Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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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

Example Bundle: Bundle - Message Toxicology to MDI - Freeman

Generated Narrative: Bundle bundle-mdi-tox-report-message-a-freeman

Bundle bundle-mdi-tox-report-message-a-freeman of type message


Entry 1 - fullUrl = https://www.forensic-investigation-agency.org/MessageHeader/messageheader-mdi-tox-result-report-a-freeman

Resource MessageHeader:

Generated Narrative: MessageHeader messageheader-mdi-tox-result-report-a-freeman

event: CodeSystem - MDI tox-result-report: Toxicology Lab Results

Sources

-NameSoftwareVersionContact
*University of Florida Pathology Labs, Forensic Toxicology LaboratoryMDI Log1.2.3.4.5+1 (555) 123 4567

Responses

-IdentifierCode
*5015fe84-8e76-4526-89d8-44b322e8d4fbOK

focus: Diagnostic Report for 'fentaNYL and Norfentanyl panel - Specimen' for '->Alice J. Freeman'


Entry 2 - fullUrl = https://www.forensic-investigation-agency.org/DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport diagnosticreport-mdi-toxicology-lab-a-freeman

fentaNYL and Norfentanyl panel - Specimen (Laboratory)

SubjectAlice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))
When For2021-12-03 11:00:00+0000
Reported2022-01-05 11:00:00+0000
Performer Practitioner Bruce Goldberger (official)
Identifier Toxicology Laboratory Case Number/R21-01578

Report Details

CodeValueFlagsWhen For
Ethanol [Mass/volume] in Blood by Gas chromatography0.145 g/dLFinal2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or PlasmatrueFinal2021-12-03
Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method2 ng/mlFinal2021-12-03
fentaNYL [Mass/volume] in Blood by Confirmatory method23 ng/mLFinal2021-12-03
Ethanol [Mass/volume] in Urine by Confirmatory methodtrueFinal2021-12-03
Despropionylfentanyl [Mass/volume] in Serum or PlasmatrueFinal2021-12-03
Acetyl fentanyl [Presence] in Urine by Confirmatory methodtrueFinal2021-12-03
fentaNYL [Presence] in UrinetrueFinal2021-12-03
Norfentanyl [Presence] in UrinetrueFinal2021-12-03
Ketamine [Presence] in UrinetrueFinal2021-12-03
Ethanol [Mass/volume] in Vitreous fluid0.133 g/dLFinal2021-12-03

Samples of bile, liver, and stomach contents were contaminated and not analyzed.


Entry 3 - fullUrl = https://www.forensic-investigation-agency.org/Patient/us-core-patient-a-freeman

Resource Patient:

Generated Narrative: Patient us-core-patient-a-freeman

Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))


Active:true
Contact Detail112 Miramar Ct Danville IL (home)
US Core Ethnicity Extension:
US Core Race Extension:

Entry 4 - fullUrl = https://www.forensic-investigation-agency.org/Organization/us-core-organization-tox-lab

Resource Organization:

Generated Narrative: Organization us-core-organization-tox-lab

identifier: http://hl7.org.fhir/sid/us-npi/111223333

active: true

type: Healthcare Provider

name: UF Health Pathology Labs, Forensic Toxicology Laboratory

Contacts

-TelecomAddress
*ph: (352) 265-99004800 SW 35th Drive Gainesville FL 32608 US

Entry 5 - fullUrl = https://www.forensic-investigation-agency.org/Practitioner/us-core-practitioner-b-goldberger

Resource Practitioner:

Generated Narrative: Practitioner us-core-practitioner-b-goldberger

identifier: NPI/555667777

name: Bruce Goldberger (Official)


Entry 6 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-blood-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-blood-toxicology-a-freeman

accessionIdentifier: http://lab.acme.org/specimens/2021/X352356

status: Available

type: Whole blood sample

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]BodySite
*2021-12-03 11:00:00+0000No display for Specimen.collection.bodySite (concept: Femoral vein structure (body structure))

container


Entry 7 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-urine-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-urine-toxicology-a-freeman

version: 6; Last updated: 2022-08-16 00:58:14+0000;

Information Source: #eZxANbiIGlreQv8w

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/ZZZ352356

status: Available

type: Urine specimen (specimen)

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]
*2021-12-03 11:00:00+0000

container


Entry 8 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-vitreous-humor-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-vitreous-humor-toxicology-a-freeman

version: 10; Last updated: 2022-08-16 00:58:14+0000;

Information Source: #GcjfAjz04u7pzXAX

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/XXX352356

status: Available

type: Vitreous humor sample

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

Collections

-Collected[x]
*2021-12-03 11:00:00+0000

container


Entry 9 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-bile-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-bile-toxicology-a-freeman

accessionIdentifier: http://lab.acme.org/specimens/2021/OO352356

status: Available

type: Bile specimen (specimen)

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 10 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-liver-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-liver-toxicology-a-freeman

version: 6; Last updated: 2022-08-16 00:58:14+0000;

Information Source: #IbInZlV93F4o3XXB

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/DD352356

status: Available

type: Tissue specimen from liver (specimen)

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 11 - fullUrl = https://www.forensic-investigation-agency.org/Specimen/specimen-stomach-contents-toxicology-a-freeman

Resource Specimen:

Generated Narrative: Specimen specimen-stomach-contents-toxicology-a-freeman

version: 6; Last updated: 2022-08-16 00:58:14+0000;

Information Source: #r9ZzhRg7oy7Ffv52

Profile: Specimen - Toxicology Lab

accessionIdentifier: http://lab.acme.org/specimens/2021/MM352356

status: Available

type: Specimen from stomach (specimen)

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

receivedTime: 2021-12-03 16:00:00+0000

container


Entry 12 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-etoh-gas-chromatography-blood-a-freeman

status: Final

category: Laboratory

code: Ethanol [Mass/volume] in Blood by Gas chromatography

subject: Alice J. Freeman

effective: 2021-12-03

value: 0.145 g/dL

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000


Entry 13 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-blood-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-4-anpp-blood-a-freeman

status: Final

category: Laboratory

code: Despropionylfentanyl [Mass/volume] in Serum or Plasma

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000


Entry 14 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-acetylfentanyl-blood-a-freeman

status: Final

category: Laboratory

code: Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method

subject: Alice J. Freeman

effective: 2021-12-03

value: 2 ng/ml

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000


Entry 15 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-blood-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-fentanyl-blood-a-freeman

status: Final

category: Laboratory

code: fentaNYL [Mass/volume] in Blood by Confirmatory method

subject: Alice J. Freeman

effective: 2021-12-03

value: 23 ng/mL

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000


Entry 16 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-etoh-gas-chromatography-urine-a-freeman

status: Final

category: Laboratory

code: Ethanol [Mass/volume] in Urine by Confirmatory method

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 17 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-4-anpp-urine-a-freeman

status: Final

category: Laboratory

code: Despropionylfentanyl [Mass/volume] in Serum or Plasma

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 18 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-acetylfentanyl-urine-a-freeman

status: Final

category: Laboratory

code: Acetyl fentanyl [Presence] in Urine by Confirmatory method

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 19 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-fentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-fentanyl-urine-a-freeman

status: Final

category: Laboratory

code: fentaNYL [Presence] in Urine

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 20 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-norfentanyl-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-norfentanyl-urine-a-freeman

status: Final

category: Laboratory

code: Norfentanyl [Presence] in Urine

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 21 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-xylazine-urine-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-xylazine-urine-a-freeman

status: Final

category: Laboratory

code: Ketamine [Presence] in Urine

subject: Alice J. Freeman

effective: 2021-12-03

value: true

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000


Entry 22 - fullUrl = https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman

Resource Observation:

Generated Narrative: Observation us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman

status: Final

category: Laboratory

code: Ethanol [Mass/volume] in Vitreous fluid

subject: Alice J. Freeman

effective: 2021-12-03

value: 0.133 g/dL

specimen: Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#XXX352356; status = available; type = Vitreous humor sample; receivedTime = 2021-12-03 16:00:00+0000