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 |
<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
WHO Medical Certificate of Cause of Death (MCCoD) Form B.
These codes align with the openEHR death_summary archetype
(openEHR-EHR-EVALUATION.death_summary.v0) manner_of_death data element.
Member countries SHALL use these codes without modification to ensure
regional comparability. Local extensions, if needed, SHALL be defined
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.
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.
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.
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,
including operations of war in the course of law enforcement.
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
at the time of certification. Distinct from 'Pending investigation' in that
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
is ongoing. This is a provisional status and should be updated once
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
with the intent to cause death. Includes suicide.
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
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.
Use only when information is genuinely unavailable, not as a default."/>
</concept>
</CodeSystem>