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-observation-codes",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem mccod-observation-codes</b></p><a name=\"mccod-observation-codes\"> </a><a name=\"hcmccod-observation-codes\"> </a><p>This case-insensitive code system <code>http://mccod.w3datanet.com/fhir/CodeSystem/mccod-observation-codes</code> defines the following codes:</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\">surgery-within-4-weeks<a name=\"mccod-observation-codes-surgery-within-4-weeks\"> </a></td><td>Surgery Performed Within Last 4 Weeks</td><td><div><p>Indicates whether surgery was performed within the 4 weeks\nimmediately preceding death, as recorded on the WHO MCCoD\nFrame B form. No suitable LOINC code exists for this exact concept.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">injury-incident<a name=\"mccod-observation-codes-injury-incident\"> </a></td><td>External Cause Injury Incident</td><td><div><p>Documents the details of the external cause of death or poisoning,\nincluding description, date of injury, and place of occurrence,\nas recorded on the WHO MCCoD Frame B form.\nNo suitable single LOINC code exists for this composite concept.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">fetal-or-infant-death<a name=\"mccod-observation-codes-fetal-or-infant-death\"> </a></td><td>Fetal or Infant Death Details</td><td><div><p>Documents details specific to fetal or infant deaths including\nmultiple pregnancy, stillbirth, hours survived, birth weight,\ngestational age, and maternal age, as recorded on the WHO MCCoD\nFrame B form.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">stillborn<a name=\"mccod-observation-codes-stillborn\"> </a></td><td>Stillborn</td><td><div><p>Whether the death was a stillbirth (fetal death after 28 completed weeks of gestation with no signs of life after delivery).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">hours-survived<a name=\"mccod-observation-codes-hours-survived\"> </a></td><td>Hours Survived</td><td><div><p>Number of hours the infant survived when death occurred within 24 hours of birth.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">perinatal-maternal-conditions<a name=\"mccod-observation-codes-perinatal-maternal-conditions\"> </a></td><td>Perinatal Maternal Conditions</td><td><div><p>Conditions of the mother that affected the fetus or newborn, relevant to a perinatal death.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">pregnant-within-year<a name=\"mccod-observation-codes-pregnant-within-year\"> </a></td><td>Pregnant Within Past Year</td><td><div><p>Whether the deceased woman of reproductive age was pregnant at any point during the year preceding death.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">pregnancy-timing<a name=\"mccod-observation-codes-pregnancy-timing\"> </a></td><td>Pregnancy Timing Relative to Death</td><td><div><p>The timing of pregnancy relative to the time of death.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">pregnancy-contributed-to-death<a name=\"mccod-observation-codes-pregnancy-contributed-to-death\"> </a></td><td>Pregnancy Contributed to Death</td><td><div><p>Whether the pregnancy contributed to the death of the woman.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">pregnancy-status-at-death<a name=\"mccod-observation-codes-pregnancy-status-at-death\"> </a></td><td>Pregnancy Status at or Near Time of Death</td><td><div><p>Documents whether the deceased woman of reproductive age was\npregnant within the year preceding death, the timing of pregnancy\nrelative to death, and whether pregnancy contributed to death,\nas recorded on the WHO MCCoD Frame B form.</p>\n</div></td></tr></table></div>"
},
"url" : "http://mccod.w3datanet.com/fhir/CodeSystem/mccod-observation-codes",
"version" : "0.1.0",
"name" : "MCCoDObservationCodesCS",
"title" : "MCCoD Local Observation Codes",
"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" : "Local code system for MCCoD Observation types where no suitable\ninternationally recognised LOINC code exists for the exact concept\nas defined in the WHO MCCoD form.\nThese codes are used as Observation.code values in this IG.\nMember countries SHOULD map or replace these with appropriate\nnational or LOINC codes in their national implementation guides.",
"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,
"content" : "complete",
"count" : 10,
"concept" : [
{
"code" : "surgery-within-4-weeks",
"display" : "Surgery Performed Within Last 4 Weeks",
"definition" : "Indicates whether surgery was performed within the 4 weeks\nimmediately preceding death, as recorded on the WHO MCCoD\nFrame B form. No suitable LOINC code exists for this exact concept."
},
{
"code" : "injury-incident",
"display" : "External Cause Injury Incident",
"definition" : "Documents the details of the external cause of death or poisoning,\nincluding description, date of injury, and place of occurrence,\nas recorded on the WHO MCCoD Frame B form.\nNo suitable single LOINC code exists for this composite concept."
},
{
"code" : "fetal-or-infant-death",
"display" : "Fetal or Infant Death Details",
"definition" : "Documents details specific to fetal or infant deaths including\nmultiple pregnancy, stillbirth, hours survived, birth weight,\ngestational age, and maternal age, as recorded on the WHO MCCoD\nFrame B form."
},
{
"code" : "stillborn",
"display" : "Stillborn",
"definition" : "Whether the death was a stillbirth (fetal death after 28 completed weeks of gestation with no signs of life after delivery)."
},
{
"code" : "hours-survived",
"display" : "Hours Survived",
"definition" : "Number of hours the infant survived when death occurred within 24 hours of birth."
},
{
"code" : "perinatal-maternal-conditions",
"display" : "Perinatal Maternal Conditions",
"definition" : "Conditions of the mother that affected the fetus or newborn, relevant to a perinatal death."
},
{
"code" : "pregnant-within-year",
"display" : "Pregnant Within Past Year",
"definition" : "Whether the deceased woman of reproductive age was pregnant at any point during the year preceding death."
},
{
"code" : "pregnancy-timing",
"display" : "Pregnancy Timing Relative to Death",
"definition" : "The timing of pregnancy relative to the time of death."
},
{
"code" : "pregnancy-contributed-to-death",
"display" : "Pregnancy Contributed to Death",
"definition" : "Whether the pregnancy contributed to the death of the woman."
},
{
"code" : "pregnancy-status-at-death",
"display" : "Pregnancy Status at or Near Time of Death",
"definition" : "Documents whether the deceased woman of reproductive age was\npregnant within the year preceding death, the timing of pregnancy\nrelative to death, and whether pregnancy contributed to death,\nas recorded on the WHO MCCoD Frame B form."
}
]
}