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 Pregnancy Timing Relative to 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-pregnancy-status-codes"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet mccod-pregnancy-status-codes</b></p><a name=\"mccod-pregnancy-status-codes\"> </a><a name=\"hcmccod-pregnancy-status-codes\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-mccod-pregnancy-timing.html\"><code>http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-mccod-pregnancy-timing.html#mccod-pregnancy-timing-when-died\">when-died</a></td><td>When she died</td><td>The deceased was pregnant at the time of death.<br/>Corresponds to direct or indirect obstetric death per WHO definition.</td></tr><tr><td><a href=\"CodeSystem-mccod-pregnancy-timing.html#mccod-pregnancy-timing-within-42-days\">within-42-days</a></td><td>Within the 42 days preceding her death</td><td>The deceased was pregnant within 42 days before death but was not<br/>pregnant at the time of death. Corresponds to the WHO puerperal<br/>period definition and late maternal death classification.</td></tr><tr><td><a href=\"CodeSystem-mccod-pregnancy-timing.html#mccod-pregnancy-timing-43-days-to-1-year\">43-days-to-1-year</a></td><td>Within 43 days up to 1 year preceding her death</td><td>The deceased was pregnant between 43 days and 1 year before death.<br/>Corresponds to the WHO late maternal death surveillance window.</td></tr><tr><td><a href=\"CodeSystem-mccod-pregnancy-timing.html#mccod-pregnancy-timing-timing-unknown\">timing-unknown</a></td><td>Exact pregnancy timing unknown</td><td>It is known that the deceased was pregnant within the past year<br/>but the exact timing relative to death cannot be determined.</td></tr></table></li></ul></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://mccod.w3datanet.com/fhir/ValueSet/mccod-pregnancy-status-codes"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/ValueSet/mccod-pregnancy-status-codes>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MCCoDPregnancyStatusVS"] ; # 
  fhir:title [ fhir:v "MCCoD Pregnancy Timing Relative to 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 the timing of pregnancy relative to death, as documented\nin the Women of Reproductive Age section of the WHO Medical Certificate\nof Cause of Death (MCCoD), Frame B.\n\nThis value set is applicable ONLY when:\n- The deceased was female aged 15–49 years at time of death, AND\n- The question \\\"Was the deceased pregnant within past year?\\\" is\n  answered Yes\n\nThese timing categories are consistent with WHO maternal death\nsurveillance definitions and ICD-11 Chapter 18 (Pregnancy, childbirth\nor the puerperium) coding rules.\n\n**Binding strength at profile level: REQUIRED**\nWhen the pregnancy timing element is present, only these codes\nare permitted.\n\n**Relationship to maternal death classification:**\n- \\\"When she died\\\" → Direct or indirect obstetric death (ICD-11 Chapter 18)\n- \\\"Within 42 days\\\" → Late maternal death (WHO definition)\n- \\\"43 days to 1 year\\\" → Late maternal death surveillance window\n- \\\"Exact timing unknown\\\" → Unspecified maternal death timing\n\n**Whether pregnancy contributed to death** is a separate Yes/No/Unknown\nelement in the MCCoDPregnancyStatus profile and is not covered by\nthis value set.\n\n**SNOMED CT cross-reference (informative, not binding):**\n- Within 42 days → 59283008 (Death within 42 days of delivery)\n\n**ICD-11 cross-reference (informative, not binding):**\n- When she died → JA00–JB6Z (Pregnancy, childbirth or the puerperium)\n- Within 42 days → JB60 (maternal death)\n- 43 days to 1 year → JB61.0 (Death during pregnancy more than 42 days)\n- Exact timing unknown → JB6Z (Unspecified obstetric condition)\n\n**Guidance for member countries:**\nCountries SHOULD map these codes to their national maternal death\nsurveillance system classifications in their national implementation guide."] ; # 
  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://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/CodeSystem/mccod-pregnancy-timing>       ] ;
      ( fhir:concept [
fhir:code [ fhir:v "when-died" ] ;
fhir:display [ fhir:v "When she died" ]       ] [
fhir:code [ fhir:v "within-42-days" ] ;
fhir:display [ fhir:v "Within the 42 days preceding her death" ]       ] [
fhir:code [ fhir:v "43-days-to-1-year" ] ;
fhir:display [ fhir:v "Within 43 days up to 1 year preceding her death" ]       ] [
fhir:code [ fhir:v "timing-unknown" ] ;
fhir:display [ fhir:v "Exact pregnancy timing unknown" ]       ] )     ] )
  ] . #