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 - XML Representation

Draft as of 2026-05-21

Raw xml | Download


<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
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."/>
  <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>