Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-ballot2 - STU2 ballot United States of America flag

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

: DiagnosticReport - Toxicology Lab Result to MDI - Freeman - XML Representation

Raw xml | Download


<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-mdi-toxicology-lab-a-freeman"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mdi/StructureDefinition/DiagnosticReport-toxicology-to-mdi"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport diagnosticreport-mdi-toxicology-lab-a-freeman</b></p><a name="diagnosticreport-mdi-toxicology-lab-a-freeman"> </a><a name="hcdiagnosticreport-mdi-toxicology-lab-a-freeman"> </a><a name="diagnosticreport-mdi-toxicology-lab-a-freeman-en-US"> </a><h2><span title="Codes:{http://loinc.org 81273-5}">fentaNYL and Norfentanyl panel - Specimen</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}">Laboratory</span>) </h2><table class="grid"><tr><td>Subject</td><td>Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))</td></tr><tr><td>When For</td><td>2021-12-03 11:00:00+0000</td></tr><tr><td>Reported</td><td>2022-01-05 11:00:00+0000</td></tr><tr><td>Performer</td><td> <a href="Practitioner-us-core-practitioner-b-goldberger.html">Practitioner Bruce Goldberger (official)</a></td></tr><tr><td>Identifier</td><td> Toxicology Laboratory Case Number/R21-01578</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-us-core-lab-result-etoh-gas-chromatography-blood-a-freeman.html"><span title="Codes:{http://loinc.org 56478-1}">Ethanol [Mass/volume] in Blood by Gas chromatography</span></a></td><td>0.145 g/dL</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-4-anpp-blood-a-freeman.html"><span title="Codes:{http://loinc.org 11072-6}">Despropionylfentanyl [Mass/volume] in Serum or Plasma</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-acetylfentanyl-blood-a-freeman.html"><span title="Codes:{http://loinc.org 86223-5}">Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method</span></a></td><td>2 ng/ml</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-fentanyl-blood-a-freeman.html"><span title="Codes:{http://loinc.org 73938-3}">fentaNYL [Mass/volume] in Blood by Confirmatory method</span></a></td><td>23 ng/mL</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-etoh-gas-chromatography-urine-a-freeman.html"><span title="Codes:{http://loinc.org 46983-3}">Ethanol [Mass/volume] in Urine by Confirmatory method</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-4-anpp-urine-a-freeman.html"><span title="Codes:{http://loinc.org 11072-6}">Despropionylfentanyl [Mass/volume] in Serum or Plasma</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-acetylfentanyl-urine-a-freeman.html"><span title="Codes:{http://loinc.org 74810-3}">Acetyl fentanyl [Presence] in Urine by Confirmatory method</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-fentanyl-urine-a-freeman.html"><span title="Codes:{http://loinc.org 11235-9}">fentaNYL [Presence] in Urine</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-norfentanyl-urine-a-freeman.html"><span title="Codes:{http://loinc.org 43199-9}">Norfentanyl [Presence] in Urine</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-xylazine-urine-a-freeman.html"><span title="Codes:{http://loinc.org 12327-3}">Ketamine [Presence] in Urine</span></a></td><td>true</td><td>Final</td><td>2021-12-03</td></tr><tr><td><a href="Observation-us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman.html"><span title="Codes:{http://loinc.org 12465-1}">Ethanol [Mass/volume] in Vitreous fluid</span></a></td><td>0.133 g/dL</td><td>Final</td><td>2021-12-03</td></tr></table><p>Samples of bile, liver, and stomach contents were contaminated and not analyzed.</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number">
    <valueIdentifier>
      <system
              value="http://florida-investigation-agncy.org/fhir/agency-case-numbers"/>
      <value value="ME21-111"/>
    </valueIdentifier>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
        <code value="tox-lab-case-number"/>
      </coding>
    </type>
    <system value="http://uf-path-labs.org/fhir/lab-cases"/>
    <value value="R21-01578"/>
    <assigner>🔗 
      <reference value="Organization/us-core-organization-tox-lab"/>
    </assigner>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="LAB"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="81273-5"/>
      <display value="fentaNYL and Norfentanyl panel - Specimen"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/us-core-patient-a-freeman"/>
    <display value="Alice J. Freeman"/>
  </subject>
  <effectiveDateTime value="2021-12-03T11:00:00Z"/>
  <issued value="2022-01-05T11:00:00Z"/>
  <performer>🔗 
    <reference value="Practitioner/us-core-practitioner-b-goldberger"/>
  </performer>
  <specimen>🔗 
    <reference value="Specimen/specimen-blood-toxicology-a-freeman"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/specimen-vitreous-humor-toxicology-a-freeman"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/specimen-bile-toxicology-a-freeman"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/specimen-liver-toxicology-a-freeman"/>
  </specimen>
  <specimen>🔗 
    <reference
               value="Specimen/specimen-stomach-contents-toxicology-a-freeman"/>
  </specimen>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman"/>
    <display value="ETOH BLOOD: 0.145 g/dL"/>
  </result>
  <result>🔗 
    <reference value="Observation/us-core-lab-result-4-anpp-blood-a-freeman"/>
    <display value="4-ANPP: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman"/>
    <display value="ACETYLFENTANYL: 2 ng/mL"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-fentanyl-blood-a-freeman"/>
    <display value="FENTANYL: 23 ng/mL"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"/>
    <display value="ETOH URINE: 0.160 g/dL"/>
  </result>
  <result>🔗 
    <reference value="Observation/us-core-lab-result-4-anpp-urine-a-freeman"/>
    <display value="4-ANPP: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman"/>
    <display value="ACETYLFENTANYL: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-fentanyl-urine-a-freeman"/>
    <display value="FENTANYL: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-norfentanyl-urine-a-freeman"/>
    <display value="NORFENTANYL: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-xylazine-urine-a-freeman"/>
    <display value="XYLAZINE: POSITIVE"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"/>
    <display value="ETOH VITREOUS HUMOR: 0.133 g/dL"/>
  </result>
  <conclusion
              value="Samples of bile, liver, and stomach contents were contaminated and not analyzed."/>
</DiagnosticReport>