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Md Khairul Islam 2025-09-29 16:20:08 +06:00
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input/fsh/codeSystems/BDMedicationCodeSystem.fsh Normal file
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CodeSystem: BDMedicationCodeSystem
Id: bd-medication-cs
Title: "Bangladesh Medication Codes"
Description: "Bangladesh Medication Codes"
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-medication-code"
// DGDA DAR Code "Brand Name"
* #394-0010-030 "Tubutol" "Ethambutol"
* #394-0011-030 "AFDCDT-2" "Isoniazid + Rifampicin"
* #394-0012-030 "AFDCDT-3" "Isoniazid + Pyrazinamide + Rifampicin"
* #394-0017-046 "Levetiracetam 250" "Levetiracetam"
* #394-0021-028 "Donepezil Hydrochloride 5" "Donepezil Hydrochloride"
* #355-0065-023 "Cefufine" "Cefuroxime"
// ---------------------------
// ValueSet for BD Medication
// ---------------------------
ValueSet: BDMedicationVS
Id: bd-medication-vs
Title: "Bangladesh Medication ValueSet"
Description: "Bangladesh Medication ValueSet"
* include codes from system BDMedicationCodeSystem

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// ---------------------------
// CodeSystem for BD Medication Dose Forms
// ---------------------------
CodeSystem: BDMedicationDoseForm
Id: bd-dose-form
Title: "Bangladesh Medication Dose Form CodeSystem"
Description: "Medication dose form codes according to CCDS guideline"
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-dose-form"
* ^content = #complete
* #TAB "Tablet"
"Solid oral dosage form, usually uncoated or coated, intended for swallowing."
* #DTAB "Dispersible Tablet"
"Tablet designed to be dissolved/dispersed in water before administration."
* #CAP "Capsule"
"Solid dosage form with active ingredients enclosed in a gelatin shell."
* #SYP "Syrup"
"Liquid oral dosage form containing active substance(s) in solution."
* #SUSP "Suspension"
"Liquid oral dosage form with insoluble particles dispersed in a liquid."
* #PFS "Powder for Suspension"
"Powder that requires reconstitution into a liquid suspension before use."
* #INJ "Injection"
"Sterile solution or suspension intended for parenteral administration."
* #SOL "Solution"
"Liquid dosage form where drug is fully dissolved in a solvent."
* #CRM "Cream"
"Semi-solid topical dosage form containing the drug in an emulsion base."
* #LOT "Lotion"
"Low-viscosity liquid topical dosage form for external application."
// ---------------------------
// ValueSet for BD Medication Dose Forms
// ---------------------------
ValueSet: BDMedicationDoseFormVS
Id: bd-dose-form-vs
Title: "Bangladesh Medication Dose Form ValueSet"
Description: "Medication dose form value set according to CCDS guideline"
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-dose-form-vs"
* include codes from system BDMedicationDoseForm

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input/fsh/codeSystems/bd-immunization-reaction.fsh Normal file
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CodeSystem: BDImmunizationReactionCodeSystem
Id: bd-immunization-reaction
Title: "Bangladesh Immunization Reaction Code System"
Description: "Codes for adverse reactions after vaccination in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-immunization-reaction"
* ^status = #active
* ^content = #complete
* #NONE "No Reaction"
"No adverse reaction observed after vaccination."
* #FEVER "Fever"
"Elevated body temperature following vaccination."
* #SWELLING "Swelling"
"Local swelling at the injection site."
* #RASH "Rash"
"Generalized or localized rash after vaccination."
* #ANAPHYLAXIS "Anaphylaxis"
"Severe immediate allergic reaction following vaccination."
* #OTHER "Other Reaction"
"Any other adverse reaction not categorized above."

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CodeSystem: BDImmunizationRouteCodeSystem
Id: bd-immunization-route
Title: "Bangladesh Immunization Route Code System"
Description: "Codes for routes of vaccine administration in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-immunization-route"
* ^status = #active
* ^content = #complete
* #IM "Intramuscular"
"Vaccine administered into a muscle."
* #SC "Subcutaneous"
"Vaccine administered under the skin."
* #ID "Intradermal"
"Vaccine administered into the dermis layer of the skin."
* #ORAL "Oral"
"Vaccine administered orally."
* #IN "Intranasal"
"Vaccine administered via the nose."

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CodeSystem: BDImmunizationSiteCodeSystem
Id: bd-immunization-site
Title: "Bangladesh Immunization Site Code System"
Description: "Codes for anatomical site of vaccine administration in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-immunization-site"
* ^status = #active
* ^content = #complete
* #LA "Left Arm"
"Vaccine administered in the left arm (intramuscular or subcutaneous)."
* #RA "Right Arm"
"Vaccine administered in the right arm."
* #LT "Left Thigh"
"Vaccine administered in the left thigh."
* #RT "Right Thigh"
"Vaccine administered in the right thigh."
* #ORAL "Oral"
"Vaccine administered orally (e.g., OPV, Rotavirus)."

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CodeSystem: BDVaccineCodeSystem
Id: bd-vaccine-code
Title: "Bangladesh Vaccine Code System"
Description: "Vaccine codes used in Bangladesh EPI and immunization program."
* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-vaccine-code"
* ^status = #active
* ^content = #complete
* #BCG "BCG Vaccine"
"Bacillus Calmette-Guérin vaccine, used against tuberculosis."
* #OPV "Oral Polio Vaccine (OPV)"
"Live attenuated oral polio vaccine."
* #IPV "Inactivated Polio Vaccine (IPV)"
"Inactivated polio vaccine."
* #PENTA "Pentavalent Vaccine"
"DTP-HepB-Hib combined vaccine."
* #MR "Measles-Rubella (MR) Vaccine"
"Combined measles and rubella vaccine."
* #TT "Tetanus Toxoid (TT) Vaccine"
"Vaccine used for tetanus prevention."
* #PCV10 "Pneumococcal Conjugate Vaccine"
"10-valent pneumococcal conjugate vaccine."
* #ROTA "Rotavirus Vaccine"
"Live attenuated rotavirus vaccine for diarrheal disease prevention."
* #HPV "Human Papillomavirus (HPV) Vaccine"
"Vaccine used for prevention of cervical cancer and HPV-related diseases."
* #COVID19 "COVID-19 Vaccine"
"Vaccines against SARS-CoV-2 (various manufacturers)."

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Profile: BDEncounterProfile
Id: bd-encounter
Parent: Encounter
Title: "Encounter Profile for Bangladesh"
Description: "Profile of Encounter Bangladesh Standard"
* identifier 1..*
* status 1..1 MS
* status from BDEncounterStatusSubsetVS
* class 1..1 MS
* class from BDEncounterClassSubsetVS
* subject 1..1 MS
//* subject from https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient
* basedOn 0..1 MS
* partOf 0..1 MS
* serviceProvider 1..1 MS
* participant 1..* MS
* participant.period 1..1 MS
* diagnosis 0..* MS
//* admission 0..* MS
//* admission.dischargeDisposition 0..1 MS
//* encounter.admission.dischargeDisposition 0..1

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{
"resourceType": "StructureDefinition",
<<<<<<< HEAD
"id": "bd-Immunization",
"url": "http://example.org/StructureDefinition/bd-Immunization",
"version": "1.0.0",
"name": "BDImmunizationProfile",
"title": "Immunization Profile for Bangladesh",
"description": "Bangladesh Immunization Profile",
=======
"id": "bd-immunization",
"url": "https://fhir.dghs.gov.bd/core/identifier/bd-immunization",
"version": "1.0.0",
"name": "BDImmunizationProfile",
"title": "Patient Immunization Profile for Bangladesh",
"description": "Patients Immunization Bangladesh Standard",
>>>>>>> 1c45affa520e64b3b9efc307d9116ff138171fa5
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Immunization",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Immunization.identifier",
"path": "Immunization.identifier",
<<<<<<< HEAD
"short": "Unique identifier",
=======
"short": "Identifier",
>>>>>>> 1c45affa520e64b3b9efc307d9116ff138171fa5
"definition": "Unique identifier for the vaccination event",
"min": 1
}
]
}
}

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// @Name: Profile
// @Description: Example of a profile of the Medication resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
Profile: BDMedication
Id: bd-medication
Parent: Medication
Title: "Medication Profile for Bangladesh-V2"
Description: "Profile of Medication Bangladesh Standard V2"
* form 1..1 MS
* form from BDMedicationDoseFormVS
* code 1..1 MS
* code from BDMedicationVS
* ingredient 1..* MS
* ingredient.strength 1..1 MS

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// @Name: Profile
// @Description: Example of a profile of the MedicationRequest resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
Profile: BDMedicationRequest
Id: bd-medication-request
Parent: MedicationRequest
Title: "Medication Request Profile for Bangladesh-V2"
Description: "Profile of MedicationRequest Bangladesh Standard V2"
* identifier 1..*
* medication[x] 1..1 MS
* medication[x] only Reference(BDMedication) or CodeableConcept
* subject only Reference(BDPatientProfile)
// TODO: BDEncounter referencing
* authoredOn 1..1
* requester 1..1
* reported[x] 1..1
* requester only Reference(BDPractitioner)
* reported[x] only Reference(BDOrganization)

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// @Name: Profile
// @Description: Example of a profile of the Practitioner resource for Bangladesh.
Profile: BDOrganization
Id: bd-organization
Parent: Organization
Title: "Organization for Bangladesh"
Description: "Organization for Bangladesh Standard"
* identifier 1..* MS

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// @Name: Profile
// @Description: Example of a profile of the Practitioner resource for Bangladesh.
Profile: BDPractitioner
Id: bd-practitioner
Parent: Practitioner
Title: "Practitioner for Bangladesh"
Description: "Practitioner for Bangladesh Standard"
* identifier 1..* MS

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// @Name: Profile
// @Description: Immunization Profile of the Bangladeshi Patient.
Profile: BDImmunizationProfile
Id: bd-immunization
Parent: Immunization
Title: "Immunization Profile for Bangladesh"
Description: "Bangladesh Immunization Profile"
* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-immunization"
* identifier 1..*
* identifier ^short = "Unique identifier"
* identifier ^definition = "Unique identifier for the vaccination event"
* ^url = "https://fhir.dghs.gov.bd/core/identifier/bd-immunization"
* reasonReference 0..*
* reasonReference only Reference(Condition or Observation or DiagnosticReport)
* vaccineCode 1..1
* vaccineCode from BDVaccineValueSet (required)
//* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication"
* manufacturer 0..1
* manufacturer ^short = "Manufacturer"
* manufacturer ^definition = "Vaccine manufacturer"
* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization"
* lotNumber 0..1
* lotNumber ^short = "Vaccine Lot Number"
* lotNumber ^definition = "Vaccine lot or batch number"
* expirationDate 0..1
* expirationDate ^short = "Expiration Date"
* expirationDate ^definition = "Expiration date of vaccine lot"
* patient 1..1
* patient ^definition = "The patient receiving the vaccine"
* patient only Reference(BDPatientProfile)
* encounter 1..1
* encounter ^definition = "Encounter during which vaccine was administered"
* encounter only Reference(BDEncounterProfile)
* occurrence[x] 1..1
* location 0..1
* location ^definition = "Location where vaccine was administered"
* location only Reference(Location)
* site 0..1
* site ^definition = "Body site of administration"
* site from BDImmunizationSiteValueSet
* route 0..1
* route ^definition = "Route of administration"
* route from BDImmunizationRouteValueSet
* doseQuantity 0..1
* doseQuantity ^definition = "Amount of vaccine administered"
//* doseQuantity from UCUM Units
* ^url = "http://unitsofmeasure.org"
* performer 0..*
* performer ^definition = "Individual who performed the immunization"
//* performer from BD Practitioner Profile
* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner"
* reaction 0..*
* reaction ^definition = "Adverse reaction following immunization"
* reaction.detail only Reference(Observation)

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// ---------- ValueSet ----------
ValueSet: BDEncounterClassSubsetVS
Id: bd-encounter-class-subset-vs
Title: "BD Encounter Class Subset"
Description: "Subset of EncounterClass limited to inpatient, ambulatory, and emergency."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-encounter-class-subset"
* ^status = #active
* ^experimental = false
// Explicitly include the three concepts from the core EncounterClass system
* include http://terminology.hl7.org/CodeSystem/v3-ActCode#IMP "Inpatient"
* include http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB "Ambulatory"
* include http://terminology.hl7.org/CodeSystem/v3-ActCode#EMER "Emergency"

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// ---------- ValueSet ----------
ValueSet: BDEncounterStatusSubsetVS
Id: bd-encounter-status-subset-vs
Title: "BD Encounter Status Subset"
Description: "Subset of EncounterStatus limited to planned, in-progress, finished, and cancelled."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-encounter-status-subset"
* ^status = #active
* ^experimental = false
// Explicitly include the four concepts from the core code system
* include http://hl7.org/fhir/encounter-status#planned "Planned"
* include http://hl7.org/fhir/encounter-status#in-progress "In Progress"
* include http://hl7.org/fhir/encounter-status#finished "Finished"
* include http://hl7.org/fhir/encounter-status#cancelled "Cancelled"

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ValueSet: BDImmunizationReactionValueSet
Id: bd-immunization-reaction-valueset
Title: "Bangladesh Immunization Reaction Value Set"
Description: "Allowed vaccine reactions for immunization in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-immunization-reaction-valueset"
* ^status = #active
* include codes from system BDImmunizationReactionCodeSystem

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ValueSet: BDImmunizationRouteValueSet
Id: bd-immunization-route-valueset
Title: "Bangladesh Immunization Route Value Set"
Description: "Allowed administration routes for vaccines in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-immunization-route-valueset"
* ^status = #active
* include codes from system BDImmunizationRouteCodeSystem

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ValueSet: BDImmunizationSiteValueSet
Id: bd-immunization-site-valueset
Title: "Bangladesh Immunization Site Value Set"
Description: "Allowed administration sites for vaccines in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-immunization-site-valueset"
* ^status = #active
* include codes from system BDImmunizationSiteCodeSystem

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ValueSet: BDVaccineValueSet
Id: bd-vaccine-valueset
Title: "Bangladesh Vaccine Value Set"
Description: "Allowed vaccines for immunization in Bangladesh."
* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-vaccine-valueset"
* ^status = #active
* include codes from system BDVaccineCodeSystem