AeHIN Medical Certificate of Cause of Death (MCCoD) Implementation Guide
0.1.0 - Draft for AeHIN Member Review
Asia
Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions
| Draft as of 2026-05-21 |
{
"resourceType" : "CodeSystem",
"id" : "mccod-manner-of-death",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem mccod-manner-of-death</b></p><a name=\"mccod-manner-of-death\"> </a><a name=\"hcmccod-manner-of-death\"> </a><p>This case-insensitive code system <code>http://mccod.w3datanet.com/fhir/CodeSystem/mccod-manner-of-death</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">disease<a name=\"mccod-manner-of-death-disease\"> </a></td><td>Disease</td><td><div><p>Death resulted from a naturally occurring disease process.\nUse when there is no external cause, violence, or injury involved.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">assault<a name=\"mccod-manner-of-death-assault\"> </a></td><td>Assault</td><td><div><p>Death resulted from injuries inflicted intentionally by another person.\nIncludes homicide. Requires completion of the external cause section.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">accident<a name=\"mccod-manner-of-death-accident\"> </a></td><td>Accident</td><td><div><p>Death resulted from an unintentional injury or external event.\nRequires completion of the external cause section.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">legal-intervention<a name=\"mccod-manner-of-death-legal-intervention\"> </a></td><td>Legal Intervention</td><td><div><p>Death resulted from injuries inflicted during a legal intervention,\nincluding operations of war in the course of law enforcement.\nRequires completion of the external cause section.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">could-not-be-determined<a name=\"mccod-manner-of-death-could-not-be-determined\"> </a></td><td>Could Not Be Determined</td><td><div><p>The manner of death could not be determined based on available information\nat the time of certification. Distinct from 'Pending investigation' in that\ninvestigation has concluded without a definitive finding.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">pending-investigation<a name=\"mccod-manner-of-death-pending-investigation\"> </a></td><td>Pending Investigation</td><td><div><p>The manner of death has not yet been determined because an investigation\nis ongoing. This is a provisional status and should be updated once\nthe investigation concludes.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">intentional-self-harm<a name=\"mccod-manner-of-death-intentional-self-harm\"> </a></td><td>Intentional Self Harm</td><td><div><p>Death resulted from injuries or actions intentionally self-inflicted\nwith the intent to cause death. Includes suicide.\nRequires completion of the external cause section.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">war<a name=\"mccod-manner-of-death-war\"> </a></td><td>War</td><td><div><p>Death resulted from injuries sustained during war operations or\narmed conflict. Requires completion of the external cause section.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">unknown<a name=\"mccod-manner-of-death-unknown\"> </a></td><td>Unknown</td><td><div><p>The manner of death is not known and cannot be determined.\nUse only when information is genuinely unavailable, not as a default.</p>\n</div></td></tr></table></div>"
},
"url" : "http://mccod.w3datanet.com/fhir/CodeSystem/mccod-manner-of-death",
"version" : "0.1.0",
"name" : "MCCoDMannerOfDeathCS",
"title" : "MCCoD Manner of Death",
"status" : "draft",
"experimental" : true,
"date" : "2026-05-21",
"publisher" : "Asia eHealth Information Network (AeHIN)",
"contact" : [
{
"name" : "Asia eHealth Information Network (AeHIN)",
"telecom" : [
{
"system" : "url",
"value" : "https://www.asiaehealthinformationnetwork.org"
}
]
},
{
"name" : "AeHIN Secretariat",
"telecom" : [
{
"system" : "url",
"value" : "https://www.asiaehealthinformationnetwork.org"
}
]
}
],
"description" : "Code system defining the manner of death categories as specified in the\nWHO Medical Certificate of Cause of Death (MCCoD) Form B.\nThese codes align with the openEHR death_summary archetype\n(openEHR-EHR-EVALUATION.death_summary.v0) manner_of_death data element.\nMember countries SHALL use these codes without modification to ensure\nregional comparability. Local extensions, if needed, SHALL be defined\nin country-specific implementation guides that derive from this IG.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://un.org",
"code" : "142",
"display" : "Asia"
},
{
"system" : "http://hl7.org",
"code" : "X1",
"display" : "Asia"
}
]
}
],
"copyright" : "Copyright 2026 AeHIN. Licensed under CC0-1.0.",
"caseSensitive" : false,
"valueSet" : "http://mccod.w3datanet.com/fhir/ValueSet/mccod-manner-of-death-codes",
"hierarchyMeaning" : "is-a",
"content" : "complete",
"count" : 9,
"concept" : [
{
"code" : "disease",
"display" : "Disease",
"definition" : "Death resulted from a naturally occurring disease process.\nUse when there is no external cause, violence, or injury involved."
},
{
"code" : "assault",
"display" : "Assault",
"definition" : "Death resulted from injuries inflicted intentionally by another person.\nIncludes homicide. Requires completion of the external cause section."
},
{
"code" : "accident",
"display" : "Accident",
"definition" : "Death resulted from an unintentional injury or external event.\nRequires completion of the external cause section."
},
{
"code" : "legal-intervention",
"display" : "Legal Intervention",
"definition" : "Death resulted from injuries inflicted during a legal intervention,\nincluding operations of war in the course of law enforcement.\nRequires completion of the external cause section."
},
{
"code" : "could-not-be-determined",
"display" : "Could Not Be Determined",
"definition" : "The manner of death could not be determined based on available information\nat the time of certification. Distinct from 'Pending investigation' in that\ninvestigation has concluded without a definitive finding."
},
{
"code" : "pending-investigation",
"display" : "Pending Investigation",
"definition" : "The manner of death has not yet been determined because an investigation\nis ongoing. This is a provisional status and should be updated once\nthe investigation concludes."
},
{
"code" : "intentional-self-harm",
"display" : "Intentional Self Harm",
"definition" : "Death resulted from injuries or actions intentionally self-inflicted\nwith the intent to cause death. Includes suicide.\nRequires completion of the external cause section."
},
{
"code" : "war",
"display" : "War",
"definition" : "Death resulted from injuries sustained during war operations or\narmed conflict. Requires completion of the external cause section."
},
{
"code" : "unknown",
"display" : "Unknown",
"definition" : "The manner of death is not known and cannot be determined.\nUse only when information is genuinely unavailable, not as a default."
}
]
}