This page is part of the Medicolegal Death Investigation (MDI) (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
Profiles related to the MDI to EDRS data flow.
Bundle - Document MDI to EDRS |
This Bundle profile represents an MDI to EDRS Document Bundle. It contains a Composition - MDI to EDRS. |
Composition - MDI to EDRS |
This Composition profile represents data sent from an MDI information management system to an EDRS. |
List - Cause of Death Pathway |
This List profile is an ordered list of cause of death conditions. |
Observation - Cause of Death Condition |
The Observation - Cause of Death Condition profile reflects one of the eventually ordered causes of death asserted by the death certifier. The cause of death is initially specified with text. |
Observation - Condition Contributing to Death |
The Observation - Contributing to Death profile is used to identify factors contributing to the cause of death as asserted by the death certifier. |
Observation - Death Date |
This Observation provides the death date, death location, death pronouncer, and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. |
Observation - Death Injury/Event Occurred at Work |
This Observation identifies whether or not death resulted from events or an injury that occurred at work. |
Observation - How Death Injury Occurred |
This Observation provides the certified explanation of how the injury leading to death occurred. |
Observation - Manner of Death |
This Observation provides the conclusion arrived at upon completion of death investigation regarding the manner of death (e.g., natural, homicide, suicide, accident). |
Observation - Decedent Pregnancy |
This Observation provides an indication of the pregnancy status of the decedent. |
Observation - Tobacco Use Contributed to Death |
This Observation provides the conclusion arrived at during death investigation regarding the extent to which tobacco use contributed to the death of the decedent. |
Profiles related to the toxicology data flow.
Bundle - Message Toxicology to MDI |
This Bundle profile represents a Message Bundle from a forensic toxicology laboratory to an MDI information management system. It contain a Message Header and a DiagnosticReport - Toxicology Lab Result to MDI. |
MessageHeader - Toxicology to MDI |
This MessageHeader identifies the DiagnosticReport being sent from a forensic toxicology laboratory information system to an MDI information management system. |
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. |
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. |
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. |
Examples related to the MDI to EDRS data flow.
Bundle - MDI to EDRS - Freeman |
Bundle - MDI to EDRS: Freeman example |
MDI to EDRS Composition - Freeman |
MDI to EDRS Composition: Freeman example |
Observation - Death Date - Freeman |
Observation - Death Date: Freeman death date, location, death pronouncer example |
List - Cause of Death Pathway - Freeman |
List - Cause of Death Pathway: Freeman example |
Observation - Cause of Death Condition - Freeman Primary |
Observation - Cause of Death Condition: Freeman Primary example |
Observation - Condition Contributing to Death - Freeman - Hypertensive Heart Disease |
Observation - Condition Contributing to Death: Freeman hypertensive heart disease example |
Observation - ODH Usual Work - Freeman |
Observation - ODH Usual Work: Freeman example |
Observation - Death Injury at Work - Freeman |
Observation - Death Injury at Work: 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 - Decedent Pregnancy - Freeman |
Observation - Decedent Pregnancy: Freeman example |
Observation - Tobacco Use - Freeman |
Observation - Tobacco Use: Freeman example |
Examples related to the toxicology data flow.
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 |
MessageHeader - Toxicology to MDI - Freeman |
MessageHeader - Toxicology to MDI: Freeman example |
Specimen - Toxicology Lab - Freeman Blood |
Specimen - Toxicology Lab: Freeman Blood examples |
Observation - Toxicology Lab Result - Ethanol Blood Freeman |
Observation - Toxicology Lab Result: Ethanol Blood Freeman example |
Observation - Toxicology Lab Result - 4-anpp Blood Freeman |
Observation - Toxicology Lab Result: 4-anpp Blood Freeman example |
Observation - Toxicology Lab Result - Acetylfentanyl Blood Freeman |
Observation - Toxicology Lab Result: Acetylfentanyl Blood Freeman example |
Observation - Toxicology Lab Result - Fentanyl Blood Freeman |
Observation - Toxicology Lab Result: Fentanyl Blood Freeman example |
Specimen - Toxicology Lab - Freeman Urine |
Specimen - Toxicology Lab: Freeman Urine example |
Observation - Toxicology Lab Result - Ethanol Urine Freeman |
Observation - Toxicology Lab Result: Ethanol Urine Freeman example |
Observation - Toxicology Lab Result - 4-anpp Urine Freeman |
Observation - Toxicology Lab Result: 4-anpp Urine Freeman example |
Observation - Toxicology Lab Result - Acetylfentanyl Urine Freeman |
Observation - Toxicology Lab Result: Acetylfentanyl Urine 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 Vitreous Humor |
Specimen - Toxicology Lab: Freeman Vitreous Humor example |
Observation - Toxicology Lab Result - Ethanol Vitreous Humor Freeman |
Observation - Toxicology Lab Result: Ethanol Vitreous Humor Freeman |
Specimen - Toxicology Lab - Freeman Bile |
Specimen - Toxicology Lab: Freeman Bile example |
Specimen - Toxicology Lab - Freeman Liver |
Specimen - Toxicology Lab: Freeman Liver example |
Specimen - Toxicology Lab - Freeman Stomach Contents |
Specimen - Toxicology Lab: Freeman Stomach Contents example |
Example participants used in other examples.
Location - Atlanta GA Death Location - Freeman |
Location - Atlanta GA Death Location: Freeman 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. Jane Jones |
Example of US Core Practitioner - Dr. Jane Jones, medical examiner |
US Core Practitioner - Dr. Sam Jones |
Example of US Core Practitioner - Dr. Sam Jones, death pronouncer |
Extensions defined for this implementation guide
Extension - Location |
This Extension contains the location of the observed phenomenon or entity that is the subject of the observation. |
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. |
Other parameters used by this implementation guide
Expansion Parameters - MDI |
This Expansion Parameters specifies the US edition of SNOMED CT reference to US National Library of Medicine maintained module (core metadata concept) |
These define sets of codes used by systems conforming to this implementation guide
ValueSet - Contributory Tobacco Use |
A set of codes that reflect the extent to which tobacco use contributed to the person’s death. Based on Contributory Tobacco Use (NCHS)[2.16.840.1.114222.4.11.6004] |
ValueSet - Date Establishment Methods |
This value set contains codes that describe the method of establishing a date. |
ValueSet - Death Pregnancy Status |
A set of codes that reflect whether the decedent was pregnant at or around the time of death. Based on Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003] |
ValueSet - Manner of Death |
A set of codes to reflect the manner that a person died. This value set is based on Manner of Death (NCHS)[2.16.840.1.114222.4.11.6002]. |
ValueSet - Tracking Number Type |
This value set contains codes to that identify the type of tracking number. |
ValueSet - Units of Age |
Units of Age |
ValueSet - Yes, No, Not Applicable |
A set of codes used to respond to any question that can be answered Yes, No, or Not Applicable. Based on Yes No Not Applicable (NCHS)[2.16.840.1.114222.4.11.7486] |
These define new code systems used by systems conforming to this implementation guide
CodeSystem - MDI |
This code system contains codes for use in MDI. |
CodeSystem - Death Pregnancy Status |
Codes that reflect whether the decedent was pregnant at or around the time of death. Includes the concepts defined in Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003] which are from the PHIN VS (CDC Local Coding System)[2.16.840.1.114222.4.5.274] |