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 - XML Representation

Draft as of 2026-05-21

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<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,
as specified in the Women of Reproductive Age section of the WHO
Medical Certificate of Cause of Death (MCCoD), Frame B.
These codes are used only when the deceased was confirmed to have
been pregnant within the year preceding death.
Consistent with WHO maternal death surveillance definitions and
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.
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
pregnant at the time of death. Corresponds to the WHO puerperal
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.
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
but the exact timing relative to death cannot be determined."/>
  </concept>
</CodeSystem>