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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-mdi-tox-report-message-a-freeman"/>
<meta>
<versionId value="26"/>
<lastUpdated value="2023-09-17T19:22:04.775Z"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-tox-to-mdi"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:683dde44f7664b03a20b6324f23986d9"/>
</identifier>
<type value="message"/>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/MessageHeader/messageheader-mdi-tox-result-report-a-freeman"/>
<resource>
<MessageHeader>
<id value="messageheader-mdi-tox-result-report-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-toxicology-to-mdi"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="messageheader-mdi-tox-result-report-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader "messageheader-mdi-tox-result-report-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MessageHeader-toxicology-to-mdi.html">MessageHeader - Toxicology to MDI</a></p></div><p><b>event</b>: Toxicology Lab Results (Details: http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes code tox-result-report = 'Toxicology Lab Results', stated as 'null')</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>University of Florida Pathology Labs, Forensic Toxicology Laboratory</td><td>MDI Log</td><td>1.2.3.4.5</td><td><a href="tel:+1(555)1234567">+1 (555) 123 4567</a></td><td><a href="http://mdi-log.org/fhir/endpoint/1">http://mdi-log.org/fhir/endpoint/1</a></td></tr></table><h3>Responses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>5015fe84-8e76-4526-89d8-44b322e8d4fb</td><td>ok</td></tr></table><p><b>focus</b>: <a href="#DiagnosticReport_diagnosticreport-mdi-toxicology-lab-a-freeman">See above (DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman)</a></p></div>
</text>
<eventCoding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes"/>
<code value="tox-result-report"/>
</eventCoding>
<source>
<name
value="University of Florida Pathology Labs, Forensic Toxicology Laboratory"/>
<software value="MDI Log"/>
<version value="1.2.3.4.5"/>
<contact>
<system value="phone"/>
<value value="+1 (555) 123 4567"/>
</contact>
<endpoint value="http://mdi-log.org/fhir/endpoint/1"/>
</source>
<response>
<identifier value="5015fe84-8e76-4526-89d8-44b322e8d4fb"/>
<code value="ok"/>
</response>
<focus>🔗
<reference
value="DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman"/>
<resource>
<DiagnosticReport>
<id value="diagnosticreport-mdi-toxicology-lab-a-freeman"/>
<meta>
<versionId value="13"/>
<lastUpdated value="2022-08-17T02:41:36.325+00:00"/>
<source value="#xtoIAiQNAmERJ3rp"/>
<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">
<div class="hapiHeaderText"> fentaNYL and Norfentanyl panel - Specimen </div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Status</td>
<td>FINAL</td>
</tr>
<tr>
<td>Issued</td>
<td> 05 January 2022 11:00:00 </td>
</tr>
<tr>
<td>Conclusion</td>
<td>Samples of bile, liver, and stomach contents were contaminated and not analyzed.</td>
</tr>
</tbody>
</table>
</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/CodeSystem-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"/>
<display value="Laboratory"/>
</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>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Patient/us-core-patient-a-freeman"/>
<resource>
<Patient>
<id value="us-core-patient-a-freeman"/>
<meta>
<versionId value="14"/>
<lastUpdated value="2022-08-16T00:48:48.046+00:00"/>
<source value="#411pKOLYB8aT0e2j"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Alice J. <b>FREEMAN </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>987054321</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>112 Miramar Ct </span>
<br/>
<span>Danville </span>
<span>Nova Scotia </span>
<span>CA </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>12 March 1978</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2029-7"/>
<display value="Asian Indian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian Indian"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security number"/>
</coding>
<text value="Social Security number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="987054321"/>
</identifier>
<active value="true"/>
<name>
<family value="Freeman"/>
<given value="Alice"/>
<given value="J."/>
</name>
<gender value="female"/>
<birthDate value="1978-03-12"/>
<address>
<use value="home"/>
<line value="112 Miramar Ct"/>
<city value="Danville"/>
<state value="Nova Scotia"/>
<country value="CA"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Organization/us-core-organization-tox-lab"/>
<resource>
<Organization>
<id value="us-core-organization-tox-lab"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2022-08-16T00:57:24.894+00:00"/>
<source value="#CWTtEHYIVTf46Q1i"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Organization</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Organization "us-core-organization-tox-lab" Version "4" Updated "2022-08-16 12:57:24+0000" </p>
<p style="margin-bottom: 0px">Information Source: #CWTtEHYIVTf46Q1i!</p>
<p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html">US Core Organization Profile</a>
</p>
</div>
<p>
<b>identifier</b>: id: 111223333 </p>
<p>
<b>active</b>: true </p>
<p>
<b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html">Organization type</a>#prov) </span>
</p>
<p>
<b>name</b>: UF Health Pathology Labs, Forensic Toxicology Laboratory </p>
<p>
<b>telecom</b>: ph: (352) 265-9900 </p>
<p>
<b>address</b>: 4800 SW 35th Drive Gainesville FL 32608 USA </p>
</div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="111223333"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name
value="UF Health Pathology Labs, Forensic Toxicology Laboratory"/>
<telecom>
<system value="phone"/>
<value value="(352) 265-9900"/>
</telecom>
<address>
<line value="4800 SW 35th Drive"/>
<city value="Gainesville"/>
<state value="FL"/>
<postalCode value="32608"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Practitioner/us-core-practitioner-b-goldberger"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-b-goldberger"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2022-08-16T00:47:10.210+00:00"/>
<source value="#OdiTHeKlKbvknstk"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Practitioner</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-b-goldberger" Version "5" Updated "2022-08-16 12:47:10+0000" </p>
<p style="margin-bottom: 0px">Information Source: #OdiTHeKlKbvknstk!</p>
<p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a>
</p>
</div>
<p>
<b>identifier</b>: id: 555667777 </p>
<p>
<b>name</b>: Bruce Goldberger (OFFICIAL) </p>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="555667777"/>
</identifier>
<name>
<use value="official"/>
<family value="Goldberger"/>
<given value="Bruce"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-blood-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-blood-toxicology-a-freeman"/>
<meta>
<versionId value="8"/>
<lastUpdated value="2022-08-16T00:58:14.623+00:00"/>
<source value="#5YY4kidCODh4w6Ja"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-blood-toxicology-a-freeman" Version "8" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #5YY4kidCODh4w6Ja!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: X352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Whole blood sample <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#258580003) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Collections</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Collected[x]</b>
</td>
<td>
<b>BodySite</b>
</td>
</tr>
<tr>
<td>*</td>
<td>2021-12-03 11:00:00+0000</td>
<td>Femoral vein structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#83419000) </span>
</td>
</tr>
</table>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>Type</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>10mL GT tube</td>
<td>GT tube <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#702287009 "Non-evacuated blood collection tube, potassium oxalate/sodium fluoride (physical object)") </span>
</td>
<td>20 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="X352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258580003"/>
<display value="Whole blood sample"/>
</coding>
<text value="Whole blood sample"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<collection>
<collectedDateTime value="2021-12-03T11:00:00Z"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="83419000"/>
<display value="Femoral vein structure (body structure)"/>
</coding>
</bodySite>
</collection>
<container>
<description value="10mL GT tube"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="702287009"/>
<display
value="Non-evacuated blood collection tube, potassium oxalate/sodium fluoride (physical object)"/>
</coding>
<text value="GT tube"/>
</type>
<specimenQuantity>
<value value="20"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-urine-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-urine-toxicology-a-freeman"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-16T00:58:14.623+00:00"/>
<source value="#eZxANbiIGlreQv8w"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-urine-toxicology-a-freeman" Version "6" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #eZxANbiIGlreQv8w!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: ZZZ352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Urine specimen (specimen) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#122575003) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Collections</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Collected[x]</b>
</td>
</tr>
<tr>
<td>*</td>
<td>2021-12-03 11:00:00+0000</td>
</tr>
</table>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>10mL RT tube</td>
<td>5 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="ZZZ352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="122575003"/>
<display value="Urine specimen (specimen)"/>
</coding>
<text value="Urine specimen (specimen)"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<collection>
<collectedDateTime value="2021-12-03T11:00:00Z"/>
</collection>
<container>
<description value="10mL RT tube"/>
<specimenQuantity>
<value value="5"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-vitreous-humor-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-vitreous-humor-toxicology-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:58:14.624+00:00"/>
<source value="#GcjfAjz04u7pzXAX"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-vitreous-humor-toxicology-a-freeman" Version "10" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #GcjfAjz04u7pzXAX!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: XXX352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Vitreous humor sample <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#258438000) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Collections</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Collected[x]</b>
</td>
</tr>
<tr>
<td>*</td>
<td>2021-12-03 11:00:00+0000</td>
</tr>
</table>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>10mL RT tube</td>
<td>3 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="XXX352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258438000"/>
<display value="Vitreous humor sample"/>
</coding>
<text value="Vitreous humor sample"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<collection>
<collectedDateTime value="2021-12-03T11:00:00Z"/>
</collection>
<container>
<description value="10mL RT tube"/>
<specimenQuantity>
<value value="3"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-bile-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-bile-toxicology-a-freeman"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-16T00:58:14.623+00:00"/>
<source value="#P8mGI5DdHVidAJGL"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-bile-toxicology-a-freeman" Version "6" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #P8mGI5DdHVidAJGL!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: OO352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Bile specimen (specimen) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#119341000) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>3mL sample of bile specimen</td>
<td>3 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="OO352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119341000"/>
<display value="Bile specimen (specimen)"/>
</coding>
<text value="Bile specimen (specimen)"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<container>
<description value="3mL sample of bile specimen"/>
<specimenQuantity>
<value value="3"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-liver-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-liver-toxicology-a-freeman"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-16T00:58:14.624+00:00"/>
<source value="#IbInZlV93F4o3XXB"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-liver-toxicology-a-freeman" Version "6" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #IbInZlV93F4o3XXB!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: DD352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Tissue specimen from liver (specimen) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#128168004) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>5mL sample of liver specimen</td>
<td>5 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="DD352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="128168004"/>
<display value="Tissue specimen from liver (specimen)"/>
</coding>
<text value="Tissue specimen from liver (specimen)"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<container>
<description value="5mL sample of liver specimen"/>
<specimenQuantity>
<value value="5"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Specimen/specimen-stomach-contents-toxicology-a-freeman"/>
<resource>
<Specimen>
<id value="specimen-stomach-contents-toxicology-a-freeman"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-16T00:58:14.623+00:00"/>
<source value="#r9ZzhRg7oy7Ffv52"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Specimen</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Specimen "specimen-stomach-contents-toxicology-a-freeman" Version "6" Updated "2022-08-16 12:58:14+0000" </p>
<p style="margin-bottom: 0px">Information Source: #r9ZzhRg7oy7Ffv52!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Specimen-toxicology-lab.html">Specimen - Toxicology Lab</a>
</p>
</div>
<p>
<b>accessionIdentifier</b>: id: MM352356 </p>
<p>
<b>status</b>: available </p>
<p>
<b>type</b>: Specimen from stomach (specimen) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#119379005) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN" </p>
<p>
<b>receivedTime</b>: 2021-12-03 04:00:00+0000 </p>
<h3>Containers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Description</b>
</td>
<td>
<b>SpecimenQuantity</b>
</td>
</tr>
<tr>
<td>*</td>
<td>60mL sample of stomach contents specimen</td>
<td>60 ml</td>
</tr>
</table>
</div>
</text>
<accessionIdentifier>
<system value="http://lab.acme.org/specimens/2021"/>
<value value="MM352356"/>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119379005"/>
<display value="Specimen from stomach (specimen)"/>
</coding>
<text value="Specimen from stomach (specimen)"/>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<receivedTime value="2021-12-03T16:00:00Z"/>
<container>
<description value="60mL sample of stomach contents specimen"/>
<specimenQuantity>
<value value="60"/>
<unit value="ml"/>
</specimenQuantity>
</container>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman"/>
<resource>
<Observation>
<id
value="us-core-lab-result-etoh-gas-chromatography-blood-a-freeman"/>
<meta>
<versionId value="11"/>
<lastUpdated value="2022-08-16T00:44:09.890+00:00"/>
<source value="#lKi0lxRBL0rbkhoI"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-etoh-gas-chromatography-blood-a-freeman" Version "11" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #lKi0lxRBL0rbkhoI!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Ethanol [Mass/volume] in Blood by Gas chromatography <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#56478-1) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: 0.145 g/dL </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-blood-toxicology-a-freeman.html">Specimen/specimen-blood-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="56478-1"/>
<display
value="Ethanol [Mass/volume] in Blood by Gas chromatography"/>
</coding>
<text value="Ethanol [Mass/volume] in Blood by Gas chromatography"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="0.145 g/dL"/>
<specimen>🔗
<reference value="Specimen/specimen-blood-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-blood-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-4-anpp-blood-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.693+00:00"/>
<source value="#opUtthEWlyIl2mWC"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-4-anpp-blood-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #opUtthEWlyIl2mWC!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Despropionylfentanyl [Mass/volume] in Serum or Plasma <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#11072-6) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-blood-toxicology-a-freeman.html">Specimen/specimen-blood-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11072-6"/>
<display
value="Despropionylfentanyl [Mass/volume] in Serum or Plasma"/>
</coding>
<text
value="Despropionylfentanyl [Mass/volume] in Serum or Plasma"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-blood-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-acetylfentanyl-blood-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.849+00:00"/>
<source value="#pjRim4Uyf1gj6nMO"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-acetylfentanyl-blood-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #pjRim4Uyf1gj6nMO!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#86223-5) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: 2 ng/ml </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-blood-toxicology-a-freeman.html">Specimen/specimen-blood-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="86223-5"/>
<display
value="Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method"/>
</coding>
<text
value="Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="2 ng/ml"/>
<specimen>🔗
<reference value="Specimen/specimen-blood-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-blood-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-fentanyl-blood-a-freeman"/>
<meta>
<versionId value="9"/>
<lastUpdated value="2022-08-16T00:44:09.899+00:00"/>
<source value="#p6Xwgen4OETJwwWD"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-fentanyl-blood-a-freeman" Version "9" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #p6Xwgen4OETJwwWD!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: fentaNYL [Mass/volume] in Blood by Confirmatory method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#73938-3) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: 23 ng/mL </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-blood-toxicology-a-freeman.html">Specimen/specimen-blood-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="73938-3"/>
<display
value="fentaNYL [Mass/volume] in Blood by Confirmatory method"/>
</coding>
<text
value="fentaNYL [Mass/volume] in Blood by Confirmatory method"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="23 ng/mL"/>
<specimen>🔗
<reference value="Specimen/specimen-blood-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"/>
<resource>
<Observation>
<id
value="us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.890+00:00"/>
<source value="#dLtWokYVzZ0rdLla"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-etoh-gas-chromatography-urine-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #dLtWokYVzZ0rdLla!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Ethanol [Mass/volume] in Urine by Confirmatory method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#46983-3) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46983-3"/>
<display
value="Ethanol [Mass/volume] in Urine by Confirmatory method"/>
</coding>
<text
value="Ethanol [Mass/volume] in Urine by Confirmatory method"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-urine-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-4-anpp-urine-a-freeman"/>
<meta>
<versionId value="11"/>
<lastUpdated value="2022-08-16T00:44:09.787+00:00"/>
<source value="#g3mtHZM1OkBAjwVb"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-4-anpp-urine-a-freeman" Version "11" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #g3mtHZM1OkBAjwVb!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Despropionylfentanyl [Mass/volume] in Serum or Plasma <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#11072-6) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11072-6"/>
<display
value="Despropionylfentanyl [Mass/volume] in Serum or Plasma"/>
</coding>
<text
value="Despropionylfentanyl [Mass/volume] in Serum or Plasma"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-acetylfentanyl-urine-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.889+00:00"/>
<source value="#k5Z5nkTqhiP5DmJB"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-acetylfentanyl-urine-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #k5Z5nkTqhiP5DmJB!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Acetyl fentanyl [Presence] in Urine by Confirmatory method <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#74810-3) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74810-3"/>
<display
value="Acetyl fentanyl [Presence] in Urine by Confirmatory method"/>
</coding>
<text
value="Acetyl fentanyl [Presence] in Urine by Confirmatory method"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-urine-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-fentanyl-urine-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.899+00:00"/>
<source value="#AShF0kvizcW1dt6C"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-fentanyl-urine-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #AShF0kvizcW1dt6C!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: fentaNYL [Presence] in Urine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#11235-9) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11235-9"/>
<display value="fentaNYL [Presence] in Urine"/>
</coding>
<text value="fentaNYL [Presence] in Urine"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-norfentanyl-urine-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-norfentanyl-urine-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.931+00:00"/>
<source value="#beQ4zcdJ3x7JlA0S"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-norfentanyl-urine-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #beQ4zcdJ3x7JlA0S!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Norfentanyl [Presence] in Urine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#43199-9) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="43199-9"/>
<display value="Norfentanyl [Presence] in Urine"/>
</coding>
<text value="Norfentanyl [Presence] in Urine"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-xylazine-urine-a-freeman"/>
<resource>
<Observation>
<id value="us-core-lab-result-xylazine-urine-a-freeman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2022-08-16T00:44:09.931+00:00"/>
<source value="#xOelUWT1C1tNQ2P7"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-xylazine-urine-a-freeman" Version "10" Updated "2022-08-16 12:44:09+0000" </p>
<p style="margin-bottom: 0px">Information Source: #xOelUWT1C1tNQ2P7!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Ketamine [Presence] in Urine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#12327-3) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: true </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen/specimen-urine-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="12327-3"/>
<display value="Ketamine [Presence] in Urine"/>
</coding>
<text value="Ketamine [Presence] in Urine"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="true"/>
<specimen>🔗
<reference value="Specimen/specimen-urine-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"/>
<resource>
<Observation>
<id
value="us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"/>
<meta>
<versionId value="11"/>
<lastUpdated value="2022-08-16T00:33:53.392+00:00"/>
<source value="#ryDgB5MsVvmyP74f"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman" Version "11" Updated "2022-08-16 12:33:53+0000" </p>
<p style="margin-bottom: 0px">Information Source: #ryDgB5MsVvmyP74f!</p>
<p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-toxicology-lab-result.html">Observation - Toxicology Lab Result</a>
</p>
</div>
<p>
<b>status</b>: final </p>
<p>
<b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory) </span>
</p>
<p>
<b>code</b>: Ethanol [Mass/volume] in Vitreous fluid <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="https://loinc.org/">LOINC</a>#12465-1) </span>
</p>
<p>
<b>subject</b>: <a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman: Alice J. Freeman</a> " FREEMAN" </p>
<p>
<b>effective</b>: 2021-12-03 </p>
<p>
<b>value</b>: 0.133 g/dL </p>
<p>
<b>specimen</b>: <a href="Specimen-specimen-vitreous-humor-toxicology-a-freeman.html">Specimen/specimen-vitreous-humor-toxicology-a-freeman</a>
</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="12465-1"/>
<display value="Ethanol [Mass/volume] in Vitreous fluid"/>
</coding>
<text value="Ethanol [Mass/volume] in Vitreous fluid"/>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
<display value="Alice J. Freeman"/>
</subject>
<effectiveDateTime value="2021-12-03"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-b-goldberger"/>
</performer>
<valueString value="0.133 g/dL"/>
<specimen>🔗
<reference
value="Specimen/specimen-vitreous-humor-toxicology-a-freeman"/>
</specimen>
</Observation>
</resource>
</entry>
</Bundle>
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.us.mdi#1.1.0 based on FHIR 4.0.1. Generated 2023-11-16
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