General | |
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Identifiers | study number, forensic autopsy protocol number; |
Time | date and time of death, date and time of autopsy, date and time blood sample taken; |
Macroscopic examination of organs | |
Heart | weight, length, breadth, depth, thickness of left and right ventricular walls, thickness of intraventricular septum; evidence of acute infarction and/or old infarction, other gross cardiac anomaly, atheromatous occlusion of coronary arteries, appearance of coronary arteries, thrombus of coronary arteries, other cardiovascular system; |
Kidneys | renal disease; |
Lungs | pneumonia, aspiration of gastric contents, active tuberculosis, healed tuberculosis with scarring, other (specify); |
Liver | weight, length, right and left lobe height and depth; fatty liver (focal and diffuse), fibrosis, cirrhosis, other (specify); |
Pancreas | acute and chronic pancreatitis, other (specify); |
Oesophagus, stomach and duodenum | gastritis, gastric ulcer, duodenitis, duodenal ulcer, oesophageal varicosities, oesophagitis, other (specify); |
Brain | weight; haemorrhage, infarction, new contusions, old brain trauma, cortical atrophy, cerebellar atrophy, other (specify); |
Laboratory investigations | |
Ethanol concentration | alcohol concentration in blood, vitreous humour and urine |
Ethanol biomarkers (subset only) | Phosphatidylethanol (PEth) in blood, ethyl glucronide (EtG) and ethyl sulphate (EtS) in urine |
Other alcohols and ethanol substitutes | methanol, isopropanol, isobutanol, isoamyl alcohol, ethylene glycol in blood and urine; |
Drugs | morphine, fentanyl, marijuana, amphetamine, cocaine, buprenorphine, methadone, other (specify); |
Liver enzymes | gamma-glutamyl transferase (GGT), alanine and aspartine aminotransferase (ALT and AST); |
Histology | |
Heart | right and left ventriculum and atrium, septum intraventricularis; |
Coronary artery | tissue sample taken in case of thrombosis; |
Liver | right and left lobe; |
Pancreas | parenchyma, any lesion; |
Brain | cortex, cerebellum, basal ganglia, mamiliary bodies; |
Kidneys | right, left; |
Lung | parenchyma, any lesion; |
Stomach and duodenum | lesion; |
Cause of death | immediate, intermediate, underlying, external, other important diseases, all coded to ICD-10; manner of death. |