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

: MCCoD Manner of Death - TTL Representation

Draft as of 2026-05-21

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "mccod-manner-of-death"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://mccod.w3datanet.com/fhir/CodeSystem/mccod-manner-of-death"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/CodeSystem/mccod-manner-of-death>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MCCoDMannerOfDeathCS"] ; # 
  fhir:title [ fhir:v "MCCoD Manner of Death"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-05-21"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Asia eHealth Information Network (AeHIN)"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Asia eHealth Information Network (AeHIN)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.asiaehealthinformationnetwork.org" ]     ] )
  ] [
fhir:name [ fhir:v "AeHIN Secretariat" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.asiaehealthinformationnetwork.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "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."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://un.org"^^xsd:anyURI ;
fhir:l <http://un.org>       ] ;
fhir:code [ fhir:v "142" ] ;
fhir:display [ fhir:v "Asia" ]     ] [
fhir:system [
fhir:v "http://hl7.org"^^xsd:anyURI ;
fhir:l <http://hl7.org>       ] ;
fhir:code [ fhir:v "X1" ] ;
fhir:display [ fhir:v "Asia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Copyright 2026 AeHIN. Licensed under CC0-1.0."] ; # 
  fhir:caseSensitive [ fhir:v false] ; # 
  fhir:valueSet [
fhir:v "http://mccod.w3datanet.com/fhir/ValueSet/mccod-manner-of-death-codes"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/ValueSet/mccod-manner-of-death-codes>
  ] ; # 
  fhir:hierarchyMeaning [ fhir:v "is-a"] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "9"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "disease" ] ;
fhir:display [ fhir:v "Disease" ] ;
fhir:definition [ fhir:v "Death resulted from a naturally occurring disease process.\nUse when there is no external cause, violence, or injury involved." ]
  ] [
fhir:code [ fhir:v "assault" ] ;
fhir:display [ fhir:v "Assault" ] ;
fhir:definition [ fhir:v "Death resulted from injuries inflicted intentionally by another person.\nIncludes homicide. Requires completion of the external cause section." ]
  ] [
fhir:code [ fhir:v "accident" ] ;
fhir:display [ fhir:v "Accident" ] ;
fhir:definition [ fhir:v "Death resulted from an unintentional injury or external event.\nRequires completion of the external cause section." ]
  ] [
fhir:code [ fhir:v "legal-intervention" ] ;
fhir:display [ fhir:v "Legal Intervention" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "could-not-be-determined" ] ;
fhir:display [ fhir:v "Could Not Be Determined" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "pending-investigation" ] ;
fhir:display [ fhir:v "Pending Investigation" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "intentional-self-harm" ] ;
fhir:display [ fhir:v "Intentional Self Harm" ] ;
fhir:definition [ fhir:v "Death resulted from injuries or actions intentionally self-inflicted\nwith the intent to cause death. Includes suicide.\nRequires completion of the external cause section." ]
  ] [
fhir:code [ fhir:v "war" ] ;
fhir:display [ fhir:v "War" ] ;
fhir:definition [ fhir:v "Death resulted from injuries sustained during war operations or\narmed conflict. Requires completion of the external cause section." ]
  ] [
fhir:code [ fhir:v "unknown" ] ;
fhir:display [ fhir:v "Unknown" ] ;
fhir:definition [ fhir:v "The manner of death is not known and cannot be determined.\nUse only when information is genuinely unavailable, not as a default." ]
  ] ) . #