MSH|^~\&|VA StarLIMSv10 Prod^2.16.840.1.114222.4.3.3.2.2.4^ISO|VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|ReceivingApplicationName^2.16.840.1.114222.XXX^ISO|ReceivingFacilityName^2.16.840.1.114222.XXX^ISO|20170228125400-0500||ORU^R01^ORU_R01|MessageControlID|T|2.5.1|||AL|ER|||||LRI_NG_FRN_Profile^^2.16.840.1.113883.9.195.3.4^ISO~LRI_NDBS_Component^^2.16.840.1.113883.9.195.3.6^ISO||||||||
PID|1||987654321^^^HospitalSystem&2.16.840.1.114222.XXX&ISO^MR||ONE^TESTCASE|MOMMAIDENONE|201702210152-0500|F||2106-3^White^HL70005|1776 Main Street^^Richmond^VA^23219||^^^^^804^5693861|||||||||N^Not Hispanic or Latino^HL70189||N|1||||
NK1|1|ONE^MOMFIRST|MTH^Mother^HL70063|1776 Main Street^^Richmond^VA^23219|^^^^^804^5693861||N^Next-of-Kin^HL70131|||||||||19860416|||||||||||||||||9683^^^SSA&2.16.840.1.113883.4.1&ISO^SS|||||||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|1|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57128-1^Newborn Screening Report summary panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
TQ1|1||||||||R^Routine^HL70485
OBX|1|CWE|57721-3^Reason for lab test in Dried blood spot^LN||LA12421-6^Initial screen^LN|||N|||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|2|CWE|57718-9^Sample quality of Dried blood spot^LN||LA12432-3^Acceptable^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|CWE|57130-7^Newborn screening report - overall interpretation^LN||LA12431-5^Out of range requiring immediate second-tier testing for at least one condition^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|4|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|1|LA12496-8^HCY^LN^11282001^Homocystinuria^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|5|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|2|LA21168-2^MSUD^LN^27718001^Maple syrup urine disease^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|6|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|3|LA12528-8^TYR-1^LN^410056006^Tyrosinaemia type I^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|7|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|4|LA12538-7^CH^LN^190268003^Congenital hypothyroidism^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|8|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|5|LA12622-9^Hb carrier other than C, D, E, S ,O-Arab^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|9|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|6|LA12505-6^IVA^LN^87827003^Isovaleryl-CoA dehydrogenase deficiency^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|10|CWE|57131-5^Newborn conditions with positive markers [Identifier] in Dried blood spot^LN|7|LA12533-8^CAH^LN^237751000^Congenital adrenal hyperplasia^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|11|FT|57724-7^Newborn screening short narrative summary^LN||SUMMARY: Newborn Metabolic Screen REQUIRES FOLLOW UP\.br\SUBMIT A REPEAT BLOOD SPOT CARD IMMEDIATELY\.br\|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|12|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|1|LA12463-8^HEAR^LN^15188001^Hearing loss^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|13|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|2|LA20349-9^CCHD^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|14|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|3|LA12466-1^3-MCC^LN^13144005^Methylcrotonyl-CoA carboxylase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|15|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|4|LA12471-1^ASA^LN^41013004^Argininosuccinate lyase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|16|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|5|LA12474-5^BKT^LN^237953006^Mitochondrial 2-methylacetoacetyl-CoA thiolase deficiency - potassium stimulated^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|17|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|6|LA12476-0^CBL A^LN^73843004^Cobalamin A disease^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|18|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|7|LA12477-8^CBL B^LN^82245003^Cobalamin B disease^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|19|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|8|LA12482-8^CIT-I^LN^398680004^Citrullinaemia^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|20|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|9|LA12496-8^HCY^LN^11282001^Homocystinuria^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|21|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|10|LA12487-7^CUD^LN^21764004^Renal carnitine transport defect^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|22|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|11|LA12493-5^GA-1^LN^76175005^Glutaric aciduria type 1^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|23|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|12|LA12499-2^HMG^LN^410059004^Hydroxymethylglutaric aciduria^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|24|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|13|LA12505-6^IVA^LN^87827003^Isovaleryl-CoA dehydrogenase deficiency^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|25|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|14|LA12509-8^MCAD^LN^128596003^Medium-chain acyl-coenzyme A dehydrogenase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|26|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|15|LA12510-6^MCD^LN^360369003^Holocarboxylase synthase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|27|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|16|LA21168-2^MSUD^LN^27718001^Maple syrup urine disease^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|28|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|17|LA12515-5^MUT^LN^124680001^Deficiency of methylmalonyl-CoA mutase^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|29|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|18|LA12520-5^PKU^LN^7573000^Classical phenylketonuria^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|30|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|19|LA12523-9^PROP^LN^69080001^Propionic acidemia^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|31|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|20|LA12527-0^TFP^LN^237999008^Mitochondrial trifunctional protein deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|32|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|21|LA12528-8^TYR-1^LN^410056006^Tyrosinaemia type I^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|33|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|22|LA12531-2^VLCAD^LN^237997005^Very long chain acyl-CoA dehydrogenase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|34|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|23|LA12507-2^LCHAD^LN^307127004^Isolated long chain hydroxyacyl-CoA dehydrogenase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|35|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|24|LA12532-0^BIO^LN^8808004^Biotinidase deficiency^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|36|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|25|LA12533-8^CAH^LN^237751000^Congenital adrenal hyperplasia^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|37|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|26|LA12537-9^CF^LN^190905008^Cystic fibrosis^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|38|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|27|LA12538-7^CH^LN^190268003^Congenital hypothyroidism^SCT|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|39|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|28|LA12543-7^GALT^LN^398664009^Deficiency of UTP-hexose-1-phosphate uridylyltransferase^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|40|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|29|LA12614-6^Hb SS-disease (sickle cell anemia)^LN^127040003^Hereditary hemoglobinopathy disorder homozygous for hemoglobin S^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|41|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|30|LA12616-1^Hb SC-disease^LN^35434009^Sickle cell-hemoglobin C disease^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|42|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|31|LA12615-3^Hb S beta-thalassemia^LN^127041004^Sickle cell-beta-thalassemia^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|43|CWE|57719-7^Conditions tested for in this newborn screening study [Identifier] in Dried blood spot^LN|32|LA12566-8^SCID^LN^31323000^Severe combined immunodeficiency disease^SCT|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|2|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57717-1^Newborn screen card data panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|TX|57716-3^State printed on filter paper card [Identifier] in NBS card^LN||VA||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|2|CWE|79566-6^Collection method – Dried blood spot^LN||LA25402-1^Heel stick^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|3|NM|8339-4^Birth weight Measured^LN||2921|g^gram^UCUM|||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|4|NM|58229-6^Body weight Measured --when specimen taken^LN||2856|g^gram^UCUM|||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|5|NM|73806-2^Newborn age in hours^LN||41|h^hour^UCUM|||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|6|CWE|57722-1^Birth plurality of Pregnancy^LN||LA6112-2^1^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|7|NM|57714-8^Obstetric estimation of gestational age^LN||38|wk^week^UCUM|||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|8|CWE|57713-0^Infant factors that affect newborn screening interpretation^LN||LA137-2^None^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|9|TX|67703-9^Other infant factors that affect newborn screening interpretation Narrative^LN||None||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|10|CWE|67706-2^Maternal factors that affect newborn screening interpretation^LN||LA46-8^Other^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|11|TX|67707-0^Other maternal factors that affect newborn screening interpretation Narrative^LN||Mother has Lupus||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|12|CWE|77739-1^Mother’s Hepatitis B virus surface Ag status^LN||LA6577-6^Negative^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|13|CWE|57712-2^Mother's education^LN||LA12457-0^High school graduate or GED completed^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|14|CWE|67704-7^Feeding types^LN||LA16914-6^Breast milk^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|15|TX|67705-4^Other feeding types Narrative^LN||None||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|16|CWE|58232-0^Hearing loss risk indicators [Identifier]^LN||LA137-2^None^LN||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|17|TX|57723-9^Unique bar code number of Current sample^LN||22820171||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|18|TX|57711-4^Unique bar code number of Initial sample^LN||Not Applicable||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|19|CX|62323-1^Post-discharge provider ID [Identifier]^LN||321||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|20|TX|62324-9^Post-discharge provider name in Provider^LN||Dr. Frederick Rahal||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|21|CX|62325-6^Post-discharge provider practice ID^LN||123||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|22|TX|62326-4^Post-discharge provider practice name^LN||Healthy OB Clinic||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|23|XAD|62327-2^Post-discharge provider practice address^LN||5901 Lakeside Avenue^^Richmond^VA^23228||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|24|XTN|62328-0^Post-discharge provider practice telephone number^LN||^^^^^804^2669616||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|25|CX|62329-8^Birth hospital facility ID [Identifier] in Facility^LN||10614||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|26|TX|62330-6^Birth hospital facility name^LN||BON SECOURS ST MARY'S HOSPITAL||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|27|XAD|62331-4^Birth hospital facility address^LN||5801 BREMO RD^^RICHMOND^VA^23226||||||F|||201702221854-0500|||||||||||||||QST|AOE
OBX|28|XTN|62332-2^Birth hospital facility phone number in Facility^LN||^^^^^804^2852011||||||F|||201702221854-0500|||||||||||||||QST|AOE
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|3|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|53261-4^Amino acid newborn screen panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46733-2^Amino acidemias newborn screen interpretation^LN||LA18593-6^Out of range^LN|||AA|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57710-6^Amino acidemias newborn screening comment-discussion^LN||Critical Amino Acid Screen: Because of the apparent CRITICAL VALUES obtained by our laboratory your regional Metabolic Consultant has been notified of these results and will contact you regarding this infant. If you have already received recommendations from your regional metabolic consultant then follow those recommendations. In those cases a repeat NBS may not be necessary.|||AA|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|CWE|57793-2^Amino acidemia disorder suspected [Identifier] in Dried blood spot^LN||LA21168-2^Maple syrup urine disease^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|4|CWE|57793-2^Amino acidemia disorder suspected [Identifier] in Dried blood spot^LN||LA12496-8^Homocystinuria^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|5|CWE|57793-2^Amino acidemia disorder suspected [Identifier] in Dried blood spot^LN||LA12528-8^Tyrosinemia type I^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|6|NM|42892-0^Citrulline [Moles/volume] in Dried blood spot^LN||32|umol/L^micromole per liter^UCUM|< 55.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|7|NM|47700-0^Methionine [Moles/volume] in Dried blood spot^LN||410.25|umol/L^micromole per liter^UCUM|< 70.00|AA|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|8|NM|53152-5^Alloisoleucine+Isoleucine+ Leucine+Hydroxyproline [Moles/volume] in Dried blood spot^LN||265|umol/L^micromole per liter^UCUM|< 222.00|AA|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|9|NM|35572-7^Phenylalanine/Tyrosine [Molar ratio] in Dried blood spot^LN||0.2|{ratio}^ratio^UCUM|< 1.50|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|10|NM|29573-3^Phenylalanine [Moles/volume] in Dried blood spot^LN||107.81|umol/L^micromole per liter^UCUM|< 140.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|11|NM|53231-7^Succinylacetone [Moles/volume] in Dried blood spot^LN||0.62|umol/L^micromole per liter^UCUM|< 2.0|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|12|NM|35571-9^Tyrosine [Moles/volume] in Dried blood spot^LN||540.36|umol/L^micromole per liter^UCUM|< 355.00|AA|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|4|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57084-6^Fatty acid oxidation newborn screen panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46736-5^Fatty acid oxidation defects newborn screen interpretation^LN||LA18592-8^In range^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|CWE|57792-4^Fatty acid oxidation conditions suspected [Identifier] in Dried blood spot^LN||LA137-2^None^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|TX|57709-8^Fatty acid oxidation defects newborn screening comment-discussion^LN||Normal|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|4|NM|38481-8^Carnitine free (C0) [Moles/volume] in Dried blood spot^LN||58.95|umol/L^micromole per liter^UCUM|> 9.20|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|5|NM|45197-1^Decanoylcarnitine (C10) [Moles/volume] in Dried blood spot^LN||0.1|umol/L^micromole per liter^UCUM|< 0.55|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|6|NM|53192-1^Tetradecanoylcarnitine (C14) [Moles/volume] in Dried blood spot^LN||0.11|umol/L^micromole per liter^UCUM|< 0.70|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|7|NM|53191-3^Tetradecenoylcarnitine (C14:1) [Moles/volume] in Dried blood spot^LN||0.1|umol/L^micromole per liter^UCUM|< 0.66|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|8|NM|53199-6^Palmitoylcarnitine (C16) [Moles/volume] in Dried blood spot^LN||0.85|umol/L^micromole per liter^UCUM|< 7.79|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|9|NM|50125-4^3-Hydroxypalmitoylcarnitine (C16-OH) [Moles/volume] in Dried blood spot^LN||0.02|umol/L^micromole per liter^UCUM|< 0.10|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|10|NM|50113-0^3-Hydroxyoleoylcarnitine (C18:1-OH) [Moles/volume] in Dried blood spot^LN||0.02|umol/L^micromole per liter^UCUM|< 0.11|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|11|NM|45211-0^Hexanoylcarnitine (C6) [Moles/volume] in Dried blood spot^LN||0 .07|umol/L^micromole per liter^UCUM|< 0 .59|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|12|NM|53175-6^Octanoylcarnitine (C8) [Moles/volume] in Dried blood spot^LN||0.16|umol/L^micromole per liter^UCUM|< 0.50|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|13|NM|53177-2^Octanoylcarnitine (C8)/Decanoylcarnitine (C10) [Molar ratio] in Dried blood spot^LN||1.69|{ratio}^ratio^UCUM|< 3.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|5|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57085-3^Organic acid newborn screen panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46744-9^Organic acidemias newborn screen interpretation^LN||LA18593-6^Out of range^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|CWE|57791-6^Organic acidemia conditions suspected [Identifier] in Dried blood spot^LN||LA12505-6^Isovaleric acidemia^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|TX|57708-0^Organic acidemias defects newborn screening comment-discussion^LN||Abnormal Organic Acidemia Screen: It is necessary that our laboratory confirm these findings by performing additional testing on a repeat filter paper blood spot collected by a heelstick from the infant. Please submit this sample to us AS SOON AS POSSIBLE with all pertinent requested information. The results will be forwarded to you as soon as they are available. If the infant seems well you should instruct the family to feed the infant every 3-4 hours until repeat tests are available. If the infant is lethargic or ill you should check the child's blood glucose pH blood ammonia and electrolytes evaluate for sepsis admit the child to the hospital for IV hydration and continuedmonitoring and therapy. Also you should contact the regional metabolic treatment center for additional advice. |||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|4|NM|50157-7^Acetylcarnitine (C2) [Moles/volume] in Dried blood spot^LN||36.72|umol/L^micromole per liter^UCUM|< 200.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|5|NM|53160-8^Propionylcarnitine (C3) [Moles/volume] in Dried blood spot^LN||5.16|umol/L^micromole per liter^UCUM|< 7.30|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|6|NM|53163-2^Propionylcarnitine (C3)/Acetylcarnitine (C2) [Molar ratio] in Dried blood spot^LN||0.14|{ratio}^ratio^UCUM|< 0.32|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|7|NM|45222-7^Methylmalonylcarnitine (C4-DC) [Moles/volume] in Dried blood spot^LN||0.1|umol/L^micromole per liter^UCUM|< 1.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|8|NM|45216-9^Isovalerylcarnitine+Methylbutyrylcarnitine (C5) [Moles/volume] in Dried blood spot^LN||1.45|umol/L^micromole per liter^UCUM|< 0.87|A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|9|NM|53170-7^Tiglylcarnitine (C5:1) [Moles/volume] in Dried blood spot^LN||0.03|umol/L^micromole per liter^UCUM|< 0.10|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|10|NM|45207-8^Glutarylcarnitine (C5-DC) [Moles/volume] in Dried blood spot^LN||0.06|umol/L^micromole per liter^UCUM|< 0.25|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|11|NM|50106-4^3-Hydroxyisovalerylcarnitine (C5-OH) [Moles/volume] in Dried blood spot^LN||0.25|umol/L^micromole per liter^UCUM|< 1.00|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|6|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|54078-1^Cystic fibrosis newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46769-6^Cystic fibrosis newborn screen interpretation^LN||LA18592-8^In range^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57707-2^Cystic fibrosis newborn screening comment-discussion^LN||Normal|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|48633-2^Trypsinogen I Free [Mass/volume] in Dried blood spot^LN||34.4|ng/mL^NanoGrams Per MilliLiter^UCUM|< Daily 4%|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|7|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57086-1^Congenital adrenal hyperplasia (CAH) newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46758-9^Congenital adrenal hyperplasia newborn screen interpretation^LN||LA18593-6^Out of range^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57706-4^Congenital adrenal hyperplasia newborn screening comment- discussion^LN||Abnormal Congenital Adrenal Hyperplasia Screen: It is necessary that our laboratory confirm these findings by performing additional testing on a repeat filter paper blood spot collected by a heelstick from the infant. Please submit this sample to us AS SOON AS POSSIBLE with all pertinent requested information. The results will be forwarded to you as soon as they are available.|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|38473-5^17-Hydroxyprogesterone [Mass/volume] in Dried blood spot^LN||27.6|ug/dL^microgram per deciliter^UCUM|<25|A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|8|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|54090-6^Thyroid newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46762-1^Congenital hypothyroidism newborn screen interpretation^LN||LA18593-6^Out of range^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57705-6^Congenital hypothyroidism newborn screening comment-discussion^LN||Abnormal Congenital Hypothyroidism Screen:It is necessary that our laboratory confirm these findings by performing additional testing on a repeat filter paper blood spot collected by a heelstick from the infant. Please submit this sample to us AS SOON AS POSSIBLE with all pertinent requested information. The results will be forwarded to you as soon as they are available.|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|31144-9^Thyroxine (T4) [Mass/volume] in Dried blood spot^LN||5.2|ug/dL^microgram per deciliter^UCUM|> 5.5|A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|4|NM|29575-8^Thyrotropin [Units/volume] in Dried blood spot^LN||<2.22||<25|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|9|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|54079-9^Galactosemia newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46737-3^Galactosemias newborn screen interpretation^LN||LA18592-8^In range^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57704-9^Galactosemias newborn screening comment-discussion^LN||Normal|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|42906-8^Galactose 1 phosphate uridyl transferase [Enzymatic activity/volume] in Dried blood spot^LN||20.8|U/dL^enzyme unit per DeciLiter ^UCUM|> 5.5|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|10|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|54081-5^Hemoglobinopathies newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46740-7^Hemoglobin disorders newborn screen interpretation^LN||LA18593-6^Out of range^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57703-1^Hemoglobin disorders newborn screening comment-discussion^LN||Abnormal Hemoglobinopathy Screen: Result indicates hemoglobin pattern consistent with normal band (FA) and a non-sickling non-disease causing hemoglobin band identified as "V." This completes the hemoglobinopathy screening.|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|11|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|64116-7^Hemoglobin observations newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|64117-5^Most predominant hemoglobin in Dried blood spot^LN||LA16208-3^Hb F^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|CWE|64118-3^Second most predominant hemoglobin in Dried blood spot^LN||LA16209-1^Hb A^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|CWE|64119-1^Third most predominant hemoglobin in Dried blood spot^LN||LA16223-2^Hb unidentified^LN|||A|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|12|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|57087-9^Biotinidase newborn screening panel^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|46761-3^Biotinidase deficiency newborn screen interpretation^LN||LA18592-8^In range^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|57699-1^Biotinidase deficiency newborn screening comment-discussion^LN||Normal|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|75217-0^Biotinidase [Enzymatic activity/volume] in Dried blood spot^LN||187.8|U/dL^enzyme unit per DeciLiter ^UCUM|> 60|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500||||||||||||
ORC|RE|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|||||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD|||||||||BON SECOURS ST MARY'S HOSPITAL^^^^^NPI&2.16.840.1.113883.4.6&ISO^XX^^^10614|5801 BREMO RD^^RICHMOND^VA^23226^USA^^^51760|^^^^^804^2852011||||||
OBR|13|XXXXX^HospitalSystem^2.16.840.1.114222.XXX^ISO|555550001^VA PHL Richmond^2.16.840.1.114222.4.1.9977^ISO|62333-0^Severe combined newborn screening immunodeficiency (SCID) panel in Dried blood spot^LN|||201702221854-0500|||COLLECTOR||||||321^Rahal^Frederick^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||20170229125200-0500|||F||||XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO|||||||||||||||||||||54089-8^Newborn screening panel American Health Information Community (AHIC)^LN
OBX|1|CWE|62321-5^Severe combined immunodeficiency newborn screen interpretation^LN||LA18592-8^In range^LN|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|2|TX|62322-3^Severe combined immunodeficiency newborn screening comment-discussion^LN||Normal|||N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
OBX|3|NM|62320-7^T-cell receptor excision circle [#/volume] in Dried blood spot by Probe and target amplification method^LN||33.66|{Ct}^crossing threshold^UCUM|< 35.5|N|||F|||201702291252-0500|||||201702291252-0500||||VA PHL Richmond|109 Governor Street^^RICHMOND^VA^23219^USA|||||RSLT
SPM|1|XXXXX&HospitalSystem&2.16.840.1.114222.XXX&ISO^555550001&VA PHL Richmond&2.16.840.1.114222.4.1.9977&ISO||440500007^Blood spot specimen^SCT|||||||||||||201702221854-0500