Description of the expected minimum 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.

Description of the expected minimum capabilities of the toxicology lab server.

Description of 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.

A container for a document exchanged between an MDI CMS and EDRS (bi-directional exchange) for development of a death certificate. It contains a Composition - MDI and EDRS.

The body of a document exchanged between an MDI CMS and an EDRS for development of a death certificate.

The MDI Cause of Death Part 1 (Observation) profile places constraints on the VRDR Cause of Death Part 1 (Observation) profile, which reflects the ordered causes of death asserted by the death certifier. The cause of death is initially specified with text. Line number can be 1-4. For the MDI use case, a cause of death certifier (coroner or medical examiner) is required in the performer data element, with the option of using a data-absent-reason.

A container for a message from a forensic toxicology laboratory to an MDI information management system. It contains a MessageHeader - Toxicology to MDI and a DiagnosticReport - Toxicology Lab Result to MDI.

Identification of a DiagnosticReport - Toxicology Lab Result to MDI being sent in a message from a forensic toxicology laboratory information system to an MDI CMS.

The findings and interpretation of diagnostic tests performed during a death investigation and sent from a forensic toxicology laboratory information management system (LIMS) to an MDI CMS. 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.

Identification and description of a 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.

Forensic toxicology laboratory test result from analysis of a specimen sent by a Medical Examiner, Coroner, or autopsy performer to the laboratory.

A reference to a death investigation document, 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’.

A container for a message exchanged between an EDRS and an MDI CMS (bi-directional exchange) about a Death Certificate Review. It contains a MessageHeader - Death Certificate Review and a Bundle - Document Death Certificate Review.

Identification of a Bundle - Document Death Certificate Review being sent in a message between an EDRS and an MDI CMS.

A container for a document exchanged between an EDRS and an MDI CMS (bi-directional exchange) for a Death Certificate Review. It contains a Composition - Death Certificate Review.

The body of a document exchanged between an EDRS and an MDI CMS for a death certificate review for the purpose of death data quality improvement, cremation clearance, or other workflow. It can contain EDRS death certificate structured data.

Observation indicating if the decedent body harbors a communicable disease.

Observation indicating if the decedent body was embalmed.

Observation describing the medical information data quality findings that result from a death certificate review. The value[x] (CodeableConcept) is the medical information data quality review conclusion. Use the Observation.note for details.

Observation describing the personal information data quality findings that result from a death certificate review. The value[x] (CodeableConcept) is the personal information data quality review conclusion. Use the Observation.note for details.

Crematorium

This Extension indicates whether the Cremation Clearance is a coroner workflow or not.

This Extension indicates whether the Cremation Clearance has been signed or not.

This Extension indicates the authorization status of the Cremation Clearance.

This Extension indicates Death Certificate workflow status.

This Extension indicates whether the Medical Examiner certification has been affirmed or not.

Tracking number, such as a case number or file number assigned by an MDI CMS or EDRS, and can represent other tracking numbers, if required..

This code system contains example codes for death certificate review.

Local codes for items that lack an appropriate LOINC code. This code system is only for use in the MDI use cases supported by this implementation guide and should not be used elsewhere.

Type of tracking number

This value set contains example codes for Cremation Clearance Observations.

This value set contains example codes for the signature status of the Cremation Clearance.

This value set contains example codes for Cremation Clearance status.

This value set contains example codes for Death Certificate certification workflow status.

This value set contains example codes for Death Certificate Review Observations.

This value set contains example codes for the reason for a death certificate review.

This value set contains example codes for embalmed status of the Decedent.

This value set contains example codes for the status of Medical Examiner Certification Affirmation.

This value set contains example codes for medical data quality review.

This value set contains example codes for personal data quality review.

This value set contains example codes for Death Certificate registration status.

Bundle - MDI and EDRS: Freeman example

MDI and EDRS Composition: Freeman example

MDI and EDRS Composition: Draft example with status=preliminary, author & attester using data-absent-reason extension

MDI Cause of Death Part 1 (Observation): Freeman example, specifying interval string

MDI Cause of Death Part 1 (Observation): Freeman example, specifying interval quantity

Bundle - Message Toxicology to MDI: Freeman example

MessageHeader - Toxicology to MDI: Freeman example

Characteristics of a message that can be shared between a forensic toxicology system and a medical examiner/coroner MDI CMS.

DiagnosticReport - Toxicology Lab Result to MDI: Freeman example

Specimen - Toxicology Lab: Freeman bile example

Specimen - Toxicology Lab: Freeman blood examples

Specimen - Toxicology Lab: Freeman liver example

Specimen - Toxicology Lab: Freeman stomach contents example

Specimen - Toxicology Lab: Freeman urine example

Specimen - Toxicology Lab: Freeman vitreous humor example

Observation - Toxicology Lab Result: 4-anpp Blood Freeman example

Observation - Toxicology Lab Result: 4-anpp Urine Freeman example

Observation - Toxicology Lab Result: Acetylfentanyl Blood Freeman example

Observation - Toxicology Lab Result: Acetylfentanyl Urine Freeman example

Observation - Toxicology Lab Result: Ethanol Blood Freeman example

Observation - Toxicology Lab Result: Ethanol Urine Freeman example

Observation - Toxicology Lab Result: Ethanol Vitreous Humor Freeman

Observation - Toxicology Lab Result: Fentanyl Blood Freeman example

Observation - Toxicology Lab Result: Fentanyl Urine Freeman example

Observation - Toxicology Lab Result: Norfentanyl Urine Freeman example

Observation - Toxicology Lab Result: Xylazine Urine Freeman example

DocumentReference - MDI Report: Autopsy Report example

DocumentReference - MDI Report: Investigator's Narrative example

Bundle - Message Death Certificate Review example

MessageHeader - Death Certificate Review example

Bundle - Document Death Certificate Review example

Death Certificate Review for death data review request

Death Certificate Review for death data review response

Death Certificate Review for cremation clearance request

Death Certificate Review for cremation clearance response

Observation - Communicable Disease example

Observation - Embalmed example

Observation - Medical Information Data Quality example

Observation - Personal Information Data Quality example

Organization - Crematorium example

Example of US Core Organization - State Medical Examiner Office

Example of US Core Organization - Georgia State Department of Public Health, Div. Vital Records

Example of US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory

Example of US Core Patient - Alice J. Freeman, decedent

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).

Example of US Core Practitioner - Dr. Bruce Goldberger, toxicologist

Example of US Core Practitioner - Death Pronouncement Performer, used in the VRDR Death Date Observation.performer role.

Example of US Core Practitioner - Dr. J.M. Lehz, autopsy performer

Autopsy Performed Indicator: Freeman example (vrdr-autopsy-performed-indicator)

Example of VRDR Autopsy Performed Indicator (Observation) for death certificate review examples.

Example of VRDR Cause Of Death Part 1 (Observation) for death certificate review examples.

Cause of Death Part 2: Freeman example (vrdr-cause-of-death-part2)

Example of VRDR Cause of Death Part 2 (Observation) for death certificate review examples.

Example of VRDR Death Certifier (Practitioner) for death certificate review examples.

VRDR Death Certificate - CCR example 1

Death Certification Procedure: Freeman example (vrdr-death-certification)

Example of VRDR Death Certification Procedure for death certificate review examples.

Death Date: Freeman death date, location, death pronouncer example (vrdr-death-date)

Example of VRDR Death Date (Observation) for death certificate review examples.

Death Location: Atlanta GA, Freeman example (vrdr-death-location)

Example of VRDR Death Location (Location) for death certificate review examples.

Death Location: latitude & longitude, other example (vrdr-death-location)

Death Location: address as string, Freeman example (vrdr-death-location)

Example of VRDR Decedent Age (Observation) for death certificate review examples.

Example of VRDR Decedent (Patient) for death certificate review examples

Disposition Method: Freeman example (vrdr-decedent-disposition-method)

Example of VRDR Decedent Disposition Method (Observation) for death certificate review examples.

Example of VRDR Decedent Education Level (Observation) for death certificate review examples.

Example of VRDR Decedent Father (RelatedPerson) for death certificate review examples.

Example of VRDR Decedent Military Service (Observation) for death certificate review examples.

Example of VRDR Decedent Mother (RelatedPerson) for death certificate review examples.

Decedent Pregnancy: Freeman example (vrdr-decedent-pregnancy-status)

Example of VRDR Decedent Pregnancy (Observation) for death certificate review examples.

Example of VRDR Decedent Usual Work (Observation) for death certificate review examples.

Example of VRDR Disposition Location for death certificate review examples.

Example of VRDR Examiner Contacted (Observation) for death certificate review examples.

Example of VRDR Funeral Home (Organization) for death certificate review examples.

Injury Incident: Freeman medication ingestion example (vrdr-injury-incident)

Example of VRDR Injury Incident (Observation) for death certificate review examples.

Injury Location: Atlanta GA, Freeman example (vrdr-injury-location)

Example of VRDR Injury Location for death certificate review examples.

Manner of Death: Freeman - accidental example (vrdr-manner-of-death)

Example of VRDR Mortician (Practitioner) for death certificate review examples.

Example of VRDR Mortician (Practitioner) for death certificate review examples.

Tobacco Use Contributed To Death: Freeman example (vrdr-tobacco-use-contributed-to-death)

Example of VRDR Tobacco Use Contributed To Death (Observation) for death certificate review examples

Example of VR Practitioner for death certificate review examples.

Example of Practitioner - Vital Records: Dr. Sam Jones, medical examiner and death pronouncer for Freeman death investigation examples.

Parameters - SNOMED US Version