This article presents an analysis of the development of forensic medical examination practice in Perm Province in the 19th and early 20th centuries, based on a study of archival materials. It presents the organization of forensic medical activities in a large mining region, where medical care was provided within the framework of departmental and zemstvo models. The article determines the compliance of forensic medical examinations with the legal regulations governing the examination of bodies, in particular, the implementation of Article 154 of the Military Regulations of Peter the Great and the circulars of the Senate and the Ministry of Police. Key problems in forensic medical practice in the region are identified: a shortage of medical personnel, a lack of instruments and specialized literature, untimely examinations due to geographic remoteness, and systemic errors associated with the refusal of autopsies. Based on an analysis of autopsy reports, research methods are reconstructed, and the scope and quality of cause-of-death diagnosis are determined. It is established that, despite the lack of specialized expertise, Ural physicians applied a systematic approach and sought to establish cause-and-effect relationships between processes. Departmental oversight was exercised by the Medical Boards. A conclusion was reached regarding the development of a regulated practice in the Ural region, dependent on the personal qualifications of the expert, integrated into the imperial legal system and laying the foundation for the further standardization of forensic medicine.

history of forensic medicine, Perm province, death certificate, zemstvo doctor, factory hospital.