Medicolegal Death Investigation (MDI)
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This page is part of the Medicolegal Death Investigation (MDI) (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "diagnosticreport-mdi-toxicology-lab-a-freeman"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            fentaNYL and Norfentanyl panel\n            \n            <table class=\"grid\">\n                <tbody>\n                    <tr>\n                        <td>Subject</td>\n                        <td>Alice J. Freeman female, DoB: 1978-03-12 ( Social Security number: 987054321 (use: USUAL))</td>\n                    </tr>\n                    <tr>\n                        <td>When For</td>\n                        <td>2021-12-03 11:00:00+0000</td>\n                    </tr>\n                    <tr>\n                        <td>Reported</td>\n                        <td>2022-01-05 11:00:00+0000</td>\n                    </tr>\n                    <tr>\n                        <td>Identifier</td>\n                        <td>Toxicology Laboratory Case Number: R21-01578</td>\n                    </tr>\n                </tbody>\n            </table>\n            <p>\n                <b>Report Details</b>\n            </p>\n            <table class=\"grid\">\n                <thead>\n                    <tr>\n                        <th>Code</th>\n                        <th>Value</th>\n                        <th>When For</th>\n                    </tr>\n                </thead>\n                <tbody>\n                    <tr>\n                        <td>Ethanol [Mass/volume] in Blood by Gas chromatography</td>\n                        <td>0.145 g/dL</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Despropionylfentanyl [Mass/volume] in Serum or Plasma</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method</td>\n                        <td>2 ng/ml</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>fentaNYL [Mass/volume] in Blood by Confirmatory method</td>\n                        <td>23 ng/mL</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Ethanol [Mass/volume] in Urine by Confirmatory method</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Despropionylfentanyl [Mass/volume] in Serum or Plasma</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Acetyl fentanyl [Presence] in Urine by Confirmatory method</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>fentaNYL [Presence] in Urine</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Norfentanyl [Presence] in Urine</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Ketamine [Presence] in Urine</td>\n                        <td>true</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                    <tr>\n                        <td>Ethanol [Mass/volume] in Vitreous fluid</td>\n                        <td>0.133 g/dL</td>\n                        <td>2021-12-03</td>\n                    </tr>\n                </tbody>\n            </table>\n            <p>\n                <b>Conclusion Notes</b>\n            </p>\n            <p>Samples of bile, liver, and stomach contents were contaminated and not analyzed.</p>\n        </div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://florida-investigation-agncy.org/fhir/agency-case-numbers"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ME21-111" ]     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tox-lab-case-number" ]       ] )     ] ;
fhir:system [ fhir:v "http://uf-path-labs.org/fhir/lab-cases"^^xsd:anyURI ] ;
fhir:value [ fhir:v "R21-01578" ] ;
fhir:assigner [
fhir:reference [ fhir:v "Organization/us-core-organization-tox-lab" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LAB" ] ;
fhir:display [ fhir:v "Laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:81273-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "81273-5" ] ;
fhir:display [ fhir:v "fentaNYL and Norfentanyl panel - Specimen" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/us-core-patient-a-freeman" ] ;
fhir:display [ fhir:v "Alice J. Freeman" ]
  ] ; # 
  fhir:effective [ fhir:v "2021-12-03T11:00:00Z"^^xsd:dateTime] ; # 
  fhir:issued [ fhir:v "2022-01-05T11:00:00Z"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-b-goldberger" ]
  ] ) ; # 
  fhir:specimen ( [
fhir:reference [ fhir:v "Specimen/specimen-blood-toxicology-a-freeman" ]
  ] [
fhir:reference [ fhir:v "Specimen/specimen-urine-toxicology-a-freeman" ]
  ] [
fhir:reference [ fhir:v "Specimen/specimen-vitreous-humor-toxicology-a-freeman" ]
  ] [
fhir:reference [ fhir:v "Specimen/specimen-bile-toxicology-a-freeman" ]
  ] [
fhir:reference [ fhir:v "Specimen/specimen-liver-toxicology-a-freeman" ]
  ] [
fhir:reference [ fhir:v "Specimen/specimen-stomach-contents-toxicology-a-freeman" ]
  ] ) ; # 
  fhir:result ( [
fhir:reference [ fhir:v "Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman" ] ;
fhir:display [ fhir:v "ETOH BLOOD: 0.145 g/dL" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-4-anpp-blood-a-freeman" ] ;
fhir:display [ fhir:v "4-ANPP: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman" ] ;
fhir:display [ fhir:v "ACETYLFENTANYL: 2 ng/mL" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-fentanyl-blood-a-freeman" ] ;
fhir:display [ fhir:v "FENTANYL: 23 ng/mL" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman" ] ;
fhir:display [ fhir:v "ETOH URINE: 0.160 g/dL" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-4-anpp-urine-a-freeman" ] ;
fhir:display [ fhir:v "4-ANPP: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman" ] ;
fhir:display [ fhir:v "ACETYLFENTANYL: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-fentanyl-urine-a-freeman" ] ;
fhir:display [ fhir:v "FENTANYL: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-norfentanyl-urine-a-freeman" ] ;
fhir:display [ fhir:v "NORFENTANYL: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-xylazine-urine-a-freeman" ] ;
fhir:display [ fhir:v "XYLAZINE: POSITIVE" ]
  ] [
fhir:reference [ fhir:v "Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman" ] ;
fhir:display [ fhir:v "ETOH VITREOUS HUMOR: 0.133 g/dL" ]
  ] ) ; # 
  fhir:conclusion [ fhir:v "Samples of bile, liver, and stomach contents were contaminated and not analyzed."] . #