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

ValueSet: MCCoD Cause of Death Codes (Experimental)

Official URL: http://mccod.w3datanet.com/fhir/ValueSet/mccod-cause-of-death-codes Version: 0.1.0
Draft as of 2026-05-21 Computable Name: MCCoDCauseOfDeathVS

Copyright/Legal: Copyright 2026 AeHIN. Licensed under CC0-1.0.

Value set for cause of death coding on the WHO Medical Certificate of Cause of Death (MCCoD), applicable to all lines of Frame A (immediate cause, antecedent causes) and to the underlying cause of death.

ICD Version Agnostic Design: This value set supports both ICD-10 and ICD-11 to accommodate the range of coding systems in use across AeHIN member countries. The binding strength at the profile level is EXTENSIBLE, meaning:

  • Codes from ICD-10 (WHO reference version) are preferred
  • Codes from ICD-11 MMS are preferred
  • Codes from national ICD-10 or ICD-11 variants are permitted
  • Text-only entries (no code) are permitted for countries without electronic coding capability, subject to national policy

Text always required: Regardless of whether a code is present, the text representation of the cause of death SHALL always be provided. This is enforced by an invariant in the MCCoDCauseOfDeathCondition and MCCoDUnderlyingCauseOfDeath profiles.

ICD system URIs recognised by this IG:

System Canonical URI
ICD-10 (WHO) http://hl7.org/fhir/sid/icd-10
ICD-10-CM (US) http://hl7.org/fhir/sid/icd-10-cm
ICD-11 MMS http://id.who.int/icd/release/11/mms
SNOMED CT http://snomed.info/sct

Countries using national ICD variants not listed above SHALL declare the appropriate system URI in their national implementation guide.

DORIS and ICD-11: When ICD-11 is used with the DORIS tool for underlying cause selection, the underlying cause code SHALL use the ICD-11 MMS system URI. The underlying cause may differ from any code listed in lines a-d of Frame A — this is explicitly supported by the MCCoDUnderlyingCauseOfDeath profile.

Guidance for member countries: Countries SHOULD specify in their national IG which ICD system URI they use and whether text-only entries are permitted in their jurisdiction.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

No Expansion for this valueset (Unknown Code System)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code