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 2.0.1-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.
Minimal server capabilities expecetd for MDI data exchange partners.
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. |
Profiles defined for exchanging death investigation data between and MDI CMS and EDRS for death certificate development.
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. |
Composition - MDI and EDRS |
This Composition profile represents data exchanged between an MDI CMS and an EDRS. |
MDI Cause Of Death Part 1 |
The Observation - MDI Cause of Death Part 1 profile places constraints on the VRDR profile CauseOfDeathPart1 |
Profiles defined for exchanging forensic toxicology data.
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. |
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. |
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. |
Profile for supporting exchange of death investigation documents.
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'. |
Profiles defined for death certificate review use cases.
Bundle - Document Death Certificate Review |
This profile represents a Document Bundle from an EDRS for a Death Certificate Review. |
Bundle - Message Death Certificate Review |
This Bundle profile represents a Message Bundle about 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. |
MessageHeader - Death Certificate Review |
This MessageHeader identifies a Death Certificate Review document bundle and additional review information. |
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. |
Organization - Crematorium |
Crematorium |
Extensions defined by this IG.
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 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. |
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. |
Code systems defined by this IG. Examplecode systems contain examples of codes typically defined by each implementation or jurisdiction.
Death Certificate Review Example |
This code system contains example codes for death certificate review. |
Medicolegal Death Investigation Codes |
Local codes for items that lack an appropriate LOINC code. This codesystem is only for use in the MDI use cases supported by this implementation guide, and should not be used elsewhere. |
Values sets defined by this IG. Example values sets contain examples of codes typically defined by each implementation or jurisdiction.
Registration example |
This value set contains example codes for Death Certificate registration status. |
Tracking Number Type |
This value set contains codes to that identify the type of tracking number. |
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. |
Examples of MDI-defined resources for death certificate development.
Bundle - MDI and EDRS - Freeman |
Bundle - MDI and EDRS: Freeman example |
MDI and EDRS Composition - draft |
MDI and EDRS Composition: Draft example with status=preliminary, author & attester using data-absent-reason extension |
MDI and EDRS Composition - Freeman |
MDI and EDRS Composition: Freeman example |
MDI Cause of Death Part 1 - Freeman |
MDI Cause of Death Part 1 (Observation): Freeman example |
MDI Cause of Death Part 1 - Freeman, quantity interval |
MDI Cause of Death Part 1 (Observation): Freeman example, specifying interval quantity (days) |
Examples of MDI-defined resources for forensic toxicology data exchange.
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 |
MessageDefinition - Toxicology System |
MessageDefinition - 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 - 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 |
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 |
Examples of MDI-defined resources for exchange of death investigation documents.
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 |
Examples of MDI-defined resources for death certificate review use cases.
Death Certificate Review example for cremation clearance request (example 3) |
Death Certificate Review for cremation clearance request |
Death Certificate Review example for cremation clearance response (example 4) |
Death Certificate Review for cremation clearance response |
Death Certificate Review example for death data review request (example 1) |
Death Certificate Review for death data review request |
Death Certificate Review example for death data review response (example 2) |
Death Certificate Review for death data review response |
Observation - Communicable Disease - ex1 |
Observation - Communicable Disease: example 1 |
Observation - Embalmed - ex1 |
Observation - Embalmed: example 1 |
Observation - Medical Information Data Quality - ex1 |
Observation - Medical Information Data Quality: example 1 |
Observation - Personal Information Data Quality - ex1 |
Observation - Personal Information Data Quality: example 1 |
Examples of resources defined elsewhere and included in (used by) MDI examples. These are examples of profiles defined in Vital Records Death Reporting (VRDR), Vital Records Common Library (VRCL), US Core, and the base FHIR specification.
Death Certificate for review for cremation clearance request |
Death Certificate - CCR example 1 |
Practitioner - Vital Records - Dr. Sam Jones |
Example of Practitioner - Vital Records: Dr. Sam Jones, medical examiner and death pronouncer for Freeman death investigation examples. |
US Core Organization - GA Dept Public Health |
Example of US Core Organization - Georgia State Department of Public Health, Div. Vital Records |
US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory |
Example of US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory |
US Core Organization – State Medical Examiner |
Example of US Core Organization - State Medical Examiner Office |
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 – Death Pronouncement Performer |
Example of US Core Practitioner - Death Pronouncement Performer, used in the VRDR Death Date Observation.performer role. |
VRDR Autopsy Performed Indicator |
Example of VRDR Autopsy Performed Indicator (Observation) for death certificate review examples. |
VRDR Autopsy Performed Indicator - Freeman |
Autopsy Performed Indicator: Freeman example (vrdr-autopsy-performed-indicator) |
VRDR Cause Of Death Part 1 |
Example of VRDR Cause Of Death Part 1 (Observation) for death certificate review examples. |
VRDR Cause of Death Part 2 |
Example of VRDR Cause of Death Part 2 (Observation) for death certificate review examples. |
VRDR Cause of Death Part 2 - Freeman |
Cause of Death Part 2: Freeman example (vrdr-cause-of-death-part2) |
VRDR Death Certification Procedure - Freeman |
Death Certification Procedure: Freeman example (vrdr-death-certification) |
VRDR Death Certifier |
Example of VRDR Death Certification Procedure for death certificate review examples. |
VRDR Death Certifier |
Example of VRDR Death Certifier (Practitioner) for death certificate review examples. |
VRDR Death Date |
Example of VRDR Death Date (Observation) for death certificate review examples. |
VRDR Death Date - Freeman |
Death Date: Freeman death date, location, death pronouncer example (vrdr-death-date) |
VRDR Death Location |
Example of VRDR Death Location (Location) for death certificate review examples. |
VRDR Death Location - address string |
Death Location: address as string, Freeman example (vrdr-death-location) |
VRDR Death Location - Atlanta GA |
Death Location: Atlanta GA, Freeman example (vrdr-death-location) |
VRDR Death Location - Lat/Long |
Death Location: latitude & longitude, other example (vrdr-death-location) |
VRDR Decedent |
Example of VRDR Decedent (Patient) for death certificate review examples |
VRDR Decedent Age |
Example of VRDR Decedent Age (Observation) for death certificate review examples. |
VRDR Decedent Disposition Method |
Example of VRDR Decedent Disposition Method (Observation) for death certificate review examples. |
VRDR Decedent Education Level |
Example of VRDR Decedent Education Level (Observation) for death certificate review examples. |
VRDR Decedent Father |
Example of VRDR Decedent Father (RelatedPerson) for death certificate review examples. |
VRDR Decedent Military Service |
Example of VRDR Decedent Military Service (Observation) for death certificate review examples. |
VRDR Decedent Mother |
Example of VRDR Decedent Mother (RelatedPerson) for death certificate review examples. |
VRDR Decedent Pregnancy |
Example of VRDR Decedent Pregnancy (Observation) for death certificate review examples. |
VRDR Decedent Pregnancy - Freeman |
Decedent Pregnancy: Freeman example (vrdr-decedent-pregnancy-status) |
VRDR Decedent Usual Work |
Example of VRDR Decedent Usual Work (Observation) for death certificate review examples. |
VRDR Disposition Location |
Example of VRDR Disposition Location for death certificate review examples. |
VRDR Disposition Method - Freeman |
Disposition Method: Freeman example (vrdr-decedent-disposition-method) |
VRDR Examiner Contacted |
Example of VRDR Examiner Contacted (Observation) for death certificate review examples. |
VRDR Funeral Home |
Example of VRDR Funeral Home (Organization) for death certificate review examples. |
VRDR Injury Incident |
Example of VRDR Injury Incident (Observation) for death certificate review examples. |
VRDR Injury Incident - Freeman |
Injury Incident: Freeman medication ingestion example (vrdr-injury-incident) |
VRDR Injury Location |
Example of VRDR Injury Location for death certificate review examples. |
VRDR Injury Location - Atlanta GA |
Injury Location: Atlanta GA, Freeman example (vrdr-injury-location) |
VRDR Manner of Death |
Example of VRDR Mortician (Practitioner) for death certificate review examples. |
VRDR Manner of Death - Freeman |
Manner of Death: Freeman - accidental example (vrdr-manner-of-death) |
VRDR Mortician |
Example of VRDR Mortician (Practitioner) for death certificate review examples. |
VRDR Tobacco Use Contributed To Death |
Example of VRDR Tobacco Use Contributed To Death (Observation) for death certificate review examples |
VRDR Tobacco Use Contributed To Death - Freeman |
obacco Use Contributed To Death: Freeman example (vrdr-tobacco-use-contributed-to-death) |
TBD
mdi-tracking-number-search |
TBD |
Parameters - SNOMED US Version |
Parameters - SNOMED US Version |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
Bundle - Document Death Certificate Review, example 1 |
Bundle - Document Death Certificate Review example 1 |
Bundle - Message Death Certificate Review Example |
Bundle - Message Death Certificate Review, example 1 |
MessageHeader - Death Certificate Review Example 1 |
MessageHeader - Death Certificate Review, example 1 |
Organization – Crematorium example |
Example of Organization - Crematorium |
VR Practitioner |
Example of VR Practitioner for death certificate review examples. |