Prepare 0.3.0: ICD-11 MMS integration
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input/fsh/valueSets/BDConditionICD11DiagnosisVS.fsh
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input/fsh/valueSets/BDConditionICD11DiagnosisVS.fsh
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// ============================================================
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// BDConditionICD11DiagnosisVS.fsh
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// ICD-11 MMS ValueSet restricted to Diagnosis and Finding classes
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// Binding target for Condition.code in BDConditionProfile
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// Empty stub — runtime enforcement via OCL $validate-code
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// $expand not available — suppressed in sushi-config.yaml
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// ============================================================
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ValueSet: BDConditionICD11DiagnosisVS
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Id: bd-condition-icd11-diagnosis-valueset
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Title: "Bangladesh ICD-11 MMS Condition ValueSet (Diagnosis and Finding)"
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Description: """
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ICD-11 MMS concepts restricted to the Diagnosis (14,071) and Finding (5,590)
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concept classes, totalling 19,661 concepts as of version 2025-01.
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This ValueSet is the binding target for Condition.code in the BD-Core
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Condition profile. Substance, Organism, Device, Anatomy, and Misc class
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concepts are excluded and SHALL NOT appear as standalone stem codes in
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Condition.code. This restriction applies to stem codes only — satellite
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codes carried in the icd11-cluster-expression extension are exempt.
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This ValueSet is an empty stub. No compose block is declared because
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$expand is not supported by the national OCL terminology server and
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no machine-executable filter for concept_class is available at the
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IG layer. The compose would be nominal only and is omitted to avoid
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misrepresenting machine-executable semantics.
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The ValueSet is hosted in OCL as a collection with 19,661 explicit
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concept references (Diagnosis and Finding classes only). Runtime
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enforcement is via OCL ValueSet $validate-code:
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GET https://tr.ocl.dghs.gov.bd/api/fhir/ValueSet/$validate-code
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?url=https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset
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&system=http://id.who.int/icd/release/11/mms
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&code={code}
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Confirmed behaviour:
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- Diagnosis class (e.g. 1A00): accepted
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- Finding class: accepted
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- Device class (e.g. XD7EB1): rejected
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- Substance class (e.g. XM6RB2): rejected
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At the HAPI FHIR layer, enforcement is via RemoteTerminologyServiceValidationSupport
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configured to call OCL. HAPI FHIR deployment is a known gap to be closed
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before vendor onboarding.
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VERSION UPGRADES:
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Upgrading to a new ICD-11 MMS release requires re-running
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populate_condition_valueset.py. Automated via version_upgrade.py.
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"""
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* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset"
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* ^status = #active
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* ^experimental = false
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* ^version = "2025-01"
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* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
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* ^contact.name = "DGHS Health Informatics Unit"
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* ^contact.telecom.system = #url
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* ^contact.telecom.value = "https://dghs.gov.bd"
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* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
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* ^copyright = "ICD-11 is copyright © World Health Organization. Used under licence."
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* ^immutable = false
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@@ -1,6 +0,0 @@
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ValueSet: BDConditionICD11VS
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Id: bd-condition-icd11-valueset
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Title: "Bangladesh ICD-11 MMS ValueSet"
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Description: "ValueSet that includes the ICD-11 MMS CodeSystem for Condition.code"
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* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-valueset"
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* include codes from system http://id.who.int/icd/release/11/mms
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