Under a new statistical gathering method called “meaningful use” that been around since 2012, hospitals are required to list “preliminary cause of death” in the electronic medical record. They actually have a specific field for it.
This memo for St Peter’s Hospital in Albany New York explained their use of “preliminary cause of death”
“As part of meaningful use requirements the preliminary cause of death must be captured in the electronic medical record. The preliminary cause of death is the initial diagnosis given at the time of death. This is not the final determination that is documented on the death certificate and does not need to be the same. This does not replace the death certificate documentation.”
https://www.sphcs.org/workfiles/Physicians/MD_memo_MU.pdf
Totally irrelevant. Detective Winfrey is not a hospital, and his “preliminary cause of death” was AFTER the autopsy and was preliminary because it was pendinq the FINAL autopsy report and tox results.