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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="mccod-pregnancy-timing"/>
  <text>
    <status value="generated"/><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.
Corresponds to direct or indirect obstetric death per WHO definition.</p>
</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
pregnant at the time of death. Corresponds to the WHO puerperal
period definition and late maternal death classification.</p>
</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.
Corresponds to the WHO late maternal death surveillance window.</p>
</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
but the exact timing relative to death cannot be determined.</p>
</div></td></tr></table></div>
  </text>
  <url value="http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing"/>
  <version value="0.1.0"/>
  <name value="MCCoDPregnancyTimingCS"/>
  <title value="MCCoD Pregnancy Timing Relative to 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 timing of pregnancy relative to death,&#xA;as specified in the Women of Reproductive Age section of the WHO&#xA;Medical Certificate of Cause of Death (MCCoD), Frame B.&#xA;These codes are used only when the deceased was confirmed to have&#xA;been pregnant within the year preceding death.&#xA;Consistent with WHO maternal death surveillance definitions and&#xA;ICD-11 Chapter 18 coding rules."/>
  <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"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <count value="4"/>
  <concept>
    <code value="when-died"/>
    <display value="When she died"/>
    <definition value="The deceased was pregnant at the time of death.&#xA;Corresponds to direct or indirect obstetric death per WHO definition."/>
  </concept>
  <concept>
    <code value="within-42-days"/>
    <display value="Within the 42 days preceding her death"/>
    <definition value="The deceased was pregnant within 42 days before death but was not&#xA;pregnant at the time of death. Corresponds to the WHO puerperal&#xA;period definition and late maternal death classification."/>
  </concept>
  <concept>
    <code value="43-days-to-1-year"/>
    <display value="Within 43 days up to 1 year preceding her death"/>
    <definition value="The deceased was pregnant between 43 days and 1 year before death.&#xA;Corresponds to the WHO late maternal death surveillance window."/>
  </concept>
  <concept>
    <code value="timing-unknown"/>
    <display value="Exact pregnancy timing unknown"/>
    <definition value="It is known that the deceased was pregnant within the past year&#xA;but the exact timing relative to death cannot be determined."/>
  </concept>
</CodeSystem>