Medicolegal Death Investigation (MDI)
1.1.0 - STU 1.1
Medicolegal Death Investigation (MDI)
1.1.0 - STU 1.1
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
<DiagnosticReport xmlns="http://hl7.org/fhir">
<id value="diagnosticreport-mdi-toxicology-lab-a-freeman"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
fentaNYL and Norfentanyl panel
<table class="grid">
<tbody>
<tr>
<td>Subject</td>
<td>Alice J. Freeman female, DoB: 1978-03-12 ( Social Security number: 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>Identifier</td>
<td>Toxicology Laboratory Case Number: R21-01578</td>
</tr>
</tbody>
</table>
<p>
<b>Report Details</b>
</p>
<table class="grid">
<thead>
<tr>
<th>Code</th>
<th>Value</th>
<th>When For</th>
</tr>
</thead>
<tbody>
<tr>
<td>Ethanol [Mass/volume] in Blood by Gas chromatography</td>
<td>0.145 g/dL</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Despropionylfentanyl [Mass/volume] in Serum or Plasma</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method</td>
<td>2 ng/ml</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>fentaNYL [Mass/volume] in Blood by Confirmatory method</td>
<td>23 ng/mL</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Ethanol [Mass/volume] in Urine by Confirmatory method</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Despropionylfentanyl [Mass/volume] in Serum or Plasma</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Acetyl fentanyl [Presence] in Urine by Confirmatory method</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>fentaNYL [Presence] in Urine</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Norfentanyl [Presence] in Urine</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Ketamine [Presence] in Urine</td>
<td>true</td>
<td>2021-12-03</td>
</tr>
<tr>
<td>Ethanol [Mass/volume] in Vitreous fluid</td>
<td>0.133 g/dL</td>
<td>2021-12-03</td>
</tr>
</tbody>
</table>
<p>
<b>Conclusion Notes</b>
</p>
<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/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>
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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