Bundle - Message Toxicology to MDI - Freeman - Medicolegal Death Investigation (MDI) FHIR Implementation Guide v2.0.0-ballot2

This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot2: STU 2 Ballot 3) 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

Generated Narrative: Bundle bundle-mdi-tox-report-message-a-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 messageheader-mdi-tox-result-report-a-freeman

event: Medicolegal Death Investigation Codes tox-result-report: Toxicology Lab Results
Sources
- Name Software Version Contact
* University of Florida Pathology Labs, Forensic Toxicology Laboratory MDI Log 1.2.3.4.5 +1 (555) 123 4567
Responses
- Identifier Code
* 5015fe84-8e76-4526-89d8-44b322e8d4fb OK
focus: Diagnostic Report for 'fentaNYL and Norfentanyl panel - Specimen' for '->Alice J. Freeman'

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

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport diagnosticreport-mdi-toxicology-lab-a-freeman

fentaNYL and Norfentanyl panel - Specimen (Laboratory)
Subject Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
When For 2021-12-03 11:00:00+0000
Reported 2022-01-05 11:00:00+0000
Performer Practitioner Bruce Goldberger (official)
Identifier Toxicology Laboratory Case Number/R21-01578
Report Details
Code Value Flags When For
Ethanol [Mass/volume] in Blood by Gas chromatography 0.145 g/dL Final 2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or Plasma true Final 2021-12-03
Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method 2 ng/ml Final 2021-12-03
fentaNYL [Mass/volume] in Blood by Confirmatory method 23 ng/mL Final 2021-12-03
Ethanol [Mass/volume] in Urine by Confirmatory method true Final 2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or Plasma true Final 2021-12-03
Acetyl fentanyl [Presence] in Urine by Confirmatory method true Final 2021-12-03
fentaNYL [Presence] in Urine true Final 2021-12-03
Norfentanyl [Presence] in Urine true Final 2021-12-03
Ketamine [Presence] in Urine true Final 2021-12-03
Ethanol [Mass/volume] in Vitreous fluid 0.133 g/dL Final 2021-12-03
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:

Generated Narrative: Patient us-core-patient-a-freeman

Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
Active: true
Contact Detail 112 Miramar Ct Danville IL (home)
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Not Hispanic or Latino
US Core Race Extension:
detailed: CDC Race and Ethnicity 2029-7: Asian Indian
text: Asian Indian

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

Resource Organization:

Generated Narrative: Organization us-core-organization-tox-lab

identifier: http://hl7.org.fhir/sid/us-npi/111223333
active: true
type: Healthcare Provider
name: UF Health Pathology Labs, Forensic Toxicology Laboratory
Contacts
- Telecom Address
* ph: (352) 265-9900 4800 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 us-core-practitioner-b-goldberger

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 specimen-blood-toxicology-a-freeman

accessionIdentifier: http://lab.acme.org/specimens/2021/X352356
status: Available
type: Whole blood sample
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
receivedTime: 2021-12-03 16:00:00+0000
Collections
- Collected[x] BodySite
* 2021-12-03 11:00:00+0000 No display for Specimen.collection.bodySite (concept: Femoral vein structure (body structure))
container

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

Resource Specimen:

Generated Narrative: Specimen specimen-urine-toxicology-a-freeman

version: 6; Last 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)
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
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 specimen-vitreous-humor-toxicology-a-freeman

version: 10; Last 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
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
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 specimen-bile-toxicology-a-freeman

accessionIdentifier: http://lab.acme.org/specimens/2021/OO352356
status: Available
type: Bile specimen (specimen)
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
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 specimen-liver-toxicology-a-freeman

version: 6; Last 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)
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
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 specimen-stomach-contents-toxicology-a-freeman

version: 6; Last 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)
subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
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 us-core-lab-result-etoh-gas-chromatography-blood-a-freeman

status: Final
category: Laboratory
code: Ethanol [Mass/volume] in Blood by Gas chromatography
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: 0.145 g/dL
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-4-anpp-blood-a-freeman

status: Final
category: Laboratory
code: Despropionylfentanyl [Mass/volume] in Serum or Plasma
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-acetylfentanyl-blood-a-freeman

status: Final
category: Laboratory
code: Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: 2 ng/ml
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-fentanyl-blood-a-freeman

status: Final
category: Laboratory
code: fentaNYL [Mass/volume] in Blood by Confirmatory method
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: 23 ng/mL
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000

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 us-core-lab-result-etoh-gas-chromatography-urine-a-freeman

status: Final
category: Laboratory
code: Ethanol [Mass/volume] in Urine by Confirmatory method
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-4-anpp-urine-a-freeman

status: Final
category: Laboratory
code: Despropionylfentanyl [Mass/volume] in Serum or Plasma
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-acetylfentanyl-urine-a-freeman

status: Final
category: Laboratory
code: Acetyl fentanyl [Presence] in Urine by Confirmatory method
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-fentanyl-urine-a-freeman

status: Final
category: Laboratory
code: fentaNYL [Presence] in Urine
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-norfentanyl-urine-a-freeman

status: Final
category: Laboratory
code: Norfentanyl [Presence] in Urine
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

Resource Observation:

Generated Narrative: Observation us-core-lab-result-xylazine-urine-a-freeman

status: Final
category: Laboratory
code: Ketamine [Presence] in Urine
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: true
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000

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

status: Final
category: Laboratory
code: Ethanol [Mass/volume] in Vitreous fluid
subject: Alice J. Freeman
effective: 2021-12-03
performer: Practitioner Bruce Goldberger (official)
value: 0.133 g/dL
specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#XXX352356; status = available; type = Vitreous humor sample; receivedTime = 2021-12-03 16:00:00+0000