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" : "ValueSet",
"id" : "mccod-cause-of-death-codes",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet mccod-cause-of-death-codes</b></p><a name=\"mccod-cause-of-death-codes\"> </a><a name=\"hcmccod-cause-of-death-codes\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-icd10.html\"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-icd10CM.html\"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-ICD11MMS.html\"><code>http://id.who.int/icd/release/11/mms</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></li><li>Include all codes defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></li></ul></div>"
},
"url" : "http://mccod.w3datanet.com/fhir/ValueSet/mccod-cause-of-death-codes",
"version" : "0.1.0",
"name" : "MCCoDCauseOfDeathVS",
"title" : "MCCoD Cause of Death 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" : "Value set for cause of death coding on the WHO Medical Certificate of\nCause of Death (MCCoD), applicable to all lines of Frame A (immediate\ncause, antecedent causes) and to the underlying cause of death.\n\n**ICD Version Agnostic Design:**\nThis value set supports both ICD-10 and ICD-11 to accommodate the range\nof coding systems in use across AeHIN member countries. The binding\nstrength at the profile level is EXTENSIBLE, meaning:\n- Codes from ICD-10 (WHO reference version) are preferred\n- Codes from ICD-11 MMS are preferred\n- Codes from national ICD-10 or ICD-11 variants are permitted\n- Text-only entries (no code) are permitted for countries without\n electronic coding capability, subject to national policy\n\n**Text always required:**\nRegardless of whether a code is present, the text representation of\nthe cause of death SHALL always be provided. This is enforced by\nan invariant in the MCCoDCauseOfDeathCondition and\nMCCoDUnderlyingCauseOfDeath profiles.\n\n**ICD system URIs recognised by this IG:**\n\n| System | Canonical URI |\n|--------|--------------|\n| ICD-10 (WHO) | http://hl7.org/fhir/sid/icd-10 |\n| ICD-10-CM (US) | http://hl7.org/fhir/sid/icd-10-cm |\n| ICD-11 MMS | http://id.who.int/icd/release/11/mms |\n| SNOMED CT | http://snomed.info/sct |\n\nCountries using national ICD variants not listed above SHALL declare\nthe appropriate system URI in their national implementation guide.\n\n**DORIS and ICD-11:**\nWhen ICD-11 is used with the DORIS tool for underlying cause selection,\nthe underlying cause code SHALL use the ICD-11 MMS system URI.\nThe underlying cause may differ from any code listed in lines a-d of\nFrame A — this is explicitly supported by the MCCoDUnderlyingCauseOfDeath\nprofile.\n\n**Guidance for member countries:**\nCountries SHOULD specify in their national IG which ICD system URI\nthey use and whether text-only entries are permitted in their jurisdiction.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://un.org",
"code" : "142",
"display" : "Asia"
},
{
"system" : "http://hl7.org",
"code" : "X1",
"display" : "Asia"
}
]
}
],
"immutable" : false,
"copyright" : "Copyright 2026 AeHIN. Licensed under CC0-1.0.",
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10"
},
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm"
},
{
"system" : "http://id.who.int/icd/release/11/mms"
},
{
"system" : "http://snomed.info/sct"
}
]
}
}