1. Published Name of the Standard for which request is being made (if previously published)

HL7 FHIR® Implementation Guide: Medicolegal Death Investigation (MDI), Release 1.1 - US Realm

2. Standards Material/Document

Unballoted STU Update

3. Date of Request

4. Use Period

5. Reason for extension, timeline, and actions

6. Original Publication Date

7. End date of the current STU period

Sep 30, 2024

8. Length of the requested extension

9. Review Process

STU unballoted update, with comment period: 7/3/2023 - 8/4/2023

List of changes: http://build.fhir.org/ig/HL7/fhir-mdi-ig/change_log.html

10. HL7 Work Group making this request and date

Public Health

10a. Requesting WG Date

Oct 05, 2023

11. URL of approval minutes


12. HL7 Product Management Group

FHIR Management Group

12a. Management Group Date of Approval

Nov 01, 2023

13. URL of approval minutes


14. Is the artifact ready for final publication?


15. If not ready, please describe remaining steps.

16. Tool name used to produce the machine processable artifacts in the IG

Trifolia on FHIR

17. The name of the “IG artifact” within the context of the above mentioned tool.

MedicolegalDeathInvestigation, hl7-fhir-us-mdi

18. Balloted Name of the standard for which request is being made

19. Requested name for published standard. See Naming Examples

19a. Specification Feedback Name (For Search in Jira)

Medicolegal Death Investigation (MDI) (FHIR) [FHIR-us-mdi]

20. If CMET, list IDs balloted

21. Project Insight Number


22. Document Realm


23. Ballot cycle in which the document was successfully balloted

25. Affirmative

26. Negative

27. Abstentions

28. Not Returned

29. Total in ballot pool

30. Date on which final document/standards material was supplied to HQ

31. URL of publication material/ SVN repository


32. Publishing Facilitator

Cynthia Bush, pdz1@cdc.gov

33. Special Publication Instructions

34. URL of ballot reconciliation document

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?

36. Substantive Changes Since Last Ballot?


37. Product Brief Reviewed By

38. Date Product Brief Reviewed

39. Has the Product Brief changed?


40. Family


41. Section

Implementation Guides

42. Topic

Public Health

43. Please Describe the Topic

Death investigation data exchange

44. Product Type

Implementation Guide

45. Parent standard


46. Parent Standard Status


47. Update/replace standard

Update STU 1

48. Common name/search keyword

Medicolegal Death Investigation (MDI)

49. Description

Standards and guidance on the use of FHIR resources for exchange of death investigation information among medical examiner/coroner case management systems, 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.

50. Stakeholders

Clinical and Public Health Laboratories, Regulatory Agency, Standards Development Organizations (SDOs), Other (specify in text box below)

51. Vendors

EHR, PHR, Lab, HIS, Other (please specify)

52. Providers

Clinical and Public Health Laboratories Local and State Departments of Health Healthcare Institutions (hospitals, long term care, home care, mental health) Other (specify in text box below)

53. Benefits

Exchange of death investigation data between medical examiner/coroner case management systems, jurisdictional electronic death registration system (EDRS), public health agency (PHA) vital records offices, toxicology and other laboratory information management systems (LIMS), and other agencies and organizations is vital records automation. Such automation adds efficiencies that dramatically improve the efficacy of event response, data analysis, and evidence-based measurable prevention of the causes of death.

54. Implementations/Case Studies

55. Development Background