Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mdi-ig/ and changes regularly. 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:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mdi/StructureDefinition/DiagnosticReport-toxicology-to-mdi"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mdi/StructureDefinition/DiagnosticReport-toxicology-to-mdi> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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><b>Alice J. Freeman (Official)</b> 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></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</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>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>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>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>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>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>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>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>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>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>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>2021-12-03</td></tr></table><p>Samples of bile, liver, and stomach contents were contaminated and not analyzed.</p></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-vr-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: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."] . #
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