The scope of this HL7 FHIR Medicolegal Death Investigation (MDI) implementation guide includes the content of case management systems (CMS) on deaths investigated by medicolegal death investigation systems. This will include the bi-directional exchange of data between MDI-CMS and other systems, such as Jurisdictional electronic death registration system (EDRS), toxicology and other Laboratory Information Management Systems (LIMS) and ancillary workflows whose systems have the capability of utilizing FHIR.
The ME/C MDI FHIR IG provides guidance to implementers and jurisdictions on the exchange of information to and from a ME/C case management system. There are overlapping FHIR profiles within the Vital Records Death Reporting FHIR Implementation Guide 1.0 - STU 1 that are based on the current revisions of the U.S. Standard Certificate of Death. Additionally, there are many other components and workflows that are specific to the scope of the MDI FHIR IG and justifies reason for creation of its own content. These workflows include the receipt of toxicology information into the case management systems and the sharing of information to jurisdictional health departments. Additionally, ME/C have a need to view information from the decedent’s EHR in order to perform their work, and so efforts to surface that data will be critical to include. Overlapping content and profiles from vital records will be reused and referenced from other vital records standards and they will documented within the Vital Records Common Profile Library that was balloted in January 2021 and the Public Health Profile Library.
Work to date includes testing the workflow from ME/C CMS to Jurisdictional EDRS.
Content sources:
- US Standard Death Certificate
- Medicolegal death investigation data commonly exchanged with one another and stakeholders. A Report to the National Institute of Standards and Technology (NIST) Organization of Scientific Area Committees (OSAC) by the Crime Scene/Death Investigation Medicolegal Death Investigation (MDI) Subcommittee. 2021
- Parish G and Hanzlick RH, Medical Examiner/Coroner Death Investigation Data Set, Medical Examiner/Coroner Information Sharing Program, National Center for Environmental Health, Centers for Disease Control and Prevention, January, 1995
Example Scenarios:
- Reporting death from a Medical Examiner/Coroner case management system (CMS) to jurisdictional vital records offices
- Toxicology/lab data to CMS
- Reportable deaths from CMS to public health departments
The scope of this HL7 FHIR Medicolegal Death Investigation (MDI) implementation guide includes the content of case management systems (CMS) on deaths investigated by medicolegal death investigation systems. This will include the bi-directional exchange of data between MDI-CMS and other systems, such as Jurisdictional electronic death registration system (EDRS), toxicology and other Laboratory Information Management Systems (LIMS) and ancillary workflows whose systems have the capability of utilizing FHIR.
The ME/C MDI FHIR IG provides guidance to implementers and jurisdictions on the exchange of information to and from a ME/C case management system. There are overlapping FHIR profiles within the Vital Records Death Reporting FHIR Implementation Guide 1.0 - STU 1 that are based on the current revisions of the U.S. Standard Certificate of Death. Additionally, there are many other components and workflows that are specific to the scope of the MDI FHIR IG and justifies reason for creation of its own content. These workflows include the receipt of toxicology information into the case management systems and the sharing of information to jurisdictional health departments. Additionally, ME/C have a need to view information from the decedent’s EHR in order to perform their work, and so efforts to surface that data will be critical to include. Overlapping content and profiles from vital records will be reused and referenced from other vital records standards and they will documented within the Vital Records Common Profile Library that was balloted in January 2021 and the Public Health Profile Library.
Work to date includes testing the workflow from ME/C CMS to Jurisdictional EDRS.
Content sources:
- US Standard Death Certificate
- Medicolegal death investigation data commonly exchanged with one another and stakeholders. A Report to the National Institute of Standards and Technology (NIST) Organization of Scientific Area Committees (OSAC) by the Crime Scene/Death Investigation Medicolegal Death Investigation (MDI) Subcommittee. 2021
- Parish G and Hanzlick RH, Medical Examiner/Coroner Death Investigation Data Set, Medical Examiner/Coroner Information Sharing Program, National Center for Environmental Health, Centers for Disease Control and Prevention, January, 1995
Example Scenarios:
- Reporting death from a Medical Examiner/Coroner case management system (CMS) to jurisdictional vital records offices
- Toxicology/lab data to CMS
- Reportable deaths from CMS to public health departments
- EMR to CMS - viewable source only