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 Pregnancy Timing Relative to 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-pregnancy-timing"] ; # 
  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-pregnancy-timing</b></p><a name=\"mccod-pregnancy-timing\"> </a><a name=\"hcmccod-pregnancy-timing\"> </a><p>This case-insensitive code system <code>http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing</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\">when-died<a name=\"mccod-pregnancy-timing-when-died\"> </a></td><td>When she died</td><td><div><p>The deceased was pregnant at the time of death.\nCorresponds to direct or indirect obstetric death per WHO definition.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">within-42-days<a name=\"mccod-pregnancy-timing-within-42-days\"> </a></td><td>Within the 42 days preceding her death</td><td><div><p>The deceased was pregnant within 42 days before death but was not\npregnant at the time of death. Corresponds to the WHO puerperal\nperiod definition and late maternal death classification.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">43-days-to-1-year<a name=\"mccod-pregnancy-timing-43-days-to-1-year\"> </a></td><td>Within 43 days up to 1 year preceding her death</td><td><div><p>The deceased was pregnant between 43 days and 1 year before death.\nCorresponds to the WHO late maternal death surveillance window.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">timing-unknown<a name=\"mccod-pregnancy-timing-timing-unknown\"> </a></td><td>Exact pregnancy timing unknown</td><td><div><p>It is known that the deceased was pregnant within the past year\nbut the exact timing relative to death cannot be determined.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MCCoDPregnancyTimingCS"] ; # 
  fhir:title [ fhir:v "MCCoD Pregnancy Timing Relative to 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 timing of pregnancy relative to death,\nas specified in the Women of Reproductive Age section of the WHO\nMedical Certificate of Cause of Death (MCCoD), Frame B.\nThese codes are used only when the deceased was confirmed to have\nbeen pregnant within the year preceding death.\nConsistent with WHO maternal death surveillance definitions and\nICD-11 Chapter 18 coding rules."] ; # 
  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:hierarchyMeaning [ fhir:v "is-a"] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "4"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "when-died" ] ;
fhir:display [ fhir:v "When she died" ] ;
fhir:definition [ fhir:v "The deceased was pregnant at the time of death.\nCorresponds to direct or indirect obstetric death per WHO definition." ]
  ] [
fhir:code [ fhir:v "within-42-days" ] ;
fhir:display [ fhir:v "Within the 42 days preceding her death" ] ;
fhir:definition [ fhir:v "The deceased was pregnant within 42 days before death but was not\npregnant at the time of death. Corresponds to the WHO puerperal\nperiod definition and late maternal death classification." ]
  ] [
fhir:code [ fhir:v "43-days-to-1-year" ] ;
fhir:display [ fhir:v "Within 43 days up to 1 year preceding her death" ] ;
fhir:definition [ fhir:v "The deceased was pregnant between 43 days and 1 year before death.\nCorresponds to the WHO late maternal death surveillance window." ]
  ] [
fhir:code [ fhir:v "timing-unknown" ] ;
fhir:display [ fhir:v "Exact pregnancy timing unknown" ] ;
fhir:definition [ fhir:v "It is known that the deceased was pregnant within the past year\nbut the exact timing relative to death cannot be determined." ]
  ] ) . #