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HL7 Medicolegal Death Investigation (MDI) FHIR IG (Jira PSS-1885)

Basics

HL7 Medicolegal Death Investigation (MDI) FHIR IG (Jira PSS-1885)

1737
Ballot - STU




Details

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.


The MDI FHIR IG will provide guidance to implementers and jurisdictions on the exchange of information to and from a case management system (CMS). The Vital Records Mortality and Morbidity Reporting FHIR Implementation Guide 1.0 - STU 1 (http://hl7.org/fhir/us/vrdr/index.html ) has overlapping FHIR profiles that are based on the current revisions of the U.S. Standard Certificate of Death. Additionally, there are many other components and workflows specific to the scope of the MDI FHIR IG that justify creation of its own content. These workflows include the receipt of toxicology information into the CMS and sending information to jurisdictional health departments. Additionally, medical examiners/coroners (ME/C) have a need to view information from the decedent’s EHR for their work and identifying those data will be critical. Content and profiles from vital records will be reused when possible, as will other vital records standards.



FHIR IG


PSS: https://jira.hl7.org/browse/PSS-1885 https://github.com/HL7/fhir-mdi-ig



Other (specify in Misc. Notes below)

DeKalb County, GA, Medical Examiner with MDILog case management system New Hampshire state registrar with CSNI


MDI, MDI FHIR IG, MDI IG, Medicolegal Death IG


Yes

N/A


2025 May: TSC approved STU Publication Request for HL7 FHIR® Implementation Guide: Medicolegal Death Investigation (MDI), Edition 2 - US Realm 2024 October: TSC approved STU Extension Request for HL7 FHIR Implementation Guide: Medicolegal Death Investigation (MDI), Release 1.1 - US Realm for 2 years 2022 Sept: TSC approved STU Publication Request for HL7 FHIR Implementation Guide: Medicolegal Death Investigation (MDI), Release 1 - US Realm
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Diana Wright



Public Health Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

10/07/2021

09/01/2026

2026 Sept WGM/Ballot

09/01/2026

2026 Sept WGM/Ballot

2025 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 2 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Medicolegal Death Investigation (MDI), Release 1 - US Realm 2024 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Medicolegal Death Investigation (MDI), Release 1 - US Realm 2022 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 2 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Medicolegal Death Investigation (MDI), Release 1 - US Realm
Approvals

12/01/2021


Received


All Received




FHIR Management Group -- Agreed -- (PSS-1888)
US Realm -- Agreed -- (PSS-1889)
System Info

168661

PSS-1885



02/02/2026

Jira Project Service