Prepare 0.4.0: DGDA Drug and LOINC Integration

input/fsh/profile/BDLabReport.fsh

@@ -0,0 +1,122 @@
+Profile:     BDLabReportProfile
+Id:          bd-lab-report
+Parent:      DiagnosticReport
+Title:       "Bangladesh Laboratory Report"
+Description: """
+Profile for laboratory DiagnosticReport in Bangladesh, aligned with IPS
+(International Patient Summary) DiagnosticReport pattern.
+
+Usage:
+  - Represents a complete laboratory report for a patient encounter
+  - DiagnosticReport.result references panel-level Observations
+    (bd-lab-panel-observation) or standalone result Observations
+    (bd-lab-result-observation) where no panel grouping exists
+  - DiagnosticReport.code is fixed to LOINC 11502-2 (Laboratory report)
+  - specimen is SHOULD (MS, 0..*)
+
+Report structure:
+  bd-lab-report (DiagnosticReport)
+      ├── result --> bd-lab-panel-observation
+      │                 └── hasMember --> bd-lab-result-observation (x N)
+      └── result --> bd-lab-result-observation  (standalone, no panel)
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-lab-report"
+* ^version = "0.1.0"
+* ^status = #draft
+
+// ── Identifier ────────────────────────────────────────────────────────────
+// Lab reports must carry an accession number or report ID.
+* identifier 1..* MS
+* identifier.value 1..1
+
+// ── Status ────────────────────────────────────────────────────────────────
+* status 1..1
+* status from http://hl7.org/fhir/ValueSet/diagnostic-report-status (required)
+* status ^definition = "Status of the laboratory report"
+* status ^comment = "E.g. registered, partial, preliminary, final, amended, corrected"
+
+// ── Category ──────────────────────────────────────────────────────────────
+// Fixed to LAB (laboratory) category.
+* category 1..* MS
+* category = http://terminology.hl7.org/CodeSystem/v2-0074#LAB "Laboratory"
+* category ^definition = "Fixed to 'LAB' for laboratory diagnostic reports"
+
+// ── Code ──────────────────────────────────────────────────────────────────
+// Fixed to LOINC 11502-2 (Laboratory report) — IPS-aligned.
+* code 1..1 MS
+* code = http://loinc.org#11502-2 "Laboratory report"
+* code ^definition = "Fixed to LOINC 11502-2 — Laboratory report"
+
+// ── Subject ───────────────────────────────────────────────────────────────
+* subject 1..1 MS
+* subject only Reference(Patient)
+* subject.reference 1..1 MS
+* subject.display 1..1 MS
+* subject ^definition = "Reference to the Patient this report is about"
+
+// ── Encounter ─────────────────────────────────────────────────────────────
+* encounter 1..1 MS
+* encounter.reference 1..1 MS
+* encounter ^definition = "Reference to the Encounter during which this report was ordered"
+
+// ── Effective ─────────────────────────────────────────────────────────────
+// When the report was clinically relevant — required for lab context.
+* effective[x] 1..1 MS
+* effective[x] only dateTime or Period
+* effectiveDateTime ^definition = "Date/time the specimen was collected or the report period"
+
+// ── Issued ────────────────────────────────────────────────────────────────
+// Date/time the report was released — required for lab reports.
+* issued 1..1 MS
+* issued ^definition = "Date/time the report was issued by the laboratory"
+
+// ── Performer ─────────────────────────────────────────────────────────────
+// Who performed the laboratory test (laboratory organization or practitioner).
+// Kept flexible — may be Organization, Practitioner, or PractitionerRole.
+* performer 1..* MS
+* performer ^definition = "Laboratory or practitioner who performed the test"
+* performer ^comment = "Typically the laboratory Organization. May also include the responsible Practitioner."
+
+// ── Results Interpreter ───────────────────────────────────────────────────
+// Who interpreted the results (clinician, pathologist).
+// Optional but MustSupport — include when a formal interpretation was made.
+* resultsInterpreter 0..* MS
+* resultsInterpreter ^definition = "Clinician or pathologist who interpreted the laboratory results"
+* resultsInterpreter ^comment = "Include when a formal interpretation or authorisation was made by a named clinician."
+
+// ── Specimen ──────────────────────────────────────────────────────────────
+// SHOULD be present per IPS alignment — MustSupport, optional cardinality.
+* specimen 0..* MS
+* specimen ^definition = "Specimen(s) used for this laboratory report"
+* specimen ^comment = "Should be present when specimen information is available. IPS alignment: SHOULD."
+
+// ── Result ────────────────────────────────────────────────────────────────
+// References panel-level Observations or standalone result Observations.
+// At least one result is required for a meaningful report.
+* result 1..* MS
+* result only Reference(BDLabPanelObservationProfile or BDLabResultObservationProfile)
+* result ^definition = "References to Observation resources that are part of this report"
+* result ^comment = """
+Use BDLabPanelObservationProfile for ordered panels (CBC, LFT, RFT, etc.)
+where individual results are grouped under a panel using hasMember.
+Use BDLabResultObservationProfile directly for standalone results
+that are not part of a named panel.
+"""
+
+// ── Conclusion ────────────────────────────────────────────────────────────
+// Free-text clinical interpretation of the overall report.
+* conclusion 0..1 MS
+* conclusion ^definition = "Clinical interpretation or summary of the laboratory report"
+
+// ── Conclusion Code ───────────────────────────────────────────────────────
+// Coded clinical finding — may reference ICD-11 diagnosis codes.
+* conclusionCode 0..* MS
+* conclusionCode ^definition = "Coded representation of the clinical conclusion"
+* conclusionCode ^comment = "May use ICD-11 MMS codes consistent with bd-condition-icd11-diagnosis-valueset"
+
+// ── Presented Form ────────────────────────────────────────────────────────
+// Attach the original PDF or HL7 CDA report if available.
+* presentedForm 0..* MS
+* presentedForm ^definition = "Entire report as issued — e.g. PDF attachment"
+* presentedForm ^comment = "Include the original report document when available"