The scope of this Medicolegal Death Investigation (MDI) FHIR implementation guide includes the content of case management systems (CMS) on deaths investigated by medicolegal death investigation systems. This will include the bidirectional 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.

*Added 10/21/2021: *This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile, we will follow the Cross Group Projects WG's variance request process, and provide the US Realm Steering Committee an approved rationale for deviation in the implementation guide where applicable.

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