{
  "description": "This US-specific implementation guide (IG) provides guidance on the exchange of information to and from medicolegal death investigation (MDI) information systems. It supports interoperability between the MDI systems of medical examiner and coroner (ME/C) offices, forensic toxicology and other laboratory information management systems (LIMS), electronic death reporting systems (EDRS) of jurisdictional vital records offices, and ancillary workflows whose systems have the capability of utilizing Fast Healthcare Interoperability Resources (FHIR). The guide provides MDI systems developers with the technical details and best practices to standardized MDI fields and interfaces. Stakeholders may use the narrative portions of this guide to inform policies and practices for data exchange between systems contributing to death investigations.This guide can serve as a base for local specifications. This MDI FHIR IG is designed to be light-weight and flexible, recognizing that information management systems used for assembling medicolegal death investigation data vary widely by state, jurisdiction, and agency.",
  "_filename": "ImplementationGuide-hl7.fhir.us.mdi.json",
  "package_name": "hl7.fhir.us.mdi",
  "definition": {
    "page": {
      "page": [ {
        "title": "Background",
        "nameUrl": "background.html",
        "generation": "markdown"
      }, {
        "title": "Best Practices",
        "nameUrl": "best_practices.html",
        "generation": "markdown"
      }, {
        "title": "Specification",
        "nameUrl": "specification.html",
        "generation": "markdown"
      }, {
        "title": "Terminology",
        "nameUrl": "terminology.html",
        "generation": "markdown"
      }, {
        "title": "Downloads",
        "nameUrl": "downloads.html",
        "generation": "markdown"
      } ],
      "title": "Home Page",
      "nameUrl": "index.html",
      "generation": "markdown"
    },
    "grouping": [ {
      "id": "mdi-profiles",
      "name": "MDI Profiles",
      "description": "Profiles related to the MDI to EDRS data flow."
    }, {
      "id": "toxicology-profiles",
      "name": "Toxicology Profiles",
      "description": "Profiles related to the toxicology data flow."
    }, {
      "id": "mdi-examples",
      "name": "MDI Examples",
      "description": "Examples related to the MDI to EDRS data flow."
    }, {
      "id": "toxicology-examples",
      "name": "Toxicology Examples",
      "description": "Examples related to the toxicology data flow."
    }, {
      "id": "participant-examples",
      "name": "Participant & Supporting Examples",
      "description": "Example participants used in other examples."
    }, {
      "id": "extensions",
      "name": "Extensions",
      "description": "Extensions defined for this implementation guide"
    }, {
      "id": "other",
      "name": "Other Parameters",
      "description": "Other parameters used by this implementation guide"
    } ],
    "resource": [ {
      "name": "Bundle - Document MDI to EDRS",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Bundle - Document MDI to EDRS",
        "reference": "StructureDefinition/Bundle-document-mdi-to-edrs"
      },
      "groupingId": "mdi-profiles",
      "description": "This Bundle profile represents an MDI to EDRS Document Bundle. It contains a Composition - MDI to EDRS.",
      "exampleBoolean": false
    }, {
      "name": "Bundle - Message Toxicology to MDI",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "BundleMessageToxToMDI",
        "reference": "StructureDefinition/Bundle-message-tox-to-mdi"
      },
      "groupingId": "toxicology-profiles",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "Bundle - Message Toxicology to MDI - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      } ],
      "reference": {
        "reference": "Bundle/bundle-mdi-tox-report-message-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Bundle - Message Toxicology to MDI: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-tox-to-mdi"
    }, {
      "name": "CodeSystem - MDI",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "display": "MDI Code System",
        "reference": "CodeSystem/CodeSystem-mdi-codes"
      },
      "description": "This code system contains codes for use in MDI.",
      "exampleBoolean": false
    }, {
      "name": "Composition - MDI to EDRS",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Composition - MDI to EDRS",
        "reference": "StructureDefinition/Composition-mdi-to-edrs"
      },
      "groupingId": "mdi-profiles",
      "description": "This Composition profile represents data sent from an MDI information management system to an EDRS.",
      "exampleBoolean": false
    }, {
      "name": "DiagnosticReport - Toxicology Lab Result to MDI - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "DiagnosticReport"
      } ],
      "reference": {
        "reference": "DiagnosticReport/diagnosticreport-mdi-toxicology-lab-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "DiagnosticReport - Toxicology Lab Result to MDI: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/DiagnosticReport-toxicology-to-mdi"
    }, {
      "name": "Extension - Location",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - Location",
        "reference": "StructureDefinition/Extension-observation-location"
      },
      "groupingId": "extensions",
      "description": "This Extension contains the location of the observed phenomenon or entity that is the subject of the observation.",
      "exampleBoolean": false
    }, {
      "name": "MessageHeader - Toxicology to MDI",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "MessageHeaderToxicologyToMDI",
        "reference": "StructureDefinition/MessageHeader-toxicology-to-mdi"
      },
      "groupingId": "toxicology-profiles",
      "description": "This MessageHeader identifies the DiagnosticReport being sent from a forensic toxicology laboratory information system to an MDI information management system.",
      "exampleBoolean": false
    }, {
      "name": "DiagnosticReport - Toxicology Lab Result to MDI",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "CompositionToxicologyToMDI",
        "reference": "StructureDefinition/DiagnosticReport-toxicology-to-mdi"
      },
      "groupingId": "toxicology-profiles",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "Extension - Tracking Number",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - Tracking Number",
        "reference": "StructureDefinition/Extension-tracking-number"
      },
      "groupingId": "extensions",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "List - Cause of Death Pathway",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "List - Cause of Death Pathway",
        "reference": "StructureDefinition/List-cause-of-death-pathway"
      },
      "groupingId": "mdi-profiles",
      "description": "This List profile is an ordered list of cause of death conditions.",
      "exampleBoolean": false
    }, {
      "name": "Location - Atlanta GA Death Location - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Location"
      } ],
      "reference": {
        "display": "Atlanta GA Death Location - Freeman",
        "reference": "Location/us-core-location-atlanta-ga-death-location-a-freeman"
      },
      "groupingId": "participant-examples",
      "description": "Location - Atlanta GA Death Location: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
    }, {
      "name": "MessageHeader - Toxicology to MDI - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MessageHeader"
      } ],
      "reference": {
        "reference": "MessageHeader/messageheader-mdi-tox-result-report-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "MessageHeader - Toxicology to MDI: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-toxicology-to-mdi"
    }, {
      "name": "Observation - Cause of Death Condition",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Cause Of Death Condition",
        "reference": "StructureDefinition/Observation-cause-of-death-condition"
      },
      "groupingId": "mdi-profiles",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "Bundle - MDI to EDRS - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      } ],
      "reference": {
        "reference": "Bundle/bundle-mdi-to-edrs-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Bundle - MDI to EDRS: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-to-edrs"
    }, {
      "name": "MDI to EDRS Composition - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      } ],
      "reference": {
        "display": "MDI to EDRS Composition",
        "reference": "Composition/composition-mdi-to-edrs-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "MDI to EDRS Composition: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-to-edrs"
    }, {
      "name": "Observation - Death Date - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-death-date-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Death Date: Freeman death date, location, death pronouncer example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date"
    }, {
      "name": "List - Cause of Death Pathway - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "List"
      } ],
      "reference": {
        "reference": "List/list-cause-of-death-pathway-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "List - Cause of Death Pathway: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/List-cause-of-death-pathway"
    }, {
      "name": "Observation - Cause of Death Condition - Freeman Primary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-cause-of-death-condition-a-freeman-1"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Cause of Death Condition: Freeman Primary example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-condition"
    }, {
      "name": "Observation - Condition Contributing to Death",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Condition Contributing To Death",
        "reference": "StructureDefinition/Observation-condition-contributing-to-death"
      },
      "groupingId": "mdi-profiles",
      "description": "The Observation - Contributing to Death profile is used to identify factors contributing to the cause of death as asserted by the death certifier.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Death Date",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Death Date",
        "reference": "StructureDefinition/Observation-death-date"
      },
      "groupingId": "mdi-profiles",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Blood",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-blood-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Blood examples",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Ethanol Blood Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-etoh-gas-chromatography-blood-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Ethanol Blood Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - 4-anpp Blood Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-4-anpp-blood-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: 4-anpp Blood Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Acetylfentanyl Blood Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-acetylfentanyl-blood-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Acetylfentanyl Blood Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Fentanyl Blood Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-fentanyl-blood-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Fentanyl Blood Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-toxicology-lab-result"
    }, {
      "name": "Observation - Death Injury/Event Occurred at Work",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Death Injury/Event Occurred at Work",
        "reference": "StructureDefinition/Observation-death-injury-at-work"
      },
      "groupingId": "mdi-profiles",
      "description": "This Observation identifies whether or not death resulted from events or an injury that occurred at work.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Condition Contributing to Death - Freeman - Hypertensive Heart Disease",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-condition-contributing-to-death-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Condition Contributing to Death: Freeman hypertensive heart disease example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-condition-contributing-to-death"
    }, {
      "name": "Observation - How Death Injury Occurred",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - How Death Injury Occurred",
        "reference": "StructureDefinition/Observation-how-death-injury-occurred"
      },
      "groupingId": "mdi-profiles",
      "description": "This Observation provides the certified explanation of how the injury leading to death occurred.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Manner of Death",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Manner of Death",
        "reference": "StructureDefinition/Observation-manner-of-death"
      },
      "groupingId": "mdi-profiles",
      "description": "This Observation provides the conclusion arrived at upon completion of death investigation regarding the manner of death (e.g., natural, homicide, suicide, accident).",
      "exampleBoolean": false
    }, {
      "name": "Observation - Decedent Pregnancy",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Decedent Pregnancy",
        "reference": "StructureDefinition/Observation-decedent-pregnancy"
      },
      "groupingId": "mdi-profiles",
      "description": "This Observation provides an indication of the pregnancy status of the decedent.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Tobacco Use Contributed to Death",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation Tobacco Use Contributed To Death",
        "reference": "StructureDefinition/Observation-tobacco-use-contributed-to-death"
      },
      "groupingId": "mdi-profiles",
      "description": "This Observation provides the conclusion arrived at during death investigation regarding the extent to which tobacco use contributed to the death of the decedent.",
      "exampleBoolean": false
    }, {
      "name": "Observation - ODH Usual Work - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-odh-usual-work-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - ODH Usual Work: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"
    }, {
      "name": "Observation - Death Injury at Work - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-death-injury-at-work-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Death Injury at Work: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-injury-at-work"
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Urine",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-urine-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Urine example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Ethanol Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-etoh-gas-chromatography-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Ethanol Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - 4-anpp Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-4-anpp-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: 4-anpp Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - How Death Injury Occurred - Freeman - Medication ingestion",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - How Death Injury Occurred: Freeman - Medication ingestion (fentanyl) example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred"
    }, {
      "name": "Specimen - Toxicology Lab",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "SpecimenToxicologyLab",
        "reference": "StructureDefinition/Specimen-toxicology-lab"
      },
      "groupingId": "toxicology-profiles",
      "description": "This Specimen profile identifies and describes the specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Manner of Death - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-manner-of-death-a-freeman-accidental"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Manner of Death: Freeman - accidental example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-manner-of-death"
    }, {
      "name": "Observation - Decedent Pregnancy - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-decedent-pregnancy-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Decedent Pregnancy: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-decedent-pregnancy"
    }, {
      "name": "Observation - Toxicology Lab Result",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Toxicology Lab Result",
        "reference": "StructureDefinition/Observation-toxicology-lab-result"
      },
      "groupingId": "toxicology-profiles",
      "description": "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.",
      "exampleBoolean": false
    }, {
      "name": "Observation - Toxicology Lab Result - Acetylfentanyl Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-acetylfentanyl-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Acetylfentanyl Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Fentanyl Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-fentanyl-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Fentanyl Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Norfentanyl Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-norfentanyl-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Norfentanyl Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Xylazine Urine Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-xylazine-urine-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Xylazine Urine Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Vitreous Humor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-vitreous-humor-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Vitreous Humor example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Observation - Toxicology Lab Result - Ethanol Vitreous Humor Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/us-core-lab-result-etoh-gas-chromatography-vit-humor-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Observation - Toxicology Lab Result: Ethanol Vitreous Humor Freeman",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Bile",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-bile-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Bile example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Liver",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-liver-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Liver example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Specimen - Toxicology Lab - Freeman Stomach Contents",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-stomach-contents-toxicology-a-freeman"
      },
      "groupingId": "toxicology-examples",
      "description": "Specimen - Toxicology Lab: Freeman Stomach Contents example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab"
    }, {
      "name": "Observation - Tobacco Use - Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-tobacco-use-a-freeman"
      },
      "groupingId": "mdi-examples",
      "description": "Observation - Tobacco Use: Freeman example",
      "exampleCanonical": "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-tobacco-use-contributed-to-death"
    }, {
      "name": "US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "UF Health Pathology Labs, Forensic Toxicology Laboratory",
        "reference": "Organization/us-core-organization-tox-lab"
      },
      "groupingId": "participant-examples",
      "description": "Example of US Core Organization - UF Health Pathology Labs, Forensic Toxicology Laboratory",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
    }, {
      "name": "US Core Patient - Alice J. Freeman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/us-core-patient-a-freeman"
      },
      "groupingId": "participant-examples",
      "description": "Example of US Core Patient - Alice J. Freeman, decedent",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    }, {
      "name": "US Core Patient - Unknown Name",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/us-core-patient-unknown-name"
      },
      "groupingId": "participant-examples",
      "description": "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).",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
    }, {
      "name": "US Core Practitioner - Dr. Bruce Goldberger",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      } ],
      "reference": {
        "reference": "Practitioner/us-core-practitioner-b-goldberger"
      },
      "groupingId": "participant-examples",
      "description": "Example of US Core Practitioner - Dr. Bruce Goldberger, toxicologist",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
    }, {
      "name": "US Core Practitioner - Dr. Jane Jones",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      } ],
      "reference": {
        "reference": "Practitioner/us-core-practitioner-j-jones"
      },
      "groupingId": "participant-examples",
      "description": "Example of US Core Practitioner - Dr. Jane Jones, medical examiner",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
    }, {
      "name": "US Core Practitioner - Dr. Sam Jones",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      } ],
      "reference": {
        "reference": "Practitioner/us-core-practitioner-s-jones"
      },
      "groupingId": "participant-examples",
      "description": "Example of US Core Practitioner - Dr. Sam Jones, death pronouncer",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
    }, {
      "name": "CodeSystem - Death Pregnancy Status",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "display": "CodeSystem - Death Pregnancy Status",
        "reference": "CodeSystem/CodeSystem-death-pregnancy-status"
      },
      "description": "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]](https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=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]](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.274)",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Contributory Tobacco Use",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Contributory Tobbaco Use",
        "reference": "ValueSet/ValueSet-contributory-tobacco-use"
      },
      "description": "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]](https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.6004)",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Date Establishment Methods",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "Value Set - Date Establishment Methods",
        "reference": "ValueSet/ValueSet-date-establishment-methods"
      },
      "description": "This value set contains codes that describe the method of establishing a date.",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Death Pregnancy Status",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Death Pregnancy Status",
        "reference": "ValueSet/ValueSet-death-pregnancy-status"
      },
      "description": "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]](https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.6003)",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Manner of Death",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Manner of Death",
        "reference": "ValueSet/ValueSet-manner-of-death"
      },
      "description": "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]](https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.6002).",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Tracking Number Type",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "Tracking Number Type",
        "reference": "ValueSet/ValueSet-tracking-number-type"
      },
      "description": "This value set contains codes to that identify the type of tracking number.",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Units of Age",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Units of Age",
        "reference": "ValueSet/ValueSet-units-of-age"
      },
      "description": "Units of Age",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Yes, No, Not Applicable",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Yes, No, Not Applicable",
        "reference": "ValueSet/ValueSet-yes-no-not-applicable"
      },
      "description": "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]](https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7486)",
      "exampleBoolean": false
    }, {
      "name": "Expansion Parameters - MDI",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Parameters"
      } ],
      "reference": {
        "display": "Expansion Parameters - MDI",
        "reference": "Parameters/expansion-parameters-mdi"
      },
      "groupingId": "other",
      "description": "This Expansion Parameters specifies the US edition of SNOMED CT reference to US National Library of Medicine maintained module (core metadata concept)",
      "exampleBoolean": true
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-expansion-params"
      }, {
        "url": "value",
        "valueString": "resources/parameters/expansion-parameters-mdi.xml"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "copyrightyear"
      }, {
        "url": "value",
        "valueString": "2020+"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "releaselabel"
      }, {
        "url": "value",
        "valueString": "STU 1 Ballot"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "template/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "input/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-qa"
      }, {
        "url": "value",
        "valueString": "temp/qa"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-temp"
      }, {
        "url": "value",
        "valueString": "temp/pages"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-output"
      }, {
        "url": "value",
        "valueString": "output"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-suppressed-warnings"
      }, {
        "url": "value",
        "valueString": "input/ignoreWarnings.txt"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-history"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/us/mdi/history.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "template-html"
      }, {
        "url": "value",
        "valueString": "template-page.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "template-md"
      }, {
        "url": "value",
        "valueString": "template-page-md.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-contact"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-context"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-copyright"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-jurisdiction"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-license"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-publisher"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-version"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "active-tables"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "fmm-definition"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/versions.html#maturity"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "propagate-status"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    } ],
    "parameter": [ {
      "code": "path-resource",
      "value": "input/capabilities"
    }, {
      "code": "path-resource",
      "value": "input/examples"
    }, {
      "code": "path-resource",
      "value": "input/extensions"
    }, {
      "code": "path-resource",
      "value": "input/models"
    }, {
      "code": "path-resource",
      "value": "input/operations"
    }, {
      "code": "path-resource",
      "value": "input/profiles"
    }, {
      "code": "path-resource",
      "value": "input/resources"
    }, {
      "code": "path-resource",
      "value": "input/vocabulary"
    }, {
      "code": "path-resource",
      "value": "input/maps"
    }, {
      "code": "path-resource",
      "value": "input/testing"
    }, {
      "code": "path-resource",
      "value": "input/history"
    }, {
      "code": "path-resource",
      "value": "fsh-generated/resources"
    }, {
      "code": "path-pages",
      "value": "template/config"
    }, {
      "code": "path-pages",
      "value": "input/images"
    }, {
      "code": "path-tx-cache",
      "value": "input-cache/txcache"
    } ]
  },
  "date": "2022-03-28T18:45:24+00:00",
  "meta": {
    "source": "#34kRDwLar3FQ46lo",
    "versionId": "614",
    "lastUpdated": "2022-03-14T06:40:37.996+00:00"
  },
  "publisher": "HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "text": "United States of America",
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "dependsOn": [ {
    "id": "hl7fhiruscore",
    "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core",
    "version": "4.0.0",
    "packageId": "hl7.fhir.us.core"
  }, {
    "id": "hl7fhirusodh",
    "uri": "http://hl7.org/fhir/us/odh/ImplementationGuide/hl7.fhir.us.odh",
    "version": "1.1.0",
    "packageId": "hl7.fhir.us.odh"
  }, {
    "id": "uscdcphinvads",
    "uri": "http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads",
    "version": "0.7.0",
    "packageId": "us.cdc.phinvads"
  } ],
  "name": "MedicolegalDeathInvestigation",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "Medicolegal Death Investigation (MDI)",
  "package_version": "1.0.0-ballot",
  "status": "draft",
  "id": "a5e75c07-0cb9-4b07-80f9-6499668ebc66",
  "kind": null,
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}