{
  "status" : "final",
  "category" : {
    "text" : "Laboratory",
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/observation-category",
        "display" : "Laboratory",
        "code" : "laboratory"
      }
    ]
  },
  "id" : "TeS8J8ngTaJT3-UlpXuPlzVp7v2Ea70j6Kas59bfUzNedPwXQbyix-iH3q.YSX22NB",
  "code" : {
    "text" : "HX PATHOLOGY CONVERTED REPORT COPATH"
  },
  "valueString" : "Surgical Pathology Report\r\n\r\nCase Number:   S21-75467\r\n\r\nDate of Service:          11/8/2021\r\nDate Received:          11/9/2021\r\nDate Resulted:          11/10/2021\r\nOrdering Physician:     SEMINARA, BRITTANY\r\n\r\nFinal Pathologic Diagnosis\r\n\r\nCOLON, DESCENDING, BIOPSY:\r\n\r\n     HISTOLOGICALLY UNREMARKABLE COLONIC MUCOSA. \r\n\r\n     NEGATIVE FOR CHRONIC, ACTIVE OR MICROSCOPIC COLITIS.\r\n\r\nlng 11/10/2021 \r\n\r\n\r\n***Report Electronically Signed***\r\nWilliam A. Ahrens, M.D.   704-355-2251\r\n\r\nPoint of Service:  Carolinas Medical Center, 1000 Blythe Blvd, Charlotte, NC  28203\r\n\r\nSome stains/tests used in arriving at the diagnosis may have been performed using reagents that have not been cleared or approved by the US Food and Drug Administration.  The FDA has determined that such clearance or approval is not necessary.  These stains/tests are used for clinical purposes and should not be regarded as investigational or for research.  They were developed and their performance characteristics determined by the Carolinas Laboratory Network.  This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.\r\n\r\nImmunohistochemical stains are performed on formalin-fixed paraffin embedded tissue sections, B+ fixed paraffin embedded sections, and/or frozen sections.  Positive or negative immunoreactivity is based on subjective or objective evaluation of staining using established criteria.  Appropriate positive tissue control(s) are used for each antibody and are stained adequately.  Each antibody is appropriately validated and approved by the Laboratory Medical Director.  Special stains are performed on formalin-fixed paraffin embedded tissue sections, B+ fixed paraffin embedded sections, and/or frozen sections.  Positive or negative results are based on subjective evaluation of staining.  Special stains are performed on sections of control tissue known to contain components specific to each special stain.  Positive control(s) have been performed and stained adequately.  The performance characteristics of each special stain is appropriately validated and approved by the Laboratory Medical Director.\r\n\r\nClinical Information/ Surgical Procedure\r\nScreening; colonoscopy. \r\n\r\n\r\n \r\nSpecimen(s) Received\r\nDescending colon inflammation bx\r\n \r\n\r\n\r\nGross Description\r\nDescending colon inflammation bx:  \r\nSpecimen ID:  Patient name, date of birth, and \"descending colon inflammation biopsy\".\r\nSpecimen fixative:  Formalin.\r\nSpecimen description:  Four fragment(s) of tan soft tissue.\r\nSpecimen size:  Ranges from 0.1 cm to 0.5 cm. \r\n\r\nSUMMARY OF SECTIONS:\r\nA     -     4, in toto \r\n\r\nLR/tme 11/9/2021\r\n\r\n \r\n",
  "subject" : {
    "display" : "Lopez, James Joel",
    "reference" : "https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/DSTU2/Patient/TrS7pTeyWII9cw-xxl5jDrPczC4c5dkg8XOYg4BocZ84B"
  },
  "effectiveDateTime" : "2021-11-08T05:00:00Z",
  "resourceType" : "Observation"
}