d6942-d92c-44b5-bffd-9d87ee61a298","resource":{"resourceType":"Provenance","id":"1724718682349716000.450d6942-d92c-44b5-bffd-9d87ee61a298","recorded":"2024-08-26T17:31:22Z","policy":["http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle"],"activity":{"coding":[{"code":"v2-FHIR transformation"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"assembler"}]},"who":{"reference":"Organization/1724718682349584000.e6cf5f1f-235b-4277-8d82-be21fc482e1e"}}]}},{"fullUrl":"Organization/1724718682349584000.e6cf5f1f-235b-4277-8d82-be21fc482e1e","resource":{"resourceType":"Organization","id":"1724718682349584000.e6cf5f1f-235b-4277-8d82-be21fc482e1e","identifier":[{"value":"CDC PRIME - Atlanta"},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301"}]},"system":"urn:ietf:rfc:3986","value":"2.16.840.1.114222.4.1.237821"}]}},{"fullUrl":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169","resource":{"resourceType":"Patient","id":"1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169","meta":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/last-updated-facility-namespace-id","valueReference":{"reference":"Organization/1724718682373586000.87e7014d-2822-42a8-b7da-2a06792cb802"}}],"lastUpdated":"2021-08-09T08:52:00-06:00","_lastUpdated":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210809085200-0600"}]}},"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/patient-notes","valueAnnotation":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"P"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"EH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"V1","code":"C","display":"Comment"}]}}],"text":"EH"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/pid-patient","extension":[{"url":"PID.8","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"M"}]}},{"url":"PID.30","valueString":"N"}]},{"url":"http://hl7.org/fhir/StructureDefinition/patient-animal","extension":[{"url":"species","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PID.35"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"}],"system":"http://snomed.info/sct","version":"1","code":"337915000","display":"Homo sapiens (organism)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"1","code":"Human","display":"Human"}]}}]},{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70005"}],"system":"http://terminology.hl7.org/CodeSystem/v3-Race","version":"2.5.1","code":"2106-3","display":"White"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"W","display":"White"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/patient-religion","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70006"}],"code":"NOE","display":"Nonreligious"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70189"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0189","version":"2.5.1","code":"N","display":"Not Hispanic or Latino"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.61","code":"2","display":"Not Hispanic or Latin"}]}}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-facility","valueReference":{"reference":"Organization/1724718682351455000.a686416a-bb09-4c03-bc19-ddec1e5fc705"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier","extension":[{"url":"CX.5","valueString":"MR"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PID.3"}],"type":{"coding":[{"code":"MR"}]},"system":"MEDITECH","_system":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.3.2.2.1.321.111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},"value":"100001"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-facility","valueReference":{"reference":"Organization/1724718682353543000.c3adfa2e-3c9f-4a77-9828-4466dfe5d50d"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier","extension":[{"url":"CX.5","valueString":"SS"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PID.3"}],"type":{"coding":[{"code":"SS"}]},"system":"MEDITECH","_system":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.3.2.2.1.321.111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},"value":"285-64-4175"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-facility","valueReference":{"reference":"Organization/1724718682354260000.d30db202-5fb1-459a-acba-c47c8dc67a55"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier","extension":[{"url":"CX.5","valueString":"PI"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PID.3"}],"type":{"coding":[{"code":"PI"}]},"system":"MEDITECH","_system":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.3.2.2.1.321.111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},"value":"X605236"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-facility","valueReference":{"reference":"Organization/1724718682354832000.d9a746eb-4667-4a19-beda-dc43bf8d9819"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier","extension":[{"url":"CX.5","valueString":"AN"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PID.3"}],"type":{"coding":[{"code":"AN"}]},"system":"MEDITECH","_system":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"MEDITECH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.3.2.2.1.321.111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},"value":"E40014904640"}],"name":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name","extension":[{"url":"XPN.2","valueString":"LONNIE"},{"url":"XPN.7","valueString":"L"}]}],"use":"official","family":"BIERLY","given":["LONNIE"]}],"telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"6930111"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"PRN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"6930111"}]}],"system":"phone","use":"home"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"9999999"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"9999999"},{"url":"XTN.9","valueString":"Business"}]}],"system":"phone","use":"work"}],"gender":"male","birthDate":"1936-10-23","_birthDate":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"19361023"}]},"deceasedBoolean":false,"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4673 ELM ST"}]},{"url":"XAD.2","valueString":"CHERRY CRK NURSING CTR"},{"url":"XAD.7","valueCode":"H"}]}],"use":"home","line":["4673 ELM ST","CHERRY CRK NURSING CTR"],"city":"CANTERBURY","state":"IG","postalCode":"80014","country":"USA"}],"maritalStatus":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"S"}]},"contact":[{"extension":[{"url":"https://hl7.org/fhir/StructureDefinition/relationship","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70063"}],"version":"2.5.1","code":"OTH","display":"Other"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"OT","display":"OTHER RELATIONSHIP"}]}}],"name":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name","extension":[{"url":"XPN.2","valueString":"GENARO"},{"url":"XPN.7","valueString":"L"}]}],"use":"official","family":"SURYAN","given":["GENARO"]},"telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"720"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"3013954"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"PRN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"3013954"}]}],"system":"phone","use":"home"}],"address":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4861 20TH AVE"}]},{"url":"XAD.7","valueCode":"H"}]}],"use":"home","line":["4861 20TH AVE"],"city":"THUNDER MOUNTAIN","state":"IG","postalCode":"99999","country":"USA"},"organization":{"reference":"Organization/1724718682375735000.8fc17b08-7ab6-4344-910c-fccebb80b868"}}]}},{"fullUrl":"Organization/1724718682351455000.a686416a-bb09-4c03-bc19-ddec1e5fc705","resource":{"resourceType":"Organization","id":"1724718682351455000.a686416a-bb09-4c03-bc19-ddec1e5fc705","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682353543000.c3adfa2e-3c9f-4a77-9828-4466dfe5d50d","resource":{"resourceType":"Organization","id":"1724718682353543000.c3adfa2e-3c9f-4a77-9828-4466dfe5d50d","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682354260000.d30db202-5fb1-459a-acba-c47c8dc67a55","resource":{"resourceType":"Organization","id":"1724718682354260000.d30db202-5fb1-459a-acba-c47c8dc67a55","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682354832000.d9a746eb-4667-4a19-beda-dc43bf8d9819","resource":{"resourceType":"Organization","id":"1724718682354832000.d9a746eb-4667-4a19-beda-dc43bf8d9819","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682373586000.87e7014d-2822-42a8-b7da-2a06792cb802","resource":{"resourceType":"Organization","id":"1724718682373586000.87e7014d-2822-42a8-b7da-2a06792cb802","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"Organization/1724718682375735000.8fc17b08-7ab6-4344-910c-fccebb80b868","resource":{"resourceType":"Organization","id":"1724718682375735000.8fc17b08-7ab6-4344-910c-fccebb80b868","contact":[{"telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"720"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"3013954"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"3013954"}]}],"system":"phone","use":"work"}],"address":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4861 20TH AVE"}]},{"url":"XAD.7","valueCode":"H"}]}],"use":"home","line":["4861 20TH AVE"],"city":"AURORA","state":"IG","postalCode":"99999","country":"USA"}}]}},{"fullUrl":"Provenance/1724718682382161000.7c902aa3-0b1b-48dc-9f54-bff8a1666ef7","resource":{"resourceType":"Provenance","id":"1724718682382161000.7c902aa3-0b1b-48dc-9f54-bff8a1666ef7","target":[{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"}],"occurredDateTime":"2021-08-09T08:52:00-06:00","recorded":"2024-08-26T17:31:22Z","activity":{"coding":[{"system":"https://terminology.hl7.org/CodeSystem/v3-DataOperation","code":"UPDATE"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"performer"}]},"who":{"reference":"Organization/1724718682381992000.e6d77f9f-9723-43cb-ae86-1f6e55782898"}}]}},{"fullUrl":"Organization/1724718682381992000.e6d77f9f-9723-43cb-ae86-1f6e55782898","resource":{"resourceType":"Organization","id":"1724718682381992000.e6d77f9f-9723-43cb-ae86-1f6e55782898","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"COCAA"}]}},{"fullUrl":"RelatedPerson/1724718682384663000.9a9aca5a-01ce-4091-b91f-086a3eba023d","resource":{"resourceType":"RelatedPerson","id":"1724718682384663000.9a9aca5a-01ce-4091-b91f-086a3eba023d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"NK1"}],"patient":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"relationship":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.3"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70063"}],"version":"2.5.1","code":"OTH","display":"Other"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"OT","display":"OTHER RELATIONSHIP"}]}],"name":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name","extension":[{"url":"XPN.2","valueString":"GENARO"},{"url":"XPN.7","valueString":"L"}]}],"use":"official","family":"SURYAN","given":["GENARO"]}],"telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"720"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"3013954"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"PRN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"3013954"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.5"}],"system":"phone","use":"home"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"720"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"3013954"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"3013954"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.31"}],"system":"phone","use":"work"}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4861 20TH AVE"}]},{"url":"XAD.7","valueCode":"H"}]}],"use":"home","line":["4861 20TH AVE"],"city":"THUNDER MOUNTAIN","state":"IG","postalCode":"99999","country":"USA"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"NK1.32"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4861 20TH AVE"}]},{"url":"XAD.7","valueCode":"H"}]}],"use":"home","line":["4861 20TH AVE"],"city":"AURORA","state":"IG","postalCode":"99999","country":"USA"}]}},{"fullUrl":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e","resource":{"resourceType":"Encounter","id":"1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/pv1-patient-visit","extension":[{"url":"PV1.18","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"IN"}]}},{"url":"PV1.39","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"COCAA"}]}},{"url":"PV1.41","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"AD"}]}}]}],"status":"in-progress","class":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/pv1-2-patient-class","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"I"}]}}],"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"IMP","display":"inpatient encounter"},"type":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"E"}]}],"serviceType":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"ICU"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"episodeOfCare":[{"reference":"EpisodeOfCare/1724718682398307000.d38da39f-5b63-4055-8276-32eb73110c4b"}],"participant":[{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"ATND","display":"attender"}]}],"individual":{"reference":"Practitioner/1724718682388955000.224cd8a8-b953-4f98-9cd0-e54455a07ab2"}},{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"REF"}],"text":"referrer"}],"individual":{"reference":"Practitioner/1724718682389993000.026d8ae3-72f5-4767-9774-7b6d526f59ac"}},{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"CON"}],"text":"consultant"}],"individual":{"reference":"Practitioner/1724718682391012000.a74f4b29-6fe5-4207-93a0-11724e6bd2f9"}},{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"CON"}],"text":"consultant"}],"individual":{"reference":"Practitioner/1724718682392120000.ea76fe27-f0c4-4833-91a4-ba9028487fee"}},{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"CON"}],"text":"consultant"}],"individual":{"reference":"Practitioner/1724718682393057000.45455e2e-2c9d-411d-a77c-352b9ba740f3"}},{"type":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"ADM"}],"text":"admitter"}],"individual":{"reference":"Practitioner/1724718682394032000.1f6c4f2e-cf57-45ed-9d88-8e986b40f30c"}}],"period":{"start":"2028-08-02T05:56:00Z","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"202808020556"}]}},"hospitalization":{"admitSource":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"PR"}]},"dischargeDisposition":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SAP"}]}},"location":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.3"}],"location":{"reference":"Location/1724718682397179000.d8b33c6c-f48f-49ff-83f8-08b8bf28312b"},"status":"active"}]}},{"fullUrl":"Practitioner/1724718682388955000.224cd8a8-b953-4f98-9cd0-e54455a07ab2","resource":{"resourceType":"Practitioner","id":"1724718682388955000.224cd8a8-b953-4f98-9cd0-e54455a07ab2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"James"},{"url":"XCN.4","valueString":"Madison"},{"url":"XCN.7","valueString":"MD"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.7"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"Medical Center of Au","value":"1437205069"}],"name":[{"family":"Hunt","given":["James","Madison"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682389993000.026d8ae3-72f5-4767-9774-7b6d526f59ac","resource":{"resourceType":"Practitioner","id":"1724718682389993000.026d8ae3-72f5-4767-9774-7b6d526f59ac","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"James"},{"url":"XCN.4","valueString":"Madison"},{"url":"XCN.7","valueString":"MD"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.8"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"Medical Center of Au","value":"1437205069"}],"name":[{"family":"Hunt","given":["James","Madison"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682391012000.a74f4b29-6fe5-4207-93a0-11724e6bd2f9","resource":{"resourceType":"Practitioner","id":"1724718682391012000.a74f4b29-6fe5-4207-93a0-11724e6bd2f9","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"James"},{"url":"XCN.4","valueString":"Madison"},{"url":"XCN.7","valueString":"MD"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.9"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"Medical Center of Au","value":"1437205069"}],"name":[{"family":"Hunt","given":["James","Madison"],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682391270000.64136016-2c85-40d0-be8b-1952dff6b41d","resource":{"resourceType":"Organization","id":"1724718682391270000.64136016-2c85-40d0-be8b-1952dff6b41d","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"Medical Center of Au"}]}},{"fullUrl":"Practitioner/1724718682392120000.ea76fe27-f0c4-4833-91a4-ba9028487fee","resource":{"resourceType":"Practitioner","id":"1724718682392120000.ea76fe27-f0c4-4833-91a4-ba9028487fee","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-unknown-type"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"James"},{"url":"XCN.4","valueString":"M"},{"url":"XCN.7","valueString":"MD"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.9"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"value":"1962467126","assigner":{"reference":"Organization/1724718682391270000.64136016-2c85-40d0-be8b-1952dff6b41d"}}],"name":[{"family":"Neid","given":["James","M"],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682392335000.42d70f1c-9864-437d-8f5f-8bd8cbde7200","resource":{"resourceType":"Organization","id":"1724718682392335000.42d70f1c-9864-437d-8f5f-8bd8cbde7200","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"Medical Center of Au"}]}},{"fullUrl":"Practitioner/1724718682393057000.45455e2e-2c9d-411d-a77c-352b9ba740f3","resource":{"resourceType":"Practitioner","id":"1724718682393057000.45455e2e-2c9d-411d-a77c-352b9ba740f3","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-unknown-type"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Todd"},{"url":"XCN.7","valueString":"NP"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.9"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"value":"1184669806","assigner":{"reference":"Organization/1724718682392335000.42d70f1c-9864-437d-8f5f-8bd8cbde7200"}}],"name":[{"family":"Hultman","given":["Todd"],"suffix":["NP"]}]}},{"fullUrl":"Practitioner/1724718682394032000.1f6c4f2e-cf57-45ed-9d88-8e986b40f30c","resource":{"resourceType":"Practitioner","id":"1724718682394032000.1f6c4f2e-cf57-45ed-9d88-8e986b40f30c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"Medical Center of Au"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"James"},{"url":"XCN.4","valueString":"Madison"},{"url":"XCN.7","valueString":"MD"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.17"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"Medical Center of Au","value":"1437205069"}],"name":[{"family":"Hunt","given":["James","Madison"],"suffix":["MD"]}]}},{"fullUrl":"Location/1724718682396908000.73129fc3-1ed0-43db-9b66-1739155b2f6f","resource":{"resourceType":"Location","id":"1724718682396908000.73129fc3-1ed0-43db-9b66-1739155b2f6f","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"E.ICUB"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.2,HD.3"}]}],"physicalType":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/location-physical-type","_code":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/location-physical-type-poc","valueString":"poc"}]}}]}}},{"fullUrl":"Location/1724718682397007000.22d148e1-9d0d-4e11-adf6-a75adfd78191","resource":{"resourceType":"Location","id":"1724718682397007000.22d148e1-9d0d-4e11-adf6-a75adfd78191","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"E.ICB"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.2,HD.3"}]}],"physicalType":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/location-physical-type","code":"ro"}]},"partOf":{"reference":"Location/1724718682396908000.73129fc3-1ed0-43db-9b66-1739155b2f6f"}}},{"fullUrl":"Location/1724718682397179000.d8b33c6c-f48f-49ff-83f8-08b8bf28312b","resource":{"resourceType":"Location","id":"1724718682397179000.d8b33c6c-f48f-49ff-83f8-08b8bf28312b","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.1"}],"value":"05"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"HD.2,HD.3"}]}],"mode":"instance","physicalType":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/location-physical-type","code":"bd"}]},"partOf":{"reference":"Location/1724718682397007000.22d148e1-9d0d-4e11-adf6-a75adfd78191"}}},{"fullUrl":"EpisodeOfCare/1724718682398307000.d38da39f-5b63-4055-8276-32eb73110c4b","resource":{"resourceType":"EpisodeOfCare","id":"1724718682398307000.d38da39f-5b63-4055-8276-32eb73110c4b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"PV1.54"}]}},{"fullUrl":"Observation/1724718682400972000.0e9c2915-6240-4e33-a305-0ba3d95f5d94","resource":{"resourceType":"Observation","id":"1724718682400972000.0e9c2915-6240-4e33-a305-0ba3d95f5d94","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682401446000.9fe82445-6515-4a47-8421-2457f9891075"},{"reference":"PractitionerRole/1724718682401628000.04a68b25-28f9-4ad8-b542-e7ce4346a57e"}],"dataAbsentReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/data-absent-reason","code":"unknown"}]}}},{"fullUrl":"Organization/1724718682401446000.9fe82445-6515-4a47-8421-2457f9891075","resource":{"resourceType":"Organization","id":"1724718682401446000.9fe82445-6515-4a47-8421-2457f9891075","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682402517000.9161b669-8471-49b3-a2c7-5dfef57e05d8","resource":{"resourceType":"Practitioner","id":"1724718682402517000.9161b669-8471-49b3-a2c7-5dfef57e05d8","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682403569000.c389cd25-be63-4268-ac31-4901ebb62833","resource":{"resourceType":"Organization","id":"1724718682403569000.c389cd25-be63-4268-ac31-4901ebb62833","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"S","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682401628000.04a68b25-28f9-4ad8-b542-e7ce4346a57e","resource":{"resourceType":"PractitionerRole","id":"1724718682401628000.04a68b25-28f9-4ad8-b542-e7ce4346a57e","practitioner":{"reference":"Practitioner/1724718682402517000.9161b669-8471-49b3-a2c7-5dfef57e05d8"},"organization":{"reference":"Organization/1724718682403569000.c389cd25-be63-4268-ac31-4901ebb62833"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682405783000.c39cc949-254b-4bc7-a5b6-419cf8be3cdb","resource":{"resourceType":"Observation","id":"1724718682405783000.c39cc949-254b-4bc7-a5b6-419cf8be3cdb","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"CWE"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682406131000.998c198e-c3ab-4def-a6a5-478d57a25f4c"},{"reference":"PractitionerRole/1724718682406284000.16bee00d-95fc-4967-bffb-ec06dd347f90"}],"valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code","valueCoding":{"system":"SNOMEDCT","code":"406575008","display":"Infection caused by vancomycin resistant enterococcus (disorder)"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code","valueCoding":{"system":"SNOMEDCT","code":"406575008","display":"Infection caused by vancomycin resistant enterococcus (disorder)"}}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"782959008","display":"Vancomycin resistant Enterococcus raffinosus"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ENTRAFVRE","display":"ENTEROCOCCUS RAFFINOSIS, VRE"}],"text":"ENTEROCOCCUS RAFFINOSIS, VRE"}}},{"fullUrl":"Organization/1724718682406131000.998c198e-c3ab-4def-a6a5-478d57a25f4c","resource":{"resourceType":"Organization","id":"1724718682406131000.998c198e-c3ab-4def-a6a5-478d57a25f4c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682407126000.537ea365-2492-42f3-b3cc-69227828b2d2","resource":{"resourceType":"Practitioner","id":"1724718682407126000.537ea365-2492-42f3-b3cc-69227828b2d2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682408226000.a39d5ca8-c2a4-4857-9d01-b7be704e75cc","resource":{"resourceType":"Organization","id":"1724718682408226000.a39d5ca8-c2a4-4857-9d01-b7be704e75cc","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"MD","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682406284000.16bee00d-95fc-4967-bffb-ec06dd347f90","resource":{"resourceType":"PractitionerRole","id":"1724718682406284000.16bee00d-95fc-4967-bffb-ec06dd347f90","practitioner":{"reference":"Practitioner/1724718682407126000.537ea365-2492-42f3-b3cc-69227828b2d2"},"organization":{"reference":"Organization/1724718682408226000.a39d5ca8-c2a4-4857-9d01-b7be704e75cc"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682410518000.cf8696da-4f50-4304-87f9-1aab5b7ee02a","resource":{"resourceType":"Observation","id":"1724718682410518000.cf8696da-4f50-4304-87f9-1aab5b7ee02a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"CWE"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682410952000.b92397f8-403f-4c82-9980-1c3facf928c5"},{"reference":"PractitionerRole/1724718682411129000.c20a19d2-76a9-4a1d-8837-5b008c67d7e1"}],"valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code","valueCoding":{"system":"SNOMEDCT","code":"45170000","display":"Encephalitis (disorder)"}}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"53326005","display":"Candida albicans"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"CANALB","display":"CANDIDA ALBICANS"}],"text":"CANDIDA ALBICANS"},"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"***THIS IS AN URGENT RESULT***"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"***THIS IS AN URGENT RESULT***"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"***** Test Results Called To And Verbally Read Back"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"***** Test Results Called To And Verbally Read Back"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"By: RICHARD DDI7840 *****"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"By: RICHARD DDI7840 *****"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"(Date: 08/08/21 Time: 1511 Called BY AMLB.IF.)"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"(Date: 08/08/21 Time: 1511 Called BY AMLB.IF.)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"******************************"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"******************************"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"**THIS IS A CORRECTED REPORT**"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"**THIS IS A CORRECTED REPORT**"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"******************************"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"******************************"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Original report of ALPHA STRP,NOT ENTEROC.OR PNEU"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Original report of ALPHA STRP,NOT ENTEROC.OR PNEU"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"has been revised to ENTEROCOCCUS SPECIES (GRP D). "},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"has been revised to ENTEROCOCCUS SPECIES (GRP D). "},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"***** Test Results Called To And Verbally Read Back"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"***** Test Results Called To And Verbally Read Back"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"By: LISA WSJ9135 AT AURORA MICROBIOLOGY *****"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"By: LISA WSJ9135 AT AURORA MICROBIOLOGY *****"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"(Date: 08/06/21 Time: 0945 Called BY AMLB.LJ1.)"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"(Date: 08/06/21 Time: 0945 Called BY AMLB.LJ1.)"}]}},{"fullUrl":"Organization/1724718682410952000.b92397f8-403f-4c82-9980-1c3facf928c5","resource":{"resourceType":"Organization","id":"1724718682410952000.b92397f8-403f-4c82-9980-1c3facf928c5","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682411966000.70206bc7-8b10-4e1d-a525-d176116d8fee","resource":{"resourceType":"Practitioner","id":"1724718682411966000.70206bc7-8b10-4e1d-a525-d176116d8fee","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682414338000.a7ab4f5a-7fd7-42a1-939e-9b6b6c76076c","resource":{"resourceType":"Organization","id":"1724718682414338000.a7ab4f5a-7fd7-42a1-939e-9b6b6c76076c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"MD","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682411129000.c20a19d2-76a9-4a1d-8837-5b008c67d7e1","resource":{"resourceType":"PractitionerRole","id":"1724718682411129000.c20a19d2-76a9-4a1d-8837-5b008c67d7e1","practitioner":{"reference":"Practitioner/1724718682411966000.70206bc7-8b10-4e1d-a525-d176116d8fee"},"organization":{"reference":"Organization/1724718682414338000.a7ab4f5a-7fd7-42a1-939e-9b6b6c76076c"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682421976000.f628aad4-67c1-4122-b166-8286a00767e9","resource":{"resourceType":"Observation","id":"1724718682421976000.f628aad4-67c1-4122-b166-8286a00767e9","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLOODC","display":"BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682422422000.376fb83d-e61e-4ad4-929c-1ee3fcb514e4"},{"reference":"PractitionerRole/1724718682422583000.b9014c5d-af23-4911-9beb-62d9c84596e5"}],"dataAbsentReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/data-absent-reason","code":"unknown"}]}}},{"fullUrl":"Organization/1724718682422422000.376fb83d-e61e-4ad4-929c-1ee3fcb514e4","resource":{"resourceType":"Organization","id":"1724718682422422000.376fb83d-e61e-4ad4-929c-1ee3fcb514e4","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682423339000.746bcce7-4902-45ff-96ff-e51d9c2103b0","resource":{"resourceType":"Practitioner","id":"1724718682423339000.746bcce7-4902-45ff-96ff-e51d9c2103b0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682424606000.e561d56c-f563-46ed-a024-094eadca4ab1","resource":{"resourceType":"Organization","id":"1724718682424606000.e561d56c-f563-46ed-a024-094eadca4ab1","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"S","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682422583000.b9014c5d-af23-4911-9beb-62d9c84596e5","resource":{"resourceType":"PractitionerRole","id":"1724718682422583000.b9014c5d-af23-4911-9beb-62d9c84596e5","practitioner":{"reference":"Practitioner/1724718682423339000.746bcce7-4902-45ff-96ff-e51d9c2103b0"},"organization":{"reference":"Organization/1724718682424606000.e561d56c-f563-46ed-a024-094eadca4ab1"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682426473000.d0dfa5e6-14a5-4ee2-83fe-458ce019a74c","resource":{"resourceType":"Observation","id":"1724718682426473000.d0dfa5e6-14a5-4ee2-83fe-458ce019a74c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MBCPCR","display":"BLOOD CULTURE PCR"}],"text":"BLOOD CULTURE PCR"},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682426898000.026b326f-993d-4a3e-a440-09b6612d347f"},{"reference":"PractitionerRole/1724718682427065000.b9368ea8-7afe-4d3b-a25d-176c2e5e4425"}],"valueString":"GRAM POSITIVE PCR; NO TARGETS DETECTED (SEE COMMENT)"}},{"fullUrl":"Organization/1724718682426898000.026b326f-993d-4a3e-a440-09b6612d347f","resource":{"resourceType":"Organization","id":"1724718682426898000.026b326f-993d-4a3e-a440-09b6612d347f","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682427861000.a863e1a6-c6b1-402d-ba28-1dd913d0d93d","resource":{"resourceType":"Practitioner","id":"1724718682427861000.a863e1a6-c6b1-402d-ba28-1dd913d0d93d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682430090000.21d718af-50ee-4d50-aaf6-d6e0dbd45298","resource":{"resourceType":"Organization","id":"1724718682430090000.21d718af-50ee-4d50-aaf6-d6e0dbd45298","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682427065000.b9368ea8-7afe-4d3b-a25d-176c2e5e4425","resource":{"resourceType":"PractitionerRole","id":"1724718682427065000.b9368ea8-7afe-4d3b-a25d-176c2e5e4425","practitioner":{"reference":"Practitioner/1724718682427861000.a863e1a6-c6b1-402d-ba28-1dd913d0d93d"},"organization":{"reference":"Organization/1724718682430090000.21d718af-50ee-4d50-aaf6-d6e0dbd45298"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682431979000.9896e8a2-b542-4d03-9d71-d42333b17f33","resource":{"resourceType":"Observation","id":"1724718682431979000.9896e8a2-b542-4d03-9d71-d42333b17f33","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MPOSBC","display":"BLOOD CULTURE GRAM STAIN"}],"text":"BLOOD CULTURE GRAM STAIN"},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682432310000.272fcbfa-e326-4ce0-aef0-0c74d6ca13aa"},{"reference":"PractitionerRole/1724718682432444000.4eb44614-4ea1-424b-b070-f64e9271ad6a"}],"valueString":"GRAM POSITIVE COCCI IN PAIRS","interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"A","display":"Abnormal (applies to non-numeric results)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"A","display":"A"}]}]}},{"fullUrl":"Organization/1724718682432310000.272fcbfa-e326-4ce0-aef0-0c74d6ca13aa","resource":{"resourceType":"Organization","id":"1724718682432310000.272fcbfa-e326-4ce0-aef0-0c74d6ca13aa","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682433087000.4a147c21-ad84-4905-9173-f9d2af1da849","resource":{"resourceType":"Practitioner","id":"1724718682433087000.4a147c21-ad84-4905-9173-f9d2af1da849","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682434199000.e03eca07-d165-4085-8df5-2beae19a4a69","resource":{"resourceType":"Organization","id":"1724718682434199000.e03eca07-d165-4085-8df5-2beae19a4a69","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"A","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682432444000.4eb44614-4ea1-424b-b070-f64e9271ad6a","resource":{"resourceType":"PractitionerRole","id":"1724718682432444000.4eb44614-4ea1-424b-b070-f64e9271ad6a","practitioner":{"reference":"Practitioner/1724718682433087000.4a147c21-ad84-4905-9173-f9d2af1da849"},"organization":{"reference":"Organization/1724718682434199000.e03eca07-d165-4085-8df5-2beae19a4a69"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682459663000.42ad8287-cbcb-4a36-984f-043f4c7a914c","resource":{"resourceType":"Observation","id":"1724718682459663000.42ad8287-cbcb-4a36-984f-043f4c7a914c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MPOSBC","display":"BLOOD CULTURE GRAM STAIN"}],"text":"BLOOD CULTURE GRAM STAIN"},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682460079000.8d7b74b8-f072-4ceb-8cb1-e30d6ed19f4c"},{"reference":"PractitionerRole/1724718682460239000.7cd37509-bca1-4891-abe4-f0daa7105724"}],"valueString":"ANAEROBIC BOTTLE"}},{"fullUrl":"Organization/1724718682460079000.8d7b74b8-f072-4ceb-8cb1-e30d6ed19f4c","resource":{"resourceType":"Organization","id":"1724718682460079000.8d7b74b8-f072-4ceb-8cb1-e30d6ed19f4c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682460963000.3c837ace-813c-4a4d-8f9a-32999715171e","resource":{"resourceType":"Practitioner","id":"1724718682460963000.3c837ace-813c-4a4d-8f9a-32999715171e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682464543000.a84bef67-b7a7-4000-9d97-99ff32ed155d","resource":{"resourceType":"Organization","id":"1724718682464543000.a84bef67-b7a7-4000-9d97-99ff32ed155d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682460239000.7cd37509-bca1-4891-abe4-f0daa7105724","resource":{"resourceType":"PractitionerRole","id":"1724718682460239000.7cd37509-bca1-4891-abe4-f0daa7105724","practitioner":{"reference":"Practitioner/1724718682460963000.3c837ace-813c-4a4d-8f9a-32999715171e"},"organization":{"reference":"Organization/1724718682464543000.a84bef67-b7a7-4000-9d97-99ff32ed155d"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682466338000.759be8af-ca5f-464b-b07c-391ffab2dc62","resource":{"resourceType":"Observation","id":"1724718682466338000.759be8af-ca5f-464b-b07c-391ffab2dc62","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MPOSBC","display":"BLOOD CULTURE GRAM STAIN"}],"text":"BLOOD CULTURE GRAM STAIN"},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682470012000.5c4c4f86-4e0c-432e-9103-4f13e4d15764"},{"reference":"PractitionerRole/1724718682470590000.b5a97f65-062f-4f82-8ecc-16c840afa75e"}],"valueString":"YEAST","interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"A","display":"Abnormal (applies to non-numeric results)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"A","display":"A"}]}]}},{"fullUrl":"Organization/1724718682470012000.5c4c4f86-4e0c-432e-9103-4f13e4d15764","resource":{"resourceType":"Organization","id":"1724718682470012000.5c4c4f86-4e0c-432e-9103-4f13e4d15764","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682474122000.f5365025-6c9b-43d8-81dc-ff3de4e93934","resource":{"resourceType":"Practitioner","id":"1724718682474122000.f5365025-6c9b-43d8-81dc-ff3de4e93934","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682476180000.1636b963-93dc-4a2d-bd7a-6d0638025005","resource":{"resourceType":"Organization","id":"1724718682476180000.1636b963-93dc-4a2d-bd7a-6d0638025005","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"A","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682470590000.b5a97f65-062f-4f82-8ecc-16c840afa75e","resource":{"resourceType":"PractitionerRole","id":"1724718682470590000.b5a97f65-062f-4f82-8ecc-16c840afa75e","practitioner":{"reference":"Practitioner/1724718682474122000.f5365025-6c9b-43d8-81dc-ff3de4e93934"},"organization":{"reference":"Organization/1724718682476180000.1636b963-93dc-4a2d-bd7a-6d0638025005"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682478049000.1cb6fb06-1663-4a83-8122-0d2d85c5b33c","resource":{"resourceType":"Observation","id":"1724718682478049000.1cb6fb06-1663-4a83-8122-0d2d85c5b33c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"2.5"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MPOSBC","display":"BLOOD CULTURE GRAM STAIN"}],"text":"BLOOD CULTURE GRAM STAIN"},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682478417000.6cac7078-a3fd-451d-bafb-c0b08f2adb09"},{"reference":"PractitionerRole/1724718682478560000.b9b8dc1a-8879-44b8-9ddd-d05824ed02d8"}],"valueString":"AEROBIC BOTTLE"}},{"fullUrl":"Organization/1724718682478417000.6cac7078-a3fd-451d-bafb-c0b08f2adb09","resource":{"resourceType":"Organization","id":"1724718682478417000.6cac7078-a3fd-451d-bafb-c0b08f2adb09","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682484797000.99d9a802-308d-4d46-a321-01b7b2de7b8d","resource":{"resourceType":"Practitioner","id":"1724718682484797000.99d9a802-308d-4d46-a321-01b7b2de7b8d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682489615000.5c86b0f9-2117-481d-9792-8ab7fb0e683e","resource":{"resourceType":"Organization","id":"1724718682489615000.5c86b0f9-2117-481d-9792-8ab7fb0e683e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682478560000.b9b8dc1a-8879-44b8-9ddd-d05824ed02d8","resource":{"resourceType":"PractitionerRole","id":"1724718682478560000.b9b8dc1a-8879-44b8-9ddd-d05824ed02d8","practitioner":{"reference":"Practitioner/1724718682484797000.99d9a802-308d-4d46-a321-01b7b2de7b8d"},"organization":{"reference":"Organization/1724718682489615000.5c86b0f9-2117-481d-9792-8ab7fb0e683e"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682495568000.341175c4-e1bb-4b24-b588-de898a66ba9b","resource":{"resourceType":"Observation","id":"1724718682495568000.341175c4-e1bb-4b24-b588-de898a66ba9b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-10T06:25:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"CWE"},{"url":"OBX.11","valueString":"C"}]}],"status":"corrected","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLOODC","display":"BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682496098000.51500638-64ef-4f82-b770-809371bbac6e"},{"reference":"PractitionerRole/1724718682500438000.ba373f55-60bb-4ab8-9b88-384f47fb5063"}],"valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"POSITIVE","display":"POSITIVE"}],"text":"POSITIVE"},"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Nucleic acid test for the detection of Staphylococcus spp.,"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Nucleic acid test for the detection of Staphylococcus spp.,"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"S. aureus, S. epidermidis, S. lugdunensis, Streptococcus"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"S. aureus, S. epidermidis, S. lugdunensis, Streptococcus"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"spp., S. pneumoniae, S. pyogenes, S. agalactiae,"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"spp., S. pneumoniae, S. pyogenes, S. agalactiae,"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"S. anginosus group, Enterococcus faecalis, Enterococcus"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"S. anginosus group, Enterococcus faecalis, Enterococcus"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"faecium, mec-A mediated methicillin resistance, and"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"faecium, mec-A mediated methicillin resistance, and"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"vanA/vanB mediated Vancomycin resistance was performed and"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"vanA/vanB mediated Vancomycin resistance was performed and"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"was NEGATIVE for all targets tested."},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"was NEGATIVE for all targets tested."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"*****CORRECTED REPORT*****"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"*****CORRECTED REPORT*****"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Previous report of was incorrect."},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Previous report of was incorrect."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"The correct report of YEAST PRESENT ON GRAM STAIN"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"The correct report of YEAST PRESENT ON GRAM STAIN"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"was called and texted to ALLISON CABRERA"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"was called and texted to ALLISON CABRERA"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Date:08/08/28 Time:0613 Called by:ELB.RMH"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Date:08/08/28 Time:0613 Called by:ELB.RMH"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:RN LIBBY HILL"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:RN LIBBY HILL"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICU on 08/06/21 at 1136 by ELB.HC"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICU on 08/06/21 at 1136 by ELB.HC"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:HANNAH STEVENS RN"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:HANNAH STEVENS RN"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/02/28 at 2201 by ELB.MS3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/02/28 at 2201 by ELB.MS3"}]}},{"fullUrl":"Organization/1724718682496098000.51500638-64ef-4f82-b770-809371bbac6e","resource":{"resourceType":"Organization","id":"1724718682496098000.51500638-64ef-4f82-b770-809371bbac6e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682501664000.8c39e0de-8365-441b-ba45-25162c4f59b5","resource":{"resourceType":"Practitioner","id":"1724718682501664000.8c39e0de-8365-441b-ba45-25162c4f59b5","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682504208000.5951edb0-74cb-447c-a221-a890c98babb5","resource":{"resourceType":"Organization","id":"1724718682504208000.5951edb0-74cb-447c-a221-a890c98babb5","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682500438000.ba373f55-60bb-4ab8-9b88-384f47fb5063","resource":{"resourceType":"PractitionerRole","id":"1724718682500438000.ba373f55-60bb-4ab8-9b88-384f47fb5063","practitioner":{"reference":"Practitioner/1724718682501664000.8c39e0de-8365-441b-ba45-25162c4f59b5"},"organization":{"reference":"Organization/1724718682504208000.5951edb0-74cb-447c-a221-a890c98babb5"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682518531000.39103fe3-5e1d-44c5-bbc8-bcd3fef600c3","resource":{"resourceType":"Observation","id":"1724718682518531000.39103fe3-5e1d-44c5-bbc8-bcd3fef600c3","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"CE"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-02T02:52:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"performer":[{"reference":"Organization/1724718682518864000.bc65dfe8-b158-4c05-b62c-9b706fc6ac9b"},{"reference":"PractitionerRole/1724718682519003000.51d4fcaa-50ff-4b00-a851-5abdfa8fdef2"}],"valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","code":"COM"}]}}},{"fullUrl":"Organization/1724718682518864000.bc65dfe8-b158-4c05-b62c-9b706fc6ac9b","resource":{"resourceType":"Organization","id":"1724718682518864000.bc65dfe8-b158-4c05-b62c-9b706fc6ac9b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682519674000.44dbf9b3-ae34-4bee-a07f-62e7c33f560c","resource":{"resourceType":"Practitioner","id":"1724718682519674000.44dbf9b3-ae34-4bee-a07f-62e7c33f560c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682520783000.2c33effe-19fa-44a7-9edb-1c492fa7de27","resource":{"resourceType":"Organization","id":"1724718682520783000.2c33effe-19fa-44a7-9edb-1c492fa7de27","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"S","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682519003000.51d4fcaa-50ff-4b00-a851-5abdfa8fdef2","resource":{"resourceType":"PractitionerRole","id":"1724718682519003000.51d4fcaa-50ff-4b00-a851-5abdfa8fdef2","practitioner":{"reference":"Practitioner/1724718682519674000.44dbf9b3-ae34-4bee-a07f-62e7c33f560c"},"organization":{"reference":"Organization/1724718682520783000.2c33effe-19fa-44a7-9edb-1c492fa7de27"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682522593000.785b9143-38b3-4a6e-8c9d-e7d070bfdf69","resource":{"resourceType":"Observation","id":"1724718682522593000.785b9143-38b3-4a6e-8c9d-e7d070bfdf69","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682522921000.7f48b7ea-30ef-403d-8208-88b812d7993d"},{"reference":"PractitionerRole/1724718682523077000.e7e0eba4-2304-4b25-8e38-6325ea8fd242"}],"valueString":"This is a rapid molecular assay that simultaneously detects"}},{"fullUrl":"Organization/1724718682522921000.7f48b7ea-30ef-403d-8208-88b812d7993d","resource":{"resourceType":"Organization","id":"1724718682522921000.7f48b7ea-30ef-403d-8208-88b812d7993d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682523727000.f63b4f4a-2a74-4ed2-bdba-7dcb3a7c0cb9","resource":{"resourceType":"Practitioner","id":"1724718682523727000.f63b4f4a-2a74-4ed2-bdba-7dcb3a7c0cb9","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682524864000.a23829cf-37da-4ffb-a025-478c5a46665e","resource":{"resourceType":"Organization","id":"1724718682524864000.a23829cf-37da-4ffb-a025-478c5a46665e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682523077000.e7e0eba4-2304-4b25-8e38-6325ea8fd242","resource":{"resourceType":"PractitionerRole","id":"1724718682523077000.e7e0eba4-2304-4b25-8e38-6325ea8fd242","practitioner":{"reference":"Practitioner/1724718682523727000.f63b4f4a-2a74-4ed2-bdba-7dcb3a7c0cb9"},"organization":{"reference":"Organization/1724718682524864000.a23829cf-37da-4ffb-a025-478c5a46665e"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682534272000.963f2b56-c6b9-4b10-b075-11047c7bb515","resource":{"resourceType":"Observation","id":"1724718682534272000.963f2b56-c6b9-4b10-b075-11047c7bb515","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682537844000.86677e1d-e6e5-445e-bb5d-c3292b299664"},{"reference":"PractitionerRole/1724718682537995000.81c9ef31-5030-43b3-a40b-4c168addb85f"}],"valueString":"and identifies the following gram-positive organisms:"}},{"fullUrl":"Organization/1724718682537844000.86677e1d-e6e5-445e-bb5d-c3292b299664","resource":{"resourceType":"Organization","id":"1724718682537844000.86677e1d-e6e5-445e-bb5d-c3292b299664","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682538633000.76dbbb7f-a73d-4d47-9f8f-31a8aae53def","resource":{"resourceType":"Practitioner","id":"1724718682538633000.76dbbb7f-a73d-4d47-9f8f-31a8aae53def","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682542518000.40f258fc-c7de-4155-983f-670cb5665ff8","resource":{"resourceType":"Organization","id":"1724718682542518000.40f258fc-c7de-4155-983f-670cb5665ff8","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682537995000.81c9ef31-5030-43b3-a40b-4c168addb85f","resource":{"resourceType":"PractitionerRole","id":"1724718682537995000.81c9ef31-5030-43b3-a40b-4c168addb85f","practitioner":{"reference":"Practitioner/1724718682538633000.76dbbb7f-a73d-4d47-9f8f-31a8aae53def"},"organization":{"reference":"Organization/1724718682542518000.40f258fc-c7de-4155-983f-670cb5665ff8"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682544533000.0f6ae7ae-e8e9-4f12-90df-00492b67841c","resource":{"resourceType":"Observation","id":"1724718682544533000.0f6ae7ae-e8e9-4f12-90df-00492b67841c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682544860000.78ce116b-91b6-4de6-9d4f-9bb5936c8aa8"},{"reference":"PractitionerRole/1724718682545022000.b241a869-d4e4-49d4-ae56-35f9473514d3"}],"dataAbsentReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/data-absent-reason","code":"unknown"}]}}},{"fullUrl":"Organization/1724718682544860000.78ce116b-91b6-4de6-9d4f-9bb5936c8aa8","resource":{"resourceType":"Organization","id":"1724718682544860000.78ce116b-91b6-4de6-9d4f-9bb5936c8aa8","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682545709000.21552779-1ac3-4a79-b836-e13d863e2ba1","resource":{"resourceType":"Practitioner","id":"1724718682545709000.21552779-1ac3-4a79-b836-e13d863e2ba1","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682546978000.47746725-1690-4cdd-be7f-7094c399c87a","resource":{"resourceType":"Organization","id":"1724718682546978000.47746725-1690-4cdd-be7f-7094c399c87a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682545022000.b241a869-d4e4-49d4-ae56-35f9473514d3","resource":{"resourceType":"PractitionerRole","id":"1724718682545022000.b241a869-d4e4-49d4-ae56-35f9473514d3","practitioner":{"reference":"Practitioner/1724718682545709000.21552779-1ac3-4a79-b836-e13d863e2ba1"},"organization":{"reference":"Organization/1724718682546978000.47746725-1690-4cdd-be7f-7094c399c87a"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682548811000.79fbc043-0956-4fff-ac17-ed9d57e4c68b","resource":{"resourceType":"Observation","id":"1724718682548811000.79fbc043-0956-4fff-ac17-ed9d57e4c68b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682549148000.86cc9188-4d9a-481a-9ba0-bf4252a833ba"},{"reference":"PractitionerRole/1724718682549284000.66455123-6602-4259-804b-78f497e4788e"}],"valueString":"Staphylococcus spp. Streptococcus pyogenes"}},{"fullUrl":"Organization/1724718682549148000.86cc9188-4d9a-481a-9ba0-bf4252a833ba","resource":{"resourceType":"Organization","id":"1724718682549148000.86cc9188-4d9a-481a-9ba0-bf4252a833ba","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682549927000.91b85a73-1e16-4fa8-8518-a39e06aafed6","resource":{"resourceType":"Practitioner","id":"1724718682549927000.91b85a73-1e16-4fa8-8518-a39e06aafed6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682551121000.e0a7887f-3faa-4a7e-aa45-817daef6c0a4","resource":{"resourceType":"Organization","id":"1724718682551121000.e0a7887f-3faa-4a7e-aa45-817daef6c0a4","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682549284000.66455123-6602-4259-804b-78f497e4788e","resource":{"resourceType":"PractitionerRole","id":"1724718682549284000.66455123-6602-4259-804b-78f497e4788e","practitioner":{"reference":"Practitioner/1724718682549927000.91b85a73-1e16-4fa8-8518-a39e06aafed6"},"organization":{"reference":"Organization/1724718682551121000.e0a7887f-3faa-4a7e-aa45-817daef6c0a4"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682553326000.d3de17b9-bec9-4d56-90c6-68ad61158ab6","resource":{"resourceType":"Observation","id":"1724718682553326000.d3de17b9-bec9-4d56-90c6-68ad61158ab6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682553673000.35375bc6-166a-4526-9fad-c8f1047ac002"},{"reference":"PractitionerRole/1724718682553822000.81673afe-2119-45f1-9f98-aa4646799c35"}],"valueString":"Staphylococcus aureus Streptococcus agalactiae"}},{"fullUrl":"Organization/1724718682553673000.35375bc6-166a-4526-9fad-c8f1047ac002","resource":{"resourceType":"Organization","id":"1724718682553673000.35375bc6-166a-4526-9fad-c8f1047ac002","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682557235000.1a38dd79-3658-41c7-8c36-361496c1bf01","resource":{"resourceType":"Practitioner","id":"1724718682557235000.1a38dd79-3658-41c7-8c36-361496c1bf01","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682558349000.1bb4384a-2f53-435e-97b8-087fed2ee18a","resource":{"resourceType":"Organization","id":"1724718682558349000.1bb4384a-2f53-435e-97b8-087fed2ee18a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682553822000.81673afe-2119-45f1-9f98-aa4646799c35","resource":{"resourceType":"PractitionerRole","id":"1724718682553822000.81673afe-2119-45f1-9f98-aa4646799c35","practitioner":{"reference":"Practitioner/1724718682557235000.1a38dd79-3658-41c7-8c36-361496c1bf01"},"organization":{"reference":"Organization/1724718682558349000.1bb4384a-2f53-435e-97b8-087fed2ee18a"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682561650000.d40a180a-23cd-4909-a984-00adf18cf12b","resource":{"resourceType":"Observation","id":"1724718682561650000.d40a180a-23cd-4909-a984-00adf18cf12b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682565574000.a9aad30e-faac-4098-9b17-ae7d5c2c5ec1"},{"reference":"PractitionerRole/1724718682565764000.f7aa411d-cb48-4263-96ed-f2158d3c37cb"}],"valueString":"Staphylococcus epidermidis Streptococcus anginosus group"}},{"fullUrl":"Organization/1724718682565574000.a9aad30e-faac-4098-9b17-ae7d5c2c5ec1","resource":{"resourceType":"Organization","id":"1724718682565574000.a9aad30e-faac-4098-9b17-ae7d5c2c5ec1","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682566527000.253a2a3c-ec5c-4c06-be3c-8e1723391035","resource":{"resourceType":"Practitioner","id":"1724718682566527000.253a2a3c-ec5c-4c06-be3c-8e1723391035","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682567687000.2a169e5e-e62d-4abe-839c-359dc98b6f52","resource":{"resourceType":"Organization","id":"1724718682567687000.2a169e5e-e62d-4abe-839c-359dc98b6f52","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682565764000.f7aa411d-cb48-4263-96ed-f2158d3c37cb","resource":{"resourceType":"PractitionerRole","id":"1724718682565764000.f7aa411d-cb48-4263-96ed-f2158d3c37cb","practitioner":{"reference":"Practitioner/1724718682566527000.253a2a3c-ec5c-4c06-be3c-8e1723391035"},"organization":{"reference":"Organization/1724718682567687000.2a169e5e-e62d-4abe-839c-359dc98b6f52"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682569708000.4cf7e9b9-fe86-4676-ba71-b10197cbd3e1","resource":{"resourceType":"Observation","id":"1724718682569708000.4cf7e9b9-fe86-4676-ba71-b10197cbd3e1","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682570037000.a6bc61d1-6e96-4bb5-9302-c0fe6b56a62d"},{"reference":"PractitionerRole/1724718682570174000.eec7acb8-688b-45dc-9060-a9f01ee51032"}],"valueString":"Staphylococcus lugdunensis Streptococcus faecalis"}},{"fullUrl":"Organization/1724718682570037000.a6bc61d1-6e96-4bb5-9302-c0fe6b56a62d","resource":{"resourceType":"Organization","id":"1724718682570037000.a6bc61d1-6e96-4bb5-9302-c0fe6b56a62d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682570825000.bbea5d2b-2eaf-420f-a7ce-06937d76c495","resource":{"resourceType":"Practitioner","id":"1724718682570825000.bbea5d2b-2eaf-420f-a7ce-06937d76c495","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682571920000.98561b2b-bae2-453b-ace8-1d16826ddb7b","resource":{"resourceType":"Organization","id":"1724718682571920000.98561b2b-bae2-453b-ace8-1d16826ddb7b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682570174000.eec7acb8-688b-45dc-9060-a9f01ee51032","resource":{"resourceType":"PractitionerRole","id":"1724718682570174000.eec7acb8-688b-45dc-9060-a9f01ee51032","practitioner":{"reference":"Practitioner/1724718682570825000.bbea5d2b-2eaf-420f-a7ce-06937d76c495"},"organization":{"reference":"Organization/1724718682571920000.98561b2b-bae2-453b-ace8-1d16826ddb7b"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682574556000.c486a5e4-1b9e-48ce-a678-c967cba67dba","resource":{"resourceType":"Observation","id":"1724718682574556000.c486a5e4-1b9e-48ce-a678-c967cba67dba","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682575052000.9796c505-274a-46b8-a8a4-5803370e958a"},{"reference":"PractitionerRole/1724718682575204000.35c9f306-9d88-47ca-b4c7-5fe927ca8f6b"}],"valueString":"Streptococcus spp. Enterococcus faecium"}},{"fullUrl":"Organization/1724718682575052000.9796c505-274a-46b8-a8a4-5803370e958a","resource":{"resourceType":"Organization","id":"1724718682575052000.9796c505-274a-46b8-a8a4-5803370e958a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682575938000.7109f8b6-dc19-49fc-b806-0729ac9f9150","resource":{"resourceType":"Practitioner","id":"1724718682575938000.7109f8b6-dc19-49fc-b806-0729ac9f9150","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682577530000.d34a76c4-54d2-4a07-ac76-800ccb874281","resource":{"resourceType":"Organization","id":"1724718682577530000.d34a76c4-54d2-4a07-ac76-800ccb874281","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682575204000.35c9f306-9d88-47ca-b4c7-5fe927ca8f6b","resource":{"resourceType":"PractitionerRole","id":"1724718682575204000.35c9f306-9d88-47ca-b4c7-5fe927ca8f6b","practitioner":{"reference":"Practitioner/1724718682575938000.7109f8b6-dc19-49fc-b806-0729ac9f9150"},"organization":{"reference":"Organization/1724718682577530000.d34a76c4-54d2-4a07-ac76-800ccb874281"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682587767000.af924e91-9f4b-457c-b8db-f3c33f266f8a","resource":{"resourceType":"Observation","id":"1724718682587767000.af924e91-9f4b-457c-b8db-f3c33f266f8a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2021-08-05T01:38:00-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210805013800-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.11","valueString":"F"}]}],"status":"final","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"performer":[{"reference":"Organization/1724718682588155000.0b2ce018-3626-4524-86f6-4b978418ada2"},{"reference":"PractitionerRole/1724718682588313000.af871485-1ee3-47a6-ac4e-6a0df3408be1"}],"valueString":"Streptococcus pneumoniae "}},{"fullUrl":"Organization/1724718682588155000.0b2ce018-3626-4524-86f6-4b978418ada2","resource":{"resourceType":"Organization","id":"1724718682588155000.0b2ce018-3626-4524-86f6-4b978418ada2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"RML","display":"TMCA, SOUTH CAMPUS"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"RML"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682589002000.c3dfdf3a-133f-4af7-ba02-54a2d1a92485","resource":{"resourceType":"Practitioner","id":"1724718682589002000.c3dfdf3a-133f-4af7-ba02-54a2d1a92485","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"GREGORY"},{"url":"XCN.4","valueString":"R"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1740336429"}],"name":[{"use":"official","family":"KOTNIS","given":["GREGORY","R"],"prefix":["DR."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682594868000.c0038022-dbcd-4550-8490-46fe26c1f4ac","resource":{"resourceType":"Organization","id":"1724718682594868000.c0038022-dbcd-4550-8490-46fe26c1f4ac","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682588313000.af871485-1ee3-47a6-ac4e-6a0df3408be1","resource":{"resourceType":"PractitionerRole","id":"1724718682588313000.af871485-1ee3-47a6-ac4e-6a0df3408be1","practitioner":{"reference":"Practitioner/1724718682589002000.c3dfdf3a-133f-4af7-ba02-54a2d1a92485"},"organization":{"reference":"Organization/1724718682594868000.c0038022-dbcd-4550-8490-46fe26c1f4ac"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682603937000.33ddd684-aa25-4abe-8908-8963e68f244b","resource":{"resourceType":"Observation","id":"1724718682603937000.33ddd684-aa25-4abe-8908-8963e68f244b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-5-value-sn","extension":[{"url":"SN.1","valueString":"="},{"url":"SN.2","valueString":"0.5"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"SN"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"35788-9","display":"DAPTOmycin [Susceptibility] by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"DAP","display":"DAPTOMYCIN"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682604341000.754d9e10-b773-4155-bcc0-d9ad92b22ccd"},{"reference":"PractitionerRole/1724718682604516000.341a94af-7cc5-472e-b88b-89d5a04bf98d"}],"interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"S","display":"Susceptible. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"S","display":"S"}]}]}},{"fullUrl":"Organization/1724718682604341000.754d9e10-b773-4155-bcc0-d9ad92b22ccd","resource":{"resourceType":"Organization","id":"1724718682604341000.754d9e10-b773-4155-bcc0-d9ad92b22ccd","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682605235000.4b53cb03-8df6-4acc-9f73-2572a4227d84","resource":{"resourceType":"Practitioner","id":"1724718682605235000.4b53cb03-8df6-4acc-9f73-2572a4227d84","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682606758000.475ec935-3d1c-4b6b-baa6-7ad6cd330480","resource":{"resourceType":"Organization","id":"1724718682606758000.475ec935-3d1c-4b6b-baa6-7ad6cd330480","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"S","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682604516000.341a94af-7cc5-472e-b88b-89d5a04bf98d","resource":{"resourceType":"PractitionerRole","id":"1724718682604516000.341a94af-7cc5-472e-b88b-89d5a04bf98d","practitioner":{"reference":"Practitioner/1724718682605235000.4b53cb03-8df6-4acc-9f73-2572a4227d84"},"organization":{"reference":"Organization/1724718682606758000.475ec935-3d1c-4b6b-baa6-7ad6cd330480"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682609163000.16b759e5-fc42-40fd-ac85-8f3ff4773ea5","resource":{"resourceType":"Observation","id":"1724718682609163000.16b759e5-fc42-40fd-ac85-8f3ff4773ea5","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-5-value-sn","extension":[{"url":"SN.1","valueString":"="},{"url":"SN.2","valueString":"16"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"SN"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"28-1","display":"Ampicillin [Susceptibility] by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"AM","display":"AMPICILLIN"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682609537000.5bbbf85f-6573-45e8-bda1-6bfee414bffd"},{"reference":"PractitionerRole/1724718682609694000.18170b9b-fe9a-4daa-afb7-8c5e417f3a37"}],"interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"R","display":"Resistant. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"R","display":"R"}]}]}},{"fullUrl":"Organization/1724718682609537000.5bbbf85f-6573-45e8-bda1-6bfee414bffd","resource":{"resourceType":"Organization","id":"1724718682609537000.5bbbf85f-6573-45e8-bda1-6bfee414bffd","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682610497000.a64da4bc-3b1d-4e6c-b831-7e93b93ae609","resource":{"resourceType":"Practitioner","id":"1724718682610497000.a64da4bc-3b1d-4e6c-b831-7e93b93ae609","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682612093000.a0bc8a0a-10b9-469b-9622-3a7e0a9bfb08","resource":{"resourceType":"Organization","id":"1724718682612093000.a0bc8a0a-10b9-469b-9622-3a7e0a9bfb08","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"R","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682609694000.18170b9b-fe9a-4daa-afb7-8c5e417f3a37","resource":{"resourceType":"PractitionerRole","id":"1724718682609694000.18170b9b-fe9a-4daa-afb7-8c5e417f3a37","practitioner":{"reference":"Practitioner/1724718682610497000.a64da4bc-3b1d-4e6c-b831-7e93b93ae609"},"organization":{"reference":"Organization/1724718682612093000.a0bc8a0a-10b9-469b-9622-3a7e0a9bfb08"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682614572000.502a28e9-12f2-40fc-8a16-05cdba10761d","resource":{"resourceType":"Observation","id":"1724718682614572000.502a28e9-12f2-40fc-8a16-05cdba10761d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"7018-5","display":"Gentamicin.high potency [Susceptibility] by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"GMS","display":"GENTAMICIN SYNERGY SCREEN"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682614999000.6a4181f8-1925-4bbd-857f-d76418b3c400"},{"reference":"PractitionerRole/1724718682615175000.4b32f517-3c16-4771-a563-3668c581dc44"}],"valueString":"SYN-S","interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"S","display":"Susceptible. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"S","display":"S"}]}]}},{"fullUrl":"Organization/1724718682614999000.6a4181f8-1925-4bbd-857f-d76418b3c400","resource":{"resourceType":"Organization","id":"1724718682614999000.6a4181f8-1925-4bbd-857f-d76418b3c400","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682615957000.8733f581-d371-4a64-9227-255661476b01","resource":{"resourceType":"Practitioner","id":"1724718682615957000.8733f581-d371-4a64-9227-255661476b01","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682617006000.dcdb69f9-437a-49df-a52a-4ad6a1f8cbfe","resource":{"resourceType":"Organization","id":"1724718682617006000.dcdb69f9-437a-49df-a52a-4ad6a1f8cbfe","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"S","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682615175000.4b32f517-3c16-4771-a563-3668c581dc44","resource":{"resourceType":"PractitionerRole","id":"1724718682615175000.4b32f517-3c16-4771-a563-3668c581dc44","practitioner":{"reference":"Practitioner/1724718682615957000.8733f581-d371-4a64-9227-255661476b01"},"organization":{"reference":"Organization/1724718682617006000.dcdb69f9-437a-49df-a52a-4ad6a1f8cbfe"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682620116000.8ec721a6-e742-4fae-8144-b259fd0f98b1","resource":{"resourceType":"Observation","id":"1724718682620116000.8ec721a6-e742-4fae-8144-b259fd0f98b1","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-5-value-sn","extension":[{"url":"SN.1","valueString":"="},{"url":"SN.2","valueString":"2"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"SN"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"29254-0","display":"Linezolid [Susceptibility] by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"LZD","display":"LINEZOLID"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682620508000.0c8102fe-4958-46a1-a06f-e3e133f76e9a"},{"reference":"PractitionerRole/1724718682620653000.a12db298-05ca-4bed-b6d8-d193fcce5347"}],"interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"S","display":"Susceptible. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"S","display":"S"}]}]}},{"fullUrl":"Organization/1724718682620508000.0c8102fe-4958-46a1-a06f-e3e133f76e9a","resource":{"resourceType":"Organization","id":"1724718682620508000.0c8102fe-4958-46a1-a06f-e3e133f76e9a","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682621309000.204c016a-1027-4fc8-91ff-c012db826da0","resource":{"resourceType":"Practitioner","id":"1724718682621309000.204c016a-1027-4fc8-91ff-c012db826da0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682624293000.75181724-9cec-484c-b860-c6f9253dd7c6","resource":{"resourceType":"Organization","id":"1724718682624293000.75181724-9cec-484c-b860-c6f9253dd7c6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"S","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682620653000.a12db298-05ca-4bed-b6d8-d193fcce5347","resource":{"resourceType":"PractitionerRole","id":"1724718682620653000.a12db298-05ca-4bed-b6d8-d193fcce5347","practitioner":{"reference":"Practitioner/1724718682621309000.204c016a-1027-4fc8-91ff-c012db826da0"},"organization":{"reference":"Organization/1724718682624293000.75181724-9cec-484c-b860-c6f9253dd7c6"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682628385000.e4282163-0f6f-4f10-8e5d-d026fd8868e0","resource":{"resourceType":"Observation","id":"1724718682628385000.e4282163-0f6f-4f10-8e5d-d026fd8868e0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"ST"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"6933-6","display":"Streptomycin.high potency [Susceptibility] by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"STS","display":"STREPTOMYCIN SYNERGY SCREEN"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682628713000.f9320949-0e4f-4fdd-9000-a2f035ad2e21"},{"reference":"PractitionerRole/1724718682628850000.e0d519bf-3b67-46cc-a006-f0a962f9271b"}],"valueString":"SYN-S","interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"S","display":"Susceptible. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"S","display":"S"}]}]}},{"fullUrl":"Organization/1724718682628713000.f9320949-0e4f-4fdd-9000-a2f035ad2e21","resource":{"resourceType":"Organization","id":"1724718682628713000.f9320949-0e4f-4fdd-9000-a2f035ad2e21","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682629498000.0233a846-7b45-460e-a1e9-fed2880bc490","resource":{"resourceType":"Practitioner","id":"1724718682629498000.0233a846-7b45-460e-a1e9-fed2880bc490","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682630485000.95f2ce68-2f8d-405e-8b2c-cf0867f4e2bb","resource":{"resourceType":"Organization","id":"1724718682630485000.95f2ce68-2f8d-405e-8b2c-cf0867f4e2bb","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"S","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682628850000.e0d519bf-3b67-46cc-a006-f0a962f9271b","resource":{"resourceType":"PractitionerRole","id":"1724718682628850000.e0d519bf-3b67-46cc-a006-f0a962f9271b","practitioner":{"reference":"Practitioner/1724718682629498000.0233a846-7b45-460e-a1e9-fed2880bc490"},"organization":{"reference":"Organization/1724718682630485000.95f2ce68-2f8d-405e-8b2c-cf0867f4e2bb"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Observation/1724718682632701000.3d7fb195-1fe0-4088-b4d9-88f90bc57cd8","resource":{"resourceType":"Observation","id":"1724718682632701000.3d7fb195-1fe0-4088-b4d9-88f90bc57cd8","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id","valueString":"1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/analysis-date-time","valueDateTime":"2028-08-07T16:36:01-06:00","_valueDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-5-value-sn","extension":[{"url":"SN.1","valueString":">="},{"url":"SN.2","valueString":"32"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation","extension":[{"url":"OBX.2","valueId":"SN"},{"url":"OBX.6","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"UCUM"}],"system":"http://unitsofmeasure.org","version":"2.40","code":"ug/mL","display":"MicroGrams Per MilliLiter [Mass Concentration Units]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ug/mL","display":"ug/mL"}]}},{"url":"OBX.11","valueString":"P"}]}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code","valueCoding":{"system":"SNOMEDCT","code":"406604002","display":"Infection caused by vancomycin intermediate Staphylococcus aureus (disorder)"}}],"system":"http://loinc.org","version":"2.40","code":"19000-9","display":"Vancomycin [Susceptibility]"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VA","display":"VANCOMYCIN"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectiveDateTime":"2028-08-07T16:36:01-06:00","_effectiveDateTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"performer":[{"reference":"Organization/1724718682633033000.f04582d2-e0b1-4d7f-aaa0-3004c6f95dc2"},{"reference":"PractitionerRole/1724718682633182000.730ad183-0d9c-4351-a7f4-a99fd42e084c"}],"interpretation":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70078"}],"version":"2.5.1","code":"R","display":"Resistant. Indicates for microbiology susceptibilities only."},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"R","display":"R"}]}]}},{"fullUrl":"Organization/1724718682633033000.f04582d2-e0b1-4d7f-aaa0-3004c6f95dc2","resource":{"resourceType":"Organization","id":"1724718682633033000.f04582d2-e0b1-4d7f-aaa0-3004c6f95dc2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-organization","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LB"}],"code":"MCOE","display":"ROSE MEDICAL CENTER (MCOE)"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBX.15"}],"identifier":[{"system":"LB","value":"MCOE"}],"name":"ROSE MEDICAL CENTER (MCOE)"}},{"fullUrl":"Practitioner/1724718682633805000.b9effdf9-0c75-4ed1-9142-218fb3d516a0","resource":{"resourceType":"Practitioner","id":"1724718682633805000.b9effdf9-0c75-4ed1-9142-218fb3d516a0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Shalini"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"FI"}]},"system":"RML","value":"1033122247"}],"name":[{"use":"official","family":"Chahal","given":["Shalini"],"prefix":["Dr."],"suffix":["MD"]}]}},{"fullUrl":"Organization/1724718682634848000.f89b1cb3-20c0-4fd1-8e01-be8daacfb0c3","resource":{"resourceType":"Organization","id":"1724718682634848000.f89b1cb3-20c0-4fd1-8e01-be8daacfb0c3","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}}],"name":"ROSE MEDICAL CENTER (MCOE)","address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"4567 E. NINTH AVENUE"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["4567 E. NINTH AVENUE"],"city":"DENVER","district":"R","state":"IG","postalCode":"80220","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682633182000.730ad183-0d9c-4351-a7f4-a99fd42e084c","resource":{"resourceType":"PractitionerRole","id":"1724718682633182000.730ad183-0d9c-4351-a7f4-a99fd42e084c","practitioner":{"reference":"Practitioner/1724718682633805000.b9effdf9-0c75-4ed1-9142-218fb3d516a0"},"organization":{"reference":"Organization/1724718682634848000.f89b1cb3-20c0-4fd1-8e01-be8daacfb0c3"},"code":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0912","code":"MDIR"}]}]}},{"fullUrl":"Specimen/1724718682643278000.43b089df-acb6-4142-920b-faeb14886d7d","resource":{"resourceType":"Specimen","id":"1724718682643278000.43b089df-acb6-4142-920b-faeb14886d7d","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"OBR"}]}},{"fullUrl":"Specimen/1724718682643649000.d90cd113-f679-4331-bc6e-fce0af7fb7e2","resource":{"resourceType":"Specimen","id":"1724718682643649000.d90cd113-f679-4331-bc6e-fce0af7fb7e2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"OBR"}]}},{"fullUrl":"Specimen/1724718682644010000.35097c6b-78ef-4408-8c88-ec342c46bfc9","resource":{"resourceType":"Specimen","id":"1724718682644010000.35097c6b-78ef-4408-8c88-ec342c46bfc9","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"OBR"}]}},{"fullUrl":"Specimen/1724718682644393000.60bfd353-e961-4050-bc1f-7bb5fdd6aa92","resource":{"resourceType":"Specimen","id":"1724718682644393000.60bfd353-e961-4050-bc1f-7bb5fdd6aa92","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"OBR"}]}},{"fullUrl":"Specimen/1724718682644764000.e478ba9d-47e6-4583-bec8-025630867ea0","resource":{"resourceType":"Specimen","id":"1724718682644764000.e478ba9d-47e6-4583-bec8-025630867ea0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"OBR"}]}},{"fullUrl":"Specimen/1724718682647351000.7942eeaa-d3f8-46d8-b932-74db98e4095c","resource":{"resourceType":"Specimen","id":"1724718682647351000.7942eeaa-d3f8-46d8-b932-74db98e4095c","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"SPM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/spm-specimen","extension":[{"url":"SPM.26","valueString":"1"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.1"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/placer-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"09339017"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.2"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"M12776123"}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"119297000","display":"Blood specimen"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLD","display":"BLOOD"}]},"receivedTime":"2021-08-04T00:18:00-06:00","_receivedTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210804001800-0600"}]},"collection":{"collectedPeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"bodySite":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","code":"RA","display":"RIGHT ARM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"}],"code":"5.67"}]}},"container":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"display":"BACTEC AEROBIC PLUS"}]}}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"SPM.14"}],"text":"RA"}]}},{"fullUrl":"Specimen/1724718682649573000.c23282e6-f844-4632-bc43-f8c08e01065b","resource":{"resourceType":"Specimen","id":"1724718682649573000.c23282e6-f844-4632-bc43-f8c08e01065b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"SPM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/spm-specimen","extension":[{"url":"SPM.26","valueString":"3.0"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.1"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/placer-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"09339017"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.2"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"M12776123"}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"119297000","display":"Blood specimen"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLD","display":"BLOOD"}]},"receivedTime":"2021-08-04T00:18:00-06:00","_receivedTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210804001800-0600"}]},"collection":{"collectedPeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"bodySite":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","code":"RA","display":"RIGHT ARM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"}],"code":"5.67"}]}},"container":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"display":"BACTEC BLOOD CULTURE BOTTLES"}]}}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"SPM.14"}],"text":"RA"}]}},{"fullUrl":"Specimen/1724718682651490000.8e41b2d0-25fe-4914-8538-d509f5d2b1d5","resource":{"resourceType":"Specimen","id":"1724718682651490000.8e41b2d0-25fe-4914-8538-d509f5d2b1d5","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"SPM"}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.1"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/placer-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"09339017"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.2"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"M12776123"}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"119297000","display":"Blood specimen"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLD","display":"BLOOD"}]},"receivedTime":"2021-08-04T00:18:00-06:00","_receivedTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210804001800-0600"}]},"collection":{"collectedPeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"bodySite":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","code":"RA","display":"RIGHT ARM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"}],"code":"5.67"}]}},"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"SPM.14"}],"text":"RA"}]}},{"fullUrl":"Specimen/1724718682653723000.dfbbb2f4-081f-4606-a501-b6bca62fef61","resource":{"resourceType":"Specimen","id":"1724718682653723000.dfbbb2f4-081f-4606-a501-b6bca62fef61","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment","valueString":"SPM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/spm-specimen","extension":[{"url":"SPM.26","valueString":"3.0"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.1"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/placer-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"09339017"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Component","valueString":"SPM.2.2"}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"M12776123"}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"SCT"}],"system":"http://snomed.info/sct","version":"07/31/2012","code":"119303007","display":"Microbial isolate"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"ISLT","display":"ISOLATE"}]},"receivedTime":"2021-08-04T00:18:00-06:00","_receivedTime":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210804001800-0600"}]},"collection":{"collectedPeriod":{"start":"2028-08-08T09:28:05-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280808092805-0600"}]},"end":"2028-08-08T09:28:05-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280808092805-0600"}]}},"bodySite":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","code":"RA","display":"RIGHT ARM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"}],"code":"5.67"}]}},"container":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"display":"BACTEC BLOOD CULTURE BOTTLES"}]}}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"SPM.14"}],"text":"RA"}]}},{"fullUrl":"ServiceRequest/1724718682673344000.f4ef1885-2e78-4601-ae01-f87527fbdcac","resource":{"resourceType":"ServiceRequest","id":"1724718682673344000.f4ef1885-2e78-4601-ae01-f87527fbdcac","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueCode":"RE"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueString":"202808080928"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/orc-common-order","extension":[{"url":"ORC.6","valueString":"N"},{"url":"orc-21-ordering-facility-name","valueReference":{"reference":"Organization/1724718682666449000.5f97ab59-c603-4841-ac83-73ea1ffdebc6"}},{"url":"orc-22-ordering-facility-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}},{"url":"orc-24-ordering-provider-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}},{"url":"orc-12-ordering-provider","valueReference":{"reference":"Practitioner/1724718682668707000.9aef4da2-2e3a-4d4f-bbe4-5aeffc88d2bc"}},{"url":"ORC.15","valueString":"202108032350"},{"url":"ORC.17","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"TMCA, SOUTH CAMPUS"}]}}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request","extension":[{"url":"OBR.2","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"09339017"}},{"url":"OBR.3","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"21:AA:B0029251S.1"}},{"url":"OBR.21","valueString":"TMCA, SOUTH CAMPUS"},{"url":"OBR.22","valueString":"20210810062500-0600"},{"url":"OBR.25","valueId":"P"},{"url":"OBR.10","valueReference":{"reference":"Practitioner/1724718682670418000.0853d96c-9b9a-47b8-97da-0cde9ed8684e"}},{"url":"OBR.13","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SEPTIC SHOCK"}]}},{"url":"OBR.16","valueReference":{"reference":"Practitioner/1724718682671700000.183dbd57-f9e7-42da-9206-3075d127f2b6"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.17"}],"system":"phone","use":"work"}},{"url":"OBR.18","valueString":"21:AA:B0029251Sm12776123"},{"url":"OBR.19","valueString":"09339017"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.1"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"status":"unknown","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"requester":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.14"}],"system":"phone","use":"work"}}],"reference":"PractitionerRole/1724718682654658000.752bfa0c-1d3b-481a-ba85-322787f5cceb"},"reasonCode":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"}]}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"}]}},{"fullUrl":"Practitioner/1724718682656179000.80d58438-a367-464c-b45b-0bf505e28571","resource":{"resourceType":"Practitioner","id":"1724718682656179000.80d58438-a367-464c-b45b-0bf505e28571","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.12"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}]}},{"fullUrl":"Organization/1724718682658279000.1f1597bb-7b85-4c1f-b0f3-1132763e32bd","resource":{"resourceType":"Organization","id":"1724718682658279000.1f1597bb-7b85-4c1f-b0f3-1132763e32bd","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"6952653"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"6952653"}]}],"system":"phone","use":"work"}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682654658000.752bfa0c-1d3b-481a-ba85-322787f5cceb","resource":{"resourceType":"PractitionerRole","id":"1724718682654658000.752bfa0c-1d3b-481a-ba85-322787f5cceb","practitioner":{"reference":"Practitioner/1724718682656179000.80d58438-a367-464c-b45b-0bf505e28571"},"organization":{"reference":"Organization/1724718682658279000.1f1597bb-7b85-4c1f-b0f3-1132763e32bd"}}},{"fullUrl":"Organization/1724718682666449000.5f97ab59-c603-4841-ac83-73ea1ffdebc6","resource":{"resourceType":"Organization","id":"1724718682666449000.5f97ab59-c603-4841-ac83-73ea1ffdebc6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682668707000.9aef4da2-2e3a-4d4f-bbe4-5aeffc88d2bc","resource":{"resourceType":"Practitioner","id":"1724718682668707000.9aef4da2-2e3a-4d4f-bbe4-5aeffc88d2bc","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682670418000.0853d96c-9b9a-47b8-97da-0cde9ed8684e","resource":{"resourceType":"Practitioner","id":"1724718682670418000.0853d96c-9b9a-47b8-97da-0cde9ed8684e","identifier":[{"value":"ER"}]}},{"fullUrl":"Practitioner/1724718682671700000.183dbd57-f9e7-42da-9206-3075d127f2b6","resource":{"resourceType":"Practitioner","id":"1724718682671700000.183dbd57-f9e7-42da-9206-3075d127f2b6","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"ServiceRequest/1724718682691363000.427ceb8b-90a7-44be-9535-b237d7fc04fb","resource":{"resourceType":"ServiceRequest","id":"1724718682691363000.427ceb8b-90a7-44be-9535-b237d7fc04fb","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueCode":"RE"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueString":"202808080928"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/orc-common-order","extension":[{"url":"ORC.6","valueString":"N"},{"url":"orc-21-ordering-facility-name","valueReference":{"reference":"Organization/1724718682685657000.ff6530c6-8848-4d3f-b5bc-196de0de9618"}},{"url":"orc-22-ordering-facility-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}},{"url":"orc-24-ordering-provider-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}},{"url":"orc-12-ordering-provider","valueReference":{"reference":"Practitioner/1724718682687535000.1cab5a66-6258-4dd0-83ce-bb50e5de6ef9"}},{"url":"ORC.15","valueString":"202108032350"},{"url":"ORC.17","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"TMCA, SOUTH CAMPUS"}]}}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request","extension":[{"url":"OBR.2","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"09339017"}},{"url":"OBR.3","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"21:AA:B0029251S.2"}},{"url":"OBR.21","valueString":"TMCA, SOUTH CAMPUS"},{"url":"OBR.22","valueString":"20210810062500-0600"},{"url":"OBR.25","valueId":"P"},{"url":"OBR.10","valueReference":{"reference":"Practitioner/1724718682688911000.3fc41fd1-ce1b-4d03-b78f-47df9db21eb7"}},{"url":"OBR.13","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SEPTIC SHOCK"}]}},{"url":"OBR.16","valueReference":{"reference":"Practitioner/1724718682690173000.eac22d1f-51ed-4e2e-b51e-81e6fcb14cc0"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.17"}],"system":"phone","use":"work"}},{"url":"OBR.18","valueString":"21:AA:B0029251Sm12776123"},{"url":"OBR.19","valueString":"09339017"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.2"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"status":"unknown","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLOODC","display":"BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"requester":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.14"}],"system":"phone","use":"work"}}],"reference":"PractitionerRole/1724718682674640000.c04a4b93-a673-4496-adb8-ad02badbc9ec"},"reasonCode":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"}]}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"}]}},{"fullUrl":"Practitioner/1724718682677164000.11e24426-3f35-42d5-a8b4-17a86b02c8b0","resource":{"resourceType":"Practitioner","id":"1724718682677164000.11e24426-3f35-42d5-a8b4-17a86b02c8b0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.12"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}]}},{"fullUrl":"Organization/1724718682679742000.17157e48-47cd-4ef8-8a3c-f0e4dc848a3e","resource":{"resourceType":"Organization","id":"1724718682679742000.17157e48-47cd-4ef8-8a3c-f0e4dc848a3e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"6952653"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"6952653"}]}],"system":"phone","use":"work"}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682674640000.c04a4b93-a673-4496-adb8-ad02badbc9ec","resource":{"resourceType":"PractitionerRole","id":"1724718682674640000.c04a4b93-a673-4496-adb8-ad02badbc9ec","practitioner":{"reference":"Practitioner/1724718682677164000.11e24426-3f35-42d5-a8b4-17a86b02c8b0"},"organization":{"reference":"Organization/1724718682679742000.17157e48-47cd-4ef8-8a3c-f0e4dc848a3e"}}},{"fullUrl":"Organization/1724718682685657000.ff6530c6-8848-4d3f-b5bc-196de0de9618","resource":{"resourceType":"Organization","id":"1724718682685657000.ff6530c6-8848-4d3f-b5bc-196de0de9618","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682687535000.1cab5a66-6258-4dd0-83ce-bb50e5de6ef9","resource":{"resourceType":"Practitioner","id":"1724718682687535000.1cab5a66-6258-4dd0-83ce-bb50e5de6ef9","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682688911000.3fc41fd1-ce1b-4d03-b78f-47df9db21eb7","resource":{"resourceType":"Practitioner","id":"1724718682688911000.3fc41fd1-ce1b-4d03-b78f-47df9db21eb7","identifier":[{"value":"ER"}]}},{"fullUrl":"Practitioner/1724718682690173000.eac22d1f-51ed-4e2e-b51e-81e6fcb14cc0","resource":{"resourceType":"Practitioner","id":"1724718682690173000.eac22d1f-51ed-4e2e-b51e-81e6fcb14cc0","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"ServiceRequest/1724718682715119000.e095370c-3506-41a3-a653-a3a153dd9371","resource":{"resourceType":"ServiceRequest","id":"1724718682715119000.e095370c-3506-41a3-a653-a3a153dd9371","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueCode":"RE"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/business-event","valueString":"202808080928"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/orc-common-order","extension":[{"url":"ORC.6","valueString":"N"},{"url":"orc-21-ordering-facility-name","valueReference":{"reference":"Organization/1724718682708576000.8f6bc902-4f6f-4c51-b779-a8dd0b4130ae"}},{"url":"orc-22-ordering-facility-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}},{"url":"orc-24-ordering-provider-address","valueAddress":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}},{"url":"orc-12-ordering-provider","valueReference":{"reference":"Practitioner/1724718682710703000.c0a58f68-74c1-4b50-9dd8-dbb2eb25ba98"}},{"url":"ORC.15","valueString":"202108032350"},{"url":"ORC.17","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"TMCA, SOUTH CAMPUS"}]}}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request","extension":[{"url":"OBR.2","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"09339017"}},{"url":"OBR.3","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"value":"21:AA:B0029251S.3"}},{"url":"OBR.21","valueString":"TMCA, SOUTH CAMPUS"},{"url":"OBR.22","valueString":"20210810062500-0600"},{"url":"OBR.25","valueId":"P"},{"url":"OBR.10","valueReference":{"reference":"Practitioner/1724718682712290000.8c80787b-d8db-46de-8514-49c67707f225"}},{"url":"OBR.13","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SEPTIC SHOCK"}]}},{"url":"OBR.16","valueReference":{"reference":"Practitioner/1724718682713865000.d531accf-ff99-43f4-93c0-cef15efdd2f2"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.17"}],"system":"phone","use":"work"}},{"url":"OBR.18","valueString":"21:AA:B0029251Sm12776123"},{"url":"OBR.19","valueString":"09339017"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.3"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"status":"unknown","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"requester":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.14"}],"system":"phone","use":"work"}}],"reference":"PractitionerRole/1724718682692585000.47f8f888-4330-4e40-94f2-31533a16deb7"},"reasonCode":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"}]}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}]},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1539 by ELB.RM"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Critical result called to and read back by:CLAIRE HCE7362"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Critical result called to and read back by:CLAIRE HCE7362"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/nte-annotation","extension":[{"url":"NTE.2","valueId":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-comment","valueId":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"HL70364"}],"version":"2.5.1","code":"RE","display":"Remark"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"C","display":"Comment"}]}}],"text":"Location:ICUB on 08/08/21 at 1050 by ELB.SMX"}]}},{"fullUrl":"Practitioner/1724718682695648000.5d0e5f3c-86b2-4716-a160-c30085d69114","resource":{"resourceType":"Practitioner","id":"1724718682695648000.5d0e5f3c-86b2-4716-a160-c30085d69114","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.12"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"5600 S Quebec St #312A"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["5600 S Quebec St #312A"],"city":"Greenwood Village","district":"MD","state":"IG","postalCode":"80111","country":"USA"}]}},{"fullUrl":"Organization/1724718682698434000.ecf71059-5986-4eb4-b496-a263e907f60b","resource":{"resourceType":"Organization","id":"1724718682698434000.ecf71059-5986-4eb4-b496-a263e907f60b","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS","telecom":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"6952653"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"6952653"}]}],"system":"phone","use":"work"}],"address":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line","extension":[{"url":"SAD.1","valueString":"1501 S. POTOMAC"}]},{"url":"XAD.7","valueCode":"B"}]}],"use":"work","line":["1501 S. POTOMAC"],"city":"AURORA","district":"MD","state":"IG","postalCode":"80012","country":"USA"}]}},{"fullUrl":"PractitionerRole/1724718682692585000.47f8f888-4330-4e40-94f2-31533a16deb7","resource":{"resourceType":"PractitionerRole","id":"1724718682692585000.47f8f888-4330-4e40-94f2-31533a16deb7","practitioner":{"reference":"Practitioner/1724718682695648000.5d0e5f3c-86b2-4716-a160-c30085d69114"},"organization":{"reference":"Organization/1724718682698434000.ecf71059-5986-4eb4-b496-a263e907f60b"}}},{"fullUrl":"Organization/1724718682708576000.8f6bc902-4f6f-4c51-b779-a8dd0b4130ae","resource":{"resourceType":"Organization","id":"1724718682708576000.8f6bc902-4f6f-4c51-b779-a8dd0b4130ae","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/organization-name-type","valueCoding":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueCodeableConcept":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"XON.2"}],"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"L"}]}}],"code":"L"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xon-organization","extension":[{"url":"XON.10","valueString":"06D0055551"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"TMCA, SOUTH CAMPUS"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"XX"}]},"value":"06D0055551"}],"name":"TMCA, SOUTH CAMPUS"}},{"fullUrl":"Practitioner/1724718682710703000.c0a58f68-74c1-4b50-9dd8-dbb2eb25ba98","resource":{"resourceType":"Practitioner","id":"1724718682710703000.c0a58f68-74c1-4b50-9dd8-dbb2eb25ba98","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682712290000.8c80787b-d8db-46de-8514-49c67707f225","resource":{"resourceType":"Practitioner","id":"1724718682712290000.8c80787b-d8db-46de-8514-49c67707f225","identifier":[{"value":"ER"}]}},{"fullUrl":"Practitioner/1724718682713865000.d531accf-ff99-43f4-93c0-cef15efdd2f2","resource":{"resourceType":"Practitioner","id":"1724718682713865000.d531accf-ff99-43f4-93c0-cef15efdd2f2","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"ServiceRequest/1724718682728365000.8927096c-9010-4420-8830-48976b771380","resource":{"resourceType":"ServiceRequest","id":"1724718682728365000.8927096c-9010-4420-8830-48976b771380","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request","extension":[{"url":"OBR.21","valueString":"TMCA, SOUTH CAMPUS"},{"url":"OBR.22","valueString":"20210810062500-0600"},{"url":"OBR.25","valueId":"P"},{"url":"OBR.26","extension":[{"url":"prl-1-parent-observation-identifier","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}],"text":"EXTENDED BLOOD CULTURE"}},{"url":"prl-2-parent-observation-sub-identifier","valueString":"1"},{"url":"prl-3-parent-observation-descriptor","valueString":"ENTRAFVRE"}]},{"url":"OBR.29","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"21:AA:B0029251Sm12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]}}},{"url":"OBR.10","valueReference":{"reference":"Practitioner/1724718682725871000.2a998fe6-e172-4baa-974b-2dd917f5f6a8"}},{"url":"OBR.13","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SEPTIC SHOCK"}]}},{"url":"OBR.16","valueReference":{"reference":"Practitioner/1724718682727643000.23cc3fd4-5f6d-47e2-b9d0-7a28340d2caa"}},{"url":"OBR.18","valueString":"21:AA:B0029251Sm12776123"},{"url":"OBR.19","valueString":"09339017"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.4"}],"status":"unknown","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"50545-3","display":"Bacterial susceptibility panel by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MDAPTOE","display":"MIC DAPTOMYCIN E TEST"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"requester":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.17"}],"system":"phone","use":"work"}}],"reference":"Practitioner/1724718682719935000.fa20a174-f55c-4e40-a118-d769667434bf"},"reasonCode":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"}]}]}},{"fullUrl":"Practitioner/1724718682719935000.fa20a174-f55c-4e40-a118-d769667434bf","resource":{"resourceType":"Practitioner","id":"1724718682719935000.fa20a174-f55c-4e40-a118-d769667434bf","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.16"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682725871000.2a998fe6-e172-4baa-974b-2dd917f5f6a8","resource":{"resourceType":"Practitioner","id":"1724718682725871000.2a998fe6-e172-4baa-974b-2dd917f5f6a8","identifier":[{"value":"ER"}]}},{"fullUrl":"Practitioner/1724718682727643000.23cc3fd4-5f6d-47e2-b9d0-7a28340d2caa","resource":{"resourceType":"Practitioner","id":"1724718682727643000.23cc3fd4-5f6d-47e2-b9d0-7a28340d2caa","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"ServiceRequest/1724718682757128000.146aa9da-b934-4432-8bbc-00ce0c46c995","resource":{"resourceType":"ServiceRequest","id":"1724718682757128000.146aa9da-b934-4432-8bbc-00ce0c46c995","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/obr-observation-request","extension":[{"url":"OBR.21","valueString":"ROSE MEDICAL CENTER (MCOE)"},{"url":"OBR.22","valueString":"20210810062500-0600"},{"url":"OBR.25","valueId":"P"},{"url":"OBR.26","extension":[{"url":"prl-1-parent-observation-identifier","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}],"text":"EXTENDED BLOOD CULTURE"}},{"url":"prl-2-parent-observation-sub-identifier","valueString":"1"},{"url":"prl-3-parent-observation-descriptor","valueString":"ENTRAFVRE"}]},{"url":"OBR.29","valueIdentifier":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/filler-assigned-identifier","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/entity-identifier","valueString":"21:AA:B0029251Sm12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"RML"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueString":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]}}},{"url":"OBR.10","valueReference":{"reference":"Practitioner/1724718682755142000.5e6014cb-10b5-4f14-b927-89bb4163a3e0"}},{"url":"OBR.13","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"}],"code":"SEPTIC SHOCK"}]}},{"url":"OBR.16","valueReference":{"reference":"Practitioner/1724718682756529000.a40e0b31-e129-48e0-a91f-0039698b325e"}},{"url":"OBR.18","valueString":"21:AA:B0029251Sm12776123"},{"url":"OBR.19","valueString":"09339017"}]}],"identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.5"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.5"}],"status":"unknown","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VGP-75","display":"VITEK2 AST-GP75"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"requester":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/callback-number","valueContactPoint":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-country","valueString":"1"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-area","valueString":"303"},{"url":"http://hl7.org/fhir/StructureDefinition/contactpoint-local","valueString":"4362727"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point","extension":[{"url":"XTN.2","valueString":"WPN"},{"url":"XTN.3","valueString":"PH"},{"url":"XTN.7","valueString":"4362727"},{"url":"XTN.9","valueString":"Hospital Line"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.17"}],"system":"phone","use":"work"}}],"reference":"Practitioner/1724718682749258000.8437ce92-ab6b-4a6b-bcce-7ec81e7e3b14"},"reasonCode":[{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"I10"}],"system":"http://hl7.org/fhir/sid/icd-10-cm","version":"38","code":"R6521","display":"SEVERE SEPSIS WITH SEPTIC SHOCK"}]}]}},{"fullUrl":"Practitioner/1724718682749258000.8437ce92-ab6b-4a6b-bcce-7ec81e7e3b14","resource":{"resourceType":"Practitioner","id":"1724718682749258000.8437ce92-ab6b-4a6b-bcce-7ec81e7e3b14","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"OBR.16"}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"Practitioner/1724718682755142000.5e6014cb-10b5-4f14-b927-89bb4163a3e0","resource":{"resourceType":"Practitioner","id":"1724718682755142000.5e6014cb-10b5-4f14-b927-89bb4163a3e0","identifier":[{"value":"ER"}]}},{"fullUrl":"Practitioner/1724718682756529000.a40e0b31-e129-48e0-a91f-0039698b325e","resource":{"resourceType":"Practitioner","id":"1724718682756529000.a40e0b31-e129-48e0-a91f-0039698b325e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"NPI"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/xcn-practitioner","extension":[{"url":"XCN.3","valueString":"Christopher"},{"url":"XCN.4","valueString":"Beau"},{"url":"XCN.21","valueString":"MD"},{"url":"XCN.10","valueString":"L"}]}],"identifier":[{"type":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/codeable-concept-id","valueBoolean":true}],"code":"NPI"}]},"system":"NPI","value":"1871759365"}],"name":[{"use":"official","family":"Willison","given":["Christopher","Beau"],"suffix":["MD"]}]}},{"fullUrl":"DiagnosticReport/1724718682770913000.8de914cb-fa9b-4134-be9a-d24fa59c9cf4","resource":{"resourceType":"DiagnosticReport","id":"1724718682770913000.8de914cb-fa9b-4134-be9a-d24fa59c9cf4","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.1"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.1"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"basedOn":[{"reference":"ServiceRequest/1724718682673344000.f4ef1885-2e78-4601-ae01-f87527fbdcac"}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BCEXT","display":"EXTENDED BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectivePeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"issued":"2021-08-10T06:25:00-06:00","_issued":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]},"specimen":[{"reference":"Specimen/1724718682647351000.7942eeaa-d3f8-46d8-b932-74db98e4095c"},{"reference":"Specimen/1724718682643278000.43b089df-acb6-4142-920b-faeb14886d7d"}],"result":[{"reference":"Observation/1724718682400972000.0e9c2915-6240-4e33-a305-0ba3d95f5d94"},{"reference":"Observation/1724718682405783000.c39cc949-254b-4bc7-a5b6-419cf8be3cdb"},{"reference":"Observation/1724718682410518000.cf8696da-4f50-4304-87f9-1aab5b7ee02a"}]}},{"fullUrl":"DiagnosticReport/1724718682776510000.9357cd0b-bdd5-490b-8b36-43e25f51a7b9","resource":{"resourceType":"DiagnosticReport","id":"1724718682776510000.9357cd0b-bdd5-490b-8b36-43e25f51a7b9","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.2"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"basedOn":[{"reference":"ServiceRequest/1724718682691363000.427ceb8b-90a7-44be-9535-b237d7fc04fb"}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"600-7","display":"Bacteria identified in Blood by Culture"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"BLOODC","display":"BLOOD CULTURE"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectivePeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"issued":"2021-08-10T06:25:00-06:00","_issued":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]},"specimen":[{"reference":"Specimen/1724718682649573000.c23282e6-f844-4632-bc43-f8c08e01065b"},{"reference":"Specimen/1724718682643649000.d90cd113-f679-4331-bc6e-fce0af7fb7e2"}],"result":[{"reference":"Observation/1724718682421976000.f628aad4-67c1-4122-b166-8286a00767e9"},{"reference":"Observation/1724718682426473000.d0dfa5e6-14a5-4ee2-83fe-458ce019a74c"},{"reference":"Observation/1724718682431979000.9896e8a2-b542-4d03-9d71-d42333b17f33"},{"reference":"Observation/1724718682459663000.42ad8287-cbcb-4a36-984f-043f4c7a914c"},{"reference":"Observation/1724718682466338000.759be8af-ca5f-464b-b07c-391ffab2dc62"},{"reference":"Observation/1724718682478049000.1cb6fb06-1663-4a83-8122-0d2d85c5b33c"},{"reference":"Observation/1724718682495568000.341175c4-e1bb-4b24-b588-de898a66ba9b"}]}},{"fullUrl":"DiagnosticReport/1724718682779595000.db9d25f0-aaa1-43e2-9061-54ce099eb891","resource":{"resourceType":"DiagnosticReport","id":"1724718682779595000.db9d25f0-aaa1-43e2-9061-54ce099eb891","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field","valueString":"ORC.2"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PLAC"}]},"value":"09339017"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.3"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.3"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"}]},"value":"21:AA:B0029251S"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id","valueString":"2.16.840.1.114222.4.1.144"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FGN"}]},"value":"21:AA:B0029251S"}],"basedOn":[{"reference":"ServiceRequest/1724718682715119000.e095370c-3506-41a3-a653-a3a153dd9371"}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"77202-0","display":"Laboratory comment [Text] in Report Narrative"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VERGPCOM","display":"COMMENT"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectivePeriod":{"start":"2028-08-02T02:52:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]},"end":"2028-08-02T02:52:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280802025201-0600"}]}},"issued":"2021-08-10T06:25:00-06:00","_issued":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]},"specimen":[{"reference":"Specimen/1724718682651490000.8e41b2d0-25fe-4914-8538-d509f5d2b1d5"},{"reference":"Specimen/1724718682644010000.35097c6b-78ef-4408-8c88-ec342c46bfc9"}],"result":[{"reference":"Observation/1724718682518531000.39103fe3-5e1d-44c5-bbc8-bcd3fef600c3"},{"reference":"Observation/1724718682522593000.785b9143-38b3-4a6e-8c9d-e7d070bfdf69"},{"reference":"Observation/1724718682534272000.963f2b56-c6b9-4b10-b075-11047c7bb515"},{"reference":"Observation/1724718682544533000.0f6ae7ae-e8e9-4f12-90df-00492b67841c"},{"reference":"Observation/1724718682548811000.79fbc043-0956-4fff-ac17-ed9d57e4c68b"},{"reference":"Observation/1724718682553326000.d3de17b9-bec9-4d56-90c6-68ad61158ab6"},{"reference":"Observation/1724718682561650000.d40a180a-23cd-4909-a984-00adf18cf12b"},{"reference":"Observation/1724718682569708000.4cf7e9b9-fe86-4676-ba71-b10197cbd3e1"},{"reference":"Observation/1724718682574556000.c486a5e4-1b9e-48ce-a678-c967cba67dba"},{"reference":"Observation/1724718682587767000.af924e91-9f4b-457c-b8db-f3c33f266f8a"}]}},{"fullUrl":"DiagnosticReport/1724718682781570000.fe74efdb-80df-465a-8822-efbc6bcaad2e","resource":{"resourceType":"DiagnosticReport","id":"1724718682781570000.fe74efdb-80df-465a-8822-efbc6bcaad2e","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.4"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.4"}],"basedOn":[{"reference":"ServiceRequest/1724718682728365000.8927096c-9010-4420-8830-48976b771380"}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"LN"}],"system":"http://loinc.org","version":"2.40","code":"50545-3","display":"Bacterial susceptibility panel by Minimum inhibitory concentration (MIC)"},{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"alt-coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"MDAPTOE","display":"MIC DAPTOMYCIN E TEST"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectivePeriod":{"start":"2028-08-07T16:36:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"end":"2028-08-07T16:36:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},"issued":"2021-08-10T06:25:00-06:00","_issued":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]},"specimen":[{"reference":"Specimen/1724718682644393000.60bfd353-e961-4050-bc1f-7bb5fdd6aa92"}],"result":[{"reference":"Observation/1724718682603937000.33ddd684-aa25-4abe-8908-8963e68f244b"}]}},{"fullUrl":"DiagnosticReport/1724718682782953000.b200bdd9-44d5-4096-819f-bda82aefea2d","resource":{"resourceType":"DiagnosticReport","id":"1724718682782953000.b200bdd9-44d5-4096-819f-bda82aefea2d","identifier":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/assigning-authority","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id","valueString":"M12776123.5"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type","valueCode":"ISO"}]}],"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"FILL"}]},"value":"21:AA:B0029251S.5"}],"basedOn":[{"reference":"ServiceRequest/1724718682757128000.146aa9da-b934-4432-8bbc-00ce0c46c995"}],"status":"preliminary","code":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding","valueString":"coding"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system","valueString":"L"}],"system":"https://terminology.hl7.org/CodeSystem-v2-0396.html#v2-0396-99zzzorL","version":"5.67","code":"VGP-75","display":"VITEK2 AST-GP75"}]},"subject":{"reference":"Patient/1724718682378486000.ae68767b-0d14-4863-a1ee-a41b6876e169"},"encounter":{"reference":"Encounter/1724718682397329000.189001a9-7a95-4230-aabd-754e89a4718e"},"effectivePeriod":{"start":"2028-08-07T16:36:01-06:00","_start":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]},"end":"2028-08-07T16:36:01-06:00","_end":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20280807163601-0600"}]}},"issued":"2021-08-10T06:25:00-06:00","_issued":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time","valueString":"20210810062500-0600"}]},"specimen":[{"reference":"Specimen/1724718682653723000.dfbbb2f4-081f-4606-a501-b6bca62fef61"},{"reference":"Specimen/1724718682644764000.e478ba9d-47e6-4583-bec8-025630867ea0"}],"result":[{"reference":"Observation/1724718682609163000.16b759e5-fc42-40fd-ac85-8f3ff4773ea5"},{"reference":"Observation/1724718682614572000.502a28e9-12f2-40fc-8a16-05cdba10761d"},{"reference":"Observation/1724718682620116000.8ec721a6-e742-4fae-8144-b259fd0f98b1"},{"reference":"Observation/1724718682628385000.e4282163-0f6f-4f10-8e5d-d026fd8868e0"},{"reference":"Observation/1724718682632701000.3d7fb195-1fe0-4088-b4d9-88f90bc57cd8"}]}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/1/2a06e367-e696-47fd-9ea3-418aef96dcec.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"afffb203-25a1-464b-9332-e1de6731cd03"},"type":"message","timestamp":"2024-12-27T17:37:24.926Z","entry":[{"fullUrl":"MessageHeader/a6f6fa6e-8745-4324-bb04-8c7babe70f6b","resource":{"resourceType":"MessageHeader","id":"a6f6fa6e-8745-4324-bb04-8c7babe70f6b","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"2ccf672"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-26T18:15:31Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"2ccf672","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/22f1232a-e2d6-4e73-a8ed-b7cc20e3e12d"},{"reference":"DiagnosticReport/afffb203-25a1-464b-9332-e1de6731cd03"}]}},{"fullUrl":"Provenance/22f1232a-e2d6-4e73-a8ed-b7cc20e3e12d","resource":{"resourceType":"Provenance","id":"22f1232a-e2d6-4e73-a8ed-b7cc20e3e12d","recorded":"2024-12-27T17:37:24.926Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/afffb203-25a1-464b-9332-e1de6731cd03","resource":{"resourceType":"DiagnosticReport","id":"afffb203-25a1-464b-9332-e1de6731cd03","identifier":[{"value":"afffb203-25a1-464b-9332-e1de6731cd03"}],"basedOn":[{"reference":"ServiceRequest/a68332b7-d682-4bba-a78a-36e4ab7bc8f7"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-27T17:22:24+00:00","issued":"2024-12-27T17:37:24+00:00","specimen":[{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"}],"result":[{"reference":"Observation/7679b82f-9bd8-4357-a1e5-2c780df912de"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"1002-5"}],"text":"native"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Alma"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"}],"gender":"female","birthDate":"2001-10-09","address":[{"line":["19336 OH-327"],"city":"Ray","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"}],"address":[{"line":["285 E State St"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"country":"USA"}]}},{"fullUrl":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305","resource":{"resourceType":"Specimen","id":"73ef229e-8b1a-4090-9a4b-8952e3031305","identifier":[{"value":"eff48b30-ee1f-433f-b3ce-d6a64e84338a"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258529004"}],"text":"Throat swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-27T17:22:24+00:00","collection":{"collectedDateTime":"2024-12-27T17:22:24+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/a68332b7-d682-4bba-a78a-36e4ab7bc8f7","resource":{"resourceType":"ServiceRequest","id":"a68332b7-d682-4bba-a78a-36e4ab7bc8f7","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-27T17:37:24+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/0794d908-e922-49f0-9a95-a1ed4b71c0e5"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/ae0d24a2-ae2d-3664-8667-391a1966d388"},{"reference":"Observation/e15f2c23-90a7-3791-a6f8-90f685360621"}]}},{"fullUrl":"Device/27d64118-32fa-4482-9265-ada77183277a","resource":{"resourceType":"Device","id":"27d64118-32fa-4482-9265-ada77183277a","identifier":[{"value":"00811877010616"},{"type":{"coding":[{"code":"DII"}]}}],"manufacturer":"Abbott","deviceName":[{"name":"ID NOW","type":"model-name"}]}},{"fullUrl":"PractitionerRole/0794d908-e922-49f0-9a95-a1ed4b71c0e5","resource":{"resourceType":"PractitionerRole","id":"0794d908-e922-49f0-9a95-a1ed4b71c0e5","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/7679b82f-9bd8-4357-a1e5-2c780df912de","resource":{"resourceType":"Observation","id":"7679b82f-9bd8-4357-a1e5-2c780df912de","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T17:37:24.821Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"10811877011269"}}],"coding":[{"display":"ID NOW"}]},"specimen":{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"},"device":{"reference":"Device/27d64118-32fa-4482-9265-ada77183277a"}}},{"fullUrl":"Observation/ae0d24a2-ae2d-3664-8667-391a1966d388","resource":{"resourceType":"Observation","id":"ae0d24a2-ae2d-3664-8667-391a1966d388","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/e15f2c23-90a7-3791-a6f8-90f685360621","resource":{"resourceType":"Observation","id":"e15f2c23-90a7-3791-a6f8-90f685360621","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:55Z", + fileName: "shadow-migrations/single-entry/10/681692a6-af2c-4200-ab06-a52a3fc3bc23.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"28c9faba-f0ea-41fb-a11e-f3f037087d8c"},"type":"message","timestamp":"2025-01-01T00:03:37.802Z","entry":[{"fullUrl":"MessageHeader/63bef00c-b652-4652-9121-719a726fe456","resource":{"resourceType":"MessageHeader","id":"63bef00c-b652-4652-9121-719a726fe456","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/b85763ce-c797-4474-b7f5-5ed474efd219"},{"reference":"DiagnosticReport/28c9faba-f0ea-41fb-a11e-f3f037087d8c"}]}},{"fullUrl":"Provenance/b85763ce-c797-4474-b7f5-5ed474efd219","resource":{"resourceType":"Provenance","id":"b85763ce-c797-4474-b7f5-5ed474efd219","recorded":"2025-01-01T00:03:37.802Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/28c9faba-f0ea-41fb-a11e-f3f037087d8c","resource":{"resourceType":"DiagnosticReport","id":"28c9faba-f0ea-41fb-a11e-f3f037087d8c","identifier":[{"value":"28c9faba-f0ea-41fb-a11e-f3f037087d8c"}],"basedOn":[{"reference":"ServiceRequest/cc949864-9431-4444-9628-328ec1c9bda3"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:48:37+00:00","issued":"2025-01-01T00:03:37+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/473c7b53-eac5-4614-81f4-e2cb4da3c548"},{"reference":"Observation/4a8040b6-1dcc-44fa-9110-1d22f562cc5a"},{"reference":"Observation/1046000c-342d-41f0-b7f6-f583b7c00fd7"},{"reference":"Observation/3d1a2035-0850-4cc6-9dde-f69a5ff135ed"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2076-8"}],"text":"pacific"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"430","display":"Native Village of Kanatak"}],"text":"Native Village of Kanatak"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Sam","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"unknown","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"100c89e9-9f2b-48cd-9a17-a5b03a11b190"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:48:37+00:00","collection":{"collectedDateTime":"2024-12-31T23:48:37+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/cc949864-9431-4444-9628-328ec1c9bda3","resource":{"resourceType":"ServiceRequest","id":"cc949864-9431-4444-9628-328ec1c9bda3","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2025-01-01T00:03:37+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/52abe074-941f-4a03-8049-5d09b47bf700"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/a8c79303-758d-3459-a16d-0f00a180b84b"},{"reference":"Observation/328e4460-fb47-37d0-a137-963f07639c4b"},{"reference":"Observation/6bd9da92-ce60-3a57-81ff-f4c22e26ada3"},{"reference":"Observation/dfa4b667-eb8c-3ac0-a80f-d815ceb69d43"},{"reference":"Observation/fc99cb3d-2a31-324a-a4aa-9a3a9376b2a1"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/52abe074-941f-4a03-8049-5d09b47bf700","resource":{"resourceType":"PractitionerRole","id":"52abe074-941f-4a03-8049-5d09b47bf700","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/473c7b53-eac5-4614-81f4-e2cb4da3c548","resource":{"resourceType":"Observation","id":"473c7b53-eac5-4614-81f4-e2cb4da3c548","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:03:37.710Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/4a8040b6-1dcc-44fa-9110-1d22f562cc5a","resource":{"resourceType":"Observation","id":"4a8040b6-1dcc-44fa-9110-1d22f562cc5a","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:03:37.710Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/1046000c-342d-41f0-b7f6-f583b7c00fd7","resource":{"resourceType":"Observation","id":"1046000c-342d-41f0-b7f6-f583b7c00fd7","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:03:37.710Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/3d1a2035-0850-4cc6-9dde-f69a5ff135ed","resource":{"resourceType":"Observation","id":"3d1a2035-0850-4cc6-9dde-f69a5ff135ed","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:03:37.710Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/a8c79303-758d-3459-a16d-0f00a180b84b","resource":{"resourceType":"Observation","id":"a8c79303-758d-3459-a16d-0f00a180b84b","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/328e4460-fb47-37d0-a137-963f07639c4b","resource":{"resourceType":"Observation","id":"328e4460-fb47-37d0-a137-963f07639c4b","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/6bd9da92-ce60-3a57-81ff-f4c22e26ada3","resource":{"resourceType":"Observation","id":"6bd9da92-ce60-3a57-81ff-f4c22e26ada3","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/dfa4b667-eb8c-3ac0-a80f-d815ceb69d43","resource":{"resourceType":"Observation","id":"dfa4b667-eb8c-3ac0-a80f-d815ceb69d43","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/fc99cb3d-2a31-324a-a4aa-9a3a9376b2a1","resource":{"resourceType":"Observation","id":"fc99cb3d-2a31-324a-a4aa-9a3a9376b2a1","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/5.0.0/CodeSystem-data-absent-reason.html","code":"asked-declined","display":"Asked But Declined"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:55Z", + fileName: "shadow-migrations/single-entry/11/849d76ff-097e-4b51-a689-4b8add17eda4.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"9d46f969-e2a9-4a5e-9664-9a64ea598ac3"},"type":"message","timestamp":"2025-01-01T00:05:40.220Z","entry":[{"fullUrl":"MessageHeader/911bb3d8-99c6-47f9-b4c0-d729c6b9731b","resource":{"resourceType":"MessageHeader","id":"911bb3d8-99c6-47f9-b4c0-d729c6b9731b","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/db65e57d-9523-481b-b545-d65639e19ef3"},{"reference":"DiagnosticReport/9d46f969-e2a9-4a5e-9664-9a64ea598ac3"}]}},{"fullUrl":"Provenance/db65e57d-9523-481b-b545-d65639e19ef3","resource":{"resourceType":"Provenance","id":"db65e57d-9523-481b-b545-d65639e19ef3","recorded":"2025-01-01T00:05:40.220Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/9d46f969-e2a9-4a5e-9664-9a64ea598ac3","resource":{"resourceType":"DiagnosticReport","id":"9d46f969-e2a9-4a5e-9664-9a64ea598ac3","identifier":[{"value":"9d46f969-e2a9-4a5e-9664-9a64ea598ac3"}],"basedOn":[{"reference":"ServiceRequest/e5086828-a103-4ff4-bb60-3e6bf1eeac34"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:50:40+00:00","issued":"2025-01-01T00:05:40+00:00","specimen":[{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"}],"result":[{"reference":"Observation/07fceb6f-d7a1-418d-8f1b-006eb9422e50"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","code":"ASKU"}],"text":"refused"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"U","display":"unknown"}],"text":"unknown"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"477","display":"Newhalen Village"}],"text":"Newhalen Village"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Ava","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"female","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305","resource":{"resourceType":"Specimen","id":"73ef229e-8b1a-4090-9a4b-8952e3031305","identifier":[{"value":"53903a6b-ae70-4aa3-8ce5-1d1f5e0209bb"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258529004"}],"text":"Throat swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:50:40+00:00","collection":{"collectedDateTime":"2024-12-31T23:50:40+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/e5086828-a103-4ff4-bb60-3e6bf1eeac34","resource":{"resourceType":"ServiceRequest","id":"e5086828-a103-4ff4-bb60-3e6bf1eeac34","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2025-01-01T00:05:40+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/d227eb9b-6bfd-4eb6-a907-1e91e8b0df4e"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/77feb688-bd4c-437f-9aab-ed36b4caefc3"},{"reference":"Observation/7f2454f2-bb72-4df4-acef-ca0194de37b7"},{"reference":"Observation/8780c3aa-d6ae-4160-96b6-9aaf8e88624e"},{"reference":"Observation/9ca0304a-7e18-4bdc-8767-1e883547f97e"},{"reference":"Observation/2c559357-8074-46f4-a579-02f3d96a7f57"},{"reference":"Observation/829ae35f-7471-46b7-b4f1-7d12d471e942"},{"reference":"Observation/ff5efb93-39ff-45a8-9725-cb2b95458c98"},{"reference":"Observation/4bc0b3fd-6b3d-41cc-a146-8e32c6150e71"},{"reference":"Observation/39d5a9a2-d031-497c-96ec-e86c98508857"},{"reference":"Observation/7cf622d8-481d-4afb-b5bf-31e42d002a5e"},{"reference":"Observation/506794cb-e0d6-4bbe-a890-567f0b6a665f"},{"reference":"Observation/6d73a921-cef2-44e0-b7e1-e5986c8028a5"},{"reference":"Observation/af868f64-d7b7-4653-9919-c6132e3b506d"},{"reference":"Observation/270fe060-1919-4f32-93ff-48ad2ee5ebed"},{"reference":"Observation/c7f0684d-313b-4793-99df-6d2937e4d6c1"},{"reference":"Observation/259bff20-fd49-483d-9e9c-8216d66c1298"},{"reference":"Observation/7ceeed9f-ac58-471d-8ad7-79aca5118daa"},{"reference":"Observation/ba9f9abd-0fa4-427d-b962-2e6c637d1b43"},{"reference":"Observation/340d0bfc-7ceb-379b-90e6-b20bf5416cb8"},{"reference":"Observation/e40fc4b0-278b-3d4f-93d7-a860d0566305"},{"reference":"Observation/b79a99e8-df29-38b0-93aa-8d37e3c658a9"},{"reference":"Observation/ebbe8535-70fa-320c-9d76-b9360ef59ca3"},{"reference":"Observation/c9bf631e-dbfb-3437-a9ed-7f88c645e9e7"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/27d64118-32fa-4482-9265-ada77183277a","resource":{"resourceType":"Device","id":"27d64118-32fa-4482-9265-ada77183277a","identifier":[{"value":"00811877010616"},{"type":{"coding":[{"code":"DII"}]}}],"manufacturer":"Abbott","deviceName":[{"name":"ID NOW","type":"model-name"}]}},{"fullUrl":"PractitionerRole/d227eb9b-6bfd-4eb6-a907-1e91e8b0df4e","resource":{"resourceType":"PractitionerRole","id":"d227eb9b-6bfd-4eb6-a907-1e91e8b0df4e","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/07fceb6f-d7a1-418d-8f1b-006eb9422e50","resource":{"resourceType":"Observation","id":"07fceb6f-d7a1-418d-8f1b-006eb9422e50","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:05:40.187Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"10811877011269"}}],"coding":[{"display":"ID NOW"}]},"specimen":{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"},"device":{"reference":"Device/27d64118-32fa-4482-9265-ada77183277a"}}},{"fullUrl":"Observation/77feb688-bd4c-437f-9aab-ed36b4caefc3","resource":{"resourceType":"Observation","id":"77feb688-bd4c-437f-9aab-ed36b4caefc3","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"36955009","display":"New loss of taste"}]}}},{"fullUrl":"Observation/7f2454f2-bb72-4df4-acef-ca0194de37b7","resource":{"resourceType":"Observation","id":"7f2454f2-bb72-4df4-acef-ca0194de37b7","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"62315008","display":"Diarrhea"}]}}},{"fullUrl":"Observation/8780c3aa-d6ae-4160-96b6-9aaf8e88624e","resource":{"resourceType":"Observation","id":"8780c3aa-d6ae-4160-96b6-9aaf8e88624e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68962001","display":"Muscle or body aches"}]}}},{"fullUrl":"Observation/9ca0304a-7e18-4bdc-8767-1e883547f97e","resource":{"resourceType":"Observation","id":"9ca0304a-7e18-4bdc-8767-1e883547f97e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422400008","display":"Vomiting"}]}}},{"fullUrl":"Observation/2c559357-8074-46f4-a579-02f3d96a7f57","resource":{"resourceType":"Observation","id":"2c559357-8074-46f4-a579-02f3d96a7f57","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"64531003","display":"Runny nose"}]}}},{"fullUrl":"Observation/829ae35f-7471-46b7-b4f1-7d12d471e942","resource":{"resourceType":"Observation","id":"829ae35f-7471-46b7-b4f1-7d12d471e942","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68235000","display":"Nasal congestion"}]}}},{"fullUrl":"Observation/ff5efb93-39ff-45a8-9725-cb2b95458c98","resource":{"resourceType":"Observation","id":"ff5efb93-39ff-45a8-9725-cb2b95458c98","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/4bc0b3fd-6b3d-41cc-a146-8e32c6150e71","resource":{"resourceType":"Observation","id":"4bc0b3fd-6b3d-41cc-a146-8e32c6150e71","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"426000000","display":"Fever over 100.4F"}]}}},{"fullUrl":"Observation/39d5a9a2-d031-497c-96ec-e86c98508857","resource":{"resourceType":"Observation","id":"39d5a9a2-d031-497c-96ec-e86c98508857","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"44169009","display":"New loss of smell"}]}}},{"fullUrl":"Observation/7cf622d8-481d-4afb-b5bf-31e42d002a5e","resource":{"resourceType":"Observation","id":"7cf622d8-481d-4afb-b5bf-31e42d002a5e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"230145002","display":"Difficulty breathing"}]}}},{"fullUrl":"Observation/506794cb-e0d6-4bbe-a890-567f0b6a665f","resource":{"resourceType":"Observation","id":"506794cb-e0d6-4bbe-a890-567f0b6a665f","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/6d73a921-cef2-44e0-b7e1-e5986c8028a5","resource":{"resourceType":"Observation","id":"6d73a921-cef2-44e0-b7e1-e5986c8028a5","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"261665006","display":"Other symptom not listed"}]}}},{"fullUrl":"Observation/af868f64-d7b7-4653-9919-c6132e3b506d","resource":{"resourceType":"Observation","id":"af868f64-d7b7-4653-9919-c6132e3b506d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/270fe060-1919-4f32-93ff-48ad2ee5ebed","resource":{"resourceType":"Observation","id":"270fe060-1919-4f32-93ff-48ad2ee5ebed","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/c7f0684d-313b-4793-99df-6d2937e4d6c1","resource":{"resourceType":"Observation","id":"c7f0684d-313b-4793-99df-6d2937e4d6c1","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/259bff20-fd49-483d-9e9c-8216d66c1298","resource":{"resourceType":"Observation","id":"259bff20-fd49-483d-9e9c-8216d66c1298","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"103001002","display":"Feeling feverish"}]}}},{"fullUrl":"Observation/7ceeed9f-ac58-471d-8ad7-79aca5118daa","resource":{"resourceType":"Observation","id":"7ceeed9f-ac58-471d-8ad7-79aca5118daa","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"267036007","display":"Shortness of breath"}]}}},{"fullUrl":"Observation/ba9f9abd-0fa4-427d-b962-2e6c637d1b43","resource":{"resourceType":"Observation","id":"ba9f9abd-0fa4-427d-b962-2e6c637d1b43","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"162397003","display":"Sore throat"}]}}},{"fullUrl":"Observation/340d0bfc-7ceb-379b-90e6-b20bf5416cb8","resource":{"resourceType":"Observation","id":"340d0bfc-7ceb-379b-90e6-b20bf5416cb8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/e40fc4b0-278b-3d4f-93d7-a860d0566305","resource":{"resourceType":"Observation","id":"e40fc4b0-278b-3d4f-93d7-a860d0566305","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueDateTime":"2024-12-23"}},{"fullUrl":"Observation/b79a99e8-df29-38b0-93aa-8d37e3c658a9","resource":{"resourceType":"Observation","id":"b79a99e8-df29-38b0-93aa-8d37e3c658a9","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/ebbe8535-70fa-320c-9d76-b9360ef59ca3","resource":{"resourceType":"Observation","id":"ebbe8535-70fa-320c-9d76-b9360ef59ca3","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/c9bf631e-dbfb-3437-a9ed-7f88c645e9e7","resource":{"resourceType":"Observation","id":"c9bf631e-dbfb-3437-a9ed-7f88c645e9e7","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:53Z", + fileName: "shadow-migrations/single-entry/12/da3722d5-1a7b-4df8-b74f-12f96e2cb457.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"1d7646ee-a25e-4bbf-9d7a-1ea785cf6312"},"type":"message","timestamp":"2025-01-01T00:22:36.564Z","entry":[{"fullUrl":"MessageHeader/25be6de8-c2f0-4d8e-878f-1db97a36060a","resource":{"resourceType":"MessageHeader","id":"25be6de8-c2f0-4d8e-878f-1db97a36060a","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/6bd37a04-019d-48c8-b556-779cf6dfd6d8"},{"reference":"DiagnosticReport/1d7646ee-a25e-4bbf-9d7a-1ea785cf6312"}]}},{"fullUrl":"Provenance/6bd37a04-019d-48c8-b556-779cf6dfd6d8","resource":{"resourceType":"Provenance","id":"6bd37a04-019d-48c8-b556-779cf6dfd6d8","recorded":"2025-01-01T00:22:36.564Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/1d7646ee-a25e-4bbf-9d7a-1ea785cf6312","resource":{"resourceType":"DiagnosticReport","id":"1d7646ee-a25e-4bbf-9d7a-1ea785cf6312","identifier":[{"value":"1d7646ee-a25e-4bbf-9d7a-1ea785cf6312"}],"basedOn":[{"reference":"ServiceRequest/d1c94b3d-7dbd-434d-b03a-1a4f1be02c28"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"effectiveDateTime":"2025-01-01T00:07:36+00:00","issued":"2025-01-01T00:22:36+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/041c13f9-cabe-48d7-9d46-b9cc560ce229"},{"reference":"Observation/6a79f52c-3c2a-4700-927e-e906e55b153a"},{"reference":"Observation/5062bd92-9af5-457a-83f6-709f8cd8a47f"},{"reference":"Observation/868556b8-1d2f-4417-85d4-4b453da5d296"}]}},{"fullUrl":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb","resource":{"resourceType":"Patient","id":"0731d47a-6976-464c-af70-ca04ca7636cb","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2131-1"}],"text":"other"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"N","display":"Not Hispanic or Latino"}],"text":"Not Hispanic or Latino"}}],"identifier":[{"value":"0731d47a-6976-464c-af70-ca04ca7636cb"}],"name":[{"family":"Testing","given":["Riley"]}],"telecom":[{"system":"phone","value":"(330) 389 2890","use":"mobile"}],"gender":"unknown","birthDate":"2002-10-09","address":[{"line":["7721 Steam Corners Rd"],"city":"Lexington","district":"Morrow","state":"OH","postalCode":"44904-9417","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215-4354","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081-8970","country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"fe22e96d-ca1b-4405-8386-60314a385de8"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"receivedTime":"2025-01-01T00:07:36+00:00","collection":{"collectedDateTime":"2025-01-01T00:07:36+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/d1c94b3d-7dbd-434d-b03a-1a4f1be02c28","resource":{"resourceType":"ServiceRequest","id":"d1c94b3d-7dbd-434d-b03a-1a4f1be02c28","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2025-01-01T00:22:36+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"requester":{"reference":"PractitionerRole/1ae02ada-0844-4f6f-98f6-89dd47db9f59"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/98320dd9-f6c2-40c1-9a46-5700858135b2"},{"reference":"Observation/e41827eb-804f-4bbd-9259-f68bc5c77b13"},{"reference":"Observation/38c72f6d-7295-4ca9-8493-58d21c1b1c23"},{"reference":"Observation/e545c125-87a9-4823-8749-5ac003b52dfb"},{"reference":"Observation/2a973b88-582e-44af-867d-5e4929d6d193"},{"reference":"Observation/8d3770cf-404f-4250-9d29-15aa0e1b622e"},{"reference":"Observation/ca5dc818-1d56-49b9-a695-bac8c0a6c415"},{"reference":"Observation/38a1b9de-4b9a-4f70-bfce-f0235b990390"},{"reference":"Observation/a13f2a51-75f9-4451-9fb5-6ce5b7c7d3ac"},{"reference":"Observation/286cccf0-2cc7-4bd2-b4aa-824d95365e78"},{"reference":"Observation/044122fd-1208-4aab-86de-0c4e118587d8"},{"reference":"Observation/67900c3b-a499-4224-beda-c01fb8af90ad"},{"reference":"Observation/3ae80946-4d35-4f1b-8dfa-65e162015811"},{"reference":"Observation/c93b4add-e4ca-4d77-b892-17a77d3f1d83"},{"reference":"Observation/a23a3241-98f8-40a2-9e77-2dec44b46e15"},{"reference":"Observation/839cdf74-3dc7-4356-ae37-ce0555a81c02"},{"reference":"Observation/84cbd139-587b-4574-91fd-2fccef2637a3"},{"reference":"Observation/e22d1d08-8bb7-46e9-8187-2cac21d40c41"},{"reference":"Observation/b85a765c-9fb2-30c1-891d-056ea1ad7f3f"},{"reference":"Observation/19fac751-5bb1-3732-9d6c-43f5f685243d"},{"reference":"Observation/f0588787-0c12-37e0-8938-ecfd0c3dea0d"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/1ae02ada-0844-4f6f-98f6-89dd47db9f59","resource":{"resourceType":"PractitionerRole","id":"1ae02ada-0844-4f6f-98f6-89dd47db9f59","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/041c13f9-cabe-48d7-9d46-b9cc560ce229","resource":{"resourceType":"Observation","id":"041c13f9-cabe-48d7-9d46-b9cc560ce229","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"issued":"2025-01-01T00:22:36.502Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"455371000124106","display":"Invalid result"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/6a79f52c-3c2a-4700-927e-e906e55b153a","resource":{"resourceType":"Observation","id":"6a79f52c-3c2a-4700-927e-e906e55b153a","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"issued":"2025-01-01T00:22:36.502Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/5062bd92-9af5-457a-83f6-709f8cd8a47f","resource":{"resourceType":"Observation","id":"5062bd92-9af5-457a-83f6-709f8cd8a47f","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"issued":"2025-01-01T00:22:36.502Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/868556b8-1d2f-4417-85d4-4b453da5d296","resource":{"resourceType":"Observation","id":"868556b8-1d2f-4417-85d4-4b453da5d296","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"issued":"2025-01-01T00:22:36.502Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/98320dd9-f6c2-40c1-9a46-5700858135b2","resource":{"resourceType":"Observation","id":"98320dd9-f6c2-40c1-9a46-5700858135b2","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/e41827eb-804f-4bbd-9259-f68bc5c77b13","resource":{"resourceType":"Observation","id":"e41827eb-804f-4bbd-9259-f68bc5c77b13","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/38c72f6d-7295-4ca9-8493-58d21c1b1c23","resource":{"resourceType":"Observation","id":"38c72f6d-7295-4ca9-8493-58d21c1b1c23","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/e545c125-87a9-4823-8749-5ac003b52dfb","resource":{"resourceType":"Observation","id":"e545c125-87a9-4823-8749-5ac003b52dfb","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68962001","display":"Muscle or body aches"}]}}},{"fullUrl":"Observation/2a973b88-582e-44af-867d-5e4929d6d193","resource":{"resourceType":"Observation","id":"2a973b88-582e-44af-867d-5e4929d6d193","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"426000000","display":"Fever over 100.4F"}]}}},{"fullUrl":"Observation/8d3770cf-404f-4250-9d29-15aa0e1b622e","resource":{"resourceType":"Observation","id":"8d3770cf-404f-4250-9d29-15aa0e1b622e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"162397003","display":"Sore throat"}]}}},{"fullUrl":"Observation/ca5dc818-1d56-49b9-a695-bac8c0a6c415","resource":{"resourceType":"Observation","id":"ca5dc818-1d56-49b9-a695-bac8c0a6c415","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"261665006","display":"Other symptom not listed"}]}}},{"fullUrl":"Observation/38a1b9de-4b9a-4f70-bfce-f0235b990390","resource":{"resourceType":"Observation","id":"38a1b9de-4b9a-4f70-bfce-f0235b990390","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/a13f2a51-75f9-4451-9fb5-6ce5b7c7d3ac","resource":{"resourceType":"Observation","id":"a13f2a51-75f9-4451-9fb5-6ce5b7c7d3ac","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"103001002","display":"Feeling feverish"}]}}},{"fullUrl":"Observation/286cccf0-2cc7-4bd2-b4aa-824d95365e78","resource":{"resourceType":"Observation","id":"286cccf0-2cc7-4bd2-b4aa-824d95365e78","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"230145002","display":"Difficulty breathing"}]}}},{"fullUrl":"Observation/044122fd-1208-4aab-86de-0c4e118587d8","resource":{"resourceType":"Observation","id":"044122fd-1208-4aab-86de-0c4e118587d8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422400008","display":"Vomiting"}]}}},{"fullUrl":"Observation/67900c3b-a499-4224-beda-c01fb8af90ad","resource":{"resourceType":"Observation","id":"67900c3b-a499-4224-beda-c01fb8af90ad","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"62315008","display":"Diarrhea"}]}}},{"fullUrl":"Observation/3ae80946-4d35-4f1b-8dfa-65e162015811","resource":{"resourceType":"Observation","id":"3ae80946-4d35-4f1b-8dfa-65e162015811","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"36955009","display":"New loss of taste"}]}}},{"fullUrl":"Observation/c93b4add-e4ca-4d77-b892-17a77d3f1d83","resource":{"resourceType":"Observation","id":"c93b4add-e4ca-4d77-b892-17a77d3f1d83","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/a23a3241-98f8-40a2-9e77-2dec44b46e15","resource":{"resourceType":"Observation","id":"a23a3241-98f8-40a2-9e77-2dec44b46e15","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"267036007","display":"Shortness of breath"}]}}},{"fullUrl":"Observation/839cdf74-3dc7-4356-ae37-ce0555a81c02","resource":{"resourceType":"Observation","id":"839cdf74-3dc7-4356-ae37-ce0555a81c02","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"44169009","display":"New loss of smell"}]}}},{"fullUrl":"Observation/84cbd139-587b-4574-91fd-2fccef2637a3","resource":{"resourceType":"Observation","id":"84cbd139-587b-4574-91fd-2fccef2637a3","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68235000","display":"Nasal congestion"}]}}},{"fullUrl":"Observation/e22d1d08-8bb7-46e9-8187-2cac21d40c41","resource":{"resourceType":"Observation","id":"e22d1d08-8bb7-46e9-8187-2cac21d40c41","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"64531003","display":"Runny nose"}]}}},{"fullUrl":"Observation/b85a765c-9fb2-30c1-891d-056ea1ad7f3f","resource":{"resourceType":"Observation","id":"b85a765c-9fb2-30c1-891d-056ea1ad7f3f","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/19fac751-5bb1-3732-9d6c-43f5f685243d","resource":{"resourceType":"Observation","id":"19fac751-5bb1-3732-9d6c-43f5f685243d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueDateTime":"2024-12-28"}},{"fullUrl":"Observation/f0588787-0c12-37e0-8938-ecfd0c3dea0d","resource":{"resourceType":"Observation","id":"f0588787-0c12-37e0-8938-ecfd0c3dea0d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/0731d47a-6976-464c-af70-ca04ca7636cb"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/2/751272bd-ce83-48d5-9dbb-f77fdaa67098.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"a3aa48d7-9db9-48c8-b774-57bf91bb9412"},"type":"message","timestamp":"2024-12-27T17:55:53.671Z","entry":[{"fullUrl":"MessageHeader/a53af5b2-80a7-4b48-a5d0-f59187721713","resource":{"resourceType":"MessageHeader","id":"a53af5b2-80a7-4b48-a5d0-f59187721713","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"2ccf672"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-26T18:15:31Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"2ccf672","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/c75a194c-b598-43e9-a035-30b7534f5ff2"},{"reference":"DiagnosticReport/a3aa48d7-9db9-48c8-b774-57bf91bb9412"}]}},{"fullUrl":"Provenance/c75a194c-b598-43e9-a035-30b7534f5ff2","resource":{"resourceType":"Provenance","id":"c75a194c-b598-43e9-a035-30b7534f5ff2","recorded":"2024-12-27T17:55:53.671Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/a3aa48d7-9db9-48c8-b774-57bf91bb9412","resource":{"resourceType":"DiagnosticReport","id":"a3aa48d7-9db9-48c8-b774-57bf91bb9412","identifier":[{"value":"a3aa48d7-9db9-48c8-b774-57bf91bb9412"}],"basedOn":[{"reference":"ServiceRequest/a4c1a521-5b7b-4fce-935b-534f949a9778"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-27T17:40:53+00:00","issued":"2024-12-27T17:55:53+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/1c1a7a30-0fe6-43e4-ab02-8620c45e1aee"},{"reference":"Observation/183f105c-4542-4ea6-8f26-8f42c32f1f0e"},{"reference":"Observation/73224186-a158-4d94-a9de-fca34480beef"},{"reference":"Observation/67678d46-3c5d-456e-a4c0-1cb0aff7e33e"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2054-5"}],"text":"black"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"N","display":"Not Hispanic or Latino"}],"text":"Not Hispanic or Latino"}}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Alma"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"}],"gender":"female","birthDate":"2001-10-09","address":[{"line":["19336 OH-327"],"city":"Ray","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"}],"address":[{"line":["285 E State St"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"e2825063-854c-4608-9572-ae2a7917863b"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-27T17:40:53+00:00","collection":{"collectedDateTime":"2024-12-27T17:40:53+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/a4c1a521-5b7b-4fce-935b-534f949a9778","resource":{"resourceType":"ServiceRequest","id":"a4c1a521-5b7b-4fce-935b-534f949a9778","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-27T17:55:53+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/1380ee63-5512-440c-8bc5-f8029a685934"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/1c487ca9-13aa-3002-8a94-a6cfa382d35c"},{"reference":"Observation/7b7d4719-6d33-37a6-9d6f-2f4b3d125ec0"},{"reference":"Observation/cd5d4982-f0de-3c77-b2f1-1caf1c728e6a"},{"reference":"Observation/afc0f27f-8b46-38be-b456-59d613bd34a0"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/1380ee63-5512-440c-8bc5-f8029a685934","resource":{"resourceType":"PractitionerRole","id":"1380ee63-5512-440c-8bc5-f8029a685934","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/1c1a7a30-0fe6-43e4-ab02-8620c45e1aee","resource":{"resourceType":"Observation","id":"1c1a7a30-0fe6-43e4-ab02-8620c45e1aee","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T17:55:53.629Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/183f105c-4542-4ea6-8f26-8f42c32f1f0e","resource":{"resourceType":"Observation","id":"183f105c-4542-4ea6-8f26-8f42c32f1f0e","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T17:55:53.629Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/73224186-a158-4d94-a9de-fca34480beef","resource":{"resourceType":"Observation","id":"73224186-a158-4d94-a9de-fca34480beef","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T17:55:53.629Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/67678d46-3c5d-456e-a4c0-1cb0aff7e33e","resource":{"resourceType":"Observation","id":"67678d46-3c5d-456e-a4c0-1cb0aff7e33e","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T17:55:53.629Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/1c487ca9-13aa-3002-8a94-a6cfa382d35c","resource":{"resourceType":"Observation","id":"1c487ca9-13aa-3002-8a94-a6cfa382d35c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/7b7d4719-6d33-37a6-9d6f-2f4b3d125ec0","resource":{"resourceType":"Observation","id":"7b7d4719-6d33-37a6-9d6f-2f4b3d125ec0","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/cd5d4982-f0de-3c77-b2f1-1caf1c728e6a","resource":{"resourceType":"Observation","id":"cd5d4982-f0de-3c77-b2f1-1caf1c728e6a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/afc0f27f-8b46-38be-b456-59d613bd34a0","resource":{"resourceType":"Observation","id":"afc0f27f-8b46-38be-b456-59d613bd34a0","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/3/3fd24bb5-af2b-4fd8-8675-849359103fbf.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"f4fc4971-577b-4691-85f3-094a55a46ca2"},"type":"message","timestamp":"2024-12-27T18:01:08.884Z","entry":[{"fullUrl":"MessageHeader/f6f80823-c423-4ed6-bb99-bd31195fae76","resource":{"resourceType":"MessageHeader","id":"f6f80823-c423-4ed6-bb99-bd31195fae76","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"2ccf672"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-26T18:15:31Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"2ccf672","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/3a5e29e2-a482-4696-a96e-ca3779b71998"},{"reference":"DiagnosticReport/f4fc4971-577b-4691-85f3-094a55a46ca2"}]}},{"fullUrl":"Provenance/3a5e29e2-a482-4696-a96e-ca3779b71998","resource":{"resourceType":"Provenance","id":"3a5e29e2-a482-4696-a96e-ca3779b71998","recorded":"2024-12-27T18:01:08.884Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/f4fc4971-577b-4691-85f3-094a55a46ca2","resource":{"resourceType":"DiagnosticReport","id":"f4fc4971-577b-4691-85f3-094a55a46ca2","identifier":[{"value":"f4fc4971-577b-4691-85f3-094a55a46ca2"}],"basedOn":[{"reference":"ServiceRequest/3befcbbe-f684-449c-9830-05793d7e5070"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-27T17:46:08+00:00","issued":"2024-12-27T18:01:08+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/3c8f0fb7-c757-48ac-afea-02f34e2c3db1"},{"reference":"Observation/dbf0c842-52a5-450f-9abc-c651d20ae6af"},{"reference":"Observation/6737e837-894f-4ff2-8812-0ea09af5e47c"},{"reference":"Observation/ce668ce2-38be-4bba-96a6-54c120385da5"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2076-8"}],"text":"pacific"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"U","display":"unknown"}],"text":"unknown"}}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Alma"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"}],"gender":"unknown","birthDate":"2001-10-09","address":[{"line":["19336 OH-327"],"city":"Ray","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"}],"address":[{"line":["285 E State St"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"c5089579-7fd5-478b-b4d2-a0877f0425f8"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-27T17:46:08+00:00","collection":{"collectedDateTime":"2024-12-27T17:46:08+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/3befcbbe-f684-449c-9830-05793d7e5070","resource":{"resourceType":"ServiceRequest","id":"3befcbbe-f684-449c-9830-05793d7e5070","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-27T18:01:08+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/ad24cf1b-8168-4c9d-afac-e1f5d9ebbbd5"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/2217be70-b6b2-3b83-a4dd-155332b23d90"},{"reference":"Observation/aba43ba3-83cd-391f-a634-04d7a32d30ae"},{"reference":"Observation/63918596-eae7-3f09-b6df-bda583a7aa27"},{"reference":"Observation/b2b5ff3e-8ea6-36f5-8c34-9ad7011b14d4"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/ad24cf1b-8168-4c9d-afac-e1f5d9ebbbd5","resource":{"resourceType":"PractitionerRole","id":"ad24cf1b-8168-4c9d-afac-e1f5d9ebbbd5","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/3c8f0fb7-c757-48ac-afea-02f34e2c3db1","resource":{"resourceType":"Observation","id":"3c8f0fb7-c757-48ac-afea-02f34e2c3db1","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:01:08.811Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/dbf0c842-52a5-450f-9abc-c651d20ae6af","resource":{"resourceType":"Observation","id":"dbf0c842-52a5-450f-9abc-c651d20ae6af","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:01:08.811Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/6737e837-894f-4ff2-8812-0ea09af5e47c","resource":{"resourceType":"Observation","id":"6737e837-894f-4ff2-8812-0ea09af5e47c","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:01:08.811Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/ce668ce2-38be-4bba-96a6-54c120385da5","resource":{"resourceType":"Observation","id":"ce668ce2-38be-4bba-96a6-54c120385da5","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:01:08.811Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/2217be70-b6b2-3b83-a4dd-155332b23d90","resource":{"resourceType":"Observation","id":"2217be70-b6b2-3b83-a4dd-155332b23d90","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/aba43ba3-83cd-391f-a634-04d7a32d30ae","resource":{"resourceType":"Observation","id":"aba43ba3-83cd-391f-a634-04d7a32d30ae","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/63918596-eae7-3f09-b6df-bda583a7aa27","resource":{"resourceType":"Observation","id":"63918596-eae7-3f09-b6df-bda583a7aa27","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/b2b5ff3e-8ea6-36f5-8c34-9ad7011b14d4","resource":{"resourceType":"Observation","id":"b2b5ff3e-8ea6-36f5-8c34-9ad7011b14d4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/4/82854106-2ce4-4bd7-983b-cd9e472cb45e.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"2d67aa80-cd00-4734-9b0e-013e42cd26ba"},"type":"message","timestamp":"2024-12-27T18:22:02.917Z","entry":[{"fullUrl":"MessageHeader/456640a6-932a-4080-9c87-cc5e3a455416","resource":{"resourceType":"MessageHeader","id":"456640a6-932a-4080-9c87-cc5e3a455416","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"2ccf672"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-26T18:15:31Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"2ccf672","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/9af14992-6e04-4c56-9380-70aab227ddec"},{"reference":"DiagnosticReport/2d67aa80-cd00-4734-9b0e-013e42cd26ba"}]}},{"fullUrl":"Provenance/9af14992-6e04-4c56-9380-70aab227ddec","resource":{"resourceType":"Provenance","id":"9af14992-6e04-4c56-9380-70aab227ddec","recorded":"2024-12-27T18:22:02.917Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/2d67aa80-cd00-4734-9b0e-013e42cd26ba","resource":{"resourceType":"DiagnosticReport","id":"2d67aa80-cd00-4734-9b0e-013e42cd26ba","identifier":[{"value":"2d67aa80-cd00-4734-9b0e-013e42cd26ba"}],"basedOn":[{"reference":"ServiceRequest/453e4dff-c5ec-43be-a139-752a5ea66c44"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-27T18:07:02+00:00","issued":"2024-12-27T18:22:02+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/88958338-25cb-4a2d-b842-94a16f33cc53"},{"reference":"Observation/bb38f528-e5ad-4bbe-ae37-1b382b78beb7"},{"reference":"Observation/7d97cb7a-5039-46e7-b990-54fece393ac9"},{"reference":"Observation/64f6188e-0b73-4b52-ac6b-915e558d1050"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2106-3"}],"text":"white"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"U","display":"unknown"}],"text":"unknown"}}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Alma"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"}],"gender":"unknown","birthDate":"2001-10-09","address":[{"line":["19336 OH-327"],"city":"Ray","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"}],"address":[{"line":["285 E State St"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"f8f89663-dc60-4ded-afa8-3619d00d95da"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-27T18:07:02+00:00","collection":{"collectedDateTime":"2024-12-27T18:07:02+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/453e4dff-c5ec-43be-a139-752a5ea66c44","resource":{"resourceType":"ServiceRequest","id":"453e4dff-c5ec-43be-a139-752a5ea66c44","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-27T18:22:02+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/1c44a353-829e-4a8e-8e41-c82191f2c16e"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/e1335f8e-9394-479b-9e1e-53f0084ba32a"},{"reference":"Observation/e272e39f-55ce-4867-a27b-7ae1e204d65a"},{"reference":"Observation/45b5b8e6-5f57-413a-bb37-367a828f843b"},{"reference":"Observation/680fa6fb-94dc-4616-9db6-f0b2d549fbcf"},{"reference":"Observation/162a7199-159e-4ba6-b587-3475a3826182"},{"reference":"Observation/d1092a7a-587e-485f-9db6-da433da17b67"},{"reference":"Observation/627d6563-6f7d-4751-bf31-df2b0ae222d5"},{"reference":"Observation/26cb8d69-16ee-48ef-a51c-67d965ddd481"},{"reference":"Observation/6c0d929e-5aec-41dd-9f08-5826a93bb32a"},{"reference":"Observation/ad7e4552-928e-443d-a0b6-42b210cab2e1"},{"reference":"Observation/91c9cd15-b951-40f0-b826-15aaea93d466"},{"reference":"Observation/88c5bfab-9919-47e4-b173-97af8ee9866c"},{"reference":"Observation/f7a8a17c-ba65-4cfd-bef9-89adbc44621e"},{"reference":"Observation/171500fa-c7e2-44f1-9817-0b843903d58e"},{"reference":"Observation/a88646c9-64f7-47cb-8e18-816cd193cf84"},{"reference":"Observation/8d58d067-2618-47a2-93ff-35a043159029"},{"reference":"Observation/76cf505e-a011-4c93-b4ed-e7dce2aad940"},{"reference":"Observation/4e29559e-0b00-42f5-8098-697c5b95fde4"},{"reference":"Observation/7410dac2-9601-34e8-aab1-039490a37688"},{"reference":"Observation/ee484d6b-2c35-309e-8a6b-c056b0e6e7da"},{"reference":"Observation/2e6780f9-6acc-3375-baae-1bd745eb7999"},{"reference":"Observation/04c5b577-407e-359e-9935-9a7300690ef4"},{"reference":"Observation/cddff5f5-bd4e-3a42-83f6-0c007a52cac8"}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/1c44a353-829e-4a8e-8e41-c82191f2c16e","resource":{"resourceType":"PractitionerRole","id":"1c44a353-829e-4a8e-8e41-c82191f2c16e","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/88958338-25cb-4a2d-b842-94a16f33cc53","resource":{"resourceType":"Observation","id":"88958338-25cb-4a2d-b842-94a16f33cc53","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:22:02.845Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/bb38f528-e5ad-4bbe-ae37-1b382b78beb7","resource":{"resourceType":"Observation","id":"bb38f528-e5ad-4bbe-ae37-1b382b78beb7","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:22:02.845Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/7d97cb7a-5039-46e7-b990-54fece393ac9","resource":{"resourceType":"Observation","id":"7d97cb7a-5039-46e7-b990-54fece393ac9","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:22:02.845Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/64f6188e-0b73-4b52-ac6b-915e558d1050","resource":{"resourceType":"Observation","id":"64f6188e-0b73-4b52-ac6b-915e558d1050","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-27T18:22:02.845Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/e1335f8e-9394-479b-9e1e-53f0084ba32a","resource":{"resourceType":"Observation","id":"e1335f8e-9394-479b-9e1e-53f0084ba32a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"36955009","display":"New loss of taste"}]}}},{"fullUrl":"Observation/e272e39f-55ce-4867-a27b-7ae1e204d65a","resource":{"resourceType":"Observation","id":"e272e39f-55ce-4867-a27b-7ae1e204d65a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"103001002","display":"Feeling feverish"}]}}},{"fullUrl":"Observation/45b5b8e6-5f57-413a-bb37-367a828f843b","resource":{"resourceType":"Observation","id":"45b5b8e6-5f57-413a-bb37-367a828f843b","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/680fa6fb-94dc-4616-9db6-f0b2d549fbcf","resource":{"resourceType":"Observation","id":"680fa6fb-94dc-4616-9db6-f0b2d549fbcf","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"62315008","display":"Diarrhea"}]}}},{"fullUrl":"Observation/162a7199-159e-4ba6-b587-3475a3826182","resource":{"resourceType":"Observation","id":"162a7199-159e-4ba6-b587-3475a3826182","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"261665006","display":"Other symptom not listed"}]}}},{"fullUrl":"Observation/d1092a7a-587e-485f-9db6-da433da17b67","resource":{"resourceType":"Observation","id":"d1092a7a-587e-485f-9db6-da433da17b67","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/627d6563-6f7d-4751-bf31-df2b0ae222d5","resource":{"resourceType":"Observation","id":"627d6563-6f7d-4751-bf31-df2b0ae222d5","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"267036007","display":"Shortness of breath"}]}}},{"fullUrl":"Observation/26cb8d69-16ee-48ef-a51c-67d965ddd481","resource":{"resourceType":"Observation","id":"26cb8d69-16ee-48ef-a51c-67d965ddd481","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/6c0d929e-5aec-41dd-9f08-5826a93bb32a","resource":{"resourceType":"Observation","id":"6c0d929e-5aec-41dd-9f08-5826a93bb32a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"44169009","display":"New loss of smell"}]}}},{"fullUrl":"Observation/ad7e4552-928e-443d-a0b6-42b210cab2e1","resource":{"resourceType":"Observation","id":"ad7e4552-928e-443d-a0b6-42b210cab2e1","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/91c9cd15-b951-40f0-b826-15aaea93d466","resource":{"resourceType":"Observation","id":"91c9cd15-b951-40f0-b826-15aaea93d466","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"426000000","display":"Fever over 100.4F"}]}}},{"fullUrl":"Observation/88c5bfab-9919-47e4-b173-97af8ee9866c","resource":{"resourceType":"Observation","id":"88c5bfab-9919-47e4-b173-97af8ee9866c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"64531003","display":"Runny nose"}]}}},{"fullUrl":"Observation/f7a8a17c-ba65-4cfd-bef9-89adbc44621e","resource":{"resourceType":"Observation","id":"f7a8a17c-ba65-4cfd-bef9-89adbc44621e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68962001","display":"Muscle or body aches"}]}}},{"fullUrl":"Observation/171500fa-c7e2-44f1-9817-0b843903d58e","resource":{"resourceType":"Observation","id":"171500fa-c7e2-44f1-9817-0b843903d58e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422400008","display":"Vomiting"}]}}},{"fullUrl":"Observation/a88646c9-64f7-47cb-8e18-816cd193cf84","resource":{"resourceType":"Observation","id":"a88646c9-64f7-47cb-8e18-816cd193cf84","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68235000","display":"Nasal congestion"}]}}},{"fullUrl":"Observation/8d58d067-2618-47a2-93ff-35a043159029","resource":{"resourceType":"Observation","id":"8d58d067-2618-47a2-93ff-35a043159029","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"162397003","display":"Sore throat"}]}}},{"fullUrl":"Observation/76cf505e-a011-4c93-b4ed-e7dce2aad940","resource":{"resourceType":"Observation","id":"76cf505e-a011-4c93-b4ed-e7dce2aad940","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"230145002","display":"Difficulty breathing"}]}}},{"fullUrl":"Observation/4e29559e-0b00-42f5-8098-697c5b95fde4","resource":{"resourceType":"Observation","id":"4e29559e-0b00-42f5-8098-697c5b95fde4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/7410dac2-9601-34e8-aab1-039490a37688","resource":{"resourceType":"Observation","id":"7410dac2-9601-34e8-aab1-039490a37688","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/ee484d6b-2c35-309e-8a6b-c056b0e6e7da","resource":{"resourceType":"Observation","id":"ee484d6b-2c35-309e-8a6b-c056b0e6e7da","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueDateTime":"2024-12-23"}},{"fullUrl":"Observation/2e6780f9-6acc-3375-baae-1bd745eb7999","resource":{"resourceType":"Observation","id":"2e6780f9-6acc-3375-baae-1bd745eb7999","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/04c5b577-407e-359e-9935-9a7300690ef4","resource":{"resourceType":"Observation","id":"04c5b577-407e-359e-9935-9a7300690ef4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/cddff5f5-bd4e-3a42-83f6-0c007a52cac8","resource":{"resourceType":"Observation","id":"cddff5f5-bd4e-3a42-83f6-0c007a52cac8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/5/3827e346-fa11-4138-951b-84233570d365.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"5fa81f9a-6271-479d-8304-921d42008f03"},"type":"message","timestamp":"2025-01-01T00:12:00.898Z","entry":[{"fullUrl":"MessageHeader/f7beeb7b-be2a-4bbf-a224-7f4357ae116e","resource":{"resourceType":"MessageHeader","id":"f7beeb7b-be2a-4bbf-a224-7f4357ae116e","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/4c692713-633d-4860-85ff-03e9292fe10a"},{"reference":"DiagnosticReport/5fa81f9a-6271-479d-8304-921d42008f03"}]}},{"fullUrl":"Provenance/4c692713-633d-4860-85ff-03e9292fe10a","resource":{"resourceType":"Provenance","id":"4c692713-633d-4860-85ff-03e9292fe10a","recorded":"2025-01-01T00:12:00.898Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/5fa81f9a-6271-479d-8304-921d42008f03","resource":{"resourceType":"DiagnosticReport","id":"5fa81f9a-6271-479d-8304-921d42008f03","identifier":[{"value":"5fa81f9a-6271-479d-8304-921d42008f03"}],"basedOn":[{"reference":"ServiceRequest/b80d8f6e-206b-4bfe-ab53-2f0e981b4f64"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:57:00+00:00","issued":"2025-01-01T00:12:00+00:00","specimen":[{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"}],"result":[{"reference":"Observation/79133439-6c95-4f02-aff1-9dc0e65a2b8f"},{"reference":"Observation/ccbd4913-cbe4-493c-a127-3ddc34fafb11"},{"reference":"Observation/05f323bc-2806-4bed-9db4-16cc2989e016"},{"reference":"Observation/dbb58f95-3363-488b-87b4-99400887af35"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2131-1"}],"text":"other"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"U","display":"unknown"}],"text":"unknown"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"532","display":"Native Village of Shungnak"}],"text":"Native Village of Shungnak"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["John","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"male","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"}],"address":[{"line":["285 E State St"],"district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"country":"USA"}]}},{"fullUrl":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","resource":{"resourceType":"Specimen","id":"66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05","identifier":[{"value":"ab280397-185e-4460-bfba-50f19d0302ec"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"697989009"}],"text":"Anterior nares swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:57:00+00:00","collection":{"collectedDateTime":"2024-12-31T23:57:00+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/b80d8f6e-206b-4bfe-ab53-2f0e981b4f64","resource":{"resourceType":"ServiceRequest","id":"b80d8f6e-206b-4bfe-ab53-2f0e981b4f64","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2025-01-01T00:12:00+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/f8bd866d-db20-46c4-9624-d3301791ad6a"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/717ccd7b-ebb1-305e-855e-264b17c70236"},{"reference":"Observation/53de5a23-eeaf-324b-8d45-6d23bcc164c9"},{"reference":"Observation/364dcd7f-c971-3f03-b47e-6b3777ab5f02"},{"reference":"Observation/7cb715f5-8eb5-33c1-8b55-61d3a3918289"},{"reference":"Observation/14147d31-8c44-3eb9-8f7b-56f283a3e06a"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/f8bd866d-db20-46c4-9624-d3301791ad6a","resource":{"resourceType":"PractitionerRole","id":"f8bd866d-db20-46c4-9624-d3301791ad6a","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/79133439-6c95-4f02-aff1-9dc0e65a2b8f","resource":{"resourceType":"Observation","id":"79133439-6c95-4f02-aff1-9dc0e65a2b8f","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:12:00.789Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/ccbd4913-cbe4-493c-a127-3ddc34fafb11","resource":{"resourceType":"Observation","id":"ccbd4913-cbe4-493c-a127-3ddc34fafb11","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:12:00.789Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"455371000124106","display":"Invalid result"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/05f323bc-2806-4bed-9db4-16cc2989e016","resource":{"resourceType":"Observation","id":"05f323bc-2806-4bed-9db4-16cc2989e016","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:12:00.789Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"455371000124106","display":"Invalid result"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/dbb58f95-3363-488b-87b4-99400887af35","resource":{"resourceType":"Observation","id":"dbb58f95-3363-488b-87b4-99400887af35","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2025-01-01T00:12:00.789Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/66f0d890-8a9e-4d5c-8a6a-20bdf7f5da05"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/717ccd7b-ebb1-305e-855e-264b17c70236","resource":{"resourceType":"Observation","id":"717ccd7b-ebb1-305e-855e-264b17c70236","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/53de5a23-eeaf-324b-8d45-6d23bcc164c9","resource":{"resourceType":"Observation","id":"53de5a23-eeaf-324b-8d45-6d23bcc164c9","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"60001007","display":"Not pregnant"}]}}},{"fullUrl":"Observation/364dcd7f-c971-3f03-b47e-6b3777ab5f02","resource":{"resourceType":"Observation","id":"364dcd7f-c971-3f03-b47e-6b3777ab5f02","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/7cb715f5-8eb5-33c1-8b55-61d3a3918289","resource":{"resourceType":"Observation","id":"7cb715f5-8eb5-33c1-8b55-61d3a3918289","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/14147d31-8c44-3eb9-8f7b-56f283a3e06a","resource":{"resourceType":"Observation","id":"14147d31-8c44-3eb9-8f7b-56f283a3e06a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446151000124109","display":"Male gender identity"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:53Z", + fileName: "shadow-migrations/single-entry/6/b4caf478-adca-41a4-a9fe-2ca5b19421f2.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"869e3a73-8a13-49ad-83a9-9b28b13b79f5"},"type":"message","timestamp":"2024-12-31T23:50:04.786Z","entry":[{"fullUrl":"MessageHeader/52556a18-ce11-4281-9efb-92891dd85a18","resource":{"resourceType":"MessageHeader","id":"52556a18-ce11-4281-9efb-92891dd85a18","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/c2bf83bc-a81f-428e-8187-02aad26a06df"},{"reference":"DiagnosticReport/869e3a73-8a13-49ad-83a9-9b28b13b79f5"}]}},{"fullUrl":"Provenance/c2bf83bc-a81f-428e-8187-02aad26a06df","resource":{"resourceType":"Provenance","id":"c2bf83bc-a81f-428e-8187-02aad26a06df","recorded":"2024-12-31T23:50:04.786Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/869e3a73-8a13-49ad-83a9-9b28b13b79f5","resource":{"resourceType":"DiagnosticReport","id":"869e3a73-8a13-49ad-83a9-9b28b13b79f5","identifier":[{"value":"869e3a73-8a13-49ad-83a9-9b28b13b79f5"}],"basedOn":[{"reference":"ServiceRequest/0b6c760d-1760-4214-8c9a-f1fe583ab775"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:35:01+00:00","issued":"2024-12-31T23:50:04+00:00","specimen":[{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"}],"result":[{"reference":"Observation/5b9cacc3-ca51-4783-b13c-37a8db1949a4"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","code":"ASKU"}],"text":"refused"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"398","display":"Native Village of Ekwok"}],"text":"Native Village of Ekwok"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["John","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"male","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305","resource":{"resourceType":"Specimen","id":"73ef229e-8b1a-4090-9a4b-8952e3031305","identifier":[{"value":"9db9feed-7c6f-4d6b-a04c-60b12899932d"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258529004"}],"text":"Throat swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:35:01+00:00","collection":{"collectedDateTime":"2024-12-31T23:35:01+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/0b6c760d-1760-4214-8c9a-f1fe583ab775","resource":{"resourceType":"ServiceRequest","id":"0b6c760d-1760-4214-8c9a-f1fe583ab775","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-31T23:50:01+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/a1210ebe-4fc0-448f-95fb-9bdd514830c7"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/9dbe21ae-3784-36e9-a66f-804aabd2c2bf"},{"reference":"Observation/5cd73031-7ca9-34b9-a9fa-e79bc2b0f8a4"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/27d64118-32fa-4482-9265-ada77183277a","resource":{"resourceType":"Device","id":"27d64118-32fa-4482-9265-ada77183277a","identifier":[{"value":"00811877010616"},{"type":{"coding":[{"code":"DII"}]}}],"manufacturer":"Abbott","deviceName":[{"name":"ID NOW","type":"model-name"}]}},{"fullUrl":"PractitionerRole/a1210ebe-4fc0-448f-95fb-9bdd514830c7","resource":{"resourceType":"PractitionerRole","id":"a1210ebe-4fc0-448f-95fb-9bdd514830c7","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/5b9cacc3-ca51-4783-b13c-37a8db1949a4","resource":{"resourceType":"Observation","id":"5b9cacc3-ca51-4783-b13c-37a8db1949a4","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:50:01.517Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"10811877011269"}}],"coding":[{"display":"ID NOW"}]},"specimen":{"reference":"Specimen/73ef229e-8b1a-4090-9a4b-8952e3031305"},"device":{"reference":"Device/27d64118-32fa-4482-9265-ada77183277a"}}},{"fullUrl":"Observation/9dbe21ae-3784-36e9-a66f-804aabd2c2bf","resource":{"resourceType":"Observation","id":"9dbe21ae-3784-36e9-a66f-804aabd2c2bf","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/5cd73031-7ca9-34b9-a9fa-e79bc2b0f8a4","resource":{"resourceType":"Observation","id":"5cd73031-7ca9-34b9-a9fa-e79bc2b0f8a4","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:54Z", + fileName: "shadow-migrations/single-entry/7/755f16a4-7f02-481e-ac09-ec086c69c80e.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"ae183190-ec65-4edb-8d23-9daaed785fe6"},"type":"message","timestamp":"2024-12-31T23:52:22.159Z","entry":[{"fullUrl":"MessageHeader/8c75c2e7-dce8-4db7-bd64-fd73db114038","resource":{"resourceType":"MessageHeader","id":"8c75c2e7-dce8-4db7-bd64-fd73db114038","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/2810626c-c80e-4308-8bca-487acf0327c1"},{"reference":"DiagnosticReport/ae183190-ec65-4edb-8d23-9daaed785fe6"}]}},{"fullUrl":"Provenance/2810626c-c80e-4308-8bca-487acf0327c1","resource":{"resourceType":"Provenance","id":"2810626c-c80e-4308-8bca-487acf0327c1","recorded":"2024-12-31T23:52:22.159Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/ae183190-ec65-4edb-8d23-9daaed785fe6","resource":{"resourceType":"DiagnosticReport","id":"ae183190-ec65-4edb-8d23-9daaed785fe6","identifier":[{"value":"ae183190-ec65-4edb-8d23-9daaed785fe6"}],"basedOn":[{"reference":"ServiceRequest/67e7fe2a-9f28-4088-89fa-b352dc7611e7"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:37:22+00:00","issued":"2024-12-31T23:52:22+00:00","specimen":[{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"}],"result":[{"reference":"Observation/8a5175e5-65d3-45d5-a6bc-75b2be17ea29"},{"reference":"Observation/9e645560-7249-4dbf-b601-fb29e1e0b149"},{"reference":"Observation/9e8b59c2-3c8d-42c1-a8c5-400edcb12c2c"},{"reference":"Observation/71e4a590-46f9-4be6-8fda-bb98ce7d8860"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"1002-5"}],"text":"native"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"N","display":"Not Hispanic or Latino"}],"text":"Not Hispanic or Latino"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"405","display":"Native Village of Gakona"}],"text":"Native Village of Gakona"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["John","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"female","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","resource":{"resourceType":"Specimen","id":"dc7af370-fc07-4b00-abc7-9b5dd87cf4d2","identifier":[{"value":"4a79907d-3cf1-45ba-a717-1e19c8cd12a2"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"258500001"}],"text":"Nasopharyngeal swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:37:22+00:00","collection":{"collectedDateTime":"2024-12-31T23:37:22+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/67e7fe2a-9f28-4088-89fa-b352dc7611e7","resource":{"resourceType":"ServiceRequest","id":"67e7fe2a-9f28-4088-89fa-b352dc7611e7","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-31T23:52:22+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"95941-1"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/f2e6e71f-83cc-4344-9f81-9ff4968896ae"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/25d25c3e-b3d1-435d-9ac4-df6f7fe56162"},{"reference":"Observation/83019087-3557-4f92-99b2-b1a7604de01f"},{"reference":"Observation/f9f02758-113b-4b8e-a8df-3a57da6ace9c"},{"reference":"Observation/669a1c75-1d9a-4a92-8f46-b78d83f3745a"},{"reference":"Observation/bbc3e6d1-e7d4-40f4-bdb2-c8e6e1de358e"},{"reference":"Observation/552186bb-0eb0-4af5-88b6-63aceebcca80"},{"reference":"Observation/19e4503b-24e7-4240-9c6d-87f2b47bf830"},{"reference":"Observation/556672ff-7f5e-4701-a98b-9ed48f8e677b"},{"reference":"Observation/d166e027-bad9-45f2-beb7-64be51039141"},{"reference":"Observation/14b2ff8f-4dbe-4bf4-9f55-237a9775b900"},{"reference":"Observation/49b35ef2-eb03-42f4-ada0-181ec8f66f79"},{"reference":"Observation/5c5311b2-1119-4406-8d85-d7c983573cc9"},{"reference":"Observation/150085e7-3b06-43c1-8fcc-e6b981f64d05"},{"reference":"Observation/cbe836e9-f916-4448-83b7-6e896734a801"},{"reference":"Observation/13c094c4-3964-4e86-a449-d04261022e1d"},{"reference":"Observation/fc3ad661-9563-461b-8445-af680b492803"},{"reference":"Observation/46cb2f97-7bf5-48f9-a2e3-19e85c4f4eb6"},{"reference":"Observation/40eed0b2-2cf8-4666-944a-29bbb6a85539"},{"reference":"Observation/5f1b333a-b599-3a7f-948e-0d950794367c"},{"reference":"Observation/f7eb072e-cdb7-308d-89c8-094baf937ae0"},{"reference":"Observation/2eeeb463-b4ec-3362-a126-59ad35fb5420"},{"reference":"Observation/5d60ad50-5ea2-3c9b-86dc-4e8dd45fb55a"},{"reference":"Observation/02fcaae2-58b5-3880-bc1c-888cf11e004d"},{"reference":"Observation/59c43b30-6636-350b-b477-55e56471d298"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/0faca984-42a8-4c33-b9df-47df53a236a7","resource":{"resourceType":"Device","id":"0faca984-42a8-4c33-b9df-47df53a236a7","identifier":[{"type":{"coding":[{"code":"MNI"}]}}],"manufacturer":"NeuMoDx Molecular, Inc.","deviceName":[{"name":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay","type":"model-name"}]}},{"fullUrl":"PractitionerRole/f2e6e71f-83cc-4344-9f81-9ff4968896ae","resource":{"resourceType":"PractitionerRole","id":"f2e6e71f-83cc-4344-9f81-9ff4968896ae","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/8a5175e5-65d3-45d5-a6bc-75b2be17ea29","resource":{"resourceType":"Observation","id":"8a5175e5-65d3-45d5-a6bc-75b2be17ea29","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"97098-8"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:52:22.095Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/9e645560-7249-4dbf-b601-fb29e1e0b149","resource":{"resourceType":"Observation","id":"9e645560-7249-4dbf-b601-fb29e1e0b149","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"92131-2"}],"text":"RSV"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:52:22.095Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/9e8b59c2-3c8d-42c1-a8c5-400edcb12c2c","resource":{"resourceType":"Observation","id":"9e8b59c2-3c8d-42c1-a8c5-400edcb12c2c","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85478-6"}],"text":"Flu B"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:52:22.095Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/71e4a590-46f9-4be6-8fda-bb98ce7d8860","resource":{"resourceType":"Observation","id":"71e4a590-46f9-4be6-8fda-bb98ce7d8860","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"85477-8"}],"text":"Flu A"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:52:22.095Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260415000","display":"Not detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"N","display":"Normal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay_NeuMoDx Molecular, Inc."}}],"coding":[{"display":"NeuMoDx Flu A-B/RSV/SARS-CoV-2 Vantage Assay"}]},"specimen":{"reference":"Specimen/dc7af370-fc07-4b00-abc7-9b5dd87cf4d2"},"device":{"reference":"Device/0faca984-42a8-4c33-b9df-47df53a236a7"}}},{"fullUrl":"Observation/25d25c3e-b3d1-435d-9ac4-df6f7fe56162","resource":{"resourceType":"Observation","id":"25d25c3e-b3d1-435d-9ac4-df6f7fe56162","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"36955009","display":"New loss of taste"}]}}},{"fullUrl":"Observation/83019087-3557-4f92-99b2-b1a7604de01f","resource":{"resourceType":"Observation","id":"83019087-3557-4f92-99b2-b1a7604de01f","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"64531003","display":"Runny nose"}]}}},{"fullUrl":"Observation/f9f02758-113b-4b8e-a8df-3a57da6ace9c","resource":{"resourceType":"Observation","id":"f9f02758-113b-4b8e-a8df-3a57da6ace9c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/669a1c75-1d9a-4a92-8f46-b78d83f3745a","resource":{"resourceType":"Observation","id":"669a1c75-1d9a-4a92-8f46-b78d83f3745a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/bbc3e6d1-e7d4-40f4-bdb2-c8e6e1de358e","resource":{"resourceType":"Observation","id":"bbc3e6d1-e7d4-40f4-bdb2-c8e6e1de358e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"267036007","display":"Shortness of breath"}]}}},{"fullUrl":"Observation/552186bb-0eb0-4af5-88b6-63aceebcca80","resource":{"resourceType":"Observation","id":"552186bb-0eb0-4af5-88b6-63aceebcca80","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68235000","display":"Nasal congestion"}]}}},{"fullUrl":"Observation/19e4503b-24e7-4240-9c6d-87f2b47bf830","resource":{"resourceType":"Observation","id":"19e4503b-24e7-4240-9c6d-87f2b47bf830","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/556672ff-7f5e-4701-a98b-9ed48f8e677b","resource":{"resourceType":"Observation","id":"556672ff-7f5e-4701-a98b-9ed48f8e677b","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"103001002","display":"Feeling feverish"}]}}},{"fullUrl":"Observation/d166e027-bad9-45f2-beb7-64be51039141","resource":{"resourceType":"Observation","id":"d166e027-bad9-45f2-beb7-64be51039141","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"230145002","display":"Difficulty breathing"}]}}},{"fullUrl":"Observation/14b2ff8f-4dbe-4bf4-9f55-237a9775b900","resource":{"resourceType":"Observation","id":"14b2ff8f-4dbe-4bf4-9f55-237a9775b900","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"426000000","display":"Fever over 100.4F"}]}}},{"fullUrl":"Observation/49b35ef2-eb03-42f4-ada0-181ec8f66f79","resource":{"resourceType":"Observation","id":"49b35ef2-eb03-42f4-ada0-181ec8f66f79","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"261665006","display":"Other symptom not listed"}]}}},{"fullUrl":"Observation/5c5311b2-1119-4406-8d85-d7c983573cc9","resource":{"resourceType":"Observation","id":"5c5311b2-1119-4406-8d85-d7c983573cc9","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422400008","display":"Vomiting"}]}}},{"fullUrl":"Observation/150085e7-3b06-43c1-8fcc-e6b981f64d05","resource":{"resourceType":"Observation","id":"150085e7-3b06-43c1-8fcc-e6b981f64d05","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/cbe836e9-f916-4448-83b7-6e896734a801","resource":{"resourceType":"Observation","id":"cbe836e9-f916-4448-83b7-6e896734a801","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68962001","display":"Muscle or body aches"}]}}},{"fullUrl":"Observation/13c094c4-3964-4e86-a449-d04261022e1d","resource":{"resourceType":"Observation","id":"13c094c4-3964-4e86-a449-d04261022e1d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"62315008","display":"Diarrhea"}]}}},{"fullUrl":"Observation/fc3ad661-9563-461b-8445-af680b492803","resource":{"resourceType":"Observation","id":"fc3ad661-9563-461b-8445-af680b492803","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"162397003","display":"Sore throat"}]}}},{"fullUrl":"Observation/46cb2f97-7bf5-48f9-a2e3-19e85c4f4eb6","resource":{"resourceType":"Observation","id":"46cb2f97-7bf5-48f9-a2e3-19e85c4f4eb6","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"44169009","display":"New loss of smell"}]}}},{"fullUrl":"Observation/40eed0b2-2cf8-4666-944a-29bbb6a85539","resource":{"resourceType":"Observation","id":"40eed0b2-2cf8-4666-944a-29bbb6a85539","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/5f1b333a-b599-3a7f-948e-0d950794367c","resource":{"resourceType":"Observation","id":"5f1b333a-b599-3a7f-948e-0d950794367c","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/f7eb072e-cdb7-308d-89c8-094baf937ae0","resource":{"resourceType":"Observation","id":"f7eb072e-cdb7-308d-89c8-094baf937ae0","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueDateTime":"2024-12-27"}},{"fullUrl":"Observation/2eeeb463-b4ec-3362-a126-59ad35fb5420","resource":{"resourceType":"Observation","id":"2eeeb463-b4ec-3362-a126-59ad35fb5420","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/5d60ad50-5ea2-3c9b-86dc-4e8dd45fb55a","resource":{"resourceType":"Observation","id":"5d60ad50-5ea2-3c9b-86dc-4e8dd45fb55a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/02fcaae2-58b5-3880-bc1c-888cf11e004d","resource":{"resourceType":"Observation","id":"02fcaae2-58b5-3880-bc1c-888cf11e004d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/59c43b30-6636-350b-b477-55e56471d298","resource":{"resourceType":"Observation","id":"59c43b30-6636-350b-b477-55e56471d298","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446151000124109","display":"Male gender identity"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:55Z", + fileName: "shadow-migrations/single-entry/8/17536dd4-620b-43da-81ca-d299205b4f8a.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"c5b0e127-5a1b-4c27-9308-79008734e501"},"type":"message","timestamp":"2024-12-31T23:57:20.315Z","entry":[{"fullUrl":"MessageHeader/f101fc10-3996-4279-94d2-14889e1f0764","resource":{"resourceType":"MessageHeader","id":"f101fc10-3996-4279-94d2-14889e1f0764","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/d9015d0b-db19-4d25-a379-9ef84a043f51"},{"reference":"DiagnosticReport/c5b0e127-5a1b-4c27-9308-79008734e501"}]}},{"fullUrl":"Provenance/d9015d0b-db19-4d25-a379-9ef84a043f51","resource":{"resourceType":"Provenance","id":"d9015d0b-db19-4d25-a379-9ef84a043f51","recorded":"2024-12-31T23:57:20.315Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/c5b0e127-5a1b-4c27-9308-79008734e501","resource":{"resourceType":"DiagnosticReport","id":"c5b0e127-5a1b-4c27-9308-79008734e501","identifier":[{"value":"c5b0e127-5a1b-4c27-9308-79008734e501"}],"basedOn":[{"reference":"ServiceRequest/0b38755a-81b9-499d-8ec7-d962930aca0e"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:42:20+00:00","issued":"2024-12-31T23:57:20+00:00","specimen":[{"reference":"Specimen/f1d40984-a35c-49fc-b012-3f9962386e52"}],"result":[{"reference":"Observation/a0f424b1-c738-48f6-8c15-495646f64dd6"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2028-9"}],"text":"asian"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"N","display":"Not Hispanic or Latino"}],"text":"Not Hispanic or Latino"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"404","display":"Native Village of Fort Yukon"}],"text":"Native Village of Fort Yukon"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Sam","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"female","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/f1d40984-a35c-49fc-b012-3f9962386e52","resource":{"resourceType":"Specimen","id":"f1d40984-a35c-49fc-b012-3f9962386e52","identifier":[{"value":"0c464785-8ed8-463c-8a6a-312220911352"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"445297001"}],"text":"Swab of internal nose"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:42:20+00:00","collection":{"collectedDateTime":"2024-12-31T23:42:20+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/0b38755a-81b9-499d-8ec7-d962930aca0e","resource":{"resourceType":"ServiceRequest","id":"0b38755a-81b9-499d-8ec7-d962930aca0e","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-31T23:57:20+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/ee2bf16e-f09b-4dba-8bd1-493230588f8e"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/1c3f37a9-0faa-3d04-bc91-dc0378d2f22b"},{"reference":"Observation/ecb657e4-a82f-3e8b-8e2f-cf3bb887a7a0"},{"reference":"Observation/833fb1e6-b407-36e5-bf85-f80d2d491c1d"},{"reference":"Observation/732935ce-6577-303b-9af2-be102ded2eba"},{"reference":"Observation/15c4f692-9408-3b84-bda2-98dba2a66133"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/27d64118-32fa-4482-9265-ada77183277a","resource":{"resourceType":"Device","id":"27d64118-32fa-4482-9265-ada77183277a","identifier":[{"value":"00811877010616"},{"type":{"coding":[{"code":"DII"}]}}],"manufacturer":"Abbott","deviceName":[{"name":"ID NOW","type":"model-name"}]}},{"fullUrl":"PractitionerRole/ee2bf16e-f09b-4dba-8bd1-493230588f8e","resource":{"resourceType":"PractitionerRole","id":"ee2bf16e-f09b-4dba-8bd1-493230588f8e","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/a0f424b1-c738-48f6-8c15-495646f64dd6","resource":{"resourceType":"Observation","id":"a0f424b1-c738-48f6-8c15-495646f64dd6","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:57:20.221Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"10811877011269"}}],"coding":[{"display":"ID NOW"}]},"specimen":{"reference":"Specimen/f1d40984-a35c-49fc-b012-3f9962386e52"},"device":{"reference":"Device/27d64118-32fa-4482-9265-ada77183277a"}}},{"fullUrl":"Observation/1c3f37a9-0faa-3d04-bc91-dc0378d2f22b","resource":{"resourceType":"Observation","id":"1c3f37a9-0faa-3d04-bc91-dc0378d2f22b","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/ecb657e4-a82f-3e8b-8e2f-cf3bb887a7a0","resource":{"resourceType":"Observation","id":"ecb657e4-a82f-3e8b-8e2f-cf3bb887a7a0","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"82810-3","display":"Pregnancy status"}],"text":"Pregnancy status"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"77386006","display":"Pregnant"}]}}},{"fullUrl":"Observation/833fb1e6-b407-36e5-bf85-f80d2d491c1d","resource":{"resourceType":"Observation","id":"833fb1e6-b407-36e5-bf85-f80d2d491c1d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/732935ce-6577-303b-9af2-be102ded2eba","resource":{"resourceType":"Observation","id":"732935ce-6577-303b-9af2-be102ded2eba","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/15c4f692-9408-3b84-bda2-98dba2a66133","resource":{"resourceType":"Observation","id":"15c4f692-9408-3b84-bda2-98dba2a66133","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"446131000124102","display":"Non-binary gender identity"}]}}}]}', + }, + { + dateCreated: "2025-01-07T17:54:55Z", + fileName: "shadow-migrations/single-entry/9/bfd067fe-ee03-496d-addc-94ae88d5dcc7.fhir", + reportBody: + '{"resourceType":"Bundle","identifier":{"value":"7d2b4e89-0408-406d-9142-f4cb15808411"},"type":"message","timestamp":"2024-12-31T23:58:59.747Z","entry":[{"fullUrl":"MessageHeader/9a74a499-9fe3-4bf2-8bb4-83a159152829","resource":{"resourceType":"MessageHeader","id":"9a74a499-9fe3-4bf2-8bb4-83a159152829","meta":{"tag":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0103","code":"P","display":"Production"}]},"eventCoding":{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"},"destination":[{"name":"PRIME ReportStream","endpoint":"https://prime.cdc.gov/api/reports?option=SkipInvalidItems"}],"sender":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"},"source":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-binary-id","valueString":"1b0394a"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-install-date","valueInstant":"2024-12-31T22:36:13Z"},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/software-vendor-org","valueReference":{"reference":"Organization/07640c5d-87cd-488b-9343-a226c5166539"}}],"software":"PRIME SimpleReport","version":"1b0394a","endpoint":"https://simplereport.gov"},"focus":[{"reference":"Provenance/fb3311f8-bd25-40cb-8021-256f5d5aa3ed"},{"reference":"DiagnosticReport/7d2b4e89-0408-406d-9142-f4cb15808411"}]}},{"fullUrl":"Provenance/fb3311f8-bd25-40cb-8021-256f5d5aa3ed","resource":{"resourceType":"Provenance","id":"fb3311f8-bd25-40cb-8021-256f5d5aa3ed","recorded":"2024-12-31T23:58:59.747Z","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0003","code":"R01","display":"ORU/ACK - Unsolicited transmission of an observation message"}]},"agent":[{"who":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}]}},{"fullUrl":"DiagnosticReport/7d2b4e89-0408-406d-9142-f4cb15808411","resource":{"resourceType":"DiagnosticReport","id":"7d2b4e89-0408-406d-9142-f4cb15808411","identifier":[{"value":"7d2b4e89-0408-406d-9142-f4cb15808411"}],"basedOn":[{"reference":"ServiceRequest/14fb17fa-278c-48d2-8fd2-0df894b57e94"}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"effectiveDateTime":"2024-12-31T23:43:59+00:00","issued":"2024-12-31T23:58:59+00:00","specimen":[{"reference":"Specimen/baf09fcd-95d1-48d7-9b12-3f52d57d69f4"}],"result":[{"reference":"Observation/39973233-9f1f-4af1-92fa-5142ae2a030c"}]}},{"fullUrl":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7","resource":{"resourceType":"Patient","id":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7","extension":[{"url":"http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Race","code":"2054-5"}],"text":"black"}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0189","code":"H","display":"Hispanic or Latino"}],"text":"Hispanic or Latino"}},{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation","extension":[{"url":"tribalAffiliation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","code":"411","display":"Gulkana Village Council"}],"text":"Gulkana Village Council"}}]}],"identifier":[{"value":"c0d8eb6d-0a51-4ffa-830f-e82316f189b7"}],"name":[{"family":"Test","given":["Sam","Testing"]}],"telecom":[{"system":"phone","value":"(303) 234 1334","use":"mobile"},{"system":"phone","value":"(303) 234 2122","use":"mobile"},{"system":"email","value":"johnny@ohio.gov","use":"home"},{"system":"email","value":"jtest@ohio.gov","use":"home"}],"gender":"unknown","birthDate":"2001-10-09","address":[{"line":["19336 OH-327","Apt 5"],"city":"Ray","district":"Vinton","state":"OH","postalCode":"45672","country":"USA"}],"managingOrganization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908","resource":{"resourceType":"Organization","id":"5366baae-1fa3-470f-86e5-1b3c2bce0908","identifier":[{"use":"official","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0301","code":"CLIA"}]},"value":"12D0112200"}],"name":"Shadow Test Lab","telecom":[{"system":"phone","value":"(614) 239 3456","use":"work"},{"system":"email","value":"shadow@ohio.gov","use":"work"}],"address":[{"line":["285 E State St","Suite 201"],"city":"Columbus","district":"Franklin","state":"OH","postalCode":"43215","country":"USA"}]}},{"fullUrl":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133","resource":{"resourceType":"Practitioner","id":"75827f58-9c93-4294-9779-6cd34ad65133","name":[{"family":"Simpson","given":["Lisa","Jane"],"suffix":["Ms"]}],"telecom":[{"system":"phone","value":"(614) 235 1234","use":"work"}],"address":[{"line":["620 S Cleveland Ave","Suite 9"],"city":"Westerville","state":"OH","postalCode":"43081","country":"USA"}]}},{"fullUrl":"Specimen/baf09fcd-95d1-48d7-9b12-3f52d57d69f4","resource":{"resourceType":"Specimen","id":"baf09fcd-95d1-48d7-9b12-3f52d57d69f4","identifier":[{"value":"3368a8ba-5024-4ae8-8862-bc9c9da4e622"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"433801000124107"}],"text":"Nasopharyngeal and oropharyngeal swab"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"receivedTime":"2024-12-31T23:43:59+00:00","collection":{"collectedDateTime":"2024-12-31T23:43:59+00:00","bodySite":{"coding":[{"system":"http://snomed.info/sct","code":"87100004"}],"text":"Topography unknown (body structure)"}}}},{"fullUrl":"ServiceRequest/14fb17fa-278c-48d2-8fd2-0df894b57e94","resource":{"resourceType":"ServiceRequest","id":"14fb17fa-278c-48d2-8fd2-0df894b57e94","extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-control","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0119","code":"RE"}]}},{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/order-effective-date","valueDateTime":"2024-12-31T23:58:59+00:00"}],"status":"completed","intent":"order","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}]},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"requester":{"reference":"PractitionerRole/ec3c0fa3-9a98-4df4-8afa-0eca8dacd8f6"},"performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"supportingInfo":[{"reference":"Observation/b0cb0680-9343-4f3d-bd92-1c4d29b0a7a5"},{"reference":"Observation/55a3b5c1-e011-49e1-994e-2a6b43b4f31d"},{"reference":"Observation/50d280c5-4c40-4f97-a423-6ae84474afdc"},{"reference":"Observation/fc26ec6b-b186-4b9c-80f4-c4353fe61dd2"},{"reference":"Observation/9dd01fb0-724d-4add-b5c9-3e33268d8e9f"},{"reference":"Observation/c4a2d806-f21e-441f-b4c2-c792f95b37b1"},{"reference":"Observation/f9be0994-836f-4685-b233-73711c8ad016"},{"reference":"Observation/8dffb856-6546-4fbc-a5e8-853b905b6402"},{"reference":"Observation/6fa60e41-907f-40c3-9a0b-fbef0f66ce9a"},{"reference":"Observation/81665add-11d0-44df-bd6c-311551bfe8d8"},{"reference":"Observation/c10b9cbd-178f-40f7-9ef6-2a5ca1cff04a"},{"reference":"Observation/3b19f2e0-0386-4c91-b998-5fdf7b301e01"},{"reference":"Observation/40d4b900-8b2b-4bd1-bd3d-a3f020e524b8"},{"reference":"Observation/247c84ef-c494-4b55-9c74-e2cef9fb7178"},{"reference":"Observation/043e6457-195a-43e4-9373-c38d158484f8"},{"reference":"Observation/a959fe59-ae0a-4c06-8d41-f418326e7ad8"},{"reference":"Observation/c9c96999-63cf-4e3d-a185-c955677f5379"},{"reference":"Observation/251ebfa6-28db-46ac-8e37-3dc0f1d8093a"},{"reference":"Observation/76307f08-7eda-3e2d-9f0d-909da5557f19"},{"reference":"Observation/49d86ea4-d224-3c98-bee0-c5dfb93bbf14"},{"reference":"Observation/765e0378-31b2-3ea9-8cb3-db88f0b16468"},{"reference":"Observation/40ff2d41-2b1d-38f9-9351-a286bad6f3ef"},{"reference":"Observation/6ad389e8-c8a2-32f7-b9f7-1e6c9432496e"}],"note":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/note-type","valueCodeableConcept":{"coding":[{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/code-index-name","valueString":"identifier"}],"system":"HL70364","version":"2.5.1","code":"RE","display":"Remark"}]}}],"text":"This is a patient note."}]}},{"fullUrl":"Device/27d64118-32fa-4482-9265-ada77183277a","resource":{"resourceType":"Device","id":"27d64118-32fa-4482-9265-ada77183277a","identifier":[{"value":"00811877010616"},{"type":{"coding":[{"code":"DII"}]}}],"manufacturer":"Abbott","deviceName":[{"name":"ID NOW","type":"model-name"}]}},{"fullUrl":"PractitionerRole/ec3c0fa3-9a98-4df4-8afa-0eca8dacd8f6","resource":{"resourceType":"PractitionerRole","id":"ec3c0fa3-9a98-4df4-8afa-0eca8dacd8f6","practitioner":{"reference":"Practitioner/75827f58-9c93-4294-9779-6cd34ad65133"},"organization":{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}}},{"fullUrl":"Organization/07640c5d-87cd-488b-9343-a226c5166539","resource":{"resourceType":"Organization","id":"07640c5d-87cd-488b-9343-a226c5166539","name":"SimpleReport"}},{"fullUrl":"Observation/39973233-9f1f-4af1-92fa-5142ae2a030c","resource":{"resourceType":"Observation","id":"39973233-9f1f-4af1-92fa-5142ae2a030c","status":"final","code":{"coding":[{"system":"http://loinc.org","code":"94534-5"}],"text":"COVID-19"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"issued":"2024-12-31T23:58:59.700Z","performer":[{"reference":"Organization/5366baae-1fa3-470f-86e5-1b3c2bce0908"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"260373001","display":"Detected"}]},"interpretation":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0078","code":"A","display":"Abnormal"}]}],"method":{"extension":[{"url":"https://reportstream.cdc.gov/fhir/StructureDefinition/testkit-name-id","valueCoding":{"code":"10811877011269"}}],"coding":[{"display":"ID NOW"}]},"specimen":{"reference":"Specimen/baf09fcd-95d1-48d7-9b12-3f52d57d69f4"},"device":{"reference":"Device/27d64118-32fa-4482-9265-ada77183277a"}}},{"fullUrl":"Observation/b0cb0680-9343-4f3d-bd92-1c4d29b0a7a5","resource":{"resourceType":"Observation","id":"b0cb0680-9343-4f3d-bd92-1c4d29b0a7a5","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"25064002","display":"Headache"}]}}},{"fullUrl":"Observation/55a3b5c1-e011-49e1-994e-2a6b43b4f31d","resource":{"resourceType":"Observation","id":"55a3b5c1-e011-49e1-994e-2a6b43b4f31d","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"64531003","display":"Runny nose"}]}}},{"fullUrl":"Observation/50d280c5-4c40-4f97-a423-6ae84474afdc","resource":{"resourceType":"Observation","id":"50d280c5-4c40-4f97-a423-6ae84474afdc","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422400008","display":"Vomiting"}]}}},{"fullUrl":"Observation/fc26ec6b-b186-4b9c-80f4-c4353fe61dd2","resource":{"resourceType":"Observation","id":"fc26ec6b-b186-4b9c-80f4-c4353fe61dd2","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"44169009","display":"New loss of smell"}]}}},{"fullUrl":"Observation/9dd01fb0-724d-4add-b5c9-3e33268d8e9f","resource":{"resourceType":"Observation","id":"9dd01fb0-724d-4add-b5c9-3e33268d8e9f","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"267036007","display":"Shortness of breath"}]}}},{"fullUrl":"Observation/c4a2d806-f21e-441f-b4c2-c792f95b37b1","resource":{"resourceType":"Observation","id":"c4a2d806-f21e-441f-b4c2-c792f95b37b1","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"426000000","display":"Fever over 100.4F"}]}}},{"fullUrl":"Observation/f9be0994-836f-4685-b233-73711c8ad016","resource":{"resourceType":"Observation","id":"f9be0994-836f-4685-b233-73711c8ad016","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"261665006","display":"Other symptom not listed"}]}}},{"fullUrl":"Observation/8dffb856-6546-4fbc-a5e8-853b905b6402","resource":{"resourceType":"Observation","id":"8dffb856-6546-4fbc-a5e8-853b905b6402","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"230145002","display":"Difficulty breathing"}]}}},{"fullUrl":"Observation/6fa60e41-907f-40c3-9a0b-fbef0f66ce9a","resource":{"resourceType":"Observation","id":"6fa60e41-907f-40c3-9a0b-fbef0f66ce9a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68235000","display":"Nasal congestion"}]}}},{"fullUrl":"Observation/81665add-11d0-44df-bd6c-311551bfe8d8","resource":{"resourceType":"Observation","id":"81665add-11d0-44df-bd6c-311551bfe8d8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"422587007","display":"Nausea"}]}}},{"fullUrl":"Observation/c10b9cbd-178f-40f7-9ef6-2a5ca1cff04a","resource":{"resourceType":"Observation","id":"c10b9cbd-178f-40f7-9ef6-2a5ca1cff04a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"43724002","display":"Chills"}]}}},{"fullUrl":"Observation/3b19f2e0-0386-4c91-b998-5fdf7b301e01","resource":{"resourceType":"Observation","id":"3b19f2e0-0386-4c91-b998-5fdf7b301e01","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"62315008","display":"Diarrhea"}]}}},{"fullUrl":"Observation/40d4b900-8b2b-4bd1-bd3d-a3f020e524b8","resource":{"resourceType":"Observation","id":"40d4b900-8b2b-4bd1-bd3d-a3f020e524b8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"49727002","display":"Cough"}]}}},{"fullUrl":"Observation/247c84ef-c494-4b55-9c74-e2cef9fb7178","resource":{"resourceType":"Observation","id":"247c84ef-c494-4b55-9c74-e2cef9fb7178","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"68962001","display":"Muscle or body aches"}]}}},{"fullUrl":"Observation/043e6457-195a-43e4-9373-c38d158484f8","resource":{"resourceType":"Observation","id":"043e6457-195a-43e4-9373-c38d158484f8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"162397003","display":"Sore throat"}]}}},{"fullUrl":"Observation/a959fe59-ae0a-4c06-8d41-f418326e7ad8","resource":{"resourceType":"Observation","id":"a959fe59-ae0a-4c06-8d41-f418326e7ad8","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"103001002","display":"Feeling feverish"}]}}},{"fullUrl":"Observation/c9c96999-63cf-4e3d-a185-c955677f5379","resource":{"resourceType":"Observation","id":"c9c96999-63cf-4e3d-a185-c955677f5379","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"36955009","display":"New loss of taste"}]}}},{"fullUrl":"Observation/251ebfa6-28db-46ac-8e37-3dc0f1d8093a","resource":{"resourceType":"Observation","id":"251ebfa6-28db-46ac-8e37-3dc0f1d8093a","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"99582-9","display":"Symptom and timing panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"75325-1","display":"Symptom"}],"text":"Symptom"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"84229001","display":"Fatigue"}]}}},{"fullUrl":"Observation/76307f08-7eda-3e2d-9f0d-909da5557f19","resource":{"resourceType":"Observation","id":"76307f08-7eda-3e2d-9f0d-909da5557f19","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95419-8","display":"Has symptoms related to condition of interest"}],"text":"Has symptoms related to condition of interest"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/49d86ea4-d224-3c98-bee0-c5dfb93bbf14","resource":{"resourceType":"Observation","id":"49d86ea4-d224-3c98-bee0-c5dfb93bbf14","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"11368-8","display":"Illness or injury onset date and time"}],"text":"Illness or injury onset date and time"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueDateTime":"2024-12-23"}},{"fullUrl":"Observation/765e0378-31b2-3ea9-8cb3-db88f0b16468","resource":{"resourceType":"Observation","id":"765e0378-31b2-3ea9-8cb3-db88f0b16468","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95418-0","display":"Employed in a healthcare setting"}],"text":"Employed in a healthcare setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"Y","display":"Yes"}]}}},{"fullUrl":"Observation/40ff2d41-2b1d-38f9-9351-a286bad6f3ef","resource":{"resourceType":"Observation","id":"40ff2d41-2b1d-38f9-9351-a286bad6f3ef","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"95421-4","display":"Resides in a congregate care setting"}],"text":"Resides in a congregate care setting"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/ValueSet/v2-0136","code":"N","display":"No"}]}}},{"fullUrl":"Observation/6ad389e8-c8a2-32f7-b9f7-1e6c9432496e","resource":{"resourceType":"Observation","id":"6ad389e8-c8a2-32f7-b9f7-1e6c9432496e","identifier":[{"use":"official","type":{"coding":[{"system":"http://loinc.org","code":"81959-9","display":"Public health laboratory ask at order entry panel"}]}}],"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"76691-5","display":"Gender identity"}],"text":"Gender identity"},"subject":{"reference":"Patient/c0d8eb6d-0a51-4ffa-830f-e82316f189b7"},"valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","code":"UNK","display":"Non-binary gender identity"}]}}}]}', + }, +]; diff --git a/frontend-react/e2e/pages/authenticated/admin/organization-receiver-message-test.ts b/frontend-react/e2e/pages/authenticated/admin/organization-receiver-message-test.ts new file mode 100644 index 00000000000..98e84799047 --- /dev/null +++ b/frontend-react/e2e/pages/authenticated/admin/organization-receiver-message-test.ts @@ -0,0 +1,122 @@ +import type { Locator } from "@playwright/test"; +import language from "../../../../src/components/Admin/MessageTesting/language.json" assert { type: "json" }; +import { + errorMessageResult, + passMessageResult, +} from "../../../../src/components/Admin/MessageTesting/MessageTestingResult.fixtures"; +import { RSMessage } from "../../../../src/config/endpoints/reports"; +import { MOCK_GET_TEST_MESSAGES } from "../../../mocks/message-test"; +import { BasePage, BasePageTestArgs, type RouteHandlerFulfillEntry } from "../../BasePage"; + +/** + * Uses org ignore's FULL_ELR receiver + */ +export class OrganizationReceiverMessageTestPage extends BasePage { + static readonly API_REPORTS_TESTING = "/api/reports/testing"; + static readonly API_REPORTS_TEST = "/api/reports/testing/test?*"; + protected customI: number; + testMessages: RSMessage[]; + + readonly expectedStatusSuccess = new RegExp(`^${language.successAlertHeading}`); + readonly expectedStatusFailure = new RegExp(`^${language.errorAlertHeading}`); + + readonly form: Locator; + readonly addCustomMessageButton: Locator; + readonly submitCustomMessageButton: Locator; + readonly cancelCustomMessageButton: Locator; + readonly customMessageTextArea: Locator; + readonly submitButton: Locator; + readonly submitStatus: Locator; + readonly submitAlert: Locator; + readonly submissionOutputMessageButton: Locator; + readonly submissionOutputMessage: Locator; + readonly submissionTestMessageButton: Locator; + readonly submissionTestMessage: Locator; + readonly submissionTransformErrorsButton: Locator; + readonly submissionTransformErrors: Locator; + + constructor(testArgs: BasePageTestArgs) { + super( + { + url: "/admin/orgreceiversettings/org/ignore/receiver/FULL_ELR/action/edit/message-testing", + title: "Message testing - ReportStream", + heading: testArgs.page.getByRole("heading", { + name: "Message testing", + }), + }, + testArgs, + ); + + this.testMessages = []; + this.customI = 0; + this.form = this.page.getByRole("form"); + this.addCustomMessageButton = this.form.getByRole("button", { name: "Test custom message" }); + this.submitCustomMessageButton = this.form.getByRole("button", { name: "Add" }); + this.cancelCustomMessageButton = this.form.getByRole("button", { name: "Cancel" }); + this.customMessageTextArea = this.form.getByRole("textbox", { name: "Custom message text" }); + this.submitButton = this.form.getByRole("button", { name: "Run test" }); + this.submitStatus = this.page.getByRole("status"); + this.submitAlert = this.page.getByRole("alert"); + this.submissionOutputMessageButton = this.page.getByRole("button", { name: "Output message" }); + this.submissionOutputMessage = this.page.getByLabel("Output message"); + this.submissionTestMessageButton = this.page.getByRole("button", { name: "Test message" }); + this.submissionTestMessage = this.page.getByLabel("Test message"); + this.submissionTransformErrorsButton = this.page.getByRole("button", { name: "Transform errors" }); + this.submissionTransformErrors = this.page.getByLabel("Transform errors"); + this.addMockRouteHandlers([this.createMockTestMessagesHandler()]); + this.addResponseHandlers([ + [ + OrganizationReceiverMessageTestPage.API_REPORTS_TESTING, + async (res) => (this.testMessages = await res.json()), + ], + ]); + } + + get isPageLoadExpected() { + return super.isPageLoadExpected && this.isAdminSession; + } + + createMockTestMessagesHandler(): RouteHandlerFulfillEntry { + return [ + OrganizationReceiverMessageTestPage.API_REPORTS_TESTING, + () => { + return { + json: MOCK_GET_TEST_MESSAGES, + }; + }, + ]; + } + + createMockTestSubmissionHandler(isFailed = false): RouteHandlerFulfillEntry { + const result = isFailed ? errorMessageResult : passMessageResult; + return [ + OrganizationReceiverMessageTestPage.API_REPORTS_TEST, + () => { + return { + json: result, + }; + }, + ]; + } + + addMockTestSubmissionHandler(isFailed = false) { + return this.addMockRouteHandlers([this.createMockTestSubmissionHandler(isFailed)]); + } + + async submit() { + const p = this.route(); + const reqP = this.page.waitForRequest(OrganizationReceiverMessageTestPage.API_REPORTS_TEST); + await this.submitButton.click(); + await p; + return reqP; + } + + async addCustomMessage(message: string) { + await this.addCustomMessageButton.click(); + await this.customMessageTextArea.fill(message); + await this.submitCustomMessageButton.click(); + this.customI++; + const fileName = `Custom message ${this.customI}`; + return [this.form.getByLabel(fileName), this.form.getByText(fileName)]; + } +} diff --git a/frontend-react/e2e/pages/authenticated/admin/organization.ts b/frontend-react/e2e/pages/authenticated/admin/organization.ts index 77f9b2be438..afe862bec9f 100644 --- a/frontend-react/e2e/pages/authenticated/admin/organization.ts +++ b/frontend-react/e2e/pages/authenticated/admin/organization.ts @@ -27,7 +27,7 @@ export class OrganizationPage extends BasePage { } get isPageLoadExpected() { - return super.isPageLoadExpected && this.testArgs.storageState === this.testArgs.adminLogin.path; + return super.isPageLoadExpected && this.isAdminSession; } createMockOrganizationHandler(): RouteHandlerFulfillEntry { diff --git a/frontend-react/e2e/spec/all/authenticated/admin/organization-receiver-message-test.spec.ts b/frontend-react/e2e/spec/all/authenticated/admin/organization-receiver-message-test.spec.ts new file mode 100644 index 00000000000..d79998ecf81 --- /dev/null +++ b/frontend-react/e2e/spec/all/authenticated/admin/organization-receiver-message-test.spec.ts @@ -0,0 +1,308 @@ +import { expect } from "@playwright/test"; +import { + errorMessageResult, + passMessageResult, +} from "../../../../../src/components/Admin/MessageTesting/MessageTestingResult.fixtures"; +import type { RSMessageResult } from "../../../../../src/config/endpoints/reports"; +import { pageNotFound } from "../../../../../src/content/error/ErrorMessages"; +import { OrganizationReceiverMessageTestPage } from "../../../../pages/authenticated/admin/organization-receiver-message-test"; +import { test as baseTest } from "../../../../test"; + +export interface OrganizationReceiverMessageTestPageFixtures { + organizationReceiverMessageTestPage: OrganizationReceiverMessageTestPage; +} + +const test = baseTest.extend({ + organizationReceiverMessageTestPage: async ( + { + page: _page, + isMockDisabled, + adminLogin, + senderLogin, + receiverLogin, + storageState, + frontendWarningsLogPath, + isFrontendWarningsLog, + }, + use, + ) => { + const page = new OrganizationReceiverMessageTestPage({ + page: _page, + isMockDisabled, + adminLogin, + senderLogin, + receiverLogin, + storageState, + frontendWarningsLogPath, + isFrontendWarningsLog, + }); + await page.goto(); + await use(page); + }, +}); + +test.describe("Admin Organization Receiver Message Test Page", () => { + test.describe("not authenticated", () => { + test("redirects to login", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.page).toHaveURL("/login"); + }); + }); + + test.describe("receiver user", () => { + test.use({ storageState: "e2e/.auth/receiver.json" }); + test("returns Page Not Found", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.page).toHaveTitle(new RegExp(pageNotFound)); + }); + }); + + test.describe("sender user", () => { + test.use({ storageState: "e2e/.auth/sender.json" }); + test("returns Page Not Found", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.page).toHaveTitle(new RegExp(pageNotFound)); + }); + }); + + test.describe("admin user", () => { + test.use({ storageState: "e2e/.auth/admin.json" }); + + test.describe("header", () => { + test("has correct title + heading", async ({ organizationReceiverMessageTestPage }) => { + await organizationReceiverMessageTestPage.testHeader(); + }); + }); + + test("if there is an error, the error is shown on the page", async ({ + organizationReceiverMessageTestPage, + }) => { + organizationReceiverMessageTestPage.mockError = true; + await organizationReceiverMessageTestPage.reload(); + await expect(organizationReceiverMessageTestPage.page.getByText("there was an error")).toBeVisible(); + }); + + test.describe("when there is no error", () => { + test("has correct title", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.page).toHaveURL( + organizationReceiverMessageTestPage.url, + ); + await expect(organizationReceiverMessageTestPage.page).toHaveTitle( + organizationReceiverMessageTestPage.title, + ); + }); + + test("displays test messages", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + let i = 0; + for (const message of organizationReceiverMessageTestPage.testMessages) { + i++; + const option = organizationReceiverMessageTestPage.form.getByLabel(message.fileName); + await expect(option).toBeVisible(); + await expect(option).toHaveValue(message.reportBody); + } + expect(organizationReceiverMessageTestPage.testMessages.length).toEqual(i); + }); + + test.describe("custom message", () => { + test("cannot add empty custom message", async ({ organizationReceiverMessageTestPage }) => { + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + + await organizationReceiverMessageTestPage.addCustomMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submitCustomMessageButton).toBeDisabled(); + }); + + test("can add custom message", async ({ organizationReceiverMessageTestPage }) => { + const message1 = '{"foo":"bar"}'; + const message2 = '{"bar":"foo"}'; + + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + await expect(organizationReceiverMessageTestPage.addCustomMessageButton).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitButton).toBeVisible(); + + for (const [i, message] of [message1, message2].entries()) { + const filename = `Custom message ${i + 1}`; + const customOption = organizationReceiverMessageTestPage.form.getByLabel(filename); + const customOptionViewButton = organizationReceiverMessageTestPage.form + .getByText(filename) + .getByRole("button"); + + await organizationReceiverMessageTestPage.addCustomMessageButton.click(); + await expect(organizationReceiverMessageTestPage.customMessageTextArea).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitCustomMessageButton).toBeVisible(); + await expect(organizationReceiverMessageTestPage.cancelCustomMessageButton).toBeVisible(); + + await organizationReceiverMessageTestPage.customMessageTextArea.fill(message); + await expect(organizationReceiverMessageTestPage.customMessageTextArea).toHaveValue(message); + await organizationReceiverMessageTestPage.submitCustomMessageButton.click(); + await expect(organizationReceiverMessageTestPage.customMessageTextArea).toBeHidden(); + await expect(organizationReceiverMessageTestPage.submitCustomMessageButton).toBeHidden(); + await expect(organizationReceiverMessageTestPage.cancelCustomMessageButton).toBeHidden(); + + await expect(customOption).toBeVisible(); + await expect(customOption).toBeChecked(); + await expect(customOptionViewButton).toBeVisible(); + const popupP = organizationReceiverMessageTestPage.page.waitForEvent("popup"); + await customOptionViewButton.click(); + const popup = await popupP; + await expect(popup.getByText(JSON.stringify(JSON.parse(message), undefined, 2))).toBeVisible(); + } + }); + }); + + test.describe("form submission", () => { + test.describe("success", () => { + test("stored message", async ({ organizationReceiverMessageTestPage }) => { + const message = organizationReceiverMessageTestPage.testMessages[0]; + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + + const option = organizationReceiverMessageTestPage.form.getByLabel(message.fileName); + const optionLabel = organizationReceiverMessageTestPage.form.getByText(message.fileName); + const optionValue = await option.inputValue(); + await expect(option).toBeVisible(); + await optionLabel.click(); + await expect(option).toBeChecked(); + + organizationReceiverMessageTestPage.addMockTestSubmissionHandler(); + const req = await organizationReceiverMessageTestPage.submit(); + const res = await req.response(); + const resJson = (await res?.json()) as RSMessageResult; + expect(req.postData()).toEqual(optionValue); + expect(resJson).toEqual(passMessageResult); + + await expect(organizationReceiverMessageTestPage.submitStatus).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitStatus).toHaveText(/^Test passed/); + await expect(organizationReceiverMessageTestPage.submissionOutputMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionOutputMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionOutputMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionOutputMessage).toHaveText( + resJson.message ?? "", + ); + await expect(organizationReceiverMessageTestPage.submissionTestMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTestMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toHaveText( + JSON.stringify(JSON.parse(optionValue), undefined, 2), + ); + }); + + test("custom message", async ({ organizationReceiverMessageTestPage }) => { + const message = '{"foo":"bar"}'; + const [option, optionLabel] = + await organizationReceiverMessageTestPage.addCustomMessage(message); + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + + const optionValue = await option.inputValue(); + await expect(option).toBeVisible(); + await optionLabel.click(); + await expect(option).toBeChecked(); + + organizationReceiverMessageTestPage.addMockTestSubmissionHandler(); + const req = await organizationReceiverMessageTestPage.submit(); + const res = await req.response(); + const resJson = (await res?.json()) as RSMessageResult; + expect(req.postData()).toEqual(optionValue); + expect(resJson).toEqual(passMessageResult); + + await expect(organizationReceiverMessageTestPage.submitStatus).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitStatus).toHaveText(/^Test passed/); + await expect(organizationReceiverMessageTestPage.submissionOutputMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionOutputMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionOutputMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionOutputMessage).toHaveText( + resJson.message ?? "", + ); + await expect(organizationReceiverMessageTestPage.submissionTestMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTestMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toHaveText( + JSON.stringify(JSON.parse(message), undefined, 2), + ); + }); + }); + test.describe("failure", () => { + test("stored message", async ({ organizationReceiverMessageTestPage }) => { + const message = '{"foo":"bar"}'; + const [option, optionLabel] = + await organizationReceiverMessageTestPage.addCustomMessage(message); + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + + const optionValue = await option.inputValue(); + await expect(option).toBeVisible(); + await optionLabel.click(); + await expect(option).toBeChecked(); + + organizationReceiverMessageTestPage.addMockTestSubmissionHandler(true); + const req = await organizationReceiverMessageTestPage.submit(); + const res = await req.response(); + const resJson = (await res?.json()) as RSMessageResult; + expect(req.postData()).toEqual(optionValue); + expect(resJson).toEqual(errorMessageResult); + + await expect(organizationReceiverMessageTestPage.submitAlert).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitAlert).toHaveText(/^Test failed/); + await expect(organizationReceiverMessageTestPage.submissionTransformErrorsButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTransformErrorsButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTransformErrors).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTransformErrors).toHaveText( + [ + ...resJson.senderTransformErrors, + ...resJson.enrichmentSchemaErrors, + ...resJson.receiverTransformErrors, + ].join(""), + ); + await expect(organizationReceiverMessageTestPage.submissionTestMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTestMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toHaveText( + JSON.stringify(JSON.parse(message), undefined, 2), + ); + }); + + test("custom message", async ({ organizationReceiverMessageTestPage }) => { + const message = '{"foo":"bar"}'; + const [option, optionLabel] = + await organizationReceiverMessageTestPage.addCustomMessage(message); + await expect(organizationReceiverMessageTestPage.form).toBeVisible(); + + const optionValue = await option.inputValue(); + await expect(option).toBeVisible(); + await optionLabel.click(); + await expect(option).toBeChecked(); + + organizationReceiverMessageTestPage.addMockTestSubmissionHandler(true); + const req = await organizationReceiverMessageTestPage.submit(); + const res = await req.response(); + const resJson = (await res?.json()) as RSMessageResult; + expect(req.postData()).toEqual(optionValue); + expect(resJson).toEqual(errorMessageResult); + + await expect(organizationReceiverMessageTestPage.submitAlert).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submitAlert).toHaveText(/^Test failed/); + await expect(organizationReceiverMessageTestPage.submissionTransformErrorsButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTransformErrorsButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTransformErrors).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTransformErrors).toHaveText( + [ + ...resJson.senderTransformErrors, + ...resJson.enrichmentSchemaErrors, + ...resJson.receiverTransformErrors, + ].join(""), + ); + await expect(organizationReceiverMessageTestPage.submissionTestMessageButton).toBeVisible(); + await organizationReceiverMessageTestPage.submissionTestMessageButton.click(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toBeVisible(); + await expect(organizationReceiverMessageTestPage.submissionTestMessage).toHaveText( + JSON.stringify(JSON.parse(message), undefined, 2), + ); + }); + }); + }); + }); + }); + + test.describe("footer", () => { + test("has footer and explicit scroll to footer and scroll to top", async ({ + organizationReceiverMessageTestPage: OrganizationReceiverMessageTestPage, + }) => { + await OrganizationReceiverMessageTestPage.testFooter(); + }); + }); +}); diff --git a/frontend-react/package.json b/frontend-react/package.json index 4ecb495332f..6fc6110bffd 100644 --- a/frontend-react/package.json +++ b/frontend-react/package.json @@ -185,7 +185,6 @@ "remark-mdx-toc": "^0.3.1", "sass": "^1.83.1", "storybook": "^8.4.7", - "storybook-addon-remix-react-router": "^4.0.1", "ts-node": "^10.9.2", "tslib": "^2.8.1", "typescript": "^5.7.3", diff --git a/frontend-react/src/AppRouter.tsx b/frontend-react/src/AppRouter.tsx index b8653aab579..a5d9392bf02 100644 --- a/frontend-react/src/AppRouter.tsx +++ b/frontend-react/src/AppRouter.tsx @@ -7,7 +7,6 @@ import { SenderType } from "./utils/DataDashboardUtils"; import { lazyRouteMarkdown } from "./utils/LazyRouteMarkdown"; import { PERMISSIONS } from "./utils/UsefulTypes"; -const AdminMessageTestingPage = lazy(() => import("./pages/admin/AdminMessageTestingPage/AdminMessageTestingPage")); /* Content Pages */ const Home = lazy(lazyRouteMarkdown(() => import("./content/home/index.mdx"))); const About = lazy(lazyRouteMarkdown(() => import("./content/about/index.mdx"))); @@ -63,6 +62,7 @@ const Login = lazy(() => import("./pages/Login")); const ErrorNoPage = lazy(() => import("./pages/error/legacy-content/ErrorNoPage")); /* Auth Pages */ +const AdminMessageTestingPage = lazy(() => import("./pages/admin/AdminMessageTestingPage/AdminMessageTestingPage")); const FeatureFlagsPage = lazy(() => import("./pages/misc/FeatureFlags")); const SubmissionDetailsPage = lazy(() => import("./pages/submissions/SubmissionDetails")); const SubmissionsPage = lazy(() => import("./pages/submissions/Submissions")); diff --git a/frontend-react/src/components/Admin/MessageTesting/MessageTestingAccordion.tsx b/frontend-react/src/components/Admin/MessageTesting/MessageTestingAccordion.tsx index 89aa1a14e89..dc28db3db0e 100644 --- a/frontend-react/src/components/Admin/MessageTesting/MessageTestingAccordion.tsx +++ b/frontend-react/src/components/Admin/MessageTesting/MessageTestingAccordion.tsx @@ -41,7 +41,10 @@ export const MessageTestingAccordion = ({ ), content: ( -
+
{fieldData.map((item, index) => (
{item}
diff --git a/frontend-react/src/components/Admin/MessageTesting/MessageTestingCustomMessage.tsx b/frontend-react/src/components/Admin/MessageTesting/MessageTestingCustomMessage.tsx index 7c739bc12f3..ad05c46dc7b 100644 --- a/frontend-react/src/components/Admin/MessageTesting/MessageTestingCustomMessage.tsx +++ b/frontend-react/src/components/Admin/MessageTesting/MessageTestingCustomMessage.tsx @@ -44,6 +44,7 @@ export const MessageTestingCustomMessage = ({ onChange={handleTextareaChange} id="custom-message-text" name="custom-message-text" + aria-label="Custom message text" className="width-full maxw-full margin-bottom-205" />
diff --git a/frontend-react/src/components/Admin/MessageTesting/MessageTestingForm.tsx b/frontend-react/src/components/Admin/MessageTesting/MessageTestingForm.tsx index 37f34e6e2ab..e1f394fb71e 100644 --- a/frontend-react/src/components/Admin/MessageTesting/MessageTestingForm.tsx +++ b/frontend-react/src/components/Admin/MessageTesting/MessageTestingForm.tsx @@ -42,7 +42,7 @@ const MessageTestingForm = ({
{!currentTestMessages.length &&

No test messages available

} {!!currentTestMessages.length && ( -
+
{currentTestMessages?.map((item, index) => ( Output message, content: ( -
+
), @@ -163,7 +166,10 @@ const MessageTestingResult = ({ className: "bg-gray-5", title: Test message, content: ( -
+ 
{prettifyJSON(submittedMessage?.reportBody ?? "")}
), diff --git a/frontend-react/src/content/about/roadmap.mdx b/frontend-react/src/content/about/roadmap.mdx index d10e3e3157c..50387fed804 100644 --- a/frontend-react/src/content/about/roadmap.mdx +++ b/frontend-react/src/content/about/roadmap.mdx @@ -48,7 +48,23 @@ Learn about our goals and how we are measuring success for this fiscal year (FY) tag: "recently-completed", body: (

- Alabama, Maine, Missouri, Montana and South Dakota are able to receive flu and RSV data from ReportStream. + Delaware, New Jersey, Ohio, Pennsylvania, and Washington are able to receive flu and RSV data from ReportStream. +

+ ), + }, + { + tag: "recently-completed", + body: ( +

+ Carbon Health onboarded to ReportStream to send COVID, flu, and RSV. +

+ ), + }, + { + tag: "working-on-now", + body: ( +

+ Onboard or update current connections for Indiana, New Mexico, Republic of Marshall Islands, Utah, Wisconsin, and Wyoming.

), }, @@ -56,66 +72,72 @@ Learn about our goals and how we are measuring success for this fiscal year (FY) tag: "working-on-now", body: (

- Onboard or update current connections for Delaware, New Jersey, Ohio, and Pennsylvania. + Onboard C2Sense and CVS to ReportStream to send their ELR reportable conditions.

), }, { tag: "next", body: ( -

Onboard or update connections for American Samoa, Connecticut, Indiana, Iowa, Kentucky, Michigan, Mississippi, New Hampshire, New Mexico, Puerto Rico, Republic of Marshall Islands, Tennessee, Utah, Vermont, Virginia, Washington, Washington D.C., and Wyoming.

+

Onboard or update connections for American Samoa, Connecticut, Kentucky, Federated States of Micronesia, Georgia, Michigan, Mississippi, Nebraska, New Hampshire, North Carolina, Northern Mariana Islands, Palau, Puerto Rico, Tennessee, Vermont, Virginia, West Virginia, and Washington D.C.

), }, - , { tag: "next", body: ( -

Onboard 3 senders to ReportStream sending all of their ELR reportable conditions.

+

Route STI conditions (HIV, hepatitis, syphilis, gonorrhea, and chlamydia) from SimpleReport through ReportStream to public health departments.

), }, { - title:

Connect ReportStream to one federal healthcare system outside of the CDC.

, + title:

Develop onboarding resources for healthcare organizations to utilize as they connect to ReportStream.

, tag: "working-on-now", body: ( -

Route test results from MakeMyTestCount.org to one STLT in production.

+

Design and develop a tool for healthcare organizations to map their local codes to standard coding systems, streamlining a manual step of the onboarding process.

), }, { tag: "next", body: ( -

Route test results from MakeMyTestCount.org to three more STLTs in production.

+

Update and publish documentation for ReportStream’s Submission History API that healthcare organizations to reference as they interpret the status of their messages.

), }, { - title:

Participate in the public health community by partnering with other CDC organizations and engaging with third-party health IT standards/services.

, - tag: "working-on-now", + title:

Connect ReportStream to one federal healthcare system outside of the CDC.

, + tag: "recently-completed", body: ( -

Conduct discovery research to understand TEFCA’s live and upcoming public health use cases.

+

Route test results from MakeMyTestCount.org to the One CDC Data Platform (1CDP) in production.

), }, { - tag: "next", + tag: "working-on-now", body: ( -

Develop opportunity brief to identify next steps for ReportStream to participate in TEFCA.

+

Route test results from MakeMyTestCount.org to one STLT in production.

), }, { - title:

Meet the needs of healthcare organizations and STLTs by routing data in accordance with the HL7 LRI/LOI spec.

, + title:

Participate in the public health community by partnering with other CDC organizations and engaging with third-party health IT standards/services.

, tag: "recently-completed", body: ( -

Aligned with partners and user research on which part of the LRI/LOI spec will be most immediately useful.

+

Develop opportunity brief to identify next steps for ReportStream to participate in TEFCA.

), }, { tag: "working-on-now", body: ( -

Implement Basic Synchronous Accept ACKs in Submission API per LRI/LOI spec for the ETOR use case.

+

Monitor emerging opportunities for ReportStream to integrate with TEFCA, lab data-enabled RCKMS, and standard vocabulary service(s).

), }, { - tag: "next", + title:

Meet the needs of healthcare organizations and STLTs by routing data in accordance with the HL7 LRI/LOI spec.

, + tag: "recently-completed", + body: ( +

Implement Basic Synchronous Accept ACKs in Submission API per LRI/LOI spec.

+ ), + }, + { + tag: "working-on-now", body: ( -

Develop executive summary of LRI and LOI specs and implications for ReportStream. Define high risk areas that should be investigated.

+

Identify the immediate needs of users for ACKs that meet the LOI spec in ReportStream.

), }, ]} diff --git a/frontend-react/src/layouts/Main/MainLayout.stories.tsx b/frontend-react/src/layouts/Main/MainLayout.stories.tsx index bd0b395699c..068a5e0173f 100644 --- a/frontend-react/src/layouts/Main/MainLayout.stories.tsx +++ b/frontend-react/src/layouts/Main/MainLayout.stories.tsx @@ -1,5 +1,4 @@ // AutoUpdateFileChromatic -import { withRouter } from "storybook-addon-remix-react-router"; import { MainLayoutBase } from "./MainLayout"; import config from "../../config"; @@ -8,7 +7,6 @@ import SessionProvider from "../../contexts/Session/SessionProvider"; export default { title: "components/MainLayout", component: MainLayoutBase, - decorators: [withRouter], }; const Filler = () => ( @@ -16,13 +14,11 @@ const Filler = () => (

Page Title

- Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do - eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim - ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut - aliquip ex ea commodo consequat. Duis aute irure dolor in - reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla - pariatur. Excepteur sint occaecat cupidatat non proident, sunt in - culpa qui officia deserunt mollit anim id est laborum. + Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et + dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex + ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat + nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit + anim id est laborum.

); diff --git a/frontend-react/yarn.lock b/frontend-react/yarn.lock index 48201bc80da..76c68d70cec 100644 --- a/frontend-react/yarn.lock +++ b/frontend-react/yarn.lock @@ -1349,31 +1349,6 @@ __metadata: languageName: node linkType: hard -"@mjackson/form-data-parser@npm:^0.4.0": - version: 0.4.0 - resolution: "@mjackson/form-data-parser@npm:0.4.0" - dependencies: - "@mjackson/multipart-parser": ^0.6.1 - checksum: 4079b2c2431ac87e38c561725ab28521fb0976e665de758ac2ef6c62118a751aff1720f1892efe8b47790e3c40dd160f25c96a43e8cc1936a4d77359bffaf2ad - languageName: node - linkType: hard - -"@mjackson/headers@npm:^0.5.0": - version: 0.5.1 - resolution: "@mjackson/headers@npm:0.5.1" - checksum: de2cc127ee01ca779969b336c8222da24916edaff68cf75892716160013019aaf7b59d3aa8208dbee02842e69fdbe8c3c798bcf3061e9f9fce118f12b8d420e7 - languageName: node - linkType: hard - -"@mjackson/multipart-parser@npm:^0.6.1": - version: 0.6.3 - resolution: "@mjackson/multipart-parser@npm:0.6.3" - dependencies: - "@mjackson/headers": ^0.5.0 - checksum: 4c897fb3ee376c811f9053eb3c1ccf7cd9783f1028416a8192b6a0b6752c7e17ebc4ec329325eb3750395d7a26d03cc7102d6da1fd265027166c22d873ab8f0d - languageName: node - linkType: hard - "@mswjs/interceptors@npm:^0.37.0": version: 0.37.3 resolution: "@mswjs/interceptors@npm:0.37.3" @@ -2577,7 +2552,7 @@ __metadata: languageName: node linkType: hard -"@storybook/theming@npm:8.4.7, @storybook/theming@npm:^8.0.0, @storybook/theming@npm:^8.4.7": +"@storybook/theming@npm:8.4.7, @storybook/theming@npm:^8.4.7": version: 8.4.7 resolution: "@storybook/theming@npm:8.4.7" peerDependencies: @@ -4750,13 +4725,6 @@ __metadata: languageName: node linkType: hard -"compare-versions@npm:^6.0.0": - version: 6.0.0 - resolution: "compare-versions@npm:6.0.0" - checksum: bf2fa355b2139cbdb0576f2f0328c112dd3c2eb808eff8b70b808b3ed05f8a40b8317c323ff4797a6a5a7ab32d508876749584c626ee5840dc0119361afffc4d - languageName: node - linkType: hard - "concat-map@npm:0.0.1": version: 0.0.1 resolution: "concat-map@npm:0.0.1" @@ -10365,7 +10333,6 @@ __metadata: sanitize-html: ^2.14.0 sass: ^1.83.1 storybook: ^8.4.7 - storybook-addon-remix-react-router: ^4.0.1 ts-node: ^10.9.2 tslib: ^2.8.1 tsx: ^4.19.2 @@ -10405,15 +10372,6 @@ __metadata: languageName: node linkType: hard -"react-inspector@npm:6.0.2": - version: 6.0.2 - resolution: "react-inspector@npm:6.0.2" - peerDependencies: - react: ^16.8.4 || ^17.0.0 || ^18.0.0 - checksum: dab7a7daf570c283fdc5d4e07ee8941ee8670af698ab5a27a704602b248e29ab911b117310d64c30a4af93931b2d6ee2a729369e3f5ab7f02df4651692e195a5 - languageName: node - linkType: hard - "react-is@npm:^16.13.1": version: 16.13.1 resolution: "react-is@npm:16.13.1" @@ -11515,34 +11473,6 @@ __metadata: languageName: node linkType: hard -"storybook-addon-remix-react-router@npm:^4.0.1": - version: 4.0.1 - resolution: "storybook-addon-remix-react-router@npm:4.0.1" - dependencies: - "@mjackson/form-data-parser": ^0.4.0 - "@storybook/theming": ^8.0.0 - compare-versions: ^6.0.0 - react-inspector: 6.0.2 - peerDependencies: - "@storybook/blocks": ^8.0.0 - "@storybook/channels": ^8.0.0 - "@storybook/components": ^8.0.0 - "@storybook/core-events": ^8.0.0 - "@storybook/manager-api": ^8.0.0 - "@storybook/preview-api": ^8.0.0 - "@storybook/theming": ^8.0.0 - react: ^16.8.0 || ^17.0.0 || ^18.0.0 || ^19.0.0 - react-dom: ^16.8.0 || ^17.0.0 || ^18.0.0 || ^19.0.0 - react-router: ^7.0.2 - peerDependenciesMeta: - react: - optional: true - react-dom: - optional: true - checksum: 59f0be5e6d80fac1972c5365add9721fb162f0b63ef4429cde93548808f478aaa4f6ec09a0a7083776e902daa7b513e0b2fb012969662e3c3a464fab26775865 - languageName: node - linkType: hard - "storybook@npm:^8.4.7": version: 8.4.7 resolution: "storybook@npm:8.4.7" diff --git a/operations/app/terraform/scripts/compare-records.shell b/operations/app/terraform/scripts/compare-records.shell new file mode 100755 index 00000000000..aa0066ea1ac --- /dev/null +++ b/operations/app/terraform/scripts/compare-records.shell @@ -0,0 +1,30 @@ +#!/usr/bin/env bash + +## Author: PRIME Reportstream DevSecOps team +## Usage: Validate generated records across reports +## > verify-records.shell ./python.csv ./powershell.csv + +oIFS="${IFS}" ; +IFS=$'\n' ; + +source="${1}" ; +target="${2}" ; + +declare -a lines=( $( cat "${source}" ) ) ; +# echo -e "${lines[3]}" ; + +count=1 ; +for line in "${lines[@]}"; do + echo -en "Line[${count}]: " ; + ## Escape double quotes inside the variable + record=$( echo $line | sed 's/^\(.*\)$"/'\2'/g' ) ; + echo -en $record ; + ## Use grep with escaped quotes + found=$( grep -Fxc "${record}" "${target}" ) ; + if [[ $found -gt 0 ]]; then echo " -> match" ; + else echo " -> missing" ; + fi ; + (( count++ )) ; +done ; + +IFS="${oIFS}" ; diff --git a/operations/app/terraform/scripts/export-resources.ps1 b/operations/app/terraform/scripts/export-resources.ps1 index 878ab3d7cba..b2593890d97 100755 --- a/operations/app/terraform/scripts/export-resources.ps1 +++ b/operations/app/terraform/scripts/export-resources.ps1 @@ -1,17 +1,109 @@ #!/usr/bin/env pwsh -# Define parameters +<# +.SYNOPSIS + Fetches a list of Azure resources and exports them to a CSV file. + +.DESCRIPTION + This script retrieves Azure resources using the Azure CLI and formats the output as a CSV file. + It extracts specified attributes like location, name, and resource group. + +.PARAMETER OutputFile + The name of the output CSV file. Default is 'azure-resources.csv'. + +.PARAMETER OutputHeaders + Specifies which properties to extract from the Azure resources. + Default is `"Location":location,"Name":name,"Resource Group":resourceGroup`. + +.EXAMPLE + ./export-azure-resources.ps1 -OutputFile "my-resources.csv" + + Runs the script and saves Azure resources to "my-resources.csv". + +.NOTES + Requires: + - PowerShell 5.1+ or PowerShell Core + - Azure CLI (`az` command) + - Logged-in Azure account (`az login`) + Credits: + - PRIME ReportStream DevSecOps + +#> + param ( - [string]$OutputFile = "azure-resources--powershell.csv" + [string]$OutputFile = "azure-resources.powershell.csv", + [string]$OutputHeaders = '"Location":location,"Name":name,"Resource Group":resourceGroup', + [switch]$Help ) -# Output header -"Location,Name,Resource Group" | Out-File -FilePath "azure-resources.csv" -Encoding utf8 ; +## Display help message if -Help or -? is used +if ( $Help ) { + Get-Help $PSCommandPath -Detailed ; + exit ; +} ; + +## Ensure Azure CLI is installed +Write-Host "`nChecking Azure CLI availability ..." ` + -ForegroundColor Cyan ; +if ( -not ( Get-Command az -ErrorAction SilentlyContinue ) ) { + Write-Host "Error: Azure CLI is not installed or not found in PATH." ` + -ForegroundColor Red ; + Write-Host "➡ Please install Azure CLI from https://aka.ms/installazurecli" ; + exit 1 ; +} ; + +## Ensure the user is logged in to Azure +Write-Host "Checking Azure authentication ..." ` + -ForegroundColor Cyan ; +if ( -not ( az account show 2>$null ) ) { + Write-Error "You are not logged in to Azure. Run 'az login' and try again." ; + exit 1 ; +} ; + +## Extract only column names and enforce double quotes for all headers +Write-Host "`nParsing output headers ..." ` + -ForegroundColor Cyan ; +$ColumnNames = ( $OutputHeaders -split ',' ) -replace '"([^"]+)":.*', '$1' ; +$QuotedHeaders = $ColumnNames | ForEach-Object { + if ($_ -match '^".*"$') { $_ } else { "`"$_`"" } +} ; + +## Convert array to CSV format +$HeaderLine = $QuotedHeaders -join ',' ; + +Write-Host "Writing headers to '${OutputFile}'..." ` + -ForegroundColor Cyan ; +## Write CSV header correctly +$HeaderLine | Set-Content -Path $OutputFile -Encoding utf8NoBOM; -# Fetch Azure resources and append to CSV -az resource list --query '[].{"Location":location,"Name":name,"Resource Group":resourceGroup}' --output tsv | - ForEach-Object { $_ -replace "`t", "," } | - Out-File -FilePath $OutputFile -Append -Encoding utf8 ; +Write-Host "`nFetching Azure resources from CLI ..." ` + -ForegroundColor Cyan ; +## Fetch Azure resources and append to CSV +try { + $sortedData = az resource list --query "[].{${OutputHeaders}}" ` + --output tsv ` + | ForEach-Object { + ( $_ -replace "`t", '","' ) -replace '^(.*)$', '"$1"' + } ` + | Sort-Object -CaseSensitive ; + # $sortedData | Out-File -FilePath $OutputFile ` + # -Append ` + # -Encoding utf8; + $sortedData -replace "\r","" -replace '\s+$', "" ` + | Set-Content -Path $OutputFile ` + -Append ` + -Encoding utf8NoBOM; + Write-Host "`nAzure resources successfully exported!" ` + -ForegroundColor Green; + Write-Host "Saved as: $OutputFile" ` + -ForegroundColor Green; +} catch { + Write-Error "`nFailed to fetch Azure resources. Please check your Azure configuration." ; + exit 1 ; +} ; -# Display the contents of the generated CSV -Get-Content -Path $OutputFile ; +## Display output +Write-Host "`nCSV Content (First 10 Lines):`n" ` + -ForegroundColor Yellow ; +Get-Content -Path $OutputFile ` +| Select-Object -First 10 ; diff --git a/operations/app/terraform/scripts/export-resources.py b/operations/app/terraform/scripts/export-resources.py index 84644db2727..99c423e42e5 100755 --- a/operations/app/terraform/scripts/export-resources.py +++ b/operations/app/terraform/scripts/export-resources.py @@ -1,39 +1,166 @@ -#!/usr/bin/env python +#!/usr/bin/env python3 + +""" +Fetch Azure resources and export them to a CSV file. + +This script retrieves Azure resources using the Azure CLI and saves them to a CSV file. +Users can customize the fields they want to include using the --output-headers parameter. + +Requirements: + - Python 3.x + - Azure CLI (`az` command) + - Logged-in Azure account (`az login`) + +Usage: + python export_azure_resources.py --output-file my-resources.csv + python export_azure_resources.py --output-headers 'Location:location,Name:name,Resource Group:resourceGroup' + python export_azure_resources.py --suppress-output + python export_azure_resources.py --help + +Author: PRIME Reportstream DevSecOps team +""" import subprocess import csv import argparse +import shutil +import sys +import re + +# Default headers (matches PowerShell script) +DEFAULT_OUTPUT_HEADERS = '"Location":location,"Name":name,"Resource Group:resourceGroup"' + +def check_azure_cli(): + """Check if Azure CLI is installed and accessible.""" + if not shutil.which( "az" ): + print( "\nError: Azure CLI is not installed or not found in PATH." ) + print( "➡ Please install Azure CLI from https://aka.ms/installazurecli\n" ) + sys.exit( 1 ) + +def check_azure_login(): + """Check if the user is logged into Azure.""" + try: + subprocess.run( + ["az", "account", "show"], + stdout=subprocess.DEVNULL, + stderr=subprocess.DEVNULL, + check=True + ) + except subprocess.CalledProcessError: + print( "\nError: You are not logged in to Azure." ) + print( "➡ Run 'az login' and try again.\n" ) + sys.exit( 1 ) + +def parse_headers( header_string ): + """Convert PowerShell-like headers to CSV format and Azure CLI query format.""" + ## 1. Remove all double quotes from the input + header_string = header_string.replace( '"', '' ) + ## 2. Split headers into (column name, Azure field ID) + header_pairs = [header.strip().split( ":" ) for header in header_string.split( "," )] + if not all( len( pair ) == 2 for pair in header_pairs ): + print( "\nError: Invalid --output-headers format." ) + print( "➡ Expected format: Column1:azureField1,Column2:azureField2" ) + sys.exit( 1 ) + ## 3. Ensure CSV headers are quoted only if they contain spaces + csv_headers = [f'"{pair[0]}"' if " " in pair[0] else pair[0] for pair in header_pairs] + # print( csv_headers ) + ## 4. Construct the valid Azure CLI JMESPath query format + azure_query = ", ".join( [f'"{pair[0]}":{pair[1]}' for pair in header_pairs] ) + # print( azure_query ) + return csv_headers, azure_query + +def fetch_azure_resources( query ): + """Run Azure CLI command to fetch resources based on dynamic query.""" + cmd = [ + "az", "resource", "list", + "--query", f"[].{{{query}}}", + "--output", "tsv" + ] + try: + result = subprocess.run( + cmd, + stdout=subprocess.PIPE, + stderr=subprocess.PIPE, + text=True, + check=True + ) + ## Sort the full record instead of isolating fields + return sorted( result.stdout.splitlines(), key=str ) + + except subprocess.CalledProcessError as e: + print( "\nError: Failed to fetch Azure resources." ) + print( f"➡ Azure CLI error: {e.stderr.strip()}\n" ) + sys.exit( 1 ) + +def write_csv( output_file, csv_headers, data ): + """Write Azure resource data to a CSV file, ensuring all fields are quoted.""" + ## Ensure all headers are explicitly quoted + cleaned_headers = [header.strip('"') for header in csv_headers] + quoted_headers = [f'{header}' for header in cleaned_headers] + + with open( output_file, "w", newline="\n", encoding="utf-8" ) as csvfile: + ## Force quotes for all fields + writer = csv.writer( csvfile, quoting=csv.QUOTE_ALL ) + ## Write quoted headers + writer.writerow( quoted_headers ) + for line in data: + ## Trim spaces and ensure consistent line endings + values = [col.strip() for col in line.split( "\t" )] + if len( values ) == len( quoted_headers ): + writer.writerow( values ) + else: + print(f"Skipping malformed line: {line}") + +def main(): + """Main script execution.""" + parser = argparse.ArgumentParser( description="Fetch Azure resources and export them to a CSV file." ) + parser.add_argument( + "--output-file", + type=str, + default="azure-resources.python.csv", + help="Path to the output CSV file (default: azure-resources.csv)" + ) + parser.add_argument( + "--output-headers", + type=str, + default=DEFAULT_OUTPUT_HEADERS, + help="Comma-separated list of headers in 'ColumnName:AzureField' format." + ) + parser.add_argument( + "--suppress-output", + action="store_true", + help="Suppress printing the CSV content to the console" + ) + + args = parser.parse_args() + output_file = args.output_file + output_headers = args.output_headers + suppress_output = args.suppress_output + + print( "\nChecking Azure CLI availability..." ) + check_azure_cli() + + print( "Checking Azure authentication..." ) + check_azure_login() + + print( "\nParsing output headers..." ) + csv_headers, azure_query = parse_headers( output_headers ) + + print( "Fetching Azure resources..." ) + data = fetch_azure_resources( azure_query ) + + print( f"\nWriting data to '{output_file}'..." ) + write_csv( output_file, csv_headers, data ) + + print( "\nAzure resources successfully exported!" ) + print( f"Saved as: {output_file}\n" ) + + if not suppress_output: + print("CSV Content (First 10 Lines):\n" ) + with open( output_file, "r", encoding="utf-8" ) as csvfile: + for i, line in enumerate( csvfile ): + if i >= 10: break + print( line.strip() ) -# Set up argument parser -parser = argparse.ArgumentParser( description="Fetch Azure resources and export them to a CSV file." ) ; -parser.add_argument( - "--output-file", - type=str, - default="azure-resources--python.csv", - help="Path to the output CSV file (default: azure-resources--python.csv)" -) ; - -# Parse arguments -args = parser.parse_args() ; -output_file = args.output_file ; - -# Command to fetch Azure resources -cmd = [ - "az", "resource", "list", - "--query", "[].{\"Location\":location, \"Name\":name, \"Resource Group\":resourceGroup}", - "--output", "tsv" -] ; - -# Run the Azure CLI command -result = subprocess.run( cmd, stdout=subprocess.PIPE, text=True ) ; - -# Write header and data to CSV file -with open( output_file, "w", newline="" ) as csvfile: - writer = csv.writer( csvfile ) ; - writer.writerow( ["Location", "Name", "Resource Group"] ) ; - for line in result.stdout.splitlines(): - writer.writerow( line.split( "\t" ) ) ; - -# Print the contents of the generated CSV -with open( output_file, "r" ) as csvfile: - print( csvfile.read() ) ; +if __name__ == "__main__": + main() diff --git a/operations/app/terraform/scripts/export-resources.shell b/operations/app/terraform/scripts/export-resources.shell index a96e549e35a..0ac83f083e7 100755 --- a/operations/app/terraform/scripts/export-resources.shell +++ b/operations/app/terraform/scripts/export-resources.shell @@ -1,13 +1,23 @@ #!/usr/bin/env bash +## Author: PRIME Reportstream DevSecOps team +## Usage: Exporting Azure Resources listing +## > export-resources.shell "report.csv" ; + if [[ ${#1} -gt 0 ]]; then OutputFile="${1}" ; - else OutputFile="azure-resources--shell.csv" ; + else OutputFile="azure-resources.shell.csv" ; fi ; -echo "Location,Name,Resource Group" \ -| cat - <( az resource list --query "[].{\"Location\":location, \"Name\":name, \"Resource Group\":resourceGroup}" --output tsv \ -| sed 's/\t/,/g' ) \ -> ${OutputFile} ; +## Default (hardcoded) CSV headers +echo '"Location","Name","Resource Group"' > ${OutputFile} ; + +## Fetching and transforming records to CSV-format +az resource list --query "[].{\"Location\":location, \"Name\":name, \"Resource Group\":resourceGroup}" \ + --output tsv \ +| sed -e 's/\t/","/g' -e 's|^|"|g' -e 's|$|"|g' \ +| sort -u \ +>> ${OutputFile} ; -cat ${OutputFile} ; +## Listing exported content (10 records) +head -n10 ${OutputFile} ; diff --git a/operations/app/terraform/scripts/requirements.txt b/operations/app/terraform/scripts/requirements.txt new file mode 100644 index 00000000000..d2ce485de20 --- /dev/null +++ b/operations/app/terraform/scripts/requirements.txt @@ -0,0 +1 @@ +# No external dependencies required diff --git a/prime-router/src/main/resources/db/migration/V74__create_index_item_lineage_created_at.sql b/prime-router/src/main/resources/db/migration/V74__create_index_item_lineage_created_at.sql new file mode 100644 index 00000000000..c56d7a571e7 --- /dev/null +++ b/prime-router/src/main/resources/db/migration/V74__create_index_item_lineage_created_at.sql @@ -0,0 +1,17 @@ +/* + * The Flyway tool applies this migration to create the database. + * + * Follow this style guide https://about.gitlab.com/handbook/business-ops/data-team/platform/sql-style-guide/ + * use VARCHAR(63) for names in organization and schema + * + * Copy a version of this comment into the next migration + * + */ + +/* + * Adds index to the item_lineage table on created_at. + */ +CREATE INDEX CONCURRENTLY IF NOT EXISTS idx_item_lineage_created_at + ON item_lineage + USING btree (created_at) +; \ No newline at end of file