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

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="mccod-cause-of-death-codes"/>
  <text>
    <status value="generated"/><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>
  </text>
  <url value="http://mccod.w3datanet.com/fhir/ValueSet/mccod-cause-of-death-codes"/>
  <version value="0.1.0"/>
  <name value="MCCoDCauseOfDeathVS"/>
  <title value="MCCoD Cause of Death Codes"/>
  <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="Value set for cause of death coding on the WHO Medical Certificate of&#xA;Cause of Death (MCCoD), applicable to all lines of Frame A (immediate&#xA;cause, antecedent causes) and to the underlying cause of death.&#xA;&#xA;**ICD Version Agnostic Design:**&#xA;This value set supports both ICD-10 and ICD-11 to accommodate the range&#xA;of coding systems in use across AeHIN member countries. The binding&#xA;strength at the profile level is EXTENSIBLE, meaning:&#xA;- Codes from ICD-10 (WHO reference version) are preferred&#xA;- Codes from ICD-11 MMS are preferred&#xA;- Codes from national ICD-10 or ICD-11 variants are permitted&#xA;- Text-only entries (no code) are permitted for countries without&#xA;  electronic coding capability, subject to national policy&#xA;&#xA;**Text always required:**&#xA;Regardless of whether a code is present, the text representation of&#xA;the cause of death SHALL always be provided. This is enforced by&#xA;an invariant in the MCCoDCauseOfDeathCondition and&#xA;MCCoDUnderlyingCauseOfDeath profiles.&#xA;&#xA;**ICD system URIs recognised by this IG:**&#xA;&#xA;| System | Canonical URI |&#xA;|--------|--------------|&#xA;| ICD-10 (WHO) | http://hl7.org/fhir/sid/icd-10 |&#xA;| ICD-10-CM (US) | http://hl7.org/fhir/sid/icd-10-cm |&#xA;| ICD-11 MMS | http://id.who.int/icd/release/11/mms |&#xA;| SNOMED CT | http://snomed.info/sct |&#xA;&#xA;Countries using national ICD variants not listed above SHALL declare&#xA;the appropriate system URI in their national implementation guide.&#xA;&#xA;**DORIS and ICD-11:**&#xA;When ICD-11 is used with the DORIS tool for underlying cause selection,&#xA;the underlying cause code SHALL use the ICD-11 MMS system URI.&#xA;The underlying cause may differ from any code listed in lines a-d of&#xA;Frame A — this is explicitly supported by the MCCoDUnderlyingCauseOfDeath&#xA;profile.&#xA;&#xA;**Guidance for member countries:**&#xA;Countries SHOULD specify in their national IG which ICD system URI&#xA;they use and whether text-only entries are permitted in their jurisdiction."/>
  <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>
  <immutable value="false"/>
  <copyright value="Copyright 2026 AeHIN. Licensed under CC0-1.0."/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/sid/icd-10"/>
    </include>
    <include>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
    </include>
    <include>
      <system value="http://id.who.int/icd/release/11/mms"/>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
    </include>
  </compose>
</ValueSet>