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-ballot2 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

: Bundle - Message Toxicology to MDI - Freeman - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-mdi-tox-report-message-a-freeman",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-tox-to-mdi"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:683dde44f7664b03a20b6324f23986d9"
  },
  "type" : "message",
  "entry" : [
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/MessageHeader/messageheader-mdi-tox-result-report-a-freeman",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "messageheader-mdi-tox-result-report-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-toxicology-to-mdi"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_messageheader-mdi-tox-result-report-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader messageheader-mdi-tox-result-report-a-freeman</b></p><a name=\"messageheader-mdi-tox-result-report-a-freeman\"> </a><a name=\"hcmessageheader-mdi-tox-result-report-a-freeman\"> </a><a name=\"messageheader-mdi-tox-result-report-a-freeman-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-cs-mdi-codes.html#cs-mdi-codes-tox-result-report\">Medicolegal Death Investigation Codes tox-result-report</a>: Toxicology Lab Results</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.html\">Diagnostic Report for 'fentaNYL and Norfentanyl panel - Specimen' for '-&gt;Alice J. Freeman'</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
          "code" : "tox-result-report"
        },
        "source" : {
          "name" : "University of Florida Pathology Labs, Forensic Toxicology Laboratory",
          "software" : "MDI Log",
          "version" : "1.2.3.4.5",
          "contact" : {
            "system" : "phone",
            "value" : "+1 (555) 123 4567"
          },
          "endpoint" : "http://mdi-log.org/fhir/endpoint/1"
        },
        "response" : {
          "identifier" : "5015fe84-8e76-4526-89d8-44b322e8d4fb",
          "code" : "ok"
        },
        "focus" : [
          {
            🔗 "reference" : "DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman"
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "diagnosticreport-mdi-toxicology-lab-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/DiagnosticReport-toxicology-to-mdi"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_diagnosticreport-mdi-toxicology-lab-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport diagnosticreport-mdi-toxicology-lab-a-freeman</b></p><a name=\"diagnosticreport-mdi-toxicology-lab-a-freeman\"> </a><a name=\"hcdiagnosticreport-mdi-toxicology-lab-a-freeman\"> </a><a name=\"diagnosticreport-mdi-toxicology-lab-a-freeman-en-US\"> </a><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>Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</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>Performer</td><td> <a href=\"Practitioner-us-core-practitioner-b-goldberger.html\">Practitioner Bruce Goldberger (official)</a></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>Flags</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</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>Final</td><td>2021-12-03</td></tr></table><p>Samples of bile, liver, and stomach contents were contaminated and not analyzed.</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
            "valueIdentifier" : {
              "system" : "http://florida-investigation-agncy.org/fhir/agency-case-numbers",
              "value" : "ME21-111"
            }
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
                  "code" : "tox-lab-case-number"
                }
              ]
            },
            "system" : "http://uf-path-labs.org/fhir/lab-cases",
            "value" : "R21-01578",
            "assigner" : {
              🔗 "reference" : "Organization/us-core-organization-tox-lab"
            }
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "LAB"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "81273-5",
              "display" : "fentaNYL and Norfentanyl panel - Specimen"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman",
          "display" : "Alice J. Freeman"
        },
        "effectiveDateTime" : "2021-12-03T11:00:00Z",
        "issued" : "2022-01-05T11:00:00Z",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/us-core-practitioner-b-goldberger"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/specimen-blood-toxicology-a-freeman"
          },
          {
            🔗 "reference" : "Specimen/specimen-urine-toxicology-a-freeman"
          },
          {
            🔗 "reference" : "Specimen/specimen-vitreous-humor-toxicology-a-freeman"
          },
          {
            🔗 "reference" : "Specimen/specimen-bile-toxicology-a-freeman"
          },
          {
            🔗 "reference" : "Specimen/specimen-liver-toxicology-a-freeman"
          },
          {
            🔗 "reference" : "Specimen/specimen-stomach-contents-toxicology-a-freeman"
          }
        ],
        "result" : [
          {
            🔗 "reference" : "Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman",
            "display" : "ETOH BLOOD: 0.145 g/dL"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-4-anpp-blood-a-freeman",
            "display" : "4-ANPP: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman",
            "display" : "ACETYLFENTANYL: 2 ng/mL"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-fentanyl-blood-a-freeman",
            "display" : "FENTANYL: 23 ng/mL"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman",
            "display" : "ETOH URINE: 0.160 g/dL"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-4-anpp-urine-a-freeman",
            "display" : "4-ANPP: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman",
            "display" : "ACETYLFENTANYL: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-fentanyl-urine-a-freeman",
            "display" : "FENTANYL: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-norfentanyl-urine-a-freeman",
            "display" : "NORFENTANYL: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-xylazine-urine-a-freeman",
            "display" : "XYLAZINE: POSITIVE"
          },
          {
            🔗 "reference" : "Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman",
            "display" : "ETOH VITREOUS HUMOR: 0.133 g/dL"
          }
        ],
        "conclusion" : "Samples of bile, liver, and stomach contents were contaminated and not analyzed."
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Patient/us-core-patient-a-freeman",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "us-core-patient-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_us-core-patient-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient us-core-patient-a-freeman</b></p><a name=\"us-core-patient-a-freeman\"> </a><a name=\"hcus-core-patient-a-freeman\"> </a><a name=\"us-core-patient-a-freeman-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">112 Miramar Ct Danville IL (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5\">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>detailed: <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2029-7\">CDC Race and Ethnicity 2029-7</a>: Asian Indian</li><li>text: Asian Indian</li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2029-7",
                  "display" : "Asian Indian"
                }
              },
              {
                "url" : "text",
                "valueString" : "Asian Indian"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2186-5",
                  "display" : "Not Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Not Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "SS",
                  "display" : "Social Security number"
                }
              ],
              "text" : "Social Security number"
            },
            "system" : "http://hl7.org/fhir/sid/us-ssn",
            "value" : "987054321"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Freeman",
            "given" : [
              "Alice",
              "J."
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1978-03-12",
        "address" : [
          {
            "use" : "home",
            "line" : [
              "112 Miramar Ct"
            ],
            "city" : "Danville",
            "state" : "IL"
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Organization/us-core-organization-tox-lab",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "us-core-organization-tox-lab",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_us-core-organization-tox-lab\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization us-core-organization-tox-lab</b></p><a name=\"us-core-organization-tox-lab\"> </a><a name=\"hcus-core-organization-tox-lab\"> </a><a name=\"us-core-organization-tox-lab-en-US\"> </a><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/111223333</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</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 US </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "111223333"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "UF Health Pathology Labs, Forensic Toxicology Laboratory",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(352) 265-9900"
          }
        ],
        "address" : [
          {
            "line" : [
              "4800 SW 35th Drive"
            ],
            "city" : "Gainesville",
            "state" : "FL",
            "postalCode" : "32608",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Practitioner/us-core-practitioner-b-goldberger",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "us-core-practitioner-b-goldberger",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_us-core-practitioner-b-goldberger\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner us-core-practitioner-b-goldberger</b></p><a name=\"us-core-practitioner-b-goldberger\"> </a><a name=\"hcus-core-practitioner-b-goldberger\"> </a><a name=\"us-core-practitioner-b-goldberger-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/555667777</p><p><b>name</b>: Bruce Goldberger (Official)</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "555667777"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Goldberger",
            "given" : [
              "Bruce"
            ],
            "prefix" : [
              "Dr."
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-blood-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-blood-toxicology-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-blood-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-blood-toxicology-a-freeman</b></p><a name=\"specimen-blood-toxicology-a-freeman\"> </a><a name=\"hcspecimen-blood-toxicology-a-freeman\"> </a><a name=\"specimen-blood-toxicology-a-freeman-en-US\"> </a><p><b>accessionIdentifier</b>: <code>http://lab.acme.org/specimens/2021</code>/X352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258580003}\">Whole blood sample</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>2021-12-03 11:00:00+0000</td><td><span title=\"Codes:{http://snomed.info/sct 83419000}\">Femoral vein structure (body structure)</span></td></tr></table><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Type</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10mL GT tube</td><td><span title=\"Codes:{http://snomed.info/sct 702287009}\">GT tube</span></td><td>20 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "X352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "258580003",
              "display" : "Whole blood sample"
            }
          ],
          "text" : "Whole blood sample"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "collection" : {
          "collectedDateTime" : "2021-12-03T11:00:00Z",
          "bodySite" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "83419000",
                "display" : "Femoral vein structure (body structure)"
              }
            ]
          }
        },
        "container" : [
          {
            "description" : "10mL GT tube",
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "702287009",
                  "display" : "Non-evacuated blood collection tube, potassium oxalate/sodium fluoride (physical object)"
                }
              ],
              "text" : "GT tube"
            },
            "specimenQuantity" : {
              "value" : 20,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-urine-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-urine-toxicology-a-freeman",
        "meta" : {
          "versionId" : "6",
          "lastUpdated" : "2022-08-16T00:58:14.623+00:00",
          "source" : "#eZxANbiIGlreQv8w",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-urine-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-urine-toxicology-a-freeman</b></p><a name=\"specimen-urine-toxicology-a-freeman\"> </a><a name=\"hcspecimen-urine-toxicology-a-freeman\"> </a><a name=\"specimen-urine-toxicology-a-freeman-en-US\"> </a><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\">version: 6; Last updated: 2022-08-16 00:58:14+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>: <code>http://lab.acme.org/specimens/2021</code>/ZZZ352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 122575003}\">Urine specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2021-12-03 11:00:00+0000</td></tr></table><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10mL RT tube</td><td>5 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "ZZZ352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "122575003",
              "display" : "Urine specimen (specimen)"
            }
          ],
          "text" : "Urine specimen (specimen)"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "collection" : {
          "collectedDateTime" : "2021-12-03T11:00:00Z"
        },
        "container" : [
          {
            "description" : "10mL RT tube",
            "specimenQuantity" : {
              "value" : 5,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-vitreous-humor-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-vitreous-humor-toxicology-a-freeman",
        "meta" : {
          "versionId" : "10",
          "lastUpdated" : "2022-08-16T00:58:14.624+00:00",
          "source" : "#GcjfAjz04u7pzXAX",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-vitreous-humor-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-vitreous-humor-toxicology-a-freeman</b></p><a name=\"specimen-vitreous-humor-toxicology-a-freeman\"> </a><a name=\"hcspecimen-vitreous-humor-toxicology-a-freeman\"> </a><a name=\"specimen-vitreous-humor-toxicology-a-freeman-en-US\"> </a><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\">version: 10; Last updated: 2022-08-16 00:58:14+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>: <code>http://lab.acme.org/specimens/2021</code>/XXX352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 258438000}\">Vitreous humor sample</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2021-12-03 11:00:00+0000</td></tr></table><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>10mL RT tube</td><td>3 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "XXX352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "258438000",
              "display" : "Vitreous humor sample"
            }
          ],
          "text" : "Vitreous humor sample"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "collection" : {
          "collectedDateTime" : "2021-12-03T11:00:00Z"
        },
        "container" : [
          {
            "description" : "10mL RT tube",
            "specimenQuantity" : {
              "value" : 3,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-bile-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-bile-toxicology-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-bile-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-bile-toxicology-a-freeman</b></p><a name=\"specimen-bile-toxicology-a-freeman\"> </a><a name=\"hcspecimen-bile-toxicology-a-freeman\"> </a><a name=\"specimen-bile-toxicology-a-freeman-en-US\"> </a><p><b>accessionIdentifier</b>: <code>http://lab.acme.org/specimens/2021</code>/OO352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119341000}\">Bile specimen (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>3mL sample of bile specimen</td><td>3 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "OO352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "119341000",
              "display" : "Bile specimen (specimen)"
            }
          ],
          "text" : "Bile specimen (specimen)"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "container" : [
          {
            "description" : "3mL sample of bile specimen",
            "specimenQuantity" : {
              "value" : 3,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-liver-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-liver-toxicology-a-freeman",
        "meta" : {
          "versionId" : "6",
          "lastUpdated" : "2022-08-16T00:58:14.624+00:00",
          "source" : "#IbInZlV93F4o3XXB",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-liver-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-liver-toxicology-a-freeman</b></p><a name=\"specimen-liver-toxicology-a-freeman\"> </a><a name=\"hcspecimen-liver-toxicology-a-freeman\"> </a><a name=\"specimen-liver-toxicology-a-freeman-en-US\"> </a><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\">version: 6; Last updated: 2022-08-16 00:58:14+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>: <code>http://lab.acme.org/specimens/2021</code>/DD352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 128168004}\">Tissue specimen from liver (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>5mL sample of liver specimen</td><td>5 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "DD352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "128168004",
              "display" : "Tissue specimen from liver (specimen)"
            }
          ],
          "text" : "Tissue specimen from liver (specimen)"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "container" : [
          {
            "description" : "5mL sample of liver specimen",
            "specimenQuantity" : {
              "value" : 5,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Specimen/specimen-stomach-contents-toxicology-a-freeman",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen-stomach-contents-toxicology-a-freeman",
        "meta" : {
          "versionId" : "6",
          "lastUpdated" : "2022-08-16T00:58:14.623+00:00",
          "source" : "#r9ZzhRg7oy7Ffv52",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_specimen-stomach-contents-toxicology-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen specimen-stomach-contents-toxicology-a-freeman</b></p><a name=\"specimen-stomach-contents-toxicology-a-freeman\"> </a><a name=\"hcspecimen-stomach-contents-toxicology-a-freeman\"> </a><a name=\"specimen-stomach-contents-toxicology-a-freeman-en-US\"> </a><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\">version: 6; Last updated: 2022-08-16 00:58:14+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>: <code>http://lab.acme.org/specimens/2021</code>/MM352356</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119379005}\">Specimen from stomach (specimen)</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>receivedTime</b>: 2021-12-03 16:00:00+0000</p><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>SpecimenQuantity</b></td></tr><tr><td style=\"display: none\">*</td><td>60mL sample of stomach contents specimen</td><td>60 ml</td></tr></table></div>"
        },
        "accessionIdentifier" : {
          "system" : "http://lab.acme.org/specimens/2021",
          "value" : "MM352356"
        },
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "119379005",
              "display" : "Specimen from stomach (specimen)"
            }
          ],
          "text" : "Specimen from stomach (specimen)"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman"
        },
        "receivedTime" : "2021-12-03T16:00:00Z",
        "container" : [
          {
            "description" : "60mL sample of stomach contents specimen",
            "specimenQuantity" : {
              "value" : 60,
              "unit" : "ml"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "us-core-lab-result-etoh-gas-chromatography-blood-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-lab-result-etoh-gas-chromatography-blood-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-lab-result-etoh-gas-chromatography-blood-a-freeman</b></p><a name=\"us-core-lab-result-etoh-gas-chromatography-blood-a-freeman\"> </a><a name=\"hcus-core-lab-result-etoh-gas-chromatography-blood-a-freeman\"> </a><a name=\"us-core-lab-result-etoh-gas-chromatography-blood-a-freeman-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 56478-1}\">Ethanol [Mass/volume] in Blood by Gas chromatography</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman</a></p><p><b>effective</b>: 2021-12-03</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-b-goldberger.html\">Practitioner Bruce Goldberger (official)</a></p><p><b>value</b>: 0.145 g/dL</p><p><b>specimen</b>: <a href=\"Specimen-specimen-blood-toxicology-a-freeman.html\">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#X352356; status = available; type = Whole blood sample; receivedTime = 2021-12-03 16:00:00+0000</a></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "56478-1",
              "display" : "Ethanol [Mass/volume] in Blood by Gas chromatography"
            }
          ],
          "text" : "Ethanol [Mass/volume] in Blood by Gas chromatography"
        },
        "subject" : {
          🔗 "reference" : "Patient/us-core-patient-a-freeman",
          "display" : "Alice J. Freeman"
        },
        "effectiveDateTime" : "2021-12-03",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/us-core-practitioner-b-goldberger"
          }
        ],
        "valueString" : "0.145 g/dL",
        "specimen" : {
          🔗 "reference" : "Specimen/specimen-blood-toxicology-a-freeman"
        }
      }
    },
    {
      "fullUrl" : "https://www.forensic-investigation-agency.org/Observation/us-core-lab-result-4-anpp-blood-a-freeman",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "us-core-lab-result-4-anpp-blood-a-freeman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"
          ]
        },
        "text" : {
          "status" : "generated",
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              "display" : "Acetyl fentanyl [Presence] in Urine by Confirmatory method"
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          🔗 "reference" : "Patient/us-core-patient-a-freeman",
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