mccod-pregnancy-status-codes
type: ValueSet
node role: treeRoot
id:
  v: mccod-pregnancy-status-codes
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: ValueSet mccod-pregnancy-status-codes Include these codes as defined in http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing version ?0.1.0 Code Display Definition when-died When she died The deceased was pregnant at the time of death. Corresponds to direct or indirect obstetric death per WHO definition. within-42-days Within the 42 days preceding her death The deceased was pregnant within 42 days before death but was not pregnant at the time of death. Corresponds to the WHO puerperal period definition and late maternal death classification. 43-days-to-1-year Within 43 days up to 1 year preceding her death The deceased was pregnant between 43 days and 1 year before death. Corresponds to the WHO late maternal death surveillance window. timing-unknown Exact pregnancy timing unknown It is known that the deceased was pregnant within the past year but the exact timing relative to death cannot be determined.
url:
  v: http://mccod.w3datanet.com/fhir/ValueSet/mccod-pregnancy-status-codes
  l: mccod-pregnancy-status-codes
version:
  v: 0.1.0
name:
  v: MCCoDPregnancyStatusVS
title:
  v: MCCoD Pregnancy Timing Relative to Death Codes
status:
  v: draft
experimental:
  v: true
date:
  v: 2026-05-21
publisher:
  v: Asia eHealth Information Network (AeHIN)
contact:
  name:
    v: Asia eHealth Information Network (AeHIN)
  telecom:
    system:
      v: url
    value:
      v: https://www.asiaehealthinformationnetwork.org
contact:
  name:
    v: AeHIN Secretariat
  telecom:
    system:
      v: url
    value:
      v: https://www.asiaehealthinformationnetwork.org
description:
  v: Value set for the timing of pregnancy relative to death, as documented in the Women of Reproductive Age section of the WHO Medical Certificate of Cause of Death (MCCoD), Frame B. This value set is applicable ONLY when: - The deceased was female aged 15–49 years at time of death, AND - The question \"Was the deceased pregnant within past year?\" is answered Yes These timing categories are consistent with WHO maternal death surveillance definitions and ICD-11 Chapter 18 (Pregnancy, childbirth or the puerperium) coding rules. **Binding strength at profile level: REQUIRED** When the pregnancy timing element is present, only these codes are permitted. **Relationship to maternal death classification:** - \"When she died\" → Direct or indirect obstetric death (ICD-11 Chapter 18) - \"Within 42 days\" → Late maternal death (WHO definition) - \"43 days to 1 year\" → Late maternal death surveillance window - \"Exact timing unknown\" → Unspecified maternal death timing **Whether pregnancy contributed to death** is a separate Yes/No/Unknown element in the MCCoDPregnancyStatus profile and is not covered by this value set. **SNOMED CT cross-reference (informative, not binding):** - Within 42 days → 59283008 (Death within 42 days of delivery) **ICD-11 cross-reference (informative, not binding):** - When she died → JA00–JB6Z (Pregnancy, childbirth or the puerperium) - Within 42 days → JB60 (maternal death) - 43 days to 1 year → JB61.0 (Death during pregnancy more than 42 days) - Exact timing unknown → JB6Z (Unspecified obstetric condition) **Guidance for member countries:** Countries SHOULD map these codes to their national maternal death surveillance system classifications in their national implementation guide.
jurisdiction:
  coding:
    system:
      v: http://un.org
      l: un.org
    code:
      v: 142
    display:
      v: Asia
  coding:
    system:
      v: http://hl7.org
      l: hl7.org
    code:
      v: X1
    display:
      v: Asia
immutable:
  v: false
copyright:
  v: Copyright 2026 AeHIN. Licensed under CC0-1.0.
compose:
  include:
    system:
      v: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing
      l: mccod-pregnancy-timing
    concept:
      code:
        v: when-died
      display:
        v: When she died
    concept:
      code:
        v: within-42-days
      display:
        v: Within the 42 days preceding her death
    concept:
      code:
        v: 43-days-to-1-year
      display:
        v: Within 43 days up to 1 year preceding her death
    concept:
      code:
        v: timing-unknown
      display:
        v: Exact pregnancy timing unknown