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 Cause of Death Codes - 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:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "mccod-cause-of-death-codes"] ; # 
  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: 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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://mccod.w3datanet.com/fhir/ValueSet/mccod-cause-of-death-codes"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/ValueSet/mccod-cause-of-death-codes>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MCCoDCauseOfDeathVS"] ; # 
  fhir:title [ fhir:v "MCCoD Cause of Death Codes"] ; # 
  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 "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."] ; # 
  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:immutable [ fhir:v false] ; # 
  fhir:copyright [ fhir:v "Copyright 2026 AeHIN. Licensed under CC0-1.0."] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-10>       ]     ] [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-10-cm>       ]     ] [
fhir:system [
fhir:v "http://id.who.int/icd/release/11/mms"^^xsd:anyURI ;
fhir:l <http://id.who.int/icd/release/11/mms>       ]     ] [
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ]     ] )
  ] . #