Meet the MDI Connect Sites
MDI offices and their data-sharing partners work together to examine the existing data flow mechanisms in their systems. They collaborate closely with technologists to design and test a more modern and efficient approach that improves both data quality and efficiency. Through office hours and virtual testing events, Information Technology developers implement FHIR® standards to create solutions that address interoperability challenges.
MDI CASE MANAGEMENT SYSTEM (CMS) AND ELECTRONIC DEATH REGISTRATION SYSTEM (EDRS)
Minnesota: Midwest Medical Examiner’s Office (MMEO)
Project Description: The MMEO and its Office of Vital Records (OVR) are collaborating on data exchange between MMEO’s electronic case management system and Minnesota’s EDRS.
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Indiana: Marion County Coroner's Office (MCCO)
Project Description: The MCCO and the Indiana Department of Health (ISDH) are developing a FHIR API to generate FHIR-compliant files for EDRS. Making these two systems interoperable and bi-directional will eliminate double data entry tasks completed by personnel in each agency.
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Mississippi: Mississippi Medical Examiner’s Office
Project Description: The Mississippi Medical Examiner’s Office is working on a project to develop and document an interface between the existing case management system and the state EDRS. The death certificate will also be entered into the CMS, providing an efficient method for county coroners to certify deaths with the Mississippi State Department of Health.
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Alaska: Alaska State Medical Examiner’s Office (SMEO)
Project Description: The SMEO and their Health Analytics and Vital Records Systems (HAVRS) section are working on data exchange between the SMEO’s electronic case management system and EDRS used by HAVRS. Making the two systems interoperable and bi-directional will decrease their double data entry tasks.
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Michigan: Wayne County Medical Examiner’s Office (WCMEO)
Project Description: Wayne State University which operates the WCMEO, is developing bi-directional FHIR communication between its CMS and the Michigan Department of Health and Human Services’ EDRS. In the first phase of their efforts, the data exchange will be used to facilitate cremation authorization.
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TOXICOLOGY LABORATORY INFORMATION MANAGEMENT SYSTEMS (LIMS) AND MDI CMS
Pennsylvania: York County Coroner's Office
Project Description: The York County Coroner’s Office is developing and testing FHIR-based API interoperability with an outsourced toxicology laboratory. This project will improve the exchange of case data and postmortem toxicology results, as well as eliminating errors with manual data entry.
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South Carolina: Charleston County Coroner’s Office
Project Description: The Charleston County Coroner’s Office is developing and testing FHIR-based API interoperability between the CMS and the LIMS used by South Carolina Law Enforcement Division (SLED). SLED routinely conducts DNA tests and toxicological analysis for coroners across the state to aid in medicolegal death investigations.
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Illinois: Cook County Medical Examiner’s Office (CCMEO)
Project Description: The Cook County Medical Examiner’s Office is using FHIR to improve the current data sharing capabilities with an outsourced toxicology laboratory. This will enable CCMEO to obtain new toxicology testing data not currently available on drug use, as well as drug deaths. The project will provide more and faster toxicology data, resulting in quicker case completion and better resolution for families.
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MDI CMS AND OVERDOSE DETECTION MAPPING APPLICATION PROGRAM (ODMAP)*
South Carolina: Greenville County Coroner's Office
Project Description: The Greenville County Coroner’s Office is creating data exchange with ODMAP via a FHIR API to increase the accuracy and timeliness of reported overdoses and drug-related deaths. Making the CMS interoperable with ODMAP will also eliminate the need for employing personnel to manually enter the data, allowing Greenville and surrounding counties to better target prevention strategies.
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MDI CMS AND NATIONAL VIOLENT DEATH REPORTING SYSTEM (NVDRS) OR STATE UNINTENTIONAL DRUG OVERDOSE REPORTING SYSTEM (SUDORS)*
Georgia: DeKalb County Medical Examiner’s Office (DCMEO)
Project Description: The DCMEO is working to use the FHIR standard to enable the real-time exchange of comprehensive mortality toxicology data allowing the Georgia Department of Public Health’s surveillance programs, such as Georgia Violent Death Reporting System (GA-VDRS) and SUDORS to receive toxicology data.
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Michigan: The Office of the Medical Examiner – Sparrow Health System
Project Description: The Office of the Medical Examiner – Sparrow Health System is replacing its current manual data transfer to the state’s rapid drug poisoning event surveillance system using automated data sharing via FHIR.
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Nevada: Clark County Office of the Coroner/Medical Examiner (CCOCME)
Project Description: The CCOCME is working to use the FHIR standard to exchange and share data in real time with the Secure Access Management Services database, which is used by NVDRS and SUDORS.
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MDI CMS AND OTHER SURVEILLANCE SYSTEMS, DATA SYSTEMS OR PUBLIC FACING DASHBOARDS*
Alabama: Jefferson County Coroner/Medical Examiner’s Office (JCCMEO)
Project Description: The JCCMEO is developing a bi-directional data bridge with the FHIR API specifications between the databases of JCCMEO and the Jefferson County District Attorney’s Office (JCDA). This will allow JCDA to transmit pertinent case information at specified intervals to JCCMEO, resulting in effective and timely status updates, subpoena delivery and report delivery between offices.
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Ohio: Butler County Coroner's Office (BCCO)
Project Description: The BCCO is working on a project to exchange data via FHIR between its existing CMS, and the Butler County General Health District to help rapidly identify emerging threats and trends in overdose data.
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New Mexico: Office of the Medical Investigator (OMI)
Project Description: This project aims to improve data quality by incorporating clinical codes from the state’s Bureau of Vital Records, enhancing interoperability between the toxicology lab and OMI via legacy data integration and developing a public-facing data dashboard to document key public health findings. The goal is to develop a searchable toxicology database.
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Michigan: Medical Examiner and Forensic Services at Western Michigan University, Homer Stryker, M.D. School of Medicine (WMed)
Project Description: This project aims to address the U.S. drug overdose epidemic by developing a synoptic autopsy reporting system and modernizing MDI autopsy data processes. WMed plans to develop, pilot, and test the system, followed by refining, broader implementation, upscaling and user training, with the goal of sharing lessons learned with the MDI community.
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Contact the CDC Foundation MDI Connect Team: MDIConnect@cdcfoundation.org
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*These are data flows not currently represented in the MDI FHIR® IG.