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-cibuild 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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
CapabilityStatement - Electronic Death Reporting System (EDRS) Server |
This resource describes the expected capabilities of the Electronic Death Registration System (EDRS) server, which is responsible for providing responses to the queries submitted by a client. Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements. |
CapabilityStatement - Forensic Toxicology Laboratory Server |
This resource describes the expected minimum capabilities of the toxicology lab server. |
CapabilityStatement - MDI CMS Server |
This resource describes expected minimum capabilities of an MDI CMS server which is responsible for providing responses to the queries submitted by a client. Clients have the option of choosing from this list to access necessary data. |
Bundle - Document MDI and EDRS |
This Bundle profile represents a Document Bundle exchanged between an MDI CMS and EDRS. It can be used for bi-directional exchange. It contains a Composition - MDI and EDRS. |
Bundle - Message Toxicology to MDI |
This Bundle profile represents a Message Bundle from a forensic toxicology laboratory to an MDI information management system. It contains a Message Header and a DiagnosticReport - Toxicology Lab Result to MDI. |
Composition - MDI and EDRS |
This Composition profile represents data exchanged between an MDI CMS and an EDRS. |
DiagnosticReport - Toxicology Lab Result to MDI |
This profile contains constraints to the US Core Diagnostic Report Profile to address the use case for sending data from a forensic toxicology laboratory information management system to an MDI information management system. Each analyzed specimen, represented by a Specimen - Toxicology Lab resource, must be referenced by at least one Observation - Toxicology Lab Result and may be referenced by more than one Observation - Toxicology Lab Result. For specimens received but not analyzed, the laboratory should provide a reason for no analysis in the DiagnosticReport.conclusion and/or each unanalyzed specimen’s Specimen - Toxicology Lab Specimen.note. |
DocumentReference - MDI Report |
This DocumentReference profile constrains the US Core DocumentReference Profile to support exchanging death investigation documents, such as an Autopsy Report or Investigator’s Narrative. The content may be included as inline base64 encoded data or be provided by direct reference (e.g., URL). The document type is required and is constrained by US Core to a LOINC value whose SCALE is DOC in the LOINC database or is the HL7 v3 Code System NullFlavor concept 'unknown'. |
MDI Cause Of Death Part 1 |
The Observation - MDI Cause of Death Part 1 profile places constraints on the VRDR profile CauseOfDeathPart1 |
MessageHeader - Toxicology to MDI |
This MessageHeader identifies the DiagnosticReport being sent from a forensic toxicology laboratory information system to an MDI information management system. |
Observation - Toxicology Lab Result |
This Observation profile describes forensic toxicology laboratory test results from analysis of a specimen sent by a Medical Examiner, Coroner, or autopsy performer to the laboratory. |
Specimen - Toxicology Lab |
This Specimen profile identifies and describes the specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis. For specimens received but not analyzed, the laboratory should provide a reason for no analysis in the DiagnosticReport.conclusion and/or each unanalyzed specimen’s Specimen - Toxicology Lab Specimen.note. The laboratory may use the Specimen.condition to describe the state of the specimen via codes from the extensible value set hl7VS-specimenCondition and/or use the Specimen.note to describe details or issues about the specimen. |
Extension - Tracking Number |
This Extension contains a tracking number, such as a case number or file number assigned by an MDI information management system or EDRS, and can represent other tracking numbers, if required. |
CodeSystem - MDI |
This code system contains codes for use in death investigations and reporting. |
ValueSet - Tracking Number Type |
This value set contains codes to that identify the type of tracking number. |
Parameters - SNOMED US Version |
Parameters - SNOMED US Version |
Bundle - MDI and EDRS - Freeman |
Bundle - MDI and EDRS: Freeman example |
Bundle - Message Toxicology to MDI - Freeman |
Bundle - Message Toxicology to MDI: Freeman example |
DiagnosticReport - Toxicology Lab Result to MDI - Freeman |
DiagnosticReport - Toxicology Lab Result to MDI: Freeman example |
DocumentReference - MDI Report - Autopsy Report example |
DocumentReference - MDI Report: Autopsy Report example |
DocumentReference - MDI Report - Investigator's Narrative example |
DocumentReference - MDI Report: Investigator's Narrative example |
MDI and EDRS Composition - draft |
Composition - MDI and EDRS: draft example with status=preliminary, author & attester using data-absent-reason extension |
MDI and EDRS Composition - Freeman |
MDI and EDRS Composition: Freeman example |
Message Definition Toxicology System |
This resource defines the characteristics of a message that can be shared between a forensic toxicology system and a medical examiner/coroner system. |
MessageHeader - Toxicology to MDI - Freeman |
MessageHeader - Toxicology to MDI: Freeman example |
Observation - Cause of Death Part 1 - Freeman |
Observation - Cause of Death Part 1: Freeman example |
Observation - MDI Cause of Death Part 1 - Freeman - quantity interval |
Observation - Cause of Death Part 1: Freeman example, specifying interval quantity (days) |
Location - Death - Atlanta GA Freeman |
Location - Death: Atlanta GA Freeman example |
Location - Death - Freeman address string |
Location - Death: address as string example |
Location - Death - Lat/Long |
Location - Death: latitude & longitude example |
Location - Injury - Atlanta GA Freeman |
Location - Injury: Atlanta GA Freeman example |
Observation - Autopsy Performed Indicator - Freeman |
Observation - Autopsy Performed Indicator: Freeman example |
Observation - Contributing Cause of Death Part 2 - Freeman |
Observation - Contributing Cause of Death Part 2: Freeman example |
Observation - Death Date - Freeman |
Observation - Death Date: Freeman death date, location, death pronouncer example |
Observation - Decedent Pregnancy - Freeman |
Observation - Decedent Pregnancy: Freeman example |
Observation - Disposition Method - Freeman |
Observation - Disposition Method: Freeman example |
Observation - How Death Injury Occurred - Freeman - Medication ingestion |
Observation - How Death Injury Occurred: Freeman - Medication ingestion (fentanyl) example |
Observation - Manner of Death - Freeman |
Observation - Manner of Death: Freeman - accidental example |
Observation - Tobacco Use - Freeman |
Observation - Tobacco Use: Freeman example |
Observation - Toxicology Lab Result - 4-anpp Blood Freeman |
Observation - Toxicology Lab Result: 4-anpp Blood Freeman example |
Observation - Toxicology Lab Result - 4-anpp Urine Freeman |
Observation - Toxicology Lab Result: 4-anpp Urine Freeman example |
Observation - Toxicology Lab Result - Acetylfentanyl Blood Freeman |
Observation - Toxicology Lab Result: Acetylfentanyl Blood Freeman example |
Observation - Toxicology Lab Result - Acetylfentanyl Urine Freeman |
Observation - Toxicology Lab Result: Acetylfentanyl Urine Freeman example |
Observation - Toxicology Lab Result - Ethanol Blood Freeman |
Observation - Toxicology Lab Result: Ethanol Blood Freeman example |
Observation - Toxicology Lab Result - Ethanol Urine Freeman |
Observation - Toxicology Lab Result: Ethanol Urine Freeman example |
Observation - Toxicology Lab Result - Ethanol Vitreous Humor Freeman |
Observation - Toxicology Lab Result: Ethanol Vitreous Humor Freeman |
Observation - Toxicology Lab Result - Fentanyl Blood Freeman |
Observation - Toxicology Lab Result: Fentanyl Blood Freeman example |
Observation - Toxicology Lab Result - Fentanyl Urine Freeman |
Observation - Toxicology Lab Result: Fentanyl Urine Freeman example |
Observation - Toxicology Lab Result - Norfentanyl Urine Freeman |
Observation - Toxicology Lab Result: Norfentanyl Urine Freeman example |
Observation - Toxicology Lab Result - Xylazine Urine Freeman |
Observation - Toxicology Lab Result: Xylazine Urine Freeman example |
Procedure - Death Certification - Freeman |
Procedure - Death Certification: Freeman example |
Specimen - Toxicology Lab - Freeman Bile |
Specimen - Toxicology Lab: Freeman Bile example |
Specimen - Toxicology Lab - Freeman Blood |
Specimen - Toxicology Lab: Freeman Blood examples |
Specimen - Toxicology Lab - Freeman Liver |
Specimen - Toxicology Lab: Freeman Liver example |
Specimen - Toxicology Lab - Freeman Stomach Contents |
Specimen - Toxicology Lab: Freeman Stomach Contents example |
Specimen - Toxicology Lab - Freeman Urine |
Specimen - Toxicology Lab: Freeman Urine example |
Specimen - Toxicology Lab - Freeman Vitreous Humor |
Specimen - Toxicology Lab: Freeman Vitreous Humor example |
US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory |
Example of US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory |
US Core Patient - Alice J. Freeman |
Example of US Core Patient - Alice J. Freeman, decedent |
US Core Patient - Unknown Name |
US Core Patient: Unknown Name - Decedent where there is no information known about the patient. Assume that the system will assign a tracking number (e.g., medical record number, case number, or other). |
US Core Practitioner - Dr. Bruce Goldberger |
Example of US Core Practitioner - Dr. Bruce Goldberger, toxicologist |
US Core Practitioner - Dr. J.M. Lehz |
Example of US Core Practitioner - Dr. J.M. Lehz, autopsy performer |
US Core Practitioner - Dr. Sam Jones |
Example of US Core Practitioner - Dr. Sam Jones, death pronouncer |
These define constraints on FHIR resources for systems conforming to this implementation guide.
Bundle - Document Death Certificate Review |
This profile represents a Document Bundle from an EDRS for a Death Certificate Review. |
Composition - Death Certificate Review |
This Composition contains information for a request to review death certificate data, for death data quality improvement, cremation clearance, and other workflows. It can contain EDRS death certificate structured data. |
Observation - Certified Workflow |
This Observation profile describes the Death Certificate certification workflow status. |
Observation - Communicable Disease |
This Observation profile describes TBD. |
Observation - Embalmed |
This Observation profile indicates if the decedent body was embalmed. |
Observation - Medical Information Data Quality |
This Observation profile describes TBD. |
Observation - Personal Information Data Quality |
This Observation profile describes TBD. |
Observation - Registration |
This Observation profile describes Death Certificate registration status. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Extension - Cremation Clearance Authorization Status |
This Extension indicates the authorization status of the Cremation Clearance. |
Extension - Cremation Clearance Coroner Status |
This Extension indicates whether the Cremation Clearance is a Cononer workflow or not. |
Extension - Cremation Clearance Signature Status |
This Extension indicates whether the Cremation Clearance has been signed or not. |
Extension - Death Certificate Review Reason |
This Extension indicates the reason for the death certificate review. |
Extension - Death Certificate Status |
This Extension indicates Death Certificate workflow status. |
Extension - Medical Examiner Certification Affirmation |
This Extension indicates whether the Medical Examiner certification has been affirmed or not. |
These define sets of codes used by systems conforming to this implementation guide.
ValueSet - Certified Workflow example |
This value set contains example codes for Death Certificate certification workflow status. |
ValueSet - Cremation Clearance Observations example |
This value set contains example codes for Cremation Clearance Observations. |
ValueSet - Cremation Clearance Signed example |
This value set contains example codes for the signature status of the Cremation Clearance. |
ValueSet - Cremation Clearance Status example |
This value set contains example codes for Cremation Clearance status. |
ValueSet - Death Certificate Review Observations example |
This value set contains example codes for Death Certificate Review Observations. |
ValueSet - Death Certificate Review Reason example |
This value set contains example codes for the reason for a death certificate review. |
ValueSet - Embalmed example |
This value set contains example codes for embalmed status of the Decedent. |
ValueSet - Medical Data Quality Review example |
This value set contains example codes for medical data quality review. |
ValueSet - Medical Examiner Certification Affirmation example |
This value set contains example codes for the status of Medical Examiner Certification Affirmation. |
ValueSet - Personal Data Quality Review example |
This value set contains example codes for personal data quality review. |
ValueSet - Registration example |
This value set contains example codes for Death Certificate registration status. |
These define new code systems used by systems conforming to this implementation guide.
CodeSystem - Death Certificate Review - example |
This code system contains example codes for death certificate review. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.