Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle - Message Toxicology to MDI - Freeman

Bundle bundle-mdi-tox-report-message-a-freeman of type message


Entry 1 - fullUrl = https://www.forensic-investigation-agency.org/MessageHeader/messageheader-mdi-tox-result-report-a-freeman

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "messageheader-mdi-tox-result-report-a-freeman"

Profile: MessageHeader - Toxicology to MDI

event: Toxicology Lab Results (Details: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes code tox-result-report = 'Toxicology Lab Results', stated as 'null')

Sources

-NameSoftwareVersionContactEndpoint
*University of Florida Pathology Labs, Forensic Toxicology LaboratoryMDI Log1.2.3.4.5+1 (555) 123 4567http://mdi-log.org/fhir/endpoint/1

Responses

-IdentifierCode
*5015fe84-8e76-4526-89d8-44b322e8d4fbOK

focus: See on this page: DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman


Entry 2 - fullUrl = https://www.forensic-investigation-agency.org/DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman

Resource DiagnosticReport:

fentaNYL and Norfentanyl panel - Specimen (Laboratory)

SubjectAlice J. Freeman (Official) female, DoB: 1978-03-12 ( Social Security number/987054321 (use: usual))
When For2021-12-03 11:00:00+0000
Reported2022-01-05 11:00:00+0000
Identifier: Toxicology Laboratory Case Number/R21-01578

Report Details

CodeValueWhen For
Ethanol [Mass/volume] in Blood by Gas chromatography0.145 g/dL2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or Plasmatrue2021-12-03
Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method2 ng/ml2021-12-03
fentaNYL [Mass/volume] in Blood by Confirmatory method23 ng/mL2021-12-03
Ethanol [Mass/volume] in Urine by Confirmatory methodtrue2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or Plasmatrue2021-12-03
Acetyl fentanyl [Presence] in Urine by Confirmatory methodtrue2021-12-03
fentaNYL [Presence] in Urinetrue2021-12-03
Norfentanyl [Presence] in Urinetrue2021-12-03
Ketamine [Presence] in Urinetrue2021-12-03
Ethanol [Mass/volume] in Vitreous fluid0.133 g/dL2021-12-03

Samples of bile, liver, and stomach contents were contaminated and not analyzed.


Entry 3 - fullUrl = https://www.forensic-investigation-agency.org/Patient/us-core-patient-a-freeman

Resource Patient:

Anonymous Patient Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual))


Entry 4 - fullUrl = https://www.forensic-investigation-agency.org/Organization/us-core-organization-tox-lab

Resource Organization:

Generated Narrative: Organization

Resource Organization "us-core-organization-tox-lab"

identifier: http://hl7.org.fhir/sid/us-npi/111223333

active: true

type: Healthcare Provider (Organization type#prov)

name: UF Health Pathology Labs, Forensic Toxicology Laboratory

Contacts

-TelecomAddress
*ph: (352) 265-99004800 SW 35th Drive Gainesville FL 32608 US


Entry 5 - fullUrl = https://www.forensic-investigation-agency.org/Practitioner/us-core-practitioner-b-goldberger

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "us-core-practitioner-b-goldberger"

Profile: Practitioner - Vital Records

identifier: NPI/555667777

name: Bruce Goldberger (Official)


Entry 6 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-blood-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-blood-toxicology-a-freeman"

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/X352356

status: AVAILABLE

type: Whole blood sample (SNOMED CT#258580003)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]BodySite
*2021-12-03 11:00:00+0000Femoral vein structure (body structure) (SNOMED CT#83419000)

container


Entry 7 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-urine-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-urine-toxicology-a-freeman" Version "6" Updated "2022-08-16 00:58:14+0000"

Information Source: #eZxANbiIGlreQv8w!

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/ZZZ352356

status: AVAILABLE

type: Urine specimen (specimen) (SNOMED CT#122575003)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]
*2021-12-03 11:00:00+0000

container


Entry 8 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-vitreous-humor-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-vitreous-humor-toxicology-a-freeman" Version "10" Updated "2022-08-16 00:58:14+0000"

Information Source: #GcjfAjz04u7pzXAX!

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/XXX352356

status: AVAILABLE

type: Vitreous humor sample (SNOMED CT#258438000)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]
*2021-12-03 11:00:00+0000

container


Entry 9 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-bile-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-bile-toxicology-a-freeman"

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/OO352356

status: AVAILABLE

type: Bile specimen (specimen) (SNOMED CT#119341000)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 10 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-liver-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-liver-toxicology-a-freeman" Version "6" Updated "2022-08-16 00:58:14+0000"

Information Source: #IbInZlV93F4o3XXB!

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/DD352356

status: AVAILABLE

type: Tissue specimen from liver (specimen) (SNOMED CT#128168004)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 11 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-stomach-contents-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen

Resource Specimen "specimen-stomach-contents-toxicology-a-freeman" Version "6" Updated "2022-08-16 00:58:14+0000"

Information Source: #r9ZzhRg7oy7Ffv52!

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/MM352356

status: AVAILABLE

type: Specimen from stomach (specimen) (SNOMED CT#119379005)

subject: See on this page: Patient/us-core-patient-a-freeman

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 12 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-etoh-gas-chromatography-blood-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Ethanol [Mass/volume] in Blood by Gas chromatography (LOINC#56478-1)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: 0.145 g/dL

specimen: See on this page: Specimen/specimen-blood-toxicology-a-freeman


Entry 13 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-blood-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-4-anpp-blood-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Despropionylfentanyl [Mass/volume] in Serum or Plasma (LOINC#11072-6)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-blood-toxicology-a-freeman


Entry 14 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-acetylfentanyl-blood-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method (LOINC#86223-5)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: 2 ng/ml

specimen: See on this page: Specimen/specimen-blood-toxicology-a-freeman


Entry 15 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-blood-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-fentanyl-blood-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: fentaNYL [Mass/volume] in Blood by Confirmatory method (LOINC#73938-3)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: 23 ng/mL

specimen: See on this page: Specimen/specimen-blood-toxicology-a-freeman


Entry 16 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Ethanol [Mass/volume] in Urine by Confirmatory method (LOINC#46983-3)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 17 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-4-anpp-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Despropionylfentanyl [Mass/volume] in Serum or Plasma (LOINC#11072-6)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 18 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-acetylfentanyl-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Acetyl fentanyl [Presence] in Urine by Confirmatory method (LOINC#74810-3)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 19 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-fentanyl-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: fentaNYL [Presence] in Urine (LOINC#11235-9)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 20 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-norfentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-norfentanyl-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Norfentanyl [Presence] in Urine (LOINC#43199-9)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 21 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-xylazine-urine-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-xylazine-urine-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Ketamine [Presence] in Urine (LOINC#12327-3)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: See on this page: Specimen/specimen-urine-toxicology-a-freeman


Entry 22 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman

Resource Observation:

Generated Narrative: Observation

Resource Observation "us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"

Profile: Observation - Toxicology Lab Result

status: FINAL

category: Laboratory (Observation Category Codes#laboratory)

code: Ethanol [Mass/volume] in Vitreous fluid (LOINC#12465-1)

subject: See on this page: Patient/us-core-patient-a-freeman: Alice J. Freeman

effective: 2021-12-03

value: 0.133 g/dL

specimen: See on this page: Specimen/specimen-vitreous-humor-toxicology-a-freeman