<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="mccod-manner-of-death"/>
  <text>
    <status value="generated"/><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.
Use when there is no external cause, violence, or injury involved.</p>
</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.
Includes homicide. Requires completion of the external cause section.</p>
</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.
Requires completion of the external cause section.</p>
</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,
including operations of war in the course of law enforcement.
Requires completion of the external cause section.</p>
</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
at the time of certification. Distinct from 'Pending investigation' in that
investigation has concluded without a definitive finding.</p>
</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
is ongoing. This is a provisional status and should be updated once
the investigation concludes.</p>
</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
with the intent to cause death. Includes suicide.
Requires completion of the external cause section.</p>
</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
armed conflict. Requires completion of the external cause section.</p>
</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.
Use only when information is genuinely unavailable, not as a default.</p>
</div></td></tr></table></div>
  </text>
  <url value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-manner-of-death"/>
  <version value="0.1.0"/>
  <name value="MCCoDMannerOfDeathCS"/>
  <title value="MCCoD Manner of Death"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-05-21"/>
  <publisher value="Asia eHealth Information Network (AeHIN)"/>
  <contact>
    <name value="Asia eHealth Information Network (AeHIN)"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.asiaehealthinformationnetwork.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="AeHIN Secretariat"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.asiaehealthinformationnetwork.org"/>
    </telecom>
  </contact>
  <description value="Code system defining the manner of death categories as specified in the&#xA;WHO Medical Certificate of Cause of Death (MCCoD) Form B.&#xA;These codes align with the openEHR death_summary archetype&#xA;(openEHR-EHR-EVALUATION.death_summary.v0) manner_of_death data element.&#xA;Member countries SHALL use these codes without modification to ensure&#xA;regional comparability. Local extensions, if needed, SHALL be defined&#xA;in country-specific implementation guides that derive from this IG."/>
  <jurisdiction>
    <coding>
      <system value="http://un.org"/>
      <code value="142"/>
      <display value="Asia"/>
    </coding>
    <coding>
      <system value="http://hl7.org"/>
      <code value="X1"/>
      <display value="Asia"/>
    </coding>
  </jurisdiction>
  <copyright value="Copyright 2026 AeHIN. Licensed under CC0-1.0."/>
  <caseSensitive value="false"/>
  <valueSet value="http://mccod.w3datanet.com/fhir/ValueSet/mccod-manner-of-death-codes"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="disease"/>
    <display value="Disease"/>
    <definition value="Death resulted from a naturally occurring disease process.&#xA;Use when there is no external cause, violence, or injury involved."/>
  </concept>
  <concept>
    <code value="assault"/>
    <display value="Assault"/>
    <definition value="Death resulted from injuries inflicted intentionally by another person.&#xA;Includes homicide. Requires completion of the external cause section."/>
  </concept>
  <concept>
    <code value="accident"/>
    <display value="Accident"/>
    <definition value="Death resulted from an unintentional injury or external event.&#xA;Requires completion of the external cause section."/>
  </concept>
  <concept>
    <code value="legal-intervention"/>
    <display value="Legal Intervention"/>
    <definition value="Death resulted from injuries inflicted during a legal intervention,&#xA;including operations of war in the course of law enforcement.&#xA;Requires completion of the external cause section."/>
  </concept>
  <concept>
    <code value="could-not-be-determined"/>
    <display value="Could Not Be Determined"/>
    <definition value="The manner of death could not be determined based on available information&#xA;at the time of certification. Distinct from 'Pending investigation' in that&#xA;investigation has concluded without a definitive finding."/>
  </concept>
  <concept>
    <code value="pending-investigation"/>
    <display value="Pending Investigation"/>
    <definition value="The manner of death has not yet been determined because an investigation&#xA;is ongoing. This is a provisional status and should be updated once&#xA;the investigation concludes."/>
  </concept>
  <concept>
    <code value="intentional-self-harm"/>
    <display value="Intentional Self Harm"/>
    <definition value="Death resulted from injuries or actions intentionally self-inflicted&#xA;with the intent to cause death. Includes suicide.&#xA;Requires completion of the external cause section."/>
  </concept>
  <concept>
    <code value="war"/>
    <display value="War"/>
    <definition value="Death resulted from injuries sustained during war operations or&#xA;armed conflict. Requires completion of the external cause section."/>
  </concept>
  <concept>
    <code value="unknown"/>
    <display value="Unknown"/>
    <definition value="The manner of death is not known and cannot be determined.&#xA;Use only when information is genuinely unavailable, not as a default."/>
  </concept>
</CodeSystem>