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Packagehl7.fhir.us.mdi
Resource TypeDiagnosticReport
IdDiagnosticReport-diagnosticreport-mdi-toxicology-lab-a-freeman.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

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

fentaNYL and Norfentanyl panel - Specimen (Laboratory)

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

Report Details

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

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


Source1

{
  "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": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
      "valueIdentifier": {
        "system": "http://example.org/fhir/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://example.org/fhir/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."
}