Data Flow Diagram

MMRIA Data Flow Diagram
Jurisdictions for which CDC is uploading vital records into
MMRIA and jurisdiction staff abstract remaining data
manually into MMRIA

Jurisdictions who manually abstract all data into MMRIA

Jurisdiction identifies deaths
Review of death records by vital records staff
Linkages of deaths to birth or fetal deaths by vital records staff
Direct hospital report of a death meeting criteria for pregnancy-associated
death
Media report of death identified by jurisdiction staff

Jurisdictions may
identify additional
deaths through direct
hospital reports, media
reports

Jurisdictions send death, birth, and fetal death records to CDC through the
State and Territorial Exchange of Vital Events (STEVE)

CDC identifies deaths
Review of death records by CDC staff
Linkages of deaths to birth or fetal deaths by CDC staff

Vital records data manually entered into MMRIA by jurisdiction staff (typically
an abstractor)
Vital records data imported by CDC into MMRIA
Abstractors enter additional data into MMRIA for eligible
deaths and develop case narratives in preparation for
review of cases

MMRC members receive cases

Committee meets to discuss cases and make decision

All jurisdictions
Abstractor/coordinator compiles and synthetizes
committee discussion/decision notes

Decision recorded into MMRIA

Analysis and reporting by jurisdiction and by CDC