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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-mdi-tox-report-message-a-freeman"/>
  <meta>
    <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"><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>
        </text>
        <eventCoding>
          <system value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-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>
          <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"><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: SSN#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>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>
        </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/cs-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"/>
          </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>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: SSN#987054321 (use: usual, ))</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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - 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>
        </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://hl7.org/fhir/sid/us-ssn"/>
          <value value="987054321"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <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="IL"/>
        </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"/>
        <text>
          <status value="generated"/>
          <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>
        </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="US"/>
        </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>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </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>
          <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"><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: SSN#987054321 (use: usual, ))</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>
        </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"><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: SSN#987054321 (use: usual, ))</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>
        </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"><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: SSN#987054321 (use: usual, ))</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>
        </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>
          <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"><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: SSN#987054321 (use: usual, ))</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>
        </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"><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: SSN#987054321 (use: usual, ))</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>
        </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"><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: SSN#987054321 (use: usual, ))</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>
        </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>
          <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"><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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-4-anpp-blood-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-4-anpp-blood-a-freeman</b></p><a name="us-core-lab-result-4-anpp-blood-a-freeman"> </a><a name="hcus-core-lab-result-4-anpp-blood-a-freeman"> </a><a name="us-core-lab-result-4-anpp-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 11072-6}">Despropionylfentanyl [Mass/volume] in Serum or Plasma</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>: true</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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-acetylfentanyl-blood-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-acetylfentanyl-blood-a-freeman</b></p><a name="us-core-lab-result-acetylfentanyl-blood-a-freeman"> </a><a name="hcus-core-lab-result-acetylfentanyl-blood-a-freeman"> </a><a name="us-core-lab-result-acetylfentanyl-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 86223-5}">Acetyl norfentanyl [Mass/volume] in Serum, Plasma or Blood by Confirmatory method</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>: 2 ng/ml</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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-fentanyl-blood-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-fentanyl-blood-a-freeman</b></p><a name="us-core-lab-result-fentanyl-blood-a-freeman"> </a><a name="hcus-core-lab-result-fentanyl-blood-a-freeman"> </a><a name="us-core-lab-result-fentanyl-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 73938-3}">fentaNYL [Mass/volume] in Blood by Confirmatory method</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>: 23 ng/mL</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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-etoh-gas-chromatography-urine-a-freeman</b></p><a name="us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"> </a><a name="hcus-core-lab-result-etoh-gas-chromatography-urine-a-freeman"> </a><a name="us-core-lab-result-etoh-gas-chromatography-urine-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 46983-3}">Ethanol [Mass/volume] in Urine by Confirmatory method</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-4-anpp-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-4-anpp-urine-a-freeman</b></p><a name="us-core-lab-result-4-anpp-urine-a-freeman"> </a><a name="hcus-core-lab-result-4-anpp-urine-a-freeman"> </a><a name="us-core-lab-result-4-anpp-urine-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 11072-6}">Despropionylfentanyl [Mass/volume] in Serum or Plasma</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-acetylfentanyl-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-acetylfentanyl-urine-a-freeman</b></p><a name="us-core-lab-result-acetylfentanyl-urine-a-freeman"> </a><a name="hcus-core-lab-result-acetylfentanyl-urine-a-freeman"> </a><a name="us-core-lab-result-acetylfentanyl-urine-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 74810-3}">Acetyl fentanyl [Presence] in Urine by Confirmatory method</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-fentanyl-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-fentanyl-urine-a-freeman</b></p><a name="us-core-lab-result-fentanyl-urine-a-freeman"> </a><a name="hcus-core-lab-result-fentanyl-urine-a-freeman"> </a><a name="us-core-lab-result-fentanyl-urine-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 11235-9}">fentaNYL [Presence] in Urine</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-norfentanyl-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-norfentanyl-urine-a-freeman</b></p><a name="us-core-lab-result-norfentanyl-urine-a-freeman"> </a><a name="hcus-core-lab-result-norfentanyl-urine-a-freeman"> </a><a name="us-core-lab-result-norfentanyl-urine-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 43199-9}">Norfentanyl [Presence] in Urine</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <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"><a name="Observation_us-core-lab-result-xylazine-urine-a-freeman"> </a><p class="res-header-id"><b>Generated Narrative: Observation us-core-lab-result-xylazine-urine-a-freeman</b></p><a name="us-core-lab-result-xylazine-urine-a-freeman"> </a><a name="hcus-core-lab-result-xylazine-urine-a-freeman"> </a><a name="us-core-lab-result-xylazine-urine-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 12327-3}">Ketamine [Presence] in Urine</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>: true</p><p><b>specimen</b>: <a href="Specimen-specimen-urine-toxicology-a-freeman.html">Specimen: accessionIdentifier = http://lab.acme.org/specimens/2021#ZZZ352356; status = available; type = Urine specimen (specimen); receivedTime = 2021-12-03 16:00:00+0000</a></p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </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>
          <profile
                   value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"/>
        </meta>
        <text>
          <status value="generated"/>
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            <system value="http://loinc.org"/>
            <code value="12465-1"/>
            <display value="Ethanol [Mass/volume] in Vitreous fluid"/>
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          <text value="Ethanol [Mass/volume] in Vitreous fluid"/>
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        <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"/>
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