From 37370e94c49b010ba19f22e3e706ec8db80ffcdb Mon Sep 17 00:00:00 2001 From: James Gilmore <109554461+GilmoreA6@users.noreply.github.com> Date: Tue, 22 Oct 2024 13:48:21 -0700 Subject: [PATCH] Add sender transform to remove leading zeros for CDPH NBS NM data type (#16296) * add sender transform to remove leading zeros for CDPH NBS NM data type * add integration tests for hl7 to fhir transform * update tests for multiple Order groups * fix integration test filenames * update expected filepath to correctly identify output file --- prime-router/settings/STLTs/CA/ca-phl.yml | 1 + .../Flexion/cdph-nbs-sender-transform.yml | 10 + .../sample_oru_CDPH_NBS_20241021-001.fhir | 3392 +++++++++++++++++ .../sample_oru_CDPH_NBS_20241021-001.hl7 | 25 + 4 files changed, 3428 insertions(+) create mode 100644 prime-router/src/main/resources/metadata/fhir_transforms/senders/Flexion/cdph-nbs-sender-transform.yml create mode 100644 prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.fhir create mode 100644 prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.hl7 diff --git a/prime-router/settings/STLTs/CA/ca-phl.yml b/prime-router/settings/STLTs/CA/ca-phl.yml index cb66c7b1199..36bc6e6ac4a 100644 --- a/prime-router/settings/STLTs/CA/ca-phl.yml +++ b/prime-router/settings/STLTs/CA/ca-phl.yml @@ -20,5 +20,6 @@ organizationName: "ca-phl" topic: "etor-ti" customerStatus: "active" + schemaName: classpath:/metadata/fhir_transforms/senders/Flexion/cdph-nbs-sender-transform.yml format: "HL7" receivers: [] diff --git a/prime-router/src/main/resources/metadata/fhir_transforms/senders/Flexion/cdph-nbs-sender-transform.yml b/prime-router/src/main/resources/metadata/fhir_transforms/senders/Flexion/cdph-nbs-sender-transform.yml new file mode 100644 index 00000000000..4772f20ebcc --- /dev/null +++ b/prime-router/src/main/resources/metadata/fhir_transforms/senders/Flexion/cdph-nbs-sender-transform.yml @@ -0,0 +1,10 @@ +# $schema: ../../../../../../../metadata/json_schema/fhir/fhir-to-fhir-transform.json +# Sender transform for CDPH NBS results +elements: + + # REGEX removes leading zeroes from left of decimal point unless there is only a single zero + - name: remove-leading-zeros-from-nm-data-type + resource: 'Bundle.entry.resource.ofType(Observation).value.ofType(Quantity)' + condition: '%resource.value.toString().matches("^0\\d+(\\.\\d+)?$")' + bundleProperty: '%resource.value' + value: [ '%resource.value.toString().replaceMatches("^0+(\\d*|0)(\\.\\d+)?$", "$1$2")' ] \ No newline at end of file diff --git a/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.fhir b/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.fhir new file mode 100644 index 00000000000..72a32eafac3 --- /dev/null +++ b/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.fhir @@ -0,0 +1,3392 @@ +{ + "resourceType": "Bundle", + "id": "1729545338927907697.bd3f2e56-5c61-40de-b962-80bd2230978b", + "meta": { + "lastUpdated": "2024-10-21T21:15:38.934+00:00" + }, + "identifier": { + "system": "https://reportstream.cdc.gov/prime-router", + "value": "987654321" + }, + "type": "message", + "timestamp": "2024-10-21T05:57:26.000+00:00", + "entry": [ + { + "fullUrl": "MessageHeader/1729545339210455332.924ff151-1045-49aa-8ebd-b0f4d631cc9f", + "resource": { + "resourceType": "MessageHeader", + "id": "1729545339210455332.924ff151-1045-49aa-8ebd-b0f4d631cc9f", + "meta": { + "tag": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0103", + "code": "T" + } + ] + }, + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/msh-message-header", + "extension": [ + { + "url": "MSH.7", + "valueString": "20241021055726" + } + ] + } + ], + "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": "123456" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/universal-id-type", + "valueString": "L,M,N" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.5" + } + ], + "name": "TESTRECEIVER", + "receiver": { + "reference": "Organization/1729545339208252456.1766a49b-0e7d-4d31-9ce9-1f94d6576328" + } + } + ], + "sender": { + "reference": "Organization/1729545339094985953.51b117e6-2572-49a0-a043-94863b908014" + }, + "source": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/namespace-id", + "valueString": "TEST" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.3" + } + ], + "name": "TEST", + "_endpoint": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + } + } + }, + { + "fullUrl": "Organization/1729545339094985953.51b117e6-2572-49a0-a043-94863b908014", + "resource": { + "resourceType": "Organization", + "id": "1729545339094985953.51b117e6-2572-49a0-a043-94863b908014", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "TEST" + } + ] + } + }, + { + "fullUrl": "Organization/1729545339208252456.1766a49b-0e7d-4d31-9ce9-1f94d6576328", + "resource": { + "resourceType": "Organization", + "id": "1729545339208252456.1766a49b-0e7d-4d31-9ce9-1f94d6576328", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "MSH.6" + } + ] + } + }, + { + "fullUrl": "Provenance/1729545339264342588.81782cc1-0e55-4801-89ab-70fae0dd44ed", + "resource": { + "resourceType": "Provenance", + "id": "1729545339264342588.81782cc1-0e55-4801-89ab-70fae0dd44ed", + "target": [ + { + "reference": "MessageHeader/1729545339210455332.924ff151-1045-49aa-8ebd-b0f4d631cc9f" + }, + { + "reference": "DiagnosticReport/1729545340061764861.9856fa04-d24c-4543-89dc-7e0eebcbc5f7" + }, + { + "reference": "DiagnosticReport/1729545340076333163.4f1a3a9d-5847-4aad-8339-145690708791" + }, + { + "reference": "DiagnosticReport/1729545340088907096.8617afa5-2239-4269-9fc0-ab3014b19274" + } + ], + "recorded": "2024-10-21T05:57:26Z", + "activity": { + "coding": [ + { + "display": "ORU^R01^ORU_R01" + } + ] + }, + "agent": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", + "code": "author" + } + ] + }, + "who": { + "reference": "Organization/1729545339262206015.8a522741-3645-44f8-abf9-e52d2343a0b4" + } + } + ] + } + }, + { + "fullUrl": "Organization/1729545339262206015.8a522741-3645-44f8-abf9-e52d2343a0b4", + "resource": { + "resourceType": "Organization", + "id": "1729545339262206015.8a522741-3645-44f8-abf9-e52d2343a0b4", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.1" + } + ], + "value": "TEST" + } + ] + } + }, + { + "fullUrl": "Provenance/1729545339281290972.b823f57b-563b-461f-ba05-ba8f8d1295e5", + "resource": { + "resourceType": "Provenance", + "id": "1729545339281290972.b823f57b-563b-461f-ba05-ba8f8d1295e5", + "recorded": "2024-10-21T21:15:39Z", + "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/1729545339279857123.46b8f468-8c95-40c5-a5e1-9c270a5e1df4" + } + } + ] + } + }, + { + "fullUrl": "Organization/1729545339279857123.46b8f468-8c95-40c5-a5e1-9c270a5e1df4", + "resource": { + "resourceType": "Organization", + "id": "1729545339279857123.46b8f468-8c95-40c5-a5e1-9c270a5e1df4", + "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/1729545339425441938.6bb61461-b7fb-4a49-8ee7-de176bbc0604", + "resource": { + "resourceType": "Patient", + "id": "1729545339425441938.6bb61461-b7fb-4a49-8ee7-de176bbc0604", + "extension": [ + { + "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.24", + "valueString": "N" + } + ] + }, + { + "url": "http://ibm.com/fhir/cdm/StructureDefinition/local-race-cd", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "2131-1", + "display": "Other Race" + } + ] + } + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/ethnic-group", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "UNK", + "display": "Unknown" + } + ] + } + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cx-identifier", + "extension": [ + { + "url": "CX.5", + "valueString": "MR" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "PID.3" + } + ], + "type": { + "coding": [ + { + "code": "MR" + } + ] + }, + "value": "123456", + "assigner": { + "reference": "Organization/1729545339292497158.537cf02d-a616-4fa8-b9ce-84a7cb471526" + } + } + ], + "name": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "BOY MOMTHREE" + }, + { + "url": "XPN.7", + "valueString": "B" + } + ] + } + ], + "use": "official", + "family": "CDPHTHREE", + "given": [ + "BOY MOMTHREE" + ] + } + ], + "gender": "male", + "birthDate": "2024-10-15", + "_birthDate": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "202410151039" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime", + "valueDateTime": "2024-10-15T10:39:00Z" + } + ] + }, + "multipleBirthInteger": 1, + "contact": [ + { + "extension": [ + { + "url": "https://hl7.org/fhir/StructureDefinition/relationship", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "MTH", + "display": "Mother" + } + ] + } + } + ], + "name": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "MOMTHREE" + } + ] + } + ], + "family": "CDPHTHREE", + "given": [ + "MOMTHREE" + ] + }, + "telecom": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "888" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "8888888" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "8888888" + } + ] + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + } + ], + "address": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xad-address", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sad-address-line", + "extension": [ + { + "url": "SAD.1", + "valueString": "123 MAIN ST" + } + ] + } + ] + } + ], + "line": [ + "123 MAIN ST" + ], + "city": "SAN DIEGO", + "state": "CA", + "postalCode": "92126", + "country": "USA" + } + } + ] + } + }, + { + "fullUrl": "Organization/1729545339292497158.537cf02d-a616-4fa8-b9ce-84a7cb471526", + "resource": { + "resourceType": "Organization", + "id": "1729545339292497158.537cf02d-a616-4fa8-b9ce-84a7cb471526", + "identifier": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "HD.2,HD.3" + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0301" + } + ] + }, + "value": "NPI" + } + ] + } + }, + { + "fullUrl": "Provenance/1729545339444778505.b57fdceb-1b51-4e7a-bfb6-8e5afb2a1482", + "resource": { + "resourceType": "Provenance", + "id": "1729545339444778505.b57fdceb-1b51-4e7a-bfb6-8e5afb2a1482", + "target": [ + { + "reference": "Patient/1729545339425441938.6bb61461-b7fb-4a49-8ee7-de176bbc0604" + } + ], + "recorded": "2024-10-21T21:15:39Z", + "activity": { + "coding": [ + { + "system": "https://terminology.hl7.org/CodeSystem/v3-DataOperation", + "code": "UPDATE" + } + ] + } + } + }, + { + "fullUrl": "RelatedPerson/1729545339466690060.4384ac51-672f-4bf1-b0f8-e51ba7e3a7f5", + "resource": { + "resourceType": "RelatedPerson", + "id": "1729545339466690060.4384ac51-672f-4bf1-b0f8-e51ba7e3a7f5", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Segment", + "valueString": "NK1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/nk1-related-person", + "extension": [ + { + "url": "NK1.16", + "valueString": "20031007" + } + ] + } + ], + "patient": { + "reference": "Patient/1729545339425441938.6bb61461-b7fb-4a49-8ee7-de176bbc0604" + }, + "relationship": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.3" + } + ], + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "MTH", + "display": "Mother" + } + ] + } + ], + "name": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.2" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xpn-human-name", + "extension": [ + { + "url": "XPN.2", + "valueString": "MOMTHREE" + } + ] + } + ], + "family": "CDPHTHREE", + "given": [ + "MOMTHREE" + ] + } + ], + "telecom": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-area", + "valueString": "888" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-local", + "valueString": "8888888" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/xtn-contact-point", + "extension": [ + { + "url": "XTN.7", + "valueString": "8888888" + } + ] + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2Field", + "valueString": "NK1.5" + } + ], + "_system": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", + "valueCode": "unknown" + } + ] + } + } + ], + "birthDate": "2003-10-07", + "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": "123 MAIN ST" + } + ] + } + ] + } + ], + "line": [ + "123 MAIN ST" + ], + "city": "SAN DIEGO", + "state": "CA", + "postalCode": "92126", + "country": "USA" + } + ] + } + }, + { + "fullUrl": "Observation/1729545339500298017.d65377f7-0bcf-49b0-90af-acbbaaa70899", + "resource": { + "resourceType": "Observation", + "id": "1729545339500298017.d65377f7-0bcf-49b0-90af-acbbaaa70899", + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/sub-id", + "valueString": "1" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/obx-observation", + "extension": [ + { + "url": "OBX.2", + "valueId": "NM" + }, + { + "url": "OBX.6", + "valueCodeableConcept": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + } + ], + "code": "nmol/L" + } + ] + } + }, + { + "url": "OBX.11", + "valueString": "F" + } + ] + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding", + "valueString": "coding" + }, + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/cwe-coding-system", + "valueString": "LN" + } + ], + "system": "http://loinc.org", + "code": "38473-5", + "display": "17-Hydroxyprogesterone" + } + ] + }, + "subject": { + "reference": "Patient/1729545339425441938.6bb61461-b7fb-4a49-8ee7-de176bbc0604" + }, + "effectiveDateTime": "2024-10-21T05:57:26Z", + "_effectiveDateTime": { + "extension": [ + { + "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/hl7v2-date-time", + "valueString": "20241021055726" + } + ] + }, + "valueQuantity": { + "value": 65.88, + "unit": "nmol/L" + }, + 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a/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.hl7 b/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.hl7 new file mode 100644 index 00000000000..1ac740869bd --- /dev/null +++ b/prime-router/src/testIntegration/resources/datatests/HL7_to_FHIR/sample_oru_CDPH_NBS_20241021-001.hl7 @@ -0,0 +1,25 @@ +MSH|^~\&|TEST|TEST|TESTRECEIVER^123456^L,M,N|^^L,M,N|20241021055726||ORU^R01^ORU_R01|987654321|T|2.5.1 +PID|1||123456^^^&NPI^MR||CDPHTHREE^BOY MOMTHREE^^^^^B||202410151039|M||2131-1^Other Race||||||||||||UNK^Unknown||N|1 +NK1|1|CDPHTHREE^MOMTHREE|MTH^Mother|123 MAIN ST^^SAN DIEGO^CA^92126^USA|^^^^^888^8888888|||||||||||20031007 +ORC|RE|123456^FormNumber||56789^HospOrdNumber||||||||101234567^DOCTOR^TEST^^^^^^^^^^NPI|||||||||UCSD JACOBS MEDICAL CENTER^^^^^^^^^R797|ARBITRARY^^SAN DIEGO^CA^99999-9999 +OBR|1|123456^FormNumber||54089-8^NB Screen Panel Patient AHIC|||202410211125|||||||||^DOCTOR^TEST||||||20241015055726|||F +OBR|2|123456^FormNumber||57086-1^Congenital adrenal hyperplasia newborn screening panel|||202410211125|||||||||^DOCTOR^TEST||||||20241021055726|||F +OBX|1|NM|38473-5^17-Hydroxyprogesterone^LN|1|0065.88|nmol/L|<85|N|||F|||20241021055726 +OBX|2|NM|^^^99717-6^17-Hydroxyprogesterone (CAH II)^L|1|39|nmol/L|<38|H|||F|||20241021055726 +OBX|3|NM|53343-0^Androstenedione^LN|1|40.15|nmol/L||N|||F|||20241021055726 +OBX|4|NM|53345-5^Cortisol^LN|1|850.00|nmol/L||N|||F|||220241021055726 +OBX|5|NM|53336-4^17-Hydroxyprogesterone+Androstenedione/Cortisol^LN|1|0.93|{Ratio}|<1|N|||F|||20241021055726 +OBX|6|NM|53341-4^21-Deoxycortisol [Mass/volume] in Dried blood spot^LN|1|00.02|nmol/L|<5|N|||F|||20241021055726 +OBX|7|NM|53347-1^11-Deoxycorticosterone [Mass/volume] in Dried blood spot^LN||25|nmol/L|<240|N|||F|||20241021055726 +OBX|8|CE|46758-9^Congenital adrenal hyperplasia newborn screen interpretation^LN|001|LA18592-8^In range^LN|||N|||F|||20241021055726 +OBX|9|TX|57706-4^Congenital adrenal hyperplasia newborn screening comment-discussion^LN|001.54|Negative|||N|||F|||20241021055726 +OBR|3|123456^FormNumber||57086-1^Congenital adrenal hyperplasia newborn screening panel|||202410211125|||||||||^DOCTOR^TEST||||||20241021055726|||F +OBX|1|NM|38473-5^17-Hydroxyprogesterone^LN|1|0065.88|nmol/L|<85|N|||F|||20241021055726 +OBX|2|NM|^^^99717-6^17-Hydroxyprogesterone (CAH II)^L|1|39|nmol/L|<38|H|||F|||20241021055726 +OBX|3|NM|53343-0^Androstenedione^LN|1|40.15|nmol/L||N|||F|||20241021055726 +OBX|4|NM|53345-5^Cortisol^LN|1|850.00|nmol/L||N|||F|||220241021055726 +OBX|5|NM|53336-4^17-Hydroxyprogesterone+Androstenedione/Cortisol^LN|1|0.93|{Ratio}|<1|N|||F|||20241021055726 +OBX|6|NM|53341-4^21-Deoxycortisol [Mass/volume] in Dried blood spot^LN|1|00.02|nmol/L|<5|N|||F|||20241021055726 +OBX|7|NM|53347-1^11-Deoxycorticosterone [Mass/volume] in Dried blood spot^LN||25|nmol/L|<240|N|||F|||20241021055726 +OBX|8|CE|46758-9^Congenital adrenal hyperplasia newborn screen interpretation^LN|001|LA18592-8^In range^LN|||N|||F|||20241021055726 +OBX|9|TX|57706-4^Congenital adrenal hyperplasia newborn screening comment-discussion^LN|001.54|Negative|||N|||F|||20241021055726 \ No newline at end of file