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
<DiagnosticReport xmlns="http://hl7.org/fhir">
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<div xmlns="http://www.w3.org/1999/xhtml"><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>
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<subject>🔗
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<reference
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<display value="ETOH BLOOD: 0.145 g/dL"/>
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<result>🔗
<reference value="Observation/us-core-lab-result-4-anpp-blood-a-freeman"/>
<display value="4-ANPP: POSITIVE"/>
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<result>🔗
<reference
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<display value="ACETYLFENTANYL: 2 ng/mL"/>
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<display value="FENTANYL: 23 ng/mL"/>
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<display value="ETOH URINE: 0.160 g/dL"/>
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<reference value="Observation/us-core-lab-result-4-anpp-urine-a-freeman"/>
<display value="4-ANPP: POSITIVE"/>
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<result>🔗
<reference
value="Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman"/>
<display value="ACETYLFENTANYL: POSITIVE"/>
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<result>🔗
<reference
value="Observation/us-core-lab-result-fentanyl-urine-a-freeman"/>
<display value="FENTANYL: POSITIVE"/>
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<result>🔗
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<display value="NORFENTANYL: POSITIVE"/>
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<result>🔗
<reference
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<display value="XYLAZINE: POSITIVE"/>
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<result>🔗
<reference
value="Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"/>
<display value="ETOH VITREOUS HUMOR: 0.133 g/dL"/>
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<conclusion
value="Samples of bile, liver, and stomach contents were contaminated and not analyzed."/>
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