MED-X Case Reporting

There are three methods of case reporting and each Medical Examiner (ME) office can determine which works best for you.

  1. ME site fills out Case Report Form and sends to MDH
  2. ME site notifies MDH of cases and MDH will fill out Case Report Form
  3. MDH conducts case identification at ME site

All notifications to MDH should be made at least on a monthly basis.

On this page:
Case Report Form
1. ME site fills out Case Report Form
2. ME site notifies MDH
3. MDH conducts case identification at ME

Case Report Form

  • MED-X Case Report Form (PDF: 139KB/1 page)
    A MED-X Case Report Form will be used for each case. This form may be filled out by the ME, or by a MDH MED-X Program Investigator using any of the methods below. Updated 3/2012

1. ME site fills out Case Report Form and sends to MDH

The ME fills out the MED-X Case Report Form and sends to MDH. You may use any of the following methods to report a case.

  1. Fax: 651-201-5743

  2. Mail: MED-X Program
    Minnesota Department of Health-ADIC
    PO Box 64975
    St. Paul, MN 55164-0975

2. ME site notifies MDH of cases and MDH will fill out Case Report Form

For individual case reporting, the ME office notifies MDH of each case meeting the case definition. You may use any of the following methods to report a case.

  1. Phone: 651-201-5414 or toll free 1-877-676-5414
    If you are reporting by phone, MDH staff will fill out the MED-X Case Report Form for you.

  2. Form: MED-X Notice Form
    Use the MED-X Notice Form to have a MDH MED-X Program Investigator to contact you.

3. MDH conducts case identification at ME site

For monthly reporting, the ME office would need to grant MDH staff access to your ME database or case files to obtain a case list on at least a monthly basis.

A MDH MED-X Program Investigator will come to you and fill out the MED-X Case Report Form.

 

Updated Thursday, May 29, 2014 at 02:35PM