This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. 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.
CapabilityStatement - Electronic Death Reporting System (EDRS) Server |
This resource describes the expected capabilities of the Electronic Death Registration System (EDRS) Server actor, which is responsible for providing responses to the queries submitted by the EDRS Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by EDRS Servers are defined. EDRS 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 capabilities of the toxicology lab Server actor which is responsible for providing responses to the queries submitted by toxicology lab Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by toxicology lab Servers are defined. toxicology lab Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements. |
CapabilityStatement - MDI CMS Server |
This resource describes expected capabilities of an MDI CMS Server which is responsible for providing responses to the queries submitted by a Client. It lists FHIR profiles and search parameters that, at a minimum, should be supported by MDI CMS Servers. MDI CMS Clients have the option of choosing from this list to access necessary data. |
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. |
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. |
Composition - MDI and EDRS |
This Composition profile represents data exchanged between an MDI CMS and an EDRS. |
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. |
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’. |
MDI Cause Of Death Part 1 |
The Observation - MDI Cause of Death Part 1 profile places constraints on the VRDR profile CauseOfDeathPart1 |
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. |
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. |
CodeSystem - MDI |
This code system contains codes for use in death investigations and reporting. |
ValueSet - Tracking Number Type |
This value set contains codes to that identify the type of tracking number. |
Parameters - SNOMED US Version |
Parameters - SNOMED US Version |
Bundle - MDI and EDRS - Freeman |
Bundle - MDI and EDRS: Freeman example |
Bundle - Message Toxicology to MDI - Freeman |
Bundle - Message Toxicology to MDI: Freeman example |
MDI and EDRS Composition - Freeman |
MDI and EDRS Composition: Freeman example |
MDI and EDRS Composition - draft |
Composition - MDI and EDRS: draft example with status=preliminary, author & attester using data-absent-reason extension |
DiagnosticReport - Toxicology Lab Result to MDI - Freeman |
DiagnosticReport - Toxicology Lab Result to MDI: Freeman example |
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 |
Message Definition 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 - Cause of Death Part 1 - Freeman |
Observation - Cause of Death Part 1: Freeman example |
Observation - MDI Cause of Death Part 1 - Freeman - quantity interval |
Observation - Cause of Death Part 1: Freeman example, specifying interval quantity (days) |
Observation - Disposition Method - Freeman |
Observation - Disposition Method: Freeman example |
Location - Death - Atlanta GA Freeman |
Location - Death: Atlanta GA Freeman example |
Location - Death - Lat/Long |
Location - Death: latitude & longitude example |
Location - Death - Freeman address string |
Location - Death: address as string example |
Location - Injury - Atlanta GA Freeman |
Location - Injury: Atlanta GA Freeman example |
Observation - Autopsy Performed Indicator - Freeman |
Observation - Autopsy Performed Indicator: Freeman example |
Observation - Contributing Cause of Death Part 2 - Freeman |
Observation - Contributing Cause of Death Part 2: Freeman example |
Observation - Death Date - Freeman |
Observation - Death Date: Freeman death date, location, death pronouncer example |
Observation - Decedent Pregnancy - Freeman |
Observation - Decedent Pregnancy: Freeman example |
Observation - Manner of Death - Freeman |
Observation - Manner of Death: Freeman - accidental example |
Observation - Tobacco Use - Freeman |
Observation - Tobacco Use: Freeman example |
Observation - How Death Injury Occurred - Freeman - Medication ingestion |
Observation - How Death Injury Occurred: Freeman - Medication ingestion (fentanyl) example |
Procedure - Death Certification - Freeman |
Procedure - Death Certification: 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 |
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 |
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. J.M. Lehz |
Example of US Core Practitioner - Dr. J.M. Lehz, autopsy performer |
US Core Practitioner - Dr. Sam Jones |
Example of US Core Practitioner - Dr. Sam Jones, death pronouncer |