#

Move package-list.json update to occur before the build step for release builds,
allowing IG Publisher to generate history.html correctly. Adjust post-build steps
to only update package-feed.xml, and add verification for history.html generation
and deployment. This ensures registry files are prepared earlier in the process.

.gitea/workflows/ci-cd.yaml

@@ -0,0 +1,660 @@
+name: FHIR IG CI/CD Pipeline with Version Persistence
+
+on:
+  push:
+    tags:
+      - 'v*.*.*'
+  pull_request:
+    branches: [ main ]
+
+env:
+  REGISTRY: git.dghs.gov.bd
+  IMAGE_NAME: gitadmin/bd-core-fhir-ig
+
+jobs:
+  build-ig:
+    runs-on: fhir-runner
+
+    steps:
+      - name: Checkout repository
+        uses: actions/checkout@v3
+        with:
+          fetch-depth: 0
+
+      - name: Extract version from IG
+        id: version
+        run: |
+          VERSION=$(grep -oP '<version value="\K[^"]+' input/bd.fhir.core.xml | head -1)
+
+          if [ -z "$VERSION" ]; then
+            echo "ERROR: Could not extract version from ImplementationGuide XML"
+            exit 1
+          fi
+
+          echo "Extracted version: $VERSION"
+          echo "version=$VERSION" >> $GITHUB_OUTPUT
+
+          if [[ "$GITHUB_REF" == refs/tags/v* ]]; then
+            BUILD_TYPE="release"
+            TAG_VERSION="${GITHUB_REF#refs/tags/v}"
+
+            if [ "$TAG_VERSION" != "$VERSION" ]; then
+              echo "ERROR: Git tag version ($TAG_VERSION) doesn't match IG version ($VERSION)"
+              exit 1
+            fi
+          else
+            BUILD_TYPE="dev"
+          fi
+
+          echo "build_type=$BUILD_TYPE" >> $GITHUB_OUTPUT
+          echo "Build type: $BUILD_TYPE"
+
+      - name: Prepare package-list.json and history.xml for IG Publisher
+        run: |
+          VERSION="${{ steps.version.outputs.version }}"
+          BUILD_TYPE="${{ steps.version.outputs.build_type }}"
+          DATE=$(date +%Y-%m-%d)
+
+          export VERSION DATE BUILD_TYPE
+
+          echo "📋 Preparing package-list.json and history.xml for IG Publisher..."
+
+          if [ ! -f "package-list.json" ]; then
+            echo "⚠️ package-list.json not found in repo root"
+            echo "Creating initial package-list.json..."
+            cat > package-list.json << 'PKGEOF'
+          {
+            "package-id": "bd.fhir.core",
+            "title": "Bangladesh Core FHIR Implementation Guide",
+            "canonical": "https://fhir.dghs.gov.bd/core",
+            "introduction": "The Bangladesh Core FHIR IG defines national base profiles, value sets, and extensions for health data interoperability.",
+            "list": [
+              {
+                "version": "current",
+                "desc": "Continuous Integration Build (latest in version control)",
+                "path": "https://fhir.dghs.gov.bd/core/",
+                "status": "ci-build",
+                "current": true
+              }
+            ]
+          }
+          PKGEOF
+          fi
+
+          python3 << 'PYEOF'
+          import json
+          import os
+          import sys
+
+          version = os.environ.get('VERSION', '')
+          date = os.environ.get('DATE', '')
+          build_type = os.environ.get('BUILD_TYPE', '')
+
+          with open('package-list.json', 'r', encoding='utf-8') as f:
+              pkg_list = json.load(f)
+
+          if 'list' not in pkg_list or not isinstance(pkg_list['list'], list):
+              print("ERROR: package-list.json does not contain a valid 'list' array")
+              sys.exit(1)
+
+          current_entries = [e for e in pkg_list['list'] if e.get('version') == 'current']
+          if not current_entries:
+              pkg_list['list'].insert(0, {
+                  "version": "current",
+                  "desc": "Continuous Integration Build (latest in version control)",
+                  "path": "https://fhir.dghs.gov.bd/core/",
+                  "status": "ci-build",
+                  "current": True
+              })
+
+          if build_type == 'release':
+              version_entry = None
+              for e in pkg_list['list']:
+                  if e.get('version') == version:
+                      version_entry = e
+                      break
+              if version_entry is None:
+                  new_entry = {
+                      "version": version,
+                      "date": date,
+                      "desc": f"Release {version}",
+                      "path": f"https://fhir.dghs.gov.bd/core/{version}/",
+                      "status": "trial-use",
+                      "sequence": "STU 1"
+                  }
+
+                  insert_index = 1
+                  for i, entry in enumerate(pkg_list['list']):
+                      if entry.get('version') == 'current':
+                          insert_index = i + 1
+                          break
+
+                  pkg_list['list'].insert(insert_index, new_entry)
+                  print(f"✅ Added version {version} to package-list.json")
+              else:
+                  print(f"ℹ️ Version {version} already exists in package-list.json")
+          else:
+              print("ℹ️ Dev build - using existing package-list.json without release modification")
+
+          with open('package-list.json', 'w', encoding='utf-8') as f:
+              json.dump(pkg_list, f, indent=2, ensure_ascii=False)
+          PYEOF
+
+          echo "🔍 Validating package-list.json..."
+          python3 -m json.tool package-list.json > /dev/null && echo "✅ Valid JSON" || (echo "❌ Invalid JSON!" && exit 1)
+
+          echo "📂 Ensuring package-list.json is in required locations..."
+          mkdir -p input
+          cp package-list.json input/package-list.json
+
+          echo "📝 Generating static history.xml from package-list.json..."
+          mkdir -p input/pagecontent
+
+          python3 << 'PYEOF'
+          import json
+          import os
+          from html import escape
+
+          os.makedirs('input/pagecontent', exist_ok=True)
+
+          with open('package-list.json', 'r', encoding='utf-8') as f:
+              pkg_list = json.load(f)
+
+          xml = '''<?xml version="1.0" encoding="UTF-8"?>
+          <div xmlns="http://www.w3.org/1999/xhtml">
+
+          <p>This page provides the version history for the Bangladesh Core FHIR Implementation Guide.</p>
+
+          <p>For a machine-readable version history see <a href="package-list.json">package-list.json</a>.</p>
+
+          <p><b>Published Versions</b></p>
+
+          <table class="grid table table-striped table-bordered table-hover">
+          <thead>
+          <tr>
+          <th>Version</th>
+          <th>Date</th>
+          <th>Status</th>
+          <th>Description</th>
+          </tr>
+          </thead>
+          <tbody>
+          '''
+
+          def version_key(v):
+              try:
+                  return tuple(int(x) for x in v.split('.'))
+              except:
+                  return (0,)
+
+          published = [
+              e for e in pkg_list['list']
+              if e.get('version') and e.get('version') != "current"
+          ]
+
+          # Sort newest version first
+          published.sort(
+              key=lambda e: version_key(e.get("version", "0.0.0")),
+              reverse=True
+          )
+
+          published_found = False
+          first_row = True
+
+          for entry in published:
+              published_found = True
+
+              version = escape(entry.get('version', 'Unknown'))
+              date = escape(entry.get('date', 'N/A'))
+              desc = escape(entry.get('desc', ''))
+              path = escape(entry.get('path', '#'))
+
+              status_val = entry.get('status', 'unknown')
+
+              if status_val == "trial-use":
+                  status = '<span class="badge bg-info">Trial Use</span>'
+              elif status_val == "normative":
+                  status = '<span class="badge bg-success">Normative</span>'
+              else:
+                  status = f'<span class="badge bg-secondary">{escape(status_val)}</span>'
+
+              badge = '<span class="badge bg-success">Latest</span> ' if first_row else ''
+
+              xml += f'''
+          <tr>
+          <td><a href="{path}">{badge}{version}</a></td>
+          <td>{date}</td>
+          <td>{status}</td>
+          <td>{desc}</td>
+          </tr>
+          '''
+
+              first_row = False
+
+          if not published_found:
+              xml += '''
+          <tr>
+          <td colspan="4">No published versions available yet.</td>
+          </tr>
+          '''
+
+          xml += '''
+          </tbody>
+          </table>
+
+          <p class="lead"><b>Continuous Integration Build</b></p>
+          '''
+
+          current_entry = None
+          for entry in pkg_list['list']:
+              if entry.get('version') == 'current':
+                  current_entry = entry
+                  break
+
+          if current_entry:
+              path = escape(current_entry.get('path', pkg_list.get('canonical', '') + '/'))
+              xml += f'''
+          <p>The latest development build is available at:
+          <a href="{path}">{path}</a></p>
+          '''
+          else:
+              xml += '''
+          <p><i>No CI build entry found in package-list.json.</i></p>
+          '''
+
+          xml += '''
+          </div>
+          '''
+
+          with open('input/pagecontent/history.xml', 'w', encoding='utf-8') as f:
+              f.write(xml)
+
+          print("✅ Generated static history.xml")
+          print(f"   File location: {os.path.abspath('input/pagecontent/history.xml')}")
+          print(f"   File size: {os.path.getsize('input/pagecontent/history.xml')} bytes")
+          PYEOF
+
+          if [ -f "input/pagecontent/history.xml" ]; then
+            echo "✅ Verified: history.xml exists"
+            echo "   First 20 lines:"
+            head -20 input/pagecontent/history.xml
+          else
+            echo "❌ ERROR: history.xml was not created!"
+            exit 1
+          fi
+
+          echo "✅ Pre-build preparation complete:"
+          echo "  - Root: $(pwd)/package-list.json"
+          echo "  - Input: $(pwd)/input/package-list.json"
+          echo "  - History: $(pwd)/input/pagecontent/history.xml"
+          echo "==============================="
+          echo "PACKAGE LIST USED FOR BUILD:"
+          cat package-list.json
+          echo "-------------------------------"
+          echo "INPUT COPY:"
+          cat input/package-list.json
+          echo "==============================="
+
+      - name: Emergency Disk Cleanup
+        run: |
+          echo "Disk usage before:"
+          df -h
+
+          echo "Clearing tool cache..."
+          rm -rf /opt/hostedtoolcache/* || true
+
+          rm -rf /usr/share/dotnet || true
+          rm -rf /usr/local/lib/android || true
+          rm -rf /opt/ghc || true
+          rm -rf ~/.fhir/packages || true
+
+          echo "Disk usage after:"
+          df -h
+
+      - name: Install Docker CLI
+        run: |
+          apt-get update
+          apt-get install -y docker.io
+          docker --version
+
+      - name: Preload previous IG package for comparison
+        run: |
+          echo "Detecting previous version..."
+          export VERSION="${{ steps.version.outputs.version }}"
+          PREV_VERSION=$(python3 <<'PY'
+          import json
+          import os
+
+          current_build = os.environ.get("VERSION")
+
+          with open("package-list.json") as f:
+              data = json.load(f)
+
+          def parse(v):
+              try:
+                  return tuple(int(x) for x in v.split("."))
+              except:
+                  return (0,)
+
+          versions = [
+              v["version"]
+              for v in data["list"]
+              if v.get("version") not in ("current", current_build)
+          ]
+
+          versions.sort(key=parse, reverse=True)
+
+          print(versions[0] if versions else "")
+          PY
+          )
+
+              if [ -z "$PREV_VERSION" ]; then
+                echo "No previous version found. Skipping preload."
+                exit 0
+              fi
+
+              echo "Previous version detected: $PREV_VERSION"
+
+          mkdir -p previous-packages
+          TMPDIR=$(mktemp -d)
+
+          URL="https://fhir.dghs.gov.bd/core/$PREV_VERSION/package.tgz"
+
+          echo "Downloading $URL"
+          curl -fL "$URL" -o "$TMPDIR/package.tgz"
+
+          mkdir -p "previous-packages/bd.fhir.core#$PREV_VERSION"
+          tar -xzf "$TMPDIR/package.tgz" -C "previous-packages/bd.fhir.core#$PREV_VERSION"
+
+          echo "Previous package cached:"
+          ls previous-packages
+
+      - name: Build FHIR IG
+        run: |
+          echo "Building FHIR IG version ${{ steps.version.outputs.version }}..."
+
+          CONTAINER_ID=$(docker create \
+            -v $(pwd)/previous-packages:/previous-packages \
+            hl7fhir/ig-publisher-base:latest \
+            /bin/bash -c "
+
+          mkdir -p /tmp/build
+          cp -r /home/publisher/ig /tmp/build/ig
+
+          cd /tmp/build/ig
+          mkdir -p input-cache
+          curl -L -o input-cache/publisher.jar https://supervision.dghs.gov.bd/publisher.jar
+          ls -lh input-cache
+          rm -f package-list.json
+
+          _genonce.sh
+          ")
+
+          echo "Container ID: $CONTAINER_ID"
+
+          docker cp "$(pwd)/." "$CONTAINER_ID:/home/publisher/ig/"
+          echo "Mounted FHIR packages:"
+          ls -R previous-packages || echo "No previous packages directory"
+          docker start -a "$CONTAINER_ID"
+          EXIT_CODE=$?
+
+          echo "Copying outputs from container..."
+          docker cp "$CONTAINER_ID:/tmp/build/ig/output" ./output || echo "Warning: No output directory"
+          docker cp "$CONTAINER_ID:/tmp/build/ig/fsh-generated" ./fsh-generated || echo "No FSH generated"
+          docker cp "$CONTAINER_ID:/tmp/build/ig/input-cache" ./input-cache || echo "No input-cache"
+          docker cp "$CONTAINER_ID:/tmp/build/ig/temp" ./temp || echo "No temp directory"
+
+          if [ $EXIT_CODE -ne 0 ]; then
+            echo "Build failed, showing logs:"
+            docker logs "$CONTAINER_ID"
+            docker rm "$CONTAINER_ID"
+            exit 1
+          fi
+
+          docker rm "$CONTAINER_ID"
+
+          if [ ! -f "output/index.html" ]; then
+            echo "ERROR: Build failed - no index.html"
+            exit 1
+          fi
+
+          echo ""
+          echo "🔍 Checking for history.html..."
+          if [ -f "output/history.html" ]; then
+            echo "✅ history.html generated successfully!"
+            echo "📄 history.html size: $(ls -lh output/history.html | awk '{print $5}')"
+          else
+            echo "⚠️ WARNING: history.html was NOT generated"
+            echo "This might indicate an issue with the template or history.xml/package-list.json"
+          fi
+          echo "================================"
+          echo "IG Publisher comparison log:"
+          cat output/qa.compare.txt || echo "qa.compare.txt not found"
+          echo "================================"
+          echo "✅ Build successful!"
+
+      - name: Update package-feed.xml for releases
+        if: steps.version.outputs.build_type == 'release'
+        run: |
+          VERSION="${{ steps.version.outputs.version }}"
+          DATETIME=$(date -u +%Y-%m-%dT%H:%M:%SZ)
+
+          if [ ! -f "package-feed.xml" ]; then
+            echo "⚠️ package-feed.xml not found, creating initial feed..."
+
+            cat > package-feed.xml <<EOF
+          <?xml version="1.0" encoding="UTF-8"?>
+          <feed xmlns="http://www.w3.org/2005/Atom">
+            <title>bd.fhir.core</title>
+            <id>https://fhir.dghs.gov.bd/core/package-feed.xml</id>
+            <updated>$DATETIME</updated>
+          </feed>
+          EOF
+              fi
+
+              cat > update-feed.py << 'EOF'
+          import sys
+          import xml.etree.ElementTree as ET
+
+          version = sys.argv[1]
+          datetime_iso = sys.argv[2]
+
+          ET.register_namespace('', 'http://www.w3.org/2005/Atom')
+
+          tree = ET.parse('package-feed.xml')
+          root = tree.getroot()
+          ns = {'atom': 'http://www.w3.org/2005/Atom'}
+
+          updated_elem = root.find('atom:updated', ns)
+          if updated_elem is not None:
+              updated_elem.text = datetime_iso
+
+          entry_exists = False
+          for entry in root.findall('atom:entry', ns):
+              title = entry.find('atom:title', ns)
+              if title is not None and version in (title.text or ''):
+                  entry_exists = True
+                  entry_updated = entry.find('atom:updated', ns)
+                  if entry_updated is not None:
+                      entry_updated.text = datetime_iso
+                  break
+
+          if not entry_exists:
+              new_entry = ET.Element('{http://www.w3.org/2005/Atom}entry')
+
+              title = ET.SubElement(new_entry, '{http://www.w3.org/2005/Atom}title')
+              title.text = f"bd.fhir.core version {version}"
+
+              link = ET.SubElement(new_entry, '{http://www.w3.org/2005/Atom}link')
+              link.set('rel', 'alternate')
+              link.set('href', f"https://fhir.dghs.gov.bd/core/{version}/")
+
+              entry_id = ET.SubElement(new_entry, '{http://www.w3.org/2005/Atom}id')
+              entry_id.text = f"https://fhir.dghs.gov.bd/core/{version}/"
+
+              entry_updated = ET.SubElement(new_entry, '{http://www.w3.org/2005/Atom}updated')
+              entry_updated.text = datetime_iso
+
+              summary = ET.SubElement(new_entry, '{http://www.w3.org/2005/Atom}summary')
+              summary.text = f"Release {version} of Bangladesh Core FHIR Implementation Guide"
+
+              insert_pos = 0
+              for i, child in enumerate(root):
+                  if child.tag.endswith('entry'):
+                      insert_pos = i
+                      break
+                  insert_pos = i + 1
+
+              root.insert(insert_pos, new_entry)
+
+          tree.write('output/package-feed.xml', encoding='utf-8', xml_declaration=True)
+          print("✅ Updated package-feed.xml")
+          EOF
+
+              python3 update-feed.py "$VERSION" "$DATETIME"
+
+              cp package-list.json output/package-list.json
+
+              echo "📋 Updated registry files"
+
+      - name: Prepare deployment artifact
+        run: |
+          VERSION="${{ steps.version.outputs.version }}"
+          BUILD_TYPE="${{ steps.version.outputs.build_type }}"
+
+          tar -czf ig-output.tar.gz -C output .
+
+          echo "version=$VERSION" > deployment.env
+          echo "build_type=$BUILD_TYPE" >> deployment.env
+          echo "build_date=$(date -u +%Y-%m-%dT%H:%M:%SZ)" >> deployment.env
+
+          echo "📦 Output contents:"
+          ls -lh output/ | grep -E "(history\.html|package-list\.json|package-feed\.xml|index\.html)" || echo "Some files may be missing"
+
+          ls -lh ig-output.tar.gz
+
+      - name: Upload artifact
+        uses: actions/upload-artifact@v3
+        with:
+          name: ig-output
+          path: |
+            ig-output.tar.gz
+            deployment.env
+            package-list.json
+            package-feed.xml
+          retention-days: 30
+
+  deploy:
+    needs: build-ig
+    runs-on: ubuntu-latest
+    if: github.ref == 'refs/heads/main' || startsWith(github.ref, 'refs/tags/v')
+
+    steps:
+      - name: Download artifact
+        uses: actions/download-artifact@v3
+        with:
+          name: ig-output
+
+      - name: Load deployment env
+        id: deploy_info
+        run: |
+          source deployment.env
+          echo "version=$version" >> $GITHUB_OUTPUT
+          echo "build_type=$build_type" >> $GITHUB_OUTPUT
+          echo "build_date=$build_date" >> $GITHUB_OUTPUT
+
+          echo "Deploying version: $version"
+          echo "Build type: $build_type"
+
+      - name: Deploy to server
+        uses: appleboy/scp-action@v0.1.7
+        with:
+          host: ${{ secrets.DEPLOY_HOST }}
+          username: ${{ secrets.DEPLOY_USER }}
+          password: ${{ secrets.DEPLOY_PASSWORD }}
+          port: ${{ secrets.DEPLOY_PORT || 22 }}
+          source: "ig-output.tar.gz,deployment.env,package-list.json,package-feed.xml"
+          target: "/tmp/fhir-ig-deploy/"
+
+      - name: Execute deployment on server
+        uses: appleboy/ssh-action@v1.0.3
+        with:
+          host: ${{ secrets.DEPLOY_HOST }}
+          username: ${{ secrets.DEPLOY_USER }}
+          password: ${{ secrets.DEPLOY_PASSWORD }}
+          port: ${{ secrets.DEPLOY_PORT || 22 }}
+          script: |
+            set -e
+
+            source /tmp/fhir-ig-deploy/deployment.env
+
+            echo "=========================================="
+            echo "Deploying FHIR IG"
+            echo "Version: $version"
+            echo "Build Type: $build_type"
+            echo "Build Date: $build_date"
+            echo "=========================================="
+
+            VERSIONS_DIR="/opt/fhir-ig/versions"
+            mkdir -p "$VERSIONS_DIR"
+
+            if [ "$build_type" = "release" ]; then
+              TARGET_DIR="$VERSIONS_DIR/$version"
+              echo "📦 Deploying release version to: $TARGET_DIR"
+            else
+              TARGET_DIR="$VERSIONS_DIR/dev"
+              echo "🔧 Deploying dev build to: $TARGET_DIR"
+              mkdir -p "$TARGET_DIR"
+              echo "Cleaning old dev files..."
+              rm -rf "$TARGET_DIR"/*
+            fi
+
+            mkdir -p "$TARGET_DIR"
+
+            echo "Extracting IG output..."
+            tar -xzf /tmp/fhir-ig-deploy/ig-output.tar.gz -C "$TARGET_DIR"
+
+            if [ -f "$TARGET_DIR/history.html" ]; then
+              echo "✅ history.html deployed successfully"
+            else
+              echo "⚠️ WARNING: history.html not found in deployment"
+            fi
+
+            cp "$TARGET_DIR/package-list.json" "$VERSIONS_DIR/package-list.json"
+            cp "$TARGET_DIR/package-feed.xml" "$VERSIONS_DIR/package-feed.xml"
+
+            cp "$TARGET_DIR/package-list.json" "/opt/fhir-ig/package-list.json"
+            cp "$TARGET_DIR/package-feed.xml" "/opt/fhir-ig/package-feed.xml"
+
+            if [ "$build_type" = "release" ]; then
+              echo "Updating 'current' symlink to point to $version"
+              rm -f "$VERSIONS_DIR/current"
+              ln -sf "$version" "$VERSIONS_DIR/current"
+            fi
+
+            cd /opt/fhir-ig
+
+            if [ ! -f "docker-compose.prod.yml" ]; then
+              echo "ERROR: docker-compose.prod.yml not found!"
+              echo "Please deploy the updated docker-compose.prod.yml and nginx.conf first"
+              exit 1
+            fi
+
+            docker compose -f docker-compose.prod.yml up -d --force-recreate fhir-ig
+
+            rm -rf /tmp/fhir-ig-deploy
+
+            echo "=========================================="
+            echo "✅ Deployment completed successfully!"
+            echo "Version $version is now available at:"
+            if [ "$build_type" = "release" ]; then
+              echo "  - https://fhir.dghs.gov.bd/core/$version/"
+              echo "  - https://fhir.dghs.gov.bd/core/$version/history.html"
+              echo "  - https://fhir.dghs.gov.bd/core/ (current)"
+            else
+              echo "  - https://fhir.dghs.gov.bd/core/dev/"
+            fi
+            echo "=========================================="
+
+            echo "Available versions:"
+            ls -lh "$VERSIONS_DIR" | grep -v total

CHANGELOG.md

@@ -0,0 +1,23 @@
+# Changelog
+
+
+## [0.2.0] – 2025-10-02  
+**First official draft release of BD-Core-FHIR-IG**
+
+### Added
+- **BDPatientProfile** with Bangladesh-specific identifier and address extensions.  
+- **BDPractitionerProfile** to capture practitioner details.  
+- **Identifier CodeSystem and ValueSet** including:  
+  - National ID (NID)  
+  - Birth Registration Number (BRN)  
+  - Unique Health ID (UHID)   
+- **Bangladesh Address profile** with Division, District, Upazila, and Union levels.  
+- Initial **examples** for Patient and Practitioner resources.  
+- Configured **bd.fhir.core.xml** with canonical URL `https://fhir.dghs.gov.bd/core`.  
+
+### Notes
+- This is a **pre-release draft**.  
+- Backward compatibility is **not guaranteed** until `1.0.0`.  
+- Future drafts may adjust slicing rules, bindings, and extensions.
+
+---

README.md

@@ -1,14 +1,39 @@
-# sample-ig
+# Bangladesh Core FHIR Implementation Guide (BD-Core-FHIR-IG)
-A sample, template-driven implementation guide that provides a starting environment to use a base for defining new IGs
 
+The **Bangladesh Core FHIR Implementation Guide (IG)** defines the national baseline for health data exchange in Bangladesh.  
+It ensures that health information systems can share and understand data consistently, supporting the goals of the **Bangladesh Digital Health Blueprint**.
 
-See https://build.fhir.org/ig/FHIR/sample-ig/
+👉 Published IG: [https://fhir.dghs.gov.bd](https://fhir.dghs.gov.bd)
 
+---
 
-## FHIR Foundation Project Statement
+## Purpose
 
-* Maintainers: Grahame Grieve / Lloyd Mckenzie
+- Provide a **national reference** for stakeholders building digital health solutions.  
-* Issues / Discussion: Use github issues
+- Ensure alignment with **international FHIR standards**, making future **cross-border health information exchange** possible.  
-* License: Creative Commons Public Domain
+- Promote **patient-centered data exchange**, reducing duplication and improving continuity of care.  
-* Contribution Policy: Make PRs. PRs have to build ok with the latest IG Publisher
+
-* Security Information: There should be no security issues here - it's all static content. Can report issues with the standard github repotring method 
+---
+
+## Using This IG
+
+- **For Health System Developers:**  
+  Use the defined **profiles, value sets, and code systems** in this IG when designing or integrating digital health applications. This ensures interoperability with other systems in Bangladesh and beyond.  
+
+- **For Policymakers and Implementers:**  
+  Treat this IG as the **standard reference** for system requirements, data flows, and exchange formats when planning or evaluating digital health projects.  
+
+- **For Vendors and Partners:**  
+  Align your solutions with this IG to ensure **compliance with national standards** and **seamless integration** with Bangladesh’s digital health ecosystem.  
+
+---
+
+## Contributions
+
+Feedback and contributions are welcome. Issues can be raised through this repository to suggest improvements or alignments.  
+
+---
+
+## License
+
+This project is released under the [Creative Commons Public Domain License](https://creativecommons.org/publicdomain/).

bd-national-template/includes/template-page-md.html

@@ -7,7 +7,7 @@ h5:before{color:silver;counter-increment:detail;content:var(--heading-prefix) ".
 h6:before{color:silver;counter-increment:more-detail;content:var(--heading-prefix) "." counter(sub-section) "." counter(composite) "." counter(detail) "." counter(more-detail)" ";}
 </style>
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   <h2>{{site.data.pages[page.path].title | escape_once}}</h2>
   {% assign path = page.path | split: '.html' %}
 

bd-national-template/includes/template-page.html

@@ -7,7 +7,7 @@ h5:before{color:silver;counter-increment:detail;content:var(--heading-prefix) ".
 h6:before{color:silver;counter-increment:more-detail;content:var(--heading-prefix) "." counter(sub-section) "." counter(composite) "." counter(detail) "." counter(more-detail)" ";}
 </style>
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   <h2>{{site.data.pages[page.path].title | escape_once}}</h2>
   {% if page.path == 'index.html' %}
   {% include fragment-igTable.html %}

bd-national-template/layouts/layout-canonical-testing.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='testing' %}
   <a name="root"> </a>
   <h2 id="root">{{[type]}}: {{site.data.pages[page.path].title | escape_once}}

bd-national-template/layouts/layout-canonical.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
   <a name="root"> </a>
 

bd-national-template/layouts/layout-changehistory.html

@@ -7,7 +7,7 @@
 {% include fragment-pagebegin.html %}
 
 <div style="counter-reset: section 10" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='history' %}
 
   <a name="root"> </a>

bd-national-template/layouts/layout-codesystem.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
   <a name="root"> </a>
   <h2 id="root">CodeSystem: {{site.data.pages[page.path].title | escape_once}}

bd-national-template/layouts/layout-examplescenario.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
   <a name="root"> </a>
 

bd-national-template/layouts/layout-ext.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
   <a name="root"> </a>
   <h2 id="root">Extension: {{site.data.pages[page.path].title | escape_once}}

bd-national-template/layouts/layout-instance-base.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
 
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
 

bd-national-template/layouts/layout-instance-format.html

@@ -11,7 +11,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section {{section}}" class="col-12">
-<p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+<p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
 {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='{{[fmt]}}' %}
 
 <a name="root"> </a>

bd-national-template/layouts/layout-profile-definitions.html

@@ -5,7 +5,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section 4" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='definition' %}
 
 <a name="root"> </a>

bd-national-template/layouts/layout-profile-examples.html

@@ -5,7 +5,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section 6" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='example' %}
 
   <a name="root"> </a>

bd-national-template/layouts/layout-profile-format.html

@@ -15,7 +15,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section {{section}}" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active=format %}
 
 <a name="root"> </a>

bd-national-template/layouts/layout-profile-history.html

@@ -6,7 +6,7 @@
 {% include fragment-pagebegin.html %}
 
 <div style="counter-reset: section 10" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='history' %}
 
   <a name="root"> </a>

bd-national-template/layouts/layout-profile-mappings.html

@@ -5,7 +5,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section 5" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='mapping' %}
 
 <a name="root"> </a>

bd-national-template/layouts/layout-profile-testing.html

@@ -5,7 +5,7 @@
 
 {% include fragment-pagebegin.html %}
 <div style="counter-reset: section 6" class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='testing' %}
 
   <a name="root"> </a>

bd-national-template/layouts/layout-profile.html

@@ -5,7 +5,7 @@
 
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-profile-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
 
   <a name="root"> </a>

bd-national-template/layouts/layout-valueset.html

@@ -2,7 +2,7 @@
 ---
 {% include fragment-pagebegin.html %}
 <div class="col-12">
-  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare (v0.2.0). See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
+  <p id="publish-box">Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the <a href="https://fhir.dghs.gov.bd/core/history.html">Directory of published versions</a></p>
   {% include fragment-base-navtabs.html type='{{[type]}}' id='{{[id]}}' active='content' %}
   <a name="root"> </a>
   <h2 id="root">ValueSet: {{site.data.pages[page.path].title | escape_once}}

ig.ini

@@ -1,14 +1,12 @@
 [IG]
 # ini file for the Implementation Guide publisher
 # see comments below for instructions
-
+ig = input/bd.fhir.core.xml
-ig = input/myig.xml
 #template = fhir.base.template#current
 template = #bd-national-template
 #template = D:\Git\templates\ig-template-base
 #template = #local-template
-
+historypage = true
-
 
 ##########################
 ### ig.ini parameters: ###
@@ -48,5 +46,3 @@ examples:
 
 #   for more documentation on implementation guides and templates, see the FHIR Guidance ImplementationGuide 
 #   http://build.fhir.org/ig/FHIR/ig-guidance
-
-

input/bd.fhir.core.xml

@@ -13,7 +13,7 @@
   </extension>-->
   <url value="https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"/>
   <!-- This version will propagate to all artifacts unless the "propagate-version" extension is overridden -->
-  <version value="0.2.0"/>
+  <version value="0.4.1"/>
   <name value="BangladeshCoreFHIRIG"/>
   <title value="Bangladesh Core FHIR Implementation Guide"/>
   <status value="active"/>
@@ -57,91 +57,8 @@
       <reference>
         <reference value="StructureDefinition/bd-patient"/>
       </reference>
-      <description value="Overriding description because we can"/>
+      <description value="Banlgladesh Patient Profile"/>
     </resource>
-    <resource>
-      <reference>
-        <reference value="StructureDefinition/bd-logical"/>
-      </reference>
-      <description value="Logical Model"/>
-    </resource>
-    <resource>
-      <reference>
-        <reference value="Library/example-sql"/>
-      </reference>
-      <description value="A test example"/>
-    </resource>
-    <resource>
-      <reference>
-        <reference value="Library/example-image"/>
-      </reference>
-      <description value="A test image example"/>
-    </resource>
-<!--<resource>
-<reference>
-<reference value="bd-logicalModel/AS"/>
-</reference>
-</resource> -->
-    <resource>
-      <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-example-actor">
-        <valueCanonical value="https://fhir.dghs.gov.bd/core/ActorDefinition/example"/>
-      </extension>
-      <reference>
-        <reference value="Patient/example"/>
-      </reference>
-      <name value="Simple patient example"/>
-      <description value="A simple example showing how examples are defined and referenced"/>
-      <exampleCanonical value="https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient"/>
-    </resource>
-    <resource>
-      <reference>
-        <reference value="Observation/example"/>
-      </reference>
-      <name value="Observation patient example"/>
-      <description value="Example showing slicing"/>
-      <exampleCanonical value="https://fhir.dghs.gov.bd/core/StructureDefinition/bd-observation"/>
-    </resource>
-    <resource>
-      <reference>
-        <reference value="Binary/example"/>
-      </reference>
-      <name value="Example binary"/>
-      <description value="Example showing binary content"/>
-    </resource>
-    <resource>
-      <extension url="http://hl7.org/fhir/StructureDefinition/implementationguide-resource-format">
-        <valueCode value="application/xml"/>
-      </extension>
-      <reference>
-        <reference value="Binary/logical-example"/>
-      </reference>
-      <name value="Example of Logical Model"/>
-      <description value="Example showing example content for a logical model"/>
-      <exampleCanonical value="https://fhir.dghs.gov.bd/core/StructureDefinition/bd-logical"/>
-    </resource>    
-    <resource>
-      <extension url="http://hl7.org/fhir/StructureDefinition/implementationguide-resource-format">
-        <valueCode value="image/jpeg"/>
-      </extension>
-      <reference>
-        <reference value="Binary/image-example"/>
-      </reference>
-      <name value="Example of Binary Image"/>
-      <description value="Example showing example content for an image"/>
-    </resource>    
-    <resource>
-      <reference>
-        <reference value="ValueSet/valueset-no-codesystem"/>
-      </reference>
-      <name value="Value set for no code system"/>
-    </resource>
-<!--    <resource>
-      <reference>
-        <reference value="Library/example"/>
-      </reference>
-      <name value="Simple library example"/>
-      <description value="A simple example showing how library is pre-loaded"/>
-    </resource> -->
     <page>
       <!-- The root will always be toc.html - the template will force it if you don't do it -->
       <nameUrl value="toc.html"/>
@@ -161,9 +78,6 @@
         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
           <valueCode value="trial-use"/>
         </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="3"/> 
-        </extension>
         <nameUrl value="spec.html"/>
         <title value="Detailed BD-Core-FHIR Specification"/>
         <generation value="markdown"/>
@@ -188,6 +102,11 @@
         <title value="IG Change History"/>
         <generation value="html"/>
       </page>
+      <page>
+        <nameUrl value="history.html"/>
+        <title value="Version History"/>
+        <generation value="html"/>
+      </page>
     </page>
     <!-- copyright year is a mandatory parameter -->
     <parameter>
@@ -197,7 +116,7 @@
     <!-- releaselabel should be the ballot status for HL7-published IGs. -->
     <parameter>
       <code value="releaselabel"/>
-      <value value="Published by MoHFW"/>
+      <value value="Published by DGHS, MoHFW"/>
     </parameter>
     <parameter>
       <code value="find-other-resources"/>
@@ -236,10 +155,6 @@
       <code value="excludemap"/>
       <value value="true"/>
     </parameter>-->
-    <parameter>
-      <code value="showsource"/>
-      <value value="true"/>
-    </parameter>
     <parameter>
       <code value="i18n-default-lang"/>
       <value value="en"/>
@@ -260,9 +175,5 @@
       <code value="translation-sources"/>
       <value value="input/translations-fr"/>
     </parameter>
-    <parameter>
-      <code value="fcp-approved-specification"/>
-      <value value="false"/>
-    </parameter>
   </definition>
 </ImplementationGuide>

input/cql/cql-options.json

@@ -1,17 +0,0 @@
-{
-   "options":[
-      "EnableAnnotations",
-      "EnableLocators",
-      "DisableListDemotion",
-      "DisableListPromotion"
-
-],
-   "formats":[
-     "XML",
-     "JSON"
-   ],
-   "validateUnits":true,
-   "verifyOnly":false,
-   "errorLevel":"Info",
-   "signatureLevel":"None"
-}

input/cql/example.cql

@@ -1,45 +0,0 @@
-library example version '1.0.0'
-
-using FHIR version '4.0.1'
-
-include fhir.cqf.common.FHIRHelpers version '4.0.1'
-
-codesystem "Observation Category Codes": 'http://terminology.hl7.org/CodeSystem/observation-category'
-
-valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
-valueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
-valueset "Telephone Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1082'
-valueset "Telephone Management": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1053'
-
-valueset "COVID-19 Screening Result": 'TBD'
-
-code "Laboratory Observation Category": 'laboratory' from "Observation Category Codes"
-
-parameter "Measurement Period" Interval<DateTime>
-
-context Patient
-
-define "Inpatient, Emergency, or Telephone Evaluation or Management Encounter":
-  (
-    [Encounter: "Encounter Inpatient"]
-      union [Encounter: "Emergency Department Visit"]
-      union [Encounter: "Telephone Evaluation"]
-      union [Encounter: "Telephone Management"]
-  ) Encounter
-    where Encounter.status = 'finished'
-      and Encounter.period during "Measurement Period"
-
-define "Initial Population":
-  exists ("Inpatient, Emergency, or Telephone Evaluation or Management Encounter")
-
-define "Denominator":
-  true
-
-define "COVID-19 Communicable Disease Screening":
-  [Observation: "COVID-19 Screening Result"] Result
-    where exists (Result.category C where C ~ "Laboratory Observation Category")
-      and Result.status in { 'final', 'amended', 'corrected' }
-      and Result.effective during "Measurement Period"
-
-define "Numerator":
-  exists ("COVID-19 Communicable Disease Screening")

input/cql/notincluded.cql

@@ -1,3 +0,0 @@
-library notincluded
-
-// Example library that doesn't get included, so results in a missed warning

input/examples/Binary-example.json

@@ -1,5 +0,0 @@
-{
-  "resourceType" : "Binary",  
-  "id" : "example",
-  "data" : "ig-loader-example.pdf"
-}

input/examples/Binary-logical-example.xml

@@ -1,4 +0,0 @@
-<MyLogical xmlns="http://example.org/logical">
-  <element1 value="1"/>
-  <element2 value="This is a string">Text</element2>
-</MyLogical>

input/examples/Library-example.json

@@ -1,26 +0,0 @@
-{
-  "resourceType" : "Library",
-  "id": "example",
-  "url" : "http://somewhere.org/fhir/uv/myig/Library/example",
-  "version" : "1.0.0",
-  "name": "Example",
-  "title": "Example CQL Library",
-  "status" : "draft",
-  "experimental": true,
-  "description": "Some example library",
-  "type" : {
-    "coding" : [{
-      "system" : "http://terminology.hl7.org/CodeSystem/library-type",
-      "code" : "logic-library"
-    }]
-  },
-  "subjectCodeableConcept": {
-    "coding": [{
-      "system": "http://hl7.org/fhir/resource-types",
-      "code": "Patient"
-    }]
-  },
-  "content" : [{
-    "id" : "ig-loader-example.cql"
-  }]
-}

input/examples/Observation-example.xml

@@ -1,69 +0,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<!-- 
-
-test comment for display
-
--->
-
-<Observation xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../input-cache/schemas/R4/fhir-single.xsd">
-  <id value="example"/>
-  <meta>
-    <profile value="http://somewhere.org/fhir/uv/myig/StructureDefinition/myObservation"/>
-  </meta>
-  <status value="final"/>
-  <subject>
-    <reference value="http://somewhere.else.org/pas/server/Patient/example"/>
-  </subject>
-  <code>
-    <coding>
-      <system value="http://somewhere.org/fhir/uv/myig/CodeSystem/cs-fake"/>
-      <code value="01"/>
-      <display value="CS1"/>
-    </coding>
-    <coding>
-      <system value="http://somewhere.org/fhir/uv/myig/CodeSystem/cs-fake"/>
-      <code value="01"/>
-      <display value="CS2"/>
-    </coding>
-    <coding>
-      <system value="http://somewhere.org/fhir/uv/myig/CodeSystem/cs-fake"/>
-      <code value="01"/>
-      <display value="VS1"/>
-    </coding>
-    <coding>
-      <system value="http://loinc.org"/>
-      <code value="85354-9"/>
-    </coding>
-    <coding>
-      <system value="http://somewhere.org/fhir/uv/myig/CodeSystem/cs-fake"/>
-      <code value="01"/>
-      <display value="VS2"/>
-    </coding>
-  </code>
-  <component>
-    <code>
-      <coding>
-        <system value="http://loinc.org"/>
-        <code value="8480-6"/>
-      </coding>
-    </code>
-    <valueQuantity>
-      <value value="1"/>
-      <system value="http://unitsofmeasure.org"/>
-      <code value="mm[Hg]"/>
-    </valueQuantity>
-  </component>
-  <component>
-    <code>
-      <coding>
-        <system value="http://loinc.org"/>
-        <code value="8462-4"/>
-      </coding>
-    </code>
-    <valueQuantity>
-      <value value="1"/>
-      <system value="http://unitsofmeasure.org"/>
-      <code value="mm[Hg]"/>
-    </valueQuantity>
-  </component>
-</Observation>

input/examples/Patient-example.xml

@@ -1,45 +0,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<!-- 
-
-test comment for display
-
--->
-
-<Patient xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../input-cache/schemas/R4/fhir-single.xsd">
-  <id value="example"/>
-  <meta>
-    <profile value="http://somewhere.org/fhir/uv/myig/StructureDefinition/mypatient"/>
-  </meta>
-  <extension url="http://somewhere.org/fhir/uv/myig/StructureDefinition/ext-myExtension">
-    <valueBoolean value="false"/>
-  </extension>
-  <name>
-    <use value="usual"/>
-    <family value="Smith"/>
-    <given value="Jack"/>
-  </name>
-  <name>
-    <use value="official"/>
-    <family value="Smith"/>
-    <given value="John"/>
-    <given value="Jacob"/>
-    <given value="Jingleheimer"/>
-    <period>
-      <end value="2001-01-01"/>
-    </period>
-  </name>
-  <name>
-    <use value="official"/>
-    <family value="Smith"/>
-    <given value="John"/>
-    <given value="Jacob"/>
-    <given value="Jingleheimer"/>
-    <period>
-      <start value="2001-01-01"/>
-    </period>    
-  </name>
-  <birthDate value="2018-09-07"/>
-  <maritalStatus>
-    <text value="Married"/>
-  </maritalStatus>
-</Patient>

input/fsh/codeSystems/BBImmunizationReactionCS.fsh

@@ -0,0 +1,22 @@
+CodeSystem: BDImmunizationReactionCS
+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
+* ^caseSensitive = true
+* ^experimental = false
+* ^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."

input/fsh/codeSystems/BDBloodGroupCS.fsh

@@ -6,6 +6,8 @@ Id: bd-blood-groups
 Title: "Bangladesh Blood Group CodeSystem"
 Description: "Blood group codes according to CCDS guideline"
 * ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-blood-groups"
+* ^caseSensitive = true
+* ^experimental = false
 * ^content = #complete
 * #1 "O Positive"
 * #2 "O Negative"
@@ -20,7 +22,7 @@ Description: "Blood group codes according to CCDS guideline"
 // ValueSet for BD Blood Groups
 // ---------------------------
 ValueSet: BDBloodGroupVS
-Id: bd-blood-group-vs
+Id: bd-blood-group-valueset
 Title: "Bangladesh Blood Group ValueSet"
 Description: "Blood group value set according to CCDS guideline"
 * include codes from system BDBloodGroupCS

input/fsh/codeSystems/BDCountryListCS.fsh

@@ -0,0 +1,203 @@
+CodeSystem: BDCountryListCS 
+Id: bd-country-list
+Title: "Nationality List"
+* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-country-list"
+* ^caseSensitive = true
+* ^experimental = false
+
+* #4 "Afghan"
+* #8 "Albanian"
+* #12 "Algerian"
+* #840 "American"
+* #20 "Andorran"
+* #24 "Angolan"
+* #28 "Antiguans"
+* #32 "Argentine"
+* #51 "Armenian"
+* #36 "Australian"
+* #40 "Austrian"
+* #31 "Azerbaijani"
+* #44 "Bahamian"
+* #48 "Bahraini"
+* #50 "Bangladeshi"
+* #52 "Barbadian"
+* #112 "Belarusian"
+* #56 "Belgian"
+* #84 "Belizean"
+* #204 "Beninese"
+* #64 "Bhutanese"
+* #68 "Bolivian"
+* #70 "Bosnian"
+* #76 "Brazilian"
+* #826 "British (collective)"
+* #96 "Bruneian"
+* #100 "Bulgarian"
+* #854 "Burkinabe"
+* #108 "Burundian"
+* #116 "Cambodian"
+* #120 "Cameroonian"
+* #124 "Canadian"
+* #140 "Central African"
+* #152 "Chilean"
+* #156 "Chinese"
+* #170 "Colombian"
+* #174 "Comoran"
+* #180 "Congolese"
+* #178 "Congolese"
+* #188 "Costa Rican"
+* #191 "Croatian"
+* #192 "Cuban"
+* #196 "Cypriot"
+* #203 "Czech"
+* #208 "Danish"
+* #262 "Djibouti"
+* #212 "Dominican"
+* #214 "Dominican"
+* #528 "Dutch"
+* #218 "Ecuadorean"
+* #818 "Egyptian"
+* #784 "Emirian"
+* #226 "Equatorial Guinean"
+* #232 "Eritrean"
+* #233 "Estonian"
+* #231 "Ethiopian"
+* #242 "Fijian"
+* #608 "Filipino"
+* #246 "Finnish"
+* #250 "French"
+* #266 "Gabonese"
+* #270 "Gambian"
+* #268 "Georgian"
+* #276 "German"
+* #288 "Ghanaian"
+* #300 "Greek"
+* #308 "Grenadian"
+* #320 "Guatemalan"
+* #624 "Guinea-Bissauan"
+* #324 "Guinean"
+* #328 "Guyanese"
+* #332 "Haitian"
+* #340 "Honduran"
+* #348 "Hungarian"
+* #296 "I-Kiribati"
+* #352 "Icelander"
+* #356 "Indian"
+* #360 "Indonesian"
+* #364 "Iranian"
+* #368 "Iraqi"
+* #372 "Irish"
+* #380 "Italian"
+* #384 "Ivorian"
+* #388 "Jamaican"
+* #392 "Japanese"
+* #400 "Jordanian"
+* #398 "Kazakhstani"
+* #404 "Kenyan"
+* #659 "Kittian and Nevisian"
+* #414 "Kuwaiti"
+* #417 "Kyrgyz"
+* #418 "Lao"
+* #428 "Latvian"
+* #422 "Lebanese"
+* #430 "Liberian"
+* #434 "Libyan"
+* #438 "Liechtensteiner"
+* #440 "Lithuanian"
+* #442 "Luxembourger"
+* #807 "Macedonian"
+* #450 "Malagasy"
+* #454 "Malawian"
+* #458 "Malaysian"
+* #462 "Maldivan"
+* #466 "Malian"
+* #470 "Maltese"
+* #584 "Marshallese"
+* #478 "Mauritanian"
+* #480 "Mauritian"
+* #484 "Mexican"
+* #583 "Micronesian"
+* #498 "Moldovan"
+* #492 "Monegasque"
+* #496 "Mongolian"
+* #504 "Moroccan"
+* #426 "Mosotho"
+* #72 "Motswana"
+* #508 "Mozambican"
+* #104 "Myanmarese"
+* #516 "Namibian"
+* #520 "Nauruan"
+* #524 "Nepalese"
+* #554 "New Zealander"
+* #548 "Ni-Vanuatu"
+* #558 "Nicaraguan"
+* #566 "Nigerian"
+* #562 "Nigerien"
+* #408 "North Korean"
+* #578 "Norwegian"
+* #512 "Omani"
+* #586 "Pakistani"
+* #585 "Palauan"
+* #591 "Panamanian"
+* #598 "Papua New Guinean"
+* #600 "Paraguayan"
+* #604 "Peruvian"
+* #616 "Polish"
+* #620 "Portuguese"
+* #634 "Qatari"
+* #642 "Romanian"
+* #643 "Russian"
+* #646 "Rwandan"
+* #662 "Saint Lucian"
+* #222 "Salvadoran"
+* #674 "Sammarinese"
+* #882 "Samoan"
+* #678 "Sao Tomean"
+* #682 "Saudi"
+* #686 "Senegalese"
+* #891 "Serbian"
+* #690 "Seychellois"
+* #694 "Sierra Leonean"
+* #702 "Singaporean"
+* #703 "Slovak"
+* #705 "Slovene"
+* #90 "Solomon Islander"
+* #706 "Somali"
+* #710 "South African"
+* #410 "South Korean"
+* #724 "Spanish"
+* #144 "Sri Lankan"
+* #736 "Sudanese"
+* #740 "Surinamer"
+* #748 "Swazi"
+* #752 "Swedish"
+* #756 "Swiss"
+* #760 "Syrian"
+* #158 "Taiwanese"
+* #762 "Tajik"
+* #834 "Tanzanian"
+* #764 "Thai"
+* #768 "Togolese"
+* #776 "Tongan"
+* #780 "Trinidadian"
+* #788 "Tunisian"
+* #792 "Turkish"
+* #795 "Turkmen(s)"
+* #798 "Tuvaluan"
+* #800 "Ugandan"
+* #804 "Ukrainian"
+* #858 "Uruguayan"
+* #860 "Uzbek"
+* #862 "Venezuelan"
+* #132 "Verdian"
+* #704 "Vietnamese"
+* #887 "Yemeni"
+* #894 "Zambian"
+* #716 "Zimbabwean"
+
+
+ValueSet: BDCountryListVS 
+Id: bd-country-list-valueset
+Title: "Nationality ValueSet"
+Description: "Nationality value set"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-country-list-valueset"
+* include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-country-list

input/fsh/codeSystems/BDDGDADrugCS.fsh

@@ -0,0 +1,33 @@
+CodeSystem: BDDGDADrugCS
+Id: dgda-drug-registry
+Title: "DGDA Drug Registry Code System"
+Description: """
+Code system representing the Drug Registration Authority (DGDA) of Bangladesh's
+official drug registry. Concepts are maintained in the national OCL terminology
+server at https://tr.ocl.dghs.gov.bd and are not enumerated within this
+Implementation Guide.
+
+This code system contains two concept classes:
+- **Drug**: Finished pharmaceutical drug products (identified by DAR number and trade name)
+- **Ingredient**: Raw material / active pharmaceutical ingredients
+
+Concept IDs follow the format: {DAR-number}--{trade-name-slug}
+Example: 353-0026-039--marvelous-fe
+
+**Canonical URL note:** https://dgda.gov.bd/drug-registry is a logical identifier
+only and does not resolve to a web endpoint.
+"""
+
+* ^url = "https://dgda.gov.bd/drug-registry"
+* ^version = "v1.0.0"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "Directorate General of Drug Administration (DGDA), Government of Bangladesh"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^content = #not-present
+* ^count = 39196
+* ^caseSensitive = true
+* ^valueSet = "https://dgda.gov.bd/fhir/ValueSet/registered-drugs"

input/fsh/codeSystems/BDGeoCodesCS.fsh

@@ -1,8 +1,10 @@
 CodeSystem: BDGeoCodesCS
-Id: bd-geocodes-cs
+Id: bd-geocodes
-Title: "Bangladesh Address Codes"
+Title: "Bangladesh GeoCodes CodeSystem"
-Description: "Bangladesh Address Codes"
+Description: "Bangladesh GeoCodes"
 * ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes"
+* ^caseSensitive = true
+* ^experimental = false
 // DIvisions
 * #30 "Dhaka"
 * #20 "Chattogram"
@@ -1601,10 +1603,10 @@ Description: "Bangladesh Address Codes"
 * #4589009077 "Sreebardi Pourasabha"
 
 ValueSet: BDDivisionsVS
-Id: bd-division-code-vs
+Id: bd-division-code-valueset
 Title: "Bangladesh Division ValueSet"
 Description: "Bangladesh Division Codes (only two-digit codes)"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-divisions"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-division-code-valueset"
 
 // include only codes that are exactly 2 digits
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes
@@ -1612,10 +1614,10 @@ Description: "Bangladesh Division Codes (only two-digit codes)"
 
 
 ValueSet: BDDistrictsVS
-Id: bd-district-code-vs
+Id: bd-district-code-valueset
 Title: "Bangladesh district ValueSet"
 Description: "Bangladesh district Codes (only two-digit codes)"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-districts"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-district-code-valueset"
 
 // include only codes that are exactly 4 digits
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes
@@ -1623,10 +1625,10 @@ Description: "Bangladesh district Codes (only two-digit codes)"
 
 
 ValueSet: BDCityCorporationsVS
-Id: bd-city-corporations-code-vs
+Id: bd-city-corporation-code-valueset
 Title: "Bangladesh City Corperation ValueSet"
 Description: "Bangladesh City Corperation Codes (only two-digit codes)"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-city-corporations"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-city-corporation-code-valueset"
 
 // include only codes that are exactly 6 digits
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes
@@ -1634,20 +1636,20 @@ Description: "Bangladesh City Corperation Codes (only two-digit codes)"
 
 
 ValueSet: BDUpazillasVS
-Id: bd-upazillas-code-vs
+Id: bd-upazilla-code-valueset
 Title: "Bangladesh Upazila ValueSet"
 Description: "Bangladesh Upazila Codes (only two-digit codes)"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-upazillas"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-upazilla-code-valueset"
 
 // include only codes that are exactly 8 digits
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes
     where code regex "^[0-9]{8}$"
 
 ValueSet: BDMunicipalitiesVS
-Id: bd-municipalities-code-vs
+Id: bd-municipalities-code-valueset
 Title: "Bangladesh Municipalities ValueSet"
 Description: "Bangladesh Municipalities Codes (only two-digit codes)"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-municipalities"
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-municipalities-code-valueset"
 
 // include only codes that are exactly 10 digits
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes

input/fsh/codeSystems/BDIdentifierType.fsh

@@ -0,0 +1,24 @@
+//// this code systems for Identifier types
+
+CodeSystem: BangladeshIdentifierType
+Id: bd-identifier-type
+Title: "Bangladesh Identifier Types"
+Description: "Codes identifying the type of identifiers used in Bangladesh."
+* ^url =  "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
+* ^caseSensitive = true
+* ^experimental = false
+
+* #NID "National ID"
+* #BRN "Birth Registration Number"
+* #UHID "Unique Health ID"
+
+
+ValueSet: BangladeshIdentifierTypeVS
+Id: bd-identifier-type-valueset
+Title: "Bangladesh Identifier Type"
+Description: "Bangladesh Standard Identifier type"
+* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type-valueset"
+// * include codes from valueset http://hl7.org/fhir/ValueSet/identifier-type /// use name or uri
+* include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
+
+////////////// end identifier types

input/fsh/codeSystems/BDImmunizationSiteCS.fsh

@@ -0,0 +1,20 @@
+CodeSystem: BDImmunizationSiteCS
+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
+* ^caseSensitive = true
+* ^experimental = false
+* ^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)."

input/fsh/codeSystems/BDMedicationCS.fsh

@@ -0,0 +1,24 @@
+CodeSystem: BDMedicationCS
+Id: bd-medication-code
+Title: "Bangladesh Medication Codes"
+Description: "Bangladesh Medication Codes"
+* ^url = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-medication-code"
+* ^caseSensitive = true
+* ^experimental = false
+// 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-valueset
+Title: "Bangladesh Medication ValueSet"
+Description: "Bangladesh Medication ValueSet"
+* include codes from system BDMedicationCS

input/fsh/codeSystems/BDMedicationForm.fsh

@@ -0,0 +1,40 @@
+// ---------------------------
+// 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-valueset
+// 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-valueset"

input/fsh/codeSystems/BDOccupationsCS.fsh

@@ -1,6 +1,7 @@
-CodeSystem: bd-occupations
+CodeSystem: BDOccupationsCS
-Id: bangladesh-occupations-cs
+Id: bd-occupations
 Title: "Bangladesh Occupations"
+Description: "Occupations code system according to CCDS guideline"
 * ^url =  "https://fhir.dghs.gov.bd/core/CodeSystem/bd-occupations"
 
 * #1 "Physical Scientists & Related Technicians" "ভৌত বিজ্ঞানী ও এতদসংক্রান্ত টেকনিশিয়ান"
@@ -75,9 +76,9 @@ Title: "Bangladesh Occupations"
 * #91 "Paper and Paperboard Products Workers" "কাগজ ও কাগজের বোর্ড প্রস্তুতকারী"
 * #92 "Printers and Related Workers" "মুদ্রণকাজ"
 
-ValueSet: bd-occupations
+ValueSet: BDOccupationsVS 
-Id: bd-occupations-vs
+Id: bd-occupations-valueset
 Title: "Bangladesh Occupations ValueSet"
 Description: "Occupations value set according to CCDS guideline"
-* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-occupations"
+* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-occupations-valueset"
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-occupations

input/fsh/codeSystems/BDReligionsCS.fsh

@@ -1,6 +1,6 @@
 //codeSystems/bd-regions.fsh
-CodeSystem: bd-religions
+CodeSystem: BDReligionsCS
-Id: bangladesh-religions-cs
+Id: bd-religions
 Title: "Bangladesh Religions"
 * ^url =  "https://fhir.dghs.gov.bd/core/CodeSystem/bd-religions"
 
@@ -12,9 +12,9 @@ Title: "Bangladesh Religions"
 * #9 "Not a believer" "Identifies as not having a religion"
 * #0 "Other (specify)" "Other religion (to be specified in free text)"
 
-ValueSet: bd-religions
+ValueSet: BDReligionsVS 
-Id: bd-religions-vs
+Id: bd-religions-valueset
 Title: "Bangladesh Religions ValueSet"
 Description: "Religions value set according to CCDS guideline"
-* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-religions"
+* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-religions-valueset"
 * include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-religions

input/fsh/codeSystems/BDVaccineCodesCS.fsh

@@ -0,0 +1,30 @@
+CodeSystem: BDVaccineCS
+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
+* ^caseSensitive = true
+* ^experimental = false
+* ^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)."

input/fsh/codeSystems/ICD11MMSCS.fsh

@@ -0,0 +1,47 @@
+// ============================================================
+// CodeSystem-icd11-mms.fsh
+// ICD-11 Mortality and Morbidity Statistics (MMS) — stub only
+// Content is hosted externally; canonical authority is WHO.
+// Runtime resolution via OCL: https://tr.ocl.dghs.gov.bd
+// ============================================================
+
+CodeSystem: ICD11MMSCS
+Id: icd11-mms
+Title: "ICD-11 Mortality and Morbidity Statistics (MMS)"
+Description: """
+WHO ICD-11 Mortality and Morbidity Statistics linearization.
+Canonical system URI: http://id.who.int/icd/release/11/mms
+
+This CodeSystem is declared as a stub (content = #not-present).
+The authoritative content is maintained by the World Health Organization.
+In Bangladesh, runtime code validation and lookup are delegated to the
+national OCL terminology server at https://tr.ocl.dghs.gov.bd.
+
+Supported operations (use system= parameter, not url=):
+  - $validate-code: https://tr.ocl.dghs.gov.bd/api/fhir/CodeSystem/$validate-code?system=http://id.who.int/icd/release/11/mms&code={code}
+  - $lookup:        https://tr.ocl.dghs.gov.bd/api/fhir/CodeSystem/$lookup?system=http://id.who.int/icd/release/11/mms&code={code}
+
+$expand is not supported — known OCL limitation. Expansion must not be
+attempted at build time or by IG Publisher.
+
+Preferred code form: short stem codes (e.g. 1A00, NC72.Z).
+Linearization URIs are not used as code identifiers in this IG.
+
+Version 2025-01 is imported into OCL with 36,941 concepts across
+the following concept classes: Diagnosis, Finding, Substance, Organism,
+Device, Anatomy, Misc.
+"""
+
+* ^url = "http://id.who.int/icd/release/11/mms"
+* ^version = "2025-01"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "World Health Organization (WHO)"
+* ^contact.name = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^copyright = "ICD-11 is copyright © World Health Organization. Used under licence."
+* ^content = #not-present
+* ^count = 36941
+* ^caseSensitive = true

input/fsh/codeSystems/ImmunizationRoute.fsh

@@ -0,0 +1,20 @@
+CodeSystem: BDImmunizationRouteCS
+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
+* ^caseSensitive = true
+* ^experimental = false
+* ^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."

input/fsh/codeSystems/codeSystem.fsh

@@ -1,20 +0,0 @@
-//// this code systems for Identifier types
-
-CodeSystem: BangladeshIdentifierType
-Id: bangladesh-identifier-type-cs
-Title: "Bangladesh Identifier Types"
-* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type"
-
-* #TYPE_NID "National ID"
-* #TYPE_BRN "Birth Registration Number"
-* #TYPE_UID "Unique ID"
-
-
-ValueSet: BangladeshIdentifierTypeVS
-Id: bangladesh-identifier-type-vs
-Title: "Bangladesh Identifier Type"
-Description: "Bangladesh Standard Identifier type"
-// * include codes from valueset http://hl7.org/fhir/ValueSet/identifier-type /// use name or uri
-* include codes from system https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type
-
-////////////// end identifier types

input/fsh/examples/BDEncounterExample.fsh

@@ -0,0 +1,25 @@
+Instance: BDEncounterExample
+InstanceOf: BDEncounter
+Usage: #example
+Title: "Example of a Bangladesh Patient Encounter"
+Description: "An example of an outpatient encounter for a Bangladesh patient."
+
+* identifier[0].value = "ENC-2023-001"
+* identifier[0].system = "https://fhir.dghs.gov.bd/core/identifier/encounter"
+
+* status = #finished
+
+// Must use a code from your BDEncounterClassSubsetVS
+// Example using standard HL7 ActCode for ambulatory (outpatient)
+* class = http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB "ambulatory"
+
+// Reference the patient example we created in the previous step
+* subject = Reference(BDPatientExample)
+
+// serviceProvider is 1..1 in your profile
+* serviceProvider = Reference(BDOrganizationExample) 
+
+// participant and participant.period are 1..1
+* participant[0].individual = Reference(BDPractitionerExample)
+* participant[0].period.start = "2023-10-27T10:00:00Z"
+* participant[0].period.end = "2023-10-27T10:30:00Z"

input/fsh/examples/BDMedicationExample.fsh

@@ -0,0 +1,33 @@
+Instance: BDMedicationExample
+InstanceOf: BDMedication
+Title: "Medication Example — Marvelous Fe (Combination Drug)"
+Description: """
+Example BDMedication instance for Marvelous Fe, a combination drug containing
+ferrous sulphate and folic acid. Demonstrates multi-ingredient handling with
+ICD-11 MMS substance codes populated from OCL Has-active-ingredient mappings.
+Dose form coded using EDQM Standard Terms.
+"""
+Usage: #example
+
+* code.coding[0].system = "https://dgda.gov.bd/drug-registry"
+* code.coding[0].code = #353-0026-039--marvelous-fe
+* code.coding[0].display = "Marvelous Fe"
+* code.text = "Marvelous Fe"
+
+* form.coding[0].system = "http://standardterms.edqm.eu"
+* form.coding[0].code = #10219000
+* form.coding[0].display = "Tablet"
+
+// Ingredient 1: Ferrous Sulphate → ICD-11 XM substance code
+* ingredient[0].itemCodeableConcept.coding[0].system = "http://id.who.int/icd/release/11/mms"
+* ingredient[0].itemCodeableConcept.coding[0].code = #XM3SQ1
+* ingredient[0].itemCodeableConcept.coding[0].display = "Ferrous sulphate"
+* ingredient[0].itemCodeableConcept.text = "Ferrous sulphate"
+* ingredient[0].isActive = true
+
+// Ingredient 2: Folic Acid → ICD-11 XM substance code
+* ingredient[1].itemCodeableConcept.coding[0].system = "http://id.who.int/icd/release/11/mms"
+* ingredient[1].itemCodeableConcept.coding[0].code = #XM7R82
+* ingredient[1].itemCodeableConcept.coding[0].display = "Folic acid"
+* ingredient[1].itemCodeableConcept.text = "Folic acid"
+* ingredient[1].isActive = true

input/fsh/examples/BDMedicationRequestExample.fsh

@@ -0,0 +1,41 @@
+Instance: BDMedicationRequestExample
+InstanceOf: BDMedicationRequest
+Title: "Medication Request Example — Marvelous Fe Prescription"
+Description: """
+Example BDMedicationRequest instance prescribing Marvelous Fe. Demonstrates
+the full prescription chain: BDMedicationRequest → BDMedication → DGDA code
+→ ICD-11 substance ingredients. Route of administration coded using HL7 v3
+RouteOfAdministration.
+"""
+Usage: #example
+
+* identifier[0].system = "https://fhir.dghs.gov.bd/identifier/prescription"
+* identifier[0].value = "RX-2024-BD-000001"
+
+* status = #active
+* intent = #order
+
+* medicationReference = Reference(BDMedicationExample)
+
+* subject = Reference(BDPatientExample)
+* subject.display = "Example Patient"
+
+* encounter = Reference(BDEncounterExample)
+* encounter.display = "Example Outpatient Encounter"
+
+* authoredOn = "2024-11-01T10:30:00+06:00"
+
+* requester = Reference(BDPractitionerExample)
+* requester.display = "Example Practitioner"
+
+* dosageInstruction[0].text = "Take 1 tablet daily after meals"
+* dosageInstruction[0].timing.repeat.frequency = 1
+* dosageInstruction[0].timing.repeat.period = 1
+* dosageInstruction[0].timing.repeat.periodUnit = #d
+* dosageInstruction[0].route.coding[0].system = "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"
+* dosageInstruction[0].route.coding[0].code = #PO
+* dosageInstruction[0].route.coding[0].display = "Swallow, oral"
+* dosageInstruction[0].doseAndRate[0].doseQuantity.value = 1
+* dosageInstruction[0].doseAndRate[0].doseQuantity.unit = "tablet"
+* dosageInstruction[0].doseAndRate[0].doseQuantity.system = "http://unitsofmeasure.org"
+* dosageInstruction[0].doseAndRate[0].doseQuantity.code = #{tbl}

input/fsh/examples/BDOrganizationExample.fsh

@@ -0,0 +1,22 @@
+Instance: BDOrganizationExample
+InstanceOf: BDOrganization
+Usage: #example
+Title: "Dhaka Medical College Hospital"
+Description: "Example for DMCH using the Facility Code 10000033"
+
+// Strictly following 'identifier 1..* MS' from your profile
+* identifier[0].value = "10000033"
+* identifier[0].system = "http://hrm.dghs.gov.bd/facilities/code" // Using a generic DGHS system
+* identifier[0].type = http://terminology.hl7.org/CodeSystem/v2-0203#FI "Facility ID"
+
+* name = "Dhaka Medical College Hospital"
+
+// Standard FHIR Address fields (No 'division' as a top-level field)
+* address[0].line = "100 Ramna"
+* address[0].city = "Dhaka"
+* address[0].district = "Dhaka"
+* address[0].country = "BD"
+
+// To include Division without a 'does not exist' error, use the extension syntax:
+* address[0].extension[0].url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-division"
+* address[0].extension[0].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes#30 "Dhaka"

input/fsh/examples/BDPatientExample.fsh

@@ -0,0 +1,39 @@
+Instance: BDPatientExample
+InstanceOf: BDPatient
+Usage: #example
+Title: "Example of a Bangladesh Patient"
+Description: "A minimal example for a patient satisfying name translations and address requirements."
+
+// Required Name with English and Bangla Translations
+* name[0].use = #official
+* name[0].text = "Abul Kashem"
+* name[0].text.extension[nameEn].extension[lang].valueCode = #en
+* name[0].text.extension[nameEn].extension[content].valueString = "Abul Kashem"
+* name[0].text.extension[nameBn].extension[lang].valueCode = #bn
+* name[0].text.extension[nameBn].extension[content].valueString = "আবুল কাশেম"
+
+// Required Gender and BirthDate (for clinical completeness)
+* gender = #male
+* birthDate = "1985-05-20"
+
+// Identifier Slice: NID Example
+* identifier[NID].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
+* identifier[NID].type.coding.code = #NID
+* identifier[NID].value = "1234567890"
+
+// --- Address with required extensions ---
+* address[0].use = #home
+* address[0].line = "House 12, Road 5"
+* address[0].city = "Dhamrai"
+* address[0].district = "Dhaka" // This is a native field in your profile
+* address[0].postalCode = "1350"
+* address[0].country = "BD"
+
+// The "Division" extension (Must match the name in BDAddress)
+* address[0].extension[division].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes#30 "Dhaka"
+
+// The "Upazilla" extension (Must match the name in BDAddress)
+* address[0].extension[upazilla].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes#3026 "Dhamrai"
+
+// Optional Religion Extension
+* extension[religion].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-religions-cs#islam "Islam"

input/fsh/examples/BDPractitionerExample.fsh

@@ -0,0 +1,25 @@
+Instance: BDPractitionerExample
+InstanceOf: BDPractitioner
+Usage: #example
+Title: "Example of a Bangladesh Practitioner"
+Description: "A licensed physician example for the Bangladesh HIE."
+
+// Required Identifier (1..* MS)
+// Using BMDC (Bangladesh Medical & Dental Council) registration number
+* identifier[0].system = "https://fhir.dghs.gov.bd/core/identifier/bmdc-registration"
+* identifier[0].value = "A-12345"
+* identifier[0].type = http://terminology.hl7.org/CodeSystem/v2-0203#MD "Medical License number"
+
+// Recommended Name
+* name[0].use = #official
+* name[0].family = "Ahmed"
+* name[0].given[0] = "Tanvir"
+* name[0].prefix[0] = "Dr."
+
+// Contact Information
+* telecom[0].system = #phone
+* telecom[0].value = "+8801712345678"
+* telecom[0].use = #work
+
+// Gender (Commonly used in health records)
+* gender = #male

input/fsh/extensions/bloodgroup.fsh

@@ -1,7 +1,7 @@
 // ---------------------------
 // Extension Definition
 // ---------------------------
-Extension: bdbloodgroup
+Extension: BDBloodGroup 
 Id: bd-blood-group
 Title: "Patient Blood Group"
 Description: "Blood group of the patient according to CCDS guideline"

input/fsh/extensions/division.fsh

@@ -6,5 +6,5 @@ Description: "BD Division"
 Context: Address
 
 
-* value[x] only string
+* value[x] only CodeableConcept
-* value[x] from BDDivisionsVS
+* valueCodeableConcept from BDDivisionsVS (required)

input/fsh/extensions/icd11ClusterExpression.fsh

@@ -0,0 +1,68 @@
+// ============================================================
+// icd11ClusterExpression.fsh
+// Extension for ICD-11 postcoordinated cluster expressions
+// Context: Coding (broad — usable across all ICD-11 coded elements)
+// ============================================================
+
+Extension: ICD11ClusterExpression
+Id: icd11-cluster-expression
+Title: "ICD-11 Cluster Expression"
+Description: """
+Carries a postcoordinated ICD-11 cluster expression as a single string
+on a Coding element where the stem code alone is insufficient to fully
+represent the clinical concept.
+
+A cluster expression combines a stem code with one or more satellite
+codes using the & operator (combination) or / operator (specificity).
+Example: NC72.Z&XK8G&XJ7ZH&XJ7YM
+  - NC72.Z  — stem: Fracture of femur, unspecified
+  - XK8G    — satellite: laterality
+  - XJ7ZH   — satellite: fracture subtype
+  - XJ7YM   — satellite: fracture open or closed
+
+Usage rules:
+  - SHALL only be present when the expression contains at least one
+    satellite code joined by & or / operators.
+  - Single stem codes SHALL be represented in Coding.code only and
+    validated via OCL $validate-code. The cluster validator at
+    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects
+    stem-only expressions.
+  - The stem code in Coding.code SHALL match the leading stem code
+    in this expression string.
+  - Satellite codes in the cluster expression are exempt from the
+    Diagnosis/Finding class restriction that applies to stem codes
+    in Condition.code.
+  - Cluster expressions SHALL be validated against the Bangladesh
+    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate
+    prior to submission to the HIE.
+
+Cluster validator endpoint:
+  POST https://icd11.dghs.gov.bd/cluster/validate
+  Body: { "expression": "NC72.Z&XK8G&XJ7ZH&XJ7YM" }
+
+This extension is not MustSupport and is not mandatory. It is present
+only when postcoordination is clinically required. Cluster expressions
+are typically sourced from the WHO Electronic Coding Tool (ECT) at the
+point of care.
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^context[+].type = #element
+* ^context[=].expression = "Coding"
+
+* value[x] only string
+* valueString 1..1
+* valueString ^short = "ICD-11 postcoordinated cluster expression string"
+* valueString ^definition = """
+The full postcoordinated cluster expression, including the stem code and
+all satellite codes joined by & or / operators. Example:
+NC72.Z&XK8G&XJ7ZH&XJ7YM. The stem code in this string SHALL match
+Coding.code on the parent Coding element.
+"""

input/fsh/extensions/language.fsh

@@ -7,4 +7,4 @@ Context: Patient
 
 // Religion using standard HL7 extension
 * extension contains http://hl7.org/fhir/StructureDefinition/language named language 1..1
-* extension[language].valueCode from LanguageValueSet
+* extension[language].valueCode from BDLanguageVS

input/fsh/extensions/nationality.fsh

@@ -0,0 +1,13 @@
+Extension: Nationality
+Id: nationality
+Title: "Patient Nationality"
+Description: "Nationality of the patient based on Bangladesh country list."
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/nationality"
+
+// Define where this extension can be used
+* ^context[0].type = #element
+* ^context[0].expression = "Patient"
+
+// Only one value, bound to your ValueSet
+* value[x] only CodeableConcept
+* valueCodeableConcept from https://fhir.dghs.gov.bd/core/ValueSet/bd-country-list-valueset (required)

input/fsh/extensions/occupation.fsh

@@ -1,4 +1,4 @@
-Extension: occupation
+Extension: Occupation 
 Description: "Occupation"
 Id: occupation-bd 
 Title: "Bangladesh Occupations"
@@ -7,5 +7,5 @@ Context: Patient
 
 // occupation using standard HL7 extension
 * value[x] only string
-* value[x] from https://fhir.dghs.gov.bd/core/ValueSet/bd-occupations (required)
+* value[x] from https://fhir.dghs.gov.bd/core/ValueSet/bd-occupations-valueset (required)
 

input/fsh/extensions/upazilla.fsh

@@ -6,5 +6,5 @@ Description: "BD Upazilla"
 Context: Address
 
 
-* value[x] only string
+* value[x] only CodeableConcept
-* value[x] from BDUpazillasVS
+* valueCodeableConcept from BDUpazillasVS (required)

input/fsh/namingSystems/ICD11MMSNamingSystem.fsh

@@ -0,0 +1,63 @@
+// ============================================================
+// ICD11MMSNamingSystem.fsh
+// NamingSystem for ICD-11 MMS in the Bangladesh national context
+// Canonical authority: WHO
+// National resolver: OCL at https://tr.ocl.dghs.gov.bd
+// ============================================================
+
+Instance: icd11-mms-bd
+InstanceOf: NamingSystem
+Usage: #definition
+Title: "ICD-11 MMS NamingSystem — Bangladesh"
+Description: """
+Declares the ICD-11 Mortality and Morbidity Statistics (MMS) coding system
+as a known and supported terminology within the Bangladesh national health
+information infrastructure.
+
+Canonical system URI: http://id.who.int/icd/release/11/mms
+Canonical authority: World Health Organization (WHO)
+
+Preferred code form: short stem codes (e.g. 1A00, NC72.Z).
+Linearization URIs are not used as code identifiers in this IG.
+
+National terminology resolver (OCL):
+  https://tr.ocl.dghs.gov.bd
+
+Supported OCL operations (use system= parameter, not url=):
+  - $validate-code: https://tr.ocl.dghs.gov.bd/api/fhir/CodeSystem/$validate-code
+      ?system=http://id.who.int/icd/release/11/mms&code={code}
+  - $lookup: https://tr.ocl.dghs.gov.bd/api/fhir/CodeSystem/$lookup
+      ?system=http://id.who.int/icd/release/11/mms&code={code}
+
+$expand is not supported — known OCL limitation.
+
+Version 2025-01 is active in the national OCL instance with 36,941
+imported concepts. The OCL resolver is an internal national service;
+vendors do not interact with it directly. All vendor submissions are
+validated at the HIE boundary via the Bangladesh ICD-11 Cluster Validator
+at https://icd11.dghs.gov.bd/cluster/validate.
+"""
+
+* name = "ICD11MMSBangladesh"
+* status = #active
+* kind = #codesystem
+* date = "2025-01-01"
+* publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* contact.name = "DGHS Health Informatics Unit"
+* contact.telecom.system = #url
+* contact.telecom.value = "https://dghs.gov.bd"
+* jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* responsible = "World Health Organization (WHO)"
+
+// Primary identifier — canonical system URI (WHO authority)
+* uniqueId[+].type = #uri
+* uniqueId[=].value = "http://id.who.int/icd/release/11/mms"
+* uniqueId[=].preferred = true
+* uniqueId[=].comment = "Canonical ICD-11 MMS system URI. Canonical authority is WHO."
+* uniqueId[=].period.start = "2025-01-01"
+
+// Secondary identifier — national OCL source locator (machine-discoverable, not canonical)
+* uniqueId[+].type = #uri
+* uniqueId[=].value = "https://tr.ocl.dghs.gov.bd/orgs/MoHFW/sources/ICD-11-MMS/"
+* uniqueId[=].preferred = false
+* uniqueId[=].comment = "National terminology resolver — Bangladesh OCL instance. Not the canonical system URI."

input/fsh/profile/BDConditionProfile.fsh

@@ -0,0 +1,65 @@
+// ============================================================
+// BDConditionProfile.fsh
+// BD-Core Condition profile with mandatory ICD-11 MMS stem slice
+// Binding: Diagnosis and Finding class concepts only
+// Runtime enforcement via OCL ValueSet $validate-code
+// ============================================================
+
+Profile: BDConditionProfile
+Parent: Condition
+Id: bd-condition
+Title: "BD Core Condition Profile (ICD-11)"
+Description: """
+Condition resource coded with ICD-11 MMS, restricted to Diagnosis and
+Finding class concepts. Defined in the Bangladesh Core FHIR Implementation
+Guide (BD-Core-FHIR-IG) published by DGHS/MoHFW.
+"""
+
+* code 1..1 MS
+* code from bd-condition-icd11-diagnosis-valueset (required)
+* code ^comment = """
+Condition.code SHALL contain at least one coding conforming to the
+coding[stem] slice with system = http://id.who.int/icd/release/11/mms.
+
+Stem code rules:
+  - The stem code SHALL be a Diagnosis or Finding class ICD-11 MMS concept.
+  - This restriction is enforced at runtime via OCL ValueSet $validate-code
+    against the Bangladesh ICD-11 MMS Condition ValueSet.
+  - Stem-only codes SHALL be validated via OCL $validate-code.
+  - Substance, Organism, Device, Anatomy, and Misc class concepts SHALL NOT
+    appear as standalone stem codes in Condition.code.
+
+Cluster expression rules:
+  - When a concept requires postcoordination, the full cluster expression
+    SHALL be carried in the icd11-cluster-expression extension on coding[stem].
+  - The icd11-cluster-expression extension SHALL only be present when the
+    expression contains at least one satellite code joined by & or / operators.
+  - Satellite codes in the cluster expression are exempt from the
+    Diagnosis/Finding class restriction.
+  - Cluster expressions SHALL be validated against the Bangladesh ICD-11
+    Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate
+    prior to submission to the HIE.
+
+Additional local codings are permitted alongside the mandatory ICD-11 stem
+(slicing is open). Cluster expressions are typically sourced from the WHO
+Electronic Coding Tool (ECT) at the point of care.
+"""
+
+* code.coding ^slicing.discriminator.type = #value
+* code.coding ^slicing.discriminator.path = "system"
+* code.coding ^slicing.rules = #open
+* code.coding ^slicing.description = "Slice requiring exactly one ICD-11 MMS stem code. Additional local codings permitted."
+
+* code.coding contains stem 1..1
+* code.coding[stem] ^short = "Mandatory ICD-11 MMS stem code"
+* code.coding[stem] ^definition = """
+Exactly one ICD-11 MMS stem code is required. The stem code SHALL be a
+Diagnosis or Finding class concept. When the condition requires
+postcoordination, the full cluster expression is carried in the
+icd11-cluster-expression extension on this coding element.
+"""
+* code.coding[stem].system 1..1
+* code.coding[stem].system = "http://id.who.int/icd/release/11/mms" (exactly)
+* code.coding[stem].code 1..1
+* code.coding[stem].extension contains
+    https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression named clusterExpression 0..1

input/fsh/profile/BDEncounter.fsh

@@ -0,0 +1,37 @@
+
+Profile:     BDEncounter
+Id:          bd-encounter
+Parent:      Encounter
+Title:       "Encounter Profile for Bangladesh"
+Description: "Profile of Encounter Bangladesh Standard"
+
+* identifier 1..*
+
+* status 1..1 
+* status from BDEncounterStatusSubsetVS
+* status ^short = "Encounter status in BD"
+* status ^definition = "Status of patient encounter (planned, in-progress, finished, cancelled)"
+
+* class 1..1 
+* class from BDEncounterClassSubsetVS
+
+* subject  1..1
+//* subject from https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient
+
+* basedOn 0..1 MS
+//* basedOn only Reference (CarePlan or DeviceRequest or MedicationRequest or ServiceRequest)
+
+* partOf 0..1 MS
+
+* serviceProvider 1..1
+
+* participant 1..*
+* participant.period 1..1 
+
+* diagnosis 0..* MS
+* diagnosis.condition only Reference(BDConditionProfile)
+
+
+
+
+* hospitalization.dischargeDisposition 0..1 MS

input/fsh/profile/BDImmunization.fsh

@@ -0,0 +1,71 @@
+// @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"
+
+* reasonReference 0..*
+* reasonReference only Reference(Condition or Observation or DiagnosticReport)
+
+* vaccineCode 1..1
+* vaccineCode from BDVaccineVS (required)
+
+//* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication"
+
+* manufacturer 0..1
+* manufacturer ^short = "Manufacturer"
+* manufacturer ^definition = "Vaccine manufacturer"
+* manufacturer only Reference(BDOrganization)
+
+* 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(BDPatient)
+
+* encounter 1..1
+* encounter ^definition = "Encounter during which vaccine was administered"
+* encounter only Reference(BDEncounter)
+
+* occurrence[x] 1..1
+
+* location 0..1
+* location ^definition = "Location where vaccine was administered"
+* location only Reference(BDLocation)
+
+* site 0..1
+* site ^definition = "Body site of administration"
+* site from BDImmunizationSiteVS
+
+* route 0..1
+* route ^definition = "Route of administration"
+* route from BDImmunizationRouteVS
+
+* doseQuantity 0..1
+* doseQuantity ^definition = "Amount of vaccine administered"
+* doseQuantity.system = "http://unitsofmeasure.org"
+
+* performer 0..*
+* performer ^definition = "Individual who performed the immunization"
+* performer.actor only Reference(BDPractitioner)
+
+* reaction 0..*
+* reaction ^definition = "Adverse reaction following immunization"
+//TODO: change to BDObservation after creating the profile
+* reaction.detail only Reference(Observation)
+//TODO change to BDObservation after creating the profile
+* reasonReference only Reference(Condition or Observation or DiagnosticReport)

input/fsh/profile/BDLabPanelObservation.fsh

@@ -0,0 +1,77 @@
+Profile:     BDLabPanelObservationProfile
+Id:          bd-lab-panel-observation
+Parent:      bd-observation
+Title:       "Bangladesh Laboratory Panel Observation"
+Description: """
+Profile for laboratory panel (order-level) Observations in Bangladesh.
+Represents an ordered laboratory test panel (e.g. CBC, LFT, RFT) as the
+parent Observation in a hasMember hierarchy.
+
+Usage:
+  - Observation.code is the panel/order code (from BD LOINC Lab Panels ValueSet)
+  - Observation.hasMember references individual result Observations
+    (bd-lab-result-observation) for each component
+  - Observation.value[x] is prohibited — panels do not carry a direct result value
+  - Observation.category is fixed to 'laboratory'
+
+FHIR hasMember pattern:
+  DiagnosticReport.result --> bd-lab-panel-observation
+                                  └── hasMember --> bd-lab-result-observation (x N)
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-lab-panel-observation"
+* ^version = "0.1.0"
+* ^status = #draft
+
+// ── Identifier ────────────────────────────────────────────────────────────
+// Lab panels must carry an identifier (accession number or order ID).
+* identifier 1..* MS
+* identifier.value 1..1
+
+// ── Category ──────────────────────────────────────────────────────────────
+// Fixed to 'laboratory' for all lab panel observations.
+* category = http://terminology.hl7.org/CodeSystem/observation-category#laboratory
+* category ^definition = "Fixed to 'laboratory' for laboratory panel observations"
+
+// ── Code ──────────────────────────────────────────────────────────────────
+// Bound to BD LOINC Lab Panels ValueSet — orderable panel codes only.
+* code 1..1 MS
+* code from https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-panels (extensible)
+* code ^definition = "LOINC panel/order code for this laboratory panel"
+* code ^comment = "E.g. 58410-2 CBC panel, 24323-8 Comprehensive metabolic panel"
+
+// ── Status ────────────────────────────────────────────────────────────────
+// Restrict to statuses relevant to lab reporting.
+* status from http://hl7.org/fhir/ValueSet/observation-status (required)
+
+// ── Effective ─────────────────────────────────────────────────────────────
+// When the panel was performed — required for lab context.
+* effective[x] 1..1 MS
+* effective[x] only dateTime or Period
+* effectiveDateTime ^definition = "Date/time the laboratory panel was performed"
+
+// ── Value[x] ──────────────────────────────────────────────────────────────
+// Panels do not carry a direct result value — results are in hasMember children.
+* value[x] 0..0
+
+// ── hasMember ─────────────────────────────────────────────────────────────
+// Must reference at least one component result Observation.
+// Typed to bd-lab-result-observation.
+* hasMember 1..* MS
+* hasMember only Reference(BDLabResultObservationProfile)
+* hasMember ^definition = "References to individual component result Observations for this panel"
+* hasMember ^comment = "Each hasMember entry is a bd-lab-result-observation"
+
+// ── derivedFrom ───────────────────────────────────────────────────────────
+// Panels are not derived from other observations — prohibited at this level.
+* derivedFrom 0..0
+
+// ── Specimen ──────────────────────────────────────────────────────────────
+// SHOULD be present for laboratory panels per IPS alignment.
+* specimen 0..1 MS
+* specimen ^definition = "Specimen collected for this laboratory panel"
+* specimen ^comment = "Should be present when specimen information is available"
+
+// ── Note ──────────────────────────────────────────────────────────────────
+* note 0..* MS
+* note ^definition = "Comments about the laboratory panel"

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"

input/fsh/profile/BDLabResultObservation.fsh

@@ -0,0 +1,104 @@
+Profile:     BDLabResultObservationProfile
+Id:          bd-lab-result-observation
+Parent:      bd-observation
+Title:       "Bangladesh Laboratory Result Observation"
+Description: """
+Profile for individual laboratory result (component-level) Observations
+in Bangladesh. Represents a single test result within a laboratory panel
+(e.g. Haemoglobin within a CBC panel).
+
+Usage:
+  - Observation.code is the result/component code (from BD LOINC Lab Results ValueSet)
+  - Observation.value[x] is required — every leaf result must carry a value
+  - Observation.hasMember is prohibited — leaf results cannot group further
+  - Observation.derivedFrom references the parent panel Observation
+  - Observation.category is fixed to 'laboratory'
+
+FHIR hasMember pattern:
+  bd-lab-panel-observation
+      └── hasMember --> bd-lab-result-observation (this profile)
+
+Coded results (Ord/Nom scale):
+  Use valueCodeableConcept with codes from BD LOINC Answer Lists ValueSet.
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-lab-result-observation"
+* ^version = "0.1.0"
+* ^status = #draft
+
+// ── Identifier ────────────────────────────────────────────────────────────
+// Result observations carry the accession number or result ID.
+* identifier 1..* MS
+* identifier.value 1..1
+
+// ── Category ──────────────────────────────────────────────────────────────
+// Fixed to 'laboratory' for all lab result observations.
+* category = http://terminology.hl7.org/CodeSystem/observation-category#laboratory
+* category ^definition = "Fixed to 'laboratory' for laboratory result observations"
+
+// ── Code ──────────────────────────────────────────────────────────────────
+// Bound to BD LOINC Lab Results ValueSet — leaf result codes only.
+* code 1..1 MS
+* code from https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-results (extensible)
+* code ^definition = "LOINC result/component code for this individual laboratory result"
+* code ^comment = "E.g. 718-7 Hemoglobin, 2160-0 Creatinine"
+
+// ── Status ────────────────────────────────────────────────────────────────
+* status from http://hl7.org/fhir/ValueSet/observation-status (required)
+
+// ── Effective ─────────────────────────────────────────────────────────────
+* effective[x] 1..1 MS
+* effective[x] only dateTime or Period
+* effectiveDateTime ^definition = "Date/time the result was obtained"
+
+// ── Value[x] ──────────────────────────────────────────────────────────────
+// Required — every leaf result must carry a value.
+* value[x] 1..1 MS
+* value[x] only Quantity or CodeableConcept
+* value[x] ^definition = "The actual result value for this laboratory test"
+
+// Numeric results (Qn scale) — UCUM units required
+* valueQuantity MS
+* valueQuantity.value 1..1
+* valueQuantity.unit 1..1
+* valueQuantity.system 1..1
+* valueQuantity.system = "http://unitsofmeasure.org"
+* valueQuantity.code 1..1
+* valueQuantity ^comment = "Use for quantitative (Qn scale) results. Units must be UCUM."
+
+// Coded results (Ord/Nom scale) — bound to LOINC Answer Lists
+* valueCodeableConcept MS
+* valueCodeableConcept from https://fhir.dghs.gov.bd/core/ValueSet/loinc-answer-lists (extensible)
+* valueCodeableConcept ^comment = "Use for ordinal or nominal (Ord/Nom scale) results."
+
+// ── hasMember ─────────────────────────────────────────────────────────────
+// Leaf results cannot group further observations.
+* hasMember 0..0
+
+// ── derivedFrom ───────────────────────────────────────────────────────────
+// References the parent panel Observation.
+* derivedFrom 0..* MS
+* derivedFrom only Reference(BDLabPanelObservationProfile)
+* derivedFrom ^definition = "Reference to the parent panel Observation this result belongs to"
+
+// ── Interpretation ────────────────────────────────────────────────────────
+// Strongly recommended for lab results — High, Low, Normal, etc.
+* interpretation 0..* MS
+* interpretation from http://hl7.org/fhir/ValueSet/observation-interpretation (extensible)
+* interpretation ^definition = "Clinical interpretation of the result value"
+* interpretation ^comment = "E.g. H (High), L (Low), N (Normal), A (Abnormal)"
+
+// ── Reference Range ───────────────────────────────────────────────────────
+* referenceRange 0..* MS
+* referenceRange ^definition = "Normal reference range for this result"
+* referenceRange ^comment = "Should be present when reference ranges are known"
+
+// ── Specimen ──────────────────────────────────────────────────────────────
+// May reference the same specimen as the parent panel.
+* specimen 0..1 MS
+* specimen ^definition = "Specimen used for this result observation"
+* specimen ^comment = "Should be consistent with the parent panel specimen"
+
+// ── Note ──────────────────────────────────────────────────────────────────
+* note 0..* MS
+* note ^definition = "Comments about this individual result"

input/fsh/profile/BDLocation.fsh

@@ -0,0 +1,8 @@
+Profile: BDLocation
+Id: bd-location
+Parent: Location
+Title: "Location of Immunization for Bangladesh"
+Description: "Address for Bangladesh Standard"
+
+* address 1..1
+* address only BDAddress

input/fsh/profile/BDMedication.fsh

@@ -0,0 +1,76 @@
+Profile: BDMedication
+Id: bd-medication
+Parent: Medication
+Title: "Medication Profile for Bangladesh"
+Description: """
+Profile of the Medication resource for the Bangladesh National Health Information
+Exchange (HIE). Drug products are coded using the DGDA Drug Registry maintained
+by the Drug Registration Authority of Bangladesh and served via the national OCL
+terminology server at https://tr.ocl.dghs.gov.bd.
+
+Ingredient coding uses ICD-11 MMS substance codes (XM-prefix) to support
+International Patient Summary (IPS) generation and cross-border data exchange.
+Ingredient data is system-populated from OCL Has-active-ingredient mappings and
+is not required to be entered manually by clinicians.
+
+Combination drugs are supported via the repeating ingredient element.
+Unmatched ingredients (not yet mapped to ICD-11 substances) may be represented
+using ingredient.itemCodeableConcept.text without a coded value.
+
+Dose form is optional and should be coded using EDQM Standard Terms when
+populated. Dose form is derivable from the DGDA drug concept via OCL lookup.
+A DGDA plain text dose form to EDQM code mapping is planned for a future
+IG version.
+"""
+
+* code 1..1 MS
+* code from BDDGDADrugsVS (required)
+* code ^short = "DGDA registered drug product code"
+* code ^definition = """
+The DGDA drug registry code identifying the finished pharmaceutical product.
+Concept ID format: {DAR-number}--{trade-name-slug}
+Example: 353-0026-039--marvelous-fe
+"""
+* code.text 1..1 MS
+* code.text ^short = "Trade name of the drug product"
+* code.text ^definition = """
+The trade name of the drug product as registered with DGDA. Mandatory for
+human readability in IPS documents and cross-border data exchange scenarios.
+"""
+
+* form 0..1 MS
+* form from BDMedicationDoseFormVS (preferred)
+* form ^short = "Pharmaceutical dose form — EDQM Standard Terms (optional)"
+* form ^definition = """
+The pharmaceutical dose form of the drug product. Optional in this profile
+as dose form is carried as plain text in the DGDA drug concept and is
+derivable via OCL lookup. When populated, EDQM Standard Terms codes served
+from the national OCL terminology server should be used.
+A DGDA dose form to EDQM mapping is planned for a future IG version.
+"""
+
+* ingredient MS
+* ingredient ^short = "Active ingredient(s) of the drug product"
+* ingredient ^definition = """
+Active pharmaceutical ingredients of the drug product, coded using ICD-11 MMS
+substance codes (XM-prefix). Populated automatically by clinical systems via
+OCL Has-active-ingredient mappings. Combination drugs will carry multiple
+ingredient entries. Unmatched ingredients may use text only without a coded value.
+"""
+* ingredient.item[x] only CodeableConcept
+* ingredient.itemCodeableConcept 1..1 MS
+* ingredient.itemCodeableConcept from BDICD11SubstancesVS (extensible)
+* ingredient.itemCodeableConcept ^short = "ICD-11 substance code for the ingredient"
+* ingredient.itemCodeableConcept ^definition = """
+ICD-11 MMS substance code (XM-prefix) identifying the active ingredient.
+Source value set: https://fhir.dghs.gov.bd/core/ValueSet/icd11-substances-valueset
+served from the national OCL terminology server.
+For ingredients not yet mapped to ICD-11 substances, use text only.
+"""
+* ingredient.strength 0..1
+* ingredient.strength ^short = "Strength of the ingredient (optional)"
+* ingredient.strength ^definition = """
+Strength of the active ingredient. Optional in this profile as strength data
+is maintained in the DGDA registry and accessible via OCL. May be populated
+by dispensing systems for precision medication management.
+"""

input/fsh/profile/BDMedicationRequest.fsh

@@ -0,0 +1,66 @@
+Profile: BDMedicationRequest
+Id: bd-medication-request
+Parent: MedicationRequest
+Title: "Medication Request Profile for Bangladesh"
+Description: """
+Profile of the MedicationRequest resource for the Bangladesh National Health
+Information Exchange (HIE). Prescriptions must reference a BDMedication
+resource coded against the DGDA Drug Registry, ensuring all prescribed
+medications are traceable to DGDA-registered drug products.
+
+This profile constrains medication references to BDMedication only.
+Inline medicationCodeableConcept is not permitted — all medication data
+must be carried in a referenced BDMedication resource to support ingredient
+coding for IPS and cross-border data exchange.
+
+Route of administration is coded using HL7 v3 RouteOfAdministration served
+via the national OCL terminology server.
+"""
+
+* identifier 1..* MS
+* identifier ^short = "Prescription identifier"
+* identifier ^definition = """
+Business identifier for this prescription. At least one identifier is required
+to support prescription tracking within the Bangladesh HIE.
+"""
+
+* medication[x] 1..1 MS
+* medication[x] only Reference(BDMedication)
+* medication[x] ^short = "Reference to DGDA-registered medication"
+* medication[x] ^definition = """
+Reference to a BDMedication resource identifying the prescribed drug product.
+The referenced BDMedication must carry a valid DGDA drug registry code.
+Inline CodeableConcept is not permitted in this profile.
+"""
+
+* subject 1..1 MS
+* subject only Reference(BDPatient)
+* subject ^short = "Patient for whom the medication is prescribed"
+
+* encounter 0..1 MS
+* encounter only Reference(BDEncounter)
+* encounter ^short = "Encounter during which this prescription was created"
+* encounter ^definition = """
+The encounter during which this prescription was created. Should be populated
+for inpatient and outpatient prescriptions where an encounter record exists.
+"""
+
+* authoredOn 1..1 MS
+* authoredOn ^short = "Date and time the prescription was authored"
+
+* requester 1..1 MS
+* requester only Reference(BDPractitioner or BDOrganization)
+* requester ^short = "Practitioner or organisation that authored the prescription"
+
+* reportedReference only Reference(BDPractitioner or BDOrganization or BDPatient)
+
+* priorPrescription only Reference(BDMedicationRequest)
+* priorPrescription ^short = "Reference to a prior prescription this replaces"
+
+* basedOn only Reference(BDMedicationRequest or ServiceRequest or CarePlan or ImmunizationRecommendation)
+* basedOn ^short = "Plan or request this prescription is based on"
+
+* dosageInstruction 0..* MS
+* dosageInstruction.route MS
+* dosageInstruction.route from BDRouteOfAdministrationVS (required)
+* dosageInstruction.route ^short = "Route of administration coded using HL7 v3 RouteOfAdministration"

input/fsh/profile/BDObservation.fsh

@@ -0,0 +1,133 @@
+Profile:     BDObservationProfile
+Id:          bd-observation
+Parent:      Observation
+Title:       "Bangladesh Observation Profile"
+Description: """
+Base observation profile for Bangladesh. This is an abstract-style base profile
+from which all BD-Core observation profiles are derived. It is not intended to
+be used directly in clinical resources — use a derived profile instead.
+
+Derived profiles (v0.4.0):
+  - bd-lab-panel-observation  : Laboratory panel/order (hasMember pattern)
+  - bd-lab-result-observation : Laboratory leaf result (child of hasMember)
+
+Planned derived profiles (v0.5.0+):
+  - bd-vital-signs-observation
+  - bd-exam-observation
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-observation"
+* ^version = "2.0.0"
+* ^status = #draft
+
+// ── Identifier ────────────────────────────────────────────────────────────
+// 0..* at base — not all observation types carry identifiers.
+// Child profiles (e.g. lab results) constrain to 1..*.
+* identifier 0..* MS
+* identifier.value 1..1
+
+// ── Status ────────────────────────────────────────────────────────────────
+* status 1..1
+
+// ── Category ──────────────────────────────────────────────────────────────
+// Preferred binding at base — child profiles fix to specific category codes
+// (e.g. laboratory, vital-signs). Required binding here would block child
+// profiles from narrowing to a fixed category slice.
+* category 1..* MS
+* category from http://hl7.org/fhir/ValueSet/observation-category (preferred)
+* category ^definition = "Type of observation category"
+* category ^comment = "E.g. laboratory, vital-signs, exam. Child profiles fix this to a specific value."
+
+// ── Code ──────────────────────────────────────────────────────────────────
+// Extensible binding at base — child profiles bind to narrower ValueSets
+// (e.g. BD LOINC lab panels, BD LOINC lab results). Required binding here
+// would prevent child profiles from using a subset binding.
+* code 1..1 MS
+* code from http://hl7.org/fhir/ValueSet/observation-codes (extensible)
+* code ^definition = "Type of observation / test / measurement"
+* code ^comment = "E.g. Hb, RBS, CBC. Child profiles bind to specific ValueSets."
+
+// ── Subject ───────────────────────────────────────────────────────────────
+* subject 1..1 MS
+* subject only Reference(Patient)
+* subject.reference 1..1 MS
+* subject.display 1..1 MS
+* subject.identifier 0..1
+* subject ^definition = "Reference to the Patient this observation is about"
+* subject ^comment = "EX: http://mci.mcishr.dghs.gov.bd/api/v1/patients/98002412586"
+
+// ── Encounter ─────────────────────────────────────────────────────────────
+* encounter 1..1 MS
+* encounter.reference 1..1 MS
+* encounter ^definition = "Reference to the Encounter during which this observation was made"
+* encounter ^comment = "EX: uuid:34c38499-58ab-41e0-8e94-c3931491ad0e"
+
+// ── Performer ─────────────────────────────────────────────────────────────
+* performer 1..*
+* performer.reference 1..1
+
+// ── Part Of ───────────────────────────────────────────────────────────────
+* partOf 0..*
+
+// ── Value[x] ──────────────────────────────────────────────────────────────
+// 0..1 at base — child profiles constrain presence and type.
+// Panel observations set value[x] to 0..0.
+// Result observations set value[x] to 1..1.
+* value[x] 0..1
+* value[x] ^definition = "Result value (Quantity, string, code, boolean, etc.)"
+* valueQuantity 0..1
+* valueQuantity ^comment = "If numeric, must include UCUM unit"
+* valueQuantity.system 0..1
+* valueQuantity.system = "http://unitsofmeasure.org"
+* valueQuantity.code 0..1
+* valueString 0..1
+* valueCodeableConcept 0..1
+* valueBoolean 0..1
+* valueInteger 0..1
+* valueRange 0..1
+* valueRatio 0..1
+* valueSampledData 0..1
+* valueTime 0..1
+* valueDateTime 0..1
+* valuePeriod 0..1
+
+// ── Interpretation ────────────────────────────────────────────────────────
+// Extensible at base — required was too strict for general observation use.
+* interpretation 0..*
+* interpretation from http://hl7.org/fhir/ValueSet/observation-interpretation (extensible)
+* interpretation ^definition = "Assessment of the observation result"
+* interpretation ^comment = "E.g. High, Low, Normal"
+
+// ── Method ────────────────────────────────────────────────────────────────
+// Extensible at base — required was too strict for general observation use.
+* method 0..1
+* method from http://hl7.org/fhir/ValueSet/observation-methods (extensible)
+* method ^definition = "Type of observation method"
+* method ^comment = "E.g. Technique, Total measurement"
+
+// ── Issued ────────────────────────────────────────────────────────────────
+* issued 0..1
+* issued ^definition = "Date/time the result was issued"
+
+// ── Reference Range ───────────────────────────────────────────────────────
+* referenceRange 0..*
+* referenceRange ^definition = "Normal reference range for the observation"
+
+// ── Specimen ──────────────────────────────────────────────────────────────
+// MustSupport at base — relevant for lab, pathology, and future imaging.
+* specimen 0..1 MS
+* specimen ^definition = "Specimen used for this observation"
+
+// ── hasMember ─────────────────────────────────────────────────────────────
+// Defined at base to support the panel/component pattern.
+// bd-lab-panel-observation constrains this to 1..* typed references.
+// bd-lab-result-observation constrains this to 0..0.
+* hasMember 0..* MS
+* hasMember ^definition = "References to component result Observations that belong to this panel"
+* hasMember ^comment = "Used in panel-type Observations. Leaf result Observations must not use hasMember."
+
+// ── derivedFrom ───────────────────────────────────────────────────────────
+// Defined at base to support child results referencing their parent panel.
+* derivedFrom 0..* MS
+* derivedFrom ^definition = "References to the panel Observation from which this result is derived"
+* derivedFrom ^comment = "Used in leaf result Observations to reference their parent panel."

input/fsh/profile/BDOrganization.fsh

@@ -0,0 +1,10 @@
+// @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

input/fsh/profile/BDPatient.fsh

@@ -1,42 +1,39 @@
+Alias: $translation = http://hl7.org/fhir/StructureDefinition/translation
 // @Name: Profile
 // @Description: Example of a profile of the Patient resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
-
+Profile:     BDPatient
-Profile:     BDPatientProfile
 Id:          bd-patient
 Parent:      Patient
 Title:       "Patient Profile for Bangladesh"
-Description: "Profile of Patient Bangladesh Standard"
+Description: """
+Patient profile for Bangladesh.  
+- Identifiers: NID, BRN, UHID  
+- Name must be provided in both Bangla and English.  
+- SHALL have at least one RelatedPerson with relationship = father or mother, and that RelatedPerson SHALL include both a name and an identifier.
+"""
 
 // ----- Begin rules:
+// Require exactly one HumanName
+* name 1..1 MS
+* name.use 1..1
+* name.use = #official (exactly)
 
-// Require at least one value inside the name element
+// Require a text element
-* name 2..*
+* name.text 1..1 MS
-// === 1. Declare slicing on name by 'use' ===
-* name ^slicing.discriminator.type = #value
-* name ^slicing.discriminator.path = "system"
-* name ^slicing.rules = #open
-* name ^slicing.description = "Slice name by use (official for English, usual for Bangla)"
 
-// === 2. Define slices ===
+// Require translation extensions on text
-* name contains
+* name.text.extension 2..* MS
-    nameEnglish 1..1 MS and   // slice alias for English name
+* name.text.extension contains
-    nameBangla 1..1 MS        // slice alias for Bangla name
+    $translation named nameEn 1..1 MS and
+    $translation named nameBn 1..1 MS
 
-// === 3. Constrain English (official) name ===
+// Constraints on English name
-* name[nameEnglish].use = #en (exactly)
+* name.text.extension[nameEn].extension[lang].valueCode = #en (exactly)
-* name[nameEnglish].given 0..*
+* name.text.extension[nameEn].extension[content] 1..1 MS
-* name[nameEnglish].family 0..1
-* name[nameEnglish] ^short = "Legal name (English/Romanized)"
-* name[nameEnglish] ^definition = "Official name as registered in government documents."
-
-
-// === 4. Constrain Bangla name ===
-* name[nameBangla].use = #bn (exactly)
-* name[nameBangla].given 0..*
-* name[nameBangla].family 0..1
-* name[nameBangla] ^short = "নাম (বাংলা)"
-* name[nameBangla] ^definition = "Patient's name written in Bengali script."
 
+// Constraints on Bangla name
+* name.text.extension[nameBn].extension[lang].valueCode = #bn (exactly)
+* name.text.extension[nameBn].extension[content] 1..1 MS
 
 //////////////////////
 
@@ -49,32 +46,32 @@ Description: "Profile of Patient Bangladesh Standard"
 * identifier contains
     NID 0..1 and
     BRN 0..1 and
-    UID 0..1
+    UHID 0..1
 
 * identifier[NID].system = "http://dghs.gov.bd/identifier/nid"
 * identifier[NID].type.coding.code = #NID
-* identifier[NID].type.coding.system = "http://terminology.hl7.org/CodeSystem/v2-0203"
+// * identifier[NID].type.coding.system = "http://terminology.hl7.org/CodeSystem/v2-0203"
+* identifier[NID].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
 * identifier[NID].type from BangladeshIdentifierTypeVS (extensible)
 * identifier[NID].type.text = "Organization identifier"
-* identifier[NID].value = "Personal identifier National ID"
+// * identifier[NID].value = "Personal identifier National ID"
 
 // Then in your profile:
 // * identifier.type from BangladeshIdentifierTypeVS (extensible)
 
 * identifier[BRN].system = "http://dghs.gov.bd/identifier/brn"
 * identifier[BRN].type.coding.code = #BRN
-* identifier[BRN].type.coding.system = "http://terminology.hl7.org/CodeSystem/v2-0203"
+* identifier[BRN].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
 * identifier[BRN].type from BangladeshIdentifierTypeVS (extensible)
 * identifier[BRN].type.text = "Organization identifier"
-* identifier[BRN].value = "Personal identifier Birth Registration"
+// * identifier[BRN].value = "Personal identifier Birth Registration"
 
 
-* identifier[UID].system = "http://dghs.gov.bd/identifier/uid"
+* identifier[UHID].system = "http://dghs.gov.bd/identifier/uhid"
-* identifier[UID].type.coding.code = #UID
+* identifier[UHID].type.coding.code = #UHID
-* identifier[UID].type.coding.system = "http://terminology.hl7.org/CodeSystem/v2-0203"
+* identifier[UHID].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
-* identifier[UID].type from BangladeshIdentifierTypeVS (extensible)
+* identifier[UHID].type from BangladeshIdentifierTypeVS (extensible)
-* identifier[UID].type.text = "Organization identifier"
+* identifier[UHID].type.text = "Organization identifier"
-* identifier[UID].value = "Personal identifier"
 
 
 // Mark elements as MustSupport
@@ -99,9 +96,7 @@ Description: "Profile of Patient Bangladesh Standard"
 
 // Religion using standard HL7 extension
 * extension contains http://hl7.org/fhir/StructureDefinition/patient-religion named religion 0..1
-* extension[religion].valueCodeableConcept from https://fhir.dghs.gov.bd/core/ValueSet/bd-religions
+* extension[religion].valueCodeableConcept from https://fhir.dghs.gov.bd/core/ValueSet/bd-religions-valueset
 
 * address 1..* MS
 * address only BDAddress
-
-* extension contains occupation named occupation 0..1

input/fsh/profile/BDPractitioner.fsh

@@ -0,0 +1,10 @@
+// @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

input/fsh/profile/bdAddress.fsh

@@ -10,8 +10,10 @@ Description: "Address for Bangladesh Standard"
 
 * country 1..1 MS
 * extension contains Division named division 1..1 MS
+* extension[division] ^short = "Division code"
 
 * district 1..1 MS
 * district from BDDistrictsVS
 
 * extension contains Upazillas named upazilla 1..1 MS
+* extension[upazilla] ^short = "Upazilla code"

input/fsh/valueSets/BDConditionICD11DiagnosisVS.fsh

@@ -0,0 +1,62 @@
+// ============================================================
+// BDConditionICD11DiagnosisVS.fsh
+// ICD-11 MMS ValueSet restricted to Diagnosis and Finding classes
+// Binding target for Condition.code in BDConditionProfile
+// Empty stub — runtime enforcement via OCL $validate-code
+// $expand not available — suppressed in sushi-config.yaml
+// ============================================================
+
+ValueSet: BDConditionICD11DiagnosisVS
+Id: bd-condition-icd11-diagnosis-valueset
+Title: "Bangladesh ICD-11 MMS Condition ValueSet (Diagnosis and Finding)"
+Description: """
+ICD-11 MMS concepts restricted to the Diagnosis (14,071) and Finding (5,590)
+concept classes, totalling 19,661 concepts as of version 2025-01.
+
+This ValueSet is the binding target for Condition.code in the BD-Core
+Condition profile. Substance, Organism, Device, Anatomy, and Misc class
+concepts are excluded and SHALL NOT appear as standalone stem codes in
+Condition.code. This restriction applies to stem codes only — satellite
+codes carried in the icd11-cluster-expression extension are exempt.
+
+This ValueSet is an empty stub. No compose block is declared because
+$expand is not supported by the national OCL terminology server and
+no machine-executable filter for concept_class is available at the
+IG layer. The compose would be nominal only and is omitted to avoid
+misrepresenting machine-executable semantics.
+
+The ValueSet is hosted in OCL as a collection with 19,661 explicit
+concept references (Diagnosis and Finding classes only). Runtime
+enforcement is via OCL ValueSet $validate-code:
+
+  GET https://tr.ocl.dghs.gov.bd/api/fhir/ValueSet/$validate-code
+      ?url=https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset
+      &system=http://id.who.int/icd/release/11/mms
+      &code={code}
+
+Confirmed behaviour:
+  - Diagnosis class (e.g. 1A00): accepted
+  - Finding class: accepted
+  - Device class (e.g. XD7EB1): rejected
+  - Substance class (e.g. XM6RB2): rejected
+
+At the HAPI FHIR layer, enforcement is via RemoteTerminologyServiceValidationSupport
+configured to call OCL. HAPI FHIR deployment is a known gap to be closed
+before vendor onboarding.
+
+VERSION UPGRADES:
+  Upgrading to a new ICD-11 MMS release requires re-running
+  populate_condition_valueset.py. Automated via version_upgrade.py.
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset"
+* ^status = #active
+* ^experimental = false
+* ^version = "2025-01"
+* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^copyright = "ICD-11 is copyright © World Health Organization. Used under licence."
+* ^immutable = false

input/fsh/valueSets/BDDGDADrugsVS.fsh

@@ -0,0 +1,34 @@
+ValueSet: BDDGDADrugsVS
+Id: dgda-registered-drugs
+Title: "DGDA Registered Drugs Value Set"
+Description: """
+Value set containing all registered drug products from the Drug Registration
+Authority (DGDA) of Bangladesh. This value set includes 39,196 finished
+pharmaceutical drug product concepts maintained in the national OCL terminology
+server at https://tr.ocl.dghs.gov.bd.
+
+This value set is the normative binding for BDMedication.code and represents
+the only permitted drug coding vocabulary for medication resources in the
+Bangladesh national health information exchange.
+
+Validation is performed via $validate-code and $lookup against the national
+OCL terminology server. $expand is not supported for this value set due to its
+size.
+
+Source collection: dgda-registered-drugs-valueset (MoHFW organisation, OCL)
+OCL collection canonical: https://dgda.gov.bd/fhir/ValueSet/registered-drugs
+OCL FHIR endpoint: https://tr.ocl.dghs.gov.bd/orgs/MoHFW/collections/dgda-registered-drugs-valueset/
+"""
+
+* ^url = "https://dgda.gov.bd/fhir/ValueSet/registered-drugs"
+* ^version = "v1.0.0"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "Directorate General of Drug Administration (DGDA), Government of Bangladesh"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^immutable = false
+
+* include codes from system https://dgda.gov.bd/drug-registry

input/fsh/valueSets/BDEncounterClassSubsetVS.fsh

@@ -0,0 +1,13 @@
+// ---------- ValueSet ----------
+ValueSet: BDEncounterClassSubsetVS
+Id: bd-encounter-class-subset
+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"

input/fsh/valueSets/BDEncounterStatusSubsetVS.fsh

@@ -0,0 +1,15 @@
+// ---------- ValueSet ----------
+ValueSet: BDEncounterStatusSubsetVS
+Id: bd-encounter-status-subset
+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"
+

input/fsh/valueSets/BDICD11SubstancesVS.fsh

@@ -0,0 +1,32 @@
+ValueSet: BDICD11SubstancesVS
+Id: icd11-substances-valueset
+Title: "ICD-11 Substances Value Set"
+Description: """
+Value set containing all ICD-11 MMS substance and medicament concepts
+(XM-prefix concept class: Substance) maintained in the national OCL
+terminology server at https://tr.ocl.dghs.gov.bd.
+
+This value set contains 7,776 substance concepts and is used for coding
+active pharmaceutical ingredients in the BDMedication.ingredient element
+to support IPS generation and cross-border data exchange.
+
+This value set is defined and maintained in OCL. It is declared here as a
+minimal stub to allow IG publisher binding resolution only.
+
+**OCL collection canonical:** https://fhir.dghs.gov.bd/core/ValueSet/icd11-substances-valueset
+**OCL FHIR endpoint:** https://tr.ocl.dghs.gov.bd/orgs/MoHFW/collections/icd11-substances-valueset/
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/icd11-substances-valueset"
+* ^version = "2025-01"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "World Health Organization (WHO) — served via DGHS National OCL"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^immutable = false
+
+* include codes from system http://id.who.int/icd/release/11/mms
+    where concept-class = "Substance"

input/fsh/valueSets/BDImmunizationReactionVS.fsh

@@ -0,0 +1,7 @@
+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 BDImmunizationReactionCS

input/fsh/valueSets/BDImmunizationRouteVS.fsh

@@ -0,0 +1,7 @@
+ValueSet: BDImmunizationRouteVS
+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 BDImmunizationRouteCS

input/fsh/valueSets/BDImmunizationSiteVs.fsh

@@ -0,0 +1,8 @@
+ValueSet: BDImmunizationSiteVS
+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 BDImmunizationSiteCS
+

input/fsh/valueSets/BDLanguage.fsh

@@ -0,0 +1,8 @@
+ValueSet: BDLanguageVS
+Id: bd-language-valueset
+Title: "Allowed Languages"
+Description: "Only English and Bengali are allowed"
+* urn:ietf:bcp:47#en "English"
+* urn:ietf:bcp:47#bn "Bengali"
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-language-valueset"

input/fsh/valueSets/BDLoincAnswerListsVS.fsh

@@ -0,0 +1,22 @@
+ValueSet:    BDLoincAnswerListsVS
+Id:          bd-loinc-answer-lists-valueset
+Title:       "Bangladesh LOINC Answer Lists ValueSet"
+Description: "LOINC answer codes (LA-prefixed) and answer list groupers (LL-prefixed) 
+for Bangladesh laboratory results. Includes all answer codes referenced by in-scope 
+lab result codes from LOINC 2.82. Used as Observation.valueCodeableConcept in 
+bd-lab-result-observation for ordinal and nominal scale results."
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-loinc-answer-lists-valueset"
+* ^status = #draft
+* ^experimental = true
+* ^version = "0.1.0"
+* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.name = "DGHS Health Information Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^copyright = "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use."
+* ^immutable = false
+
+* include codes from system http://loinc.org
+    where concept in "https://fhir.dghs.gov.bd/core/ValueSet/loinc-answer-lists"

input/fsh/valueSets/BDLoincLabPanelsVS.fsh

@@ -0,0 +1,21 @@
+ValueSet:    BDLoincLabPanelsVS
+Id:          bd-loinc-lab-panels-valueset
+Title:       "Bangladesh LOINC Lab Panels ValueSet"
+Description: "LOINC orderable laboratory panel codes for Bangladesh. Includes universal 
+lab order panel codes from LOINC 2.82 scoped to the Universal Lab Orders ValueSet. 
+Used as Observation.code in bd-lab-panel-observation."
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-loinc-lab-panels-valueset"
+* ^status = #draft
+* ^experimental = true
+* ^version = "0.1.0"
+* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.name = "DGHS Health Information Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^copyright = "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use."
+* ^immutable = false
+
+* include codes from system http://loinc.org
+    where concept in "https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-panels"

input/fsh/valueSets/BDLoincLabResultsVS.fsh

@@ -0,0 +1,22 @@
+ValueSet:    BDLoincLabResultsVS
+Id:          bd-loinc-lab-results-valueset
+Title:       "Bangladesh LOINC Lab Results ValueSet"
+Description: "LOINC leaf-level laboratory result codes for Bangladesh. Includes 
+individual component/result codes from LOINC 2.82 scoped to the Universal Lab Orders 
+ValueSet. Excludes discouraged and non-laboratory codes. Used as Observation.code 
+in bd-lab-result-observation."
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-loinc-lab-results-valueset"
+* ^status = #draft
+* ^experimental = true
+* ^version = "0.1.0"
+* ^publisher = "Directorate General of Health Services (DGHS), MoHFW, Bangladesh"
+* ^contact.name = "DGHS Health Information Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^copyright = "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use."
+* ^immutable = false
+
+* include codes from system http://loinc.org
+    where concept in "https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-results"

input/fsh/valueSets/BDMedicationDoseFormVS.fsh

@@ -0,0 +1,36 @@
+ValueSet: BDMedicationDoseFormVS
+Id: bd-medication-dose-form
+Title: "Medication Dose Form Value Set"
+Description: """
+Value set containing pharmaceutical dose form concepts from the European
+Directorate for the Quality of Medicines (EDQM) Standard Terms, domain:
+Pharmaceutical Dose Forms (PDF).
+
+This value set is used to code the physical form of a medication product
+in BDMedication.form. EDQM Standard Terms are maintained and versioned
+by the Council of Europe and are the WHO-recommended international standard
+for pharmaceutical dose form coding.
+
+Concepts are loaded into the national OCL terminology server at
+https://tr.ocl.dghs.gov.bd under the MoHFW organisation as source EDQM-PDF.
+
+**Binding:** preferred on BDMedication.form — systems should use EDQM
+codes when populating dose form, but omission is permitted. A mapping from
+DGDA plain text dose forms to EDQM codes is planned for a future IG version.
+
+**Code system canonical:** https://standardterms.edqm.eu
+**OCL source:** https://tr.ocl.dghs.gov.bd/#/orgs/MoHFW/sources/EDQM-PDF/
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/edqm-dose-forms"
+* ^version = "1.0.0"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "DGHS Health Informatics Unit"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^immutable = false
+
+* include codes from system https://standardterms.edqm.eu

input/fsh/valueSets/BDRouteOfAdministrationVS.fsh

@@ -0,0 +1,31 @@
+ValueSet: BDRouteOfAdministrationVS
+Id: bd-route-of-administration
+Title: "Route of Administration Value Set"
+Description: """
+Value set containing route of administration concepts from the HL7 Version 3
+RouteOfAdministration code system.
+
+This value set is used to code the route by which a medication is administered
+in MedicationRequest.dosageInstruction.route. HL7 v3 RouteOfAdministration
+is a license-free, internationally recognised vocabulary already embedded in
+the FHIR ecosystem.
+
+Concepts are loaded into the national OCL terminology server at
+https://tr.ocl.dghs.gov.bd under the MoHFW organisation.
+
+**Code system canonical:** http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration
+**Binding:** required on BDMedicationRequest.dosageInstruction.route
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-route-of-administration"
+* ^version = "1.0.0"
+* ^status = #active
+* ^experimental = false
+* ^publisher = "DGHS Health Informatics Unit"
+* ^contact.name = "DGHS Health Informatics Unit"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "https://dghs.gov.bd"
+* ^jurisdiction = urn:iso:std:iso:3166#BD "Bangladesh"
+* ^immutable = false
+
+* include codes from system http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration

input/fsh/valueSets/BDVaccineVS.fsh

@@ -0,0 +1,7 @@
+ValueSet: BDVaccineVS
+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 BDVaccineCS

input/fsh/valueSets/languageVS.fsh

@@ -1,6 +0,0 @@
-ValueSet: LanguageValueSet
-Id: language-valueset
-Title: "Allowed Languages"
-Description: "Only English and Bengali are allowed"
-* http://hl7.org/fhir/ValueSet/languages#en "English"
-* http://hl7.org/fhir/ValueSet/languages#bn "Bengali"

input/history/bdpatient.fsh

@@ -1,115 +0,0 @@
-
-Profile:     BDPatientProfile
-
-Id:          bd-patient
-Parent:      Patient
-Title:       "Bangladesh Patient Profile"
-Description: "All patient information of BD"
-
-// ^ url = https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient
-
-* identifier 1..*
-
-* identifier ^slicing.discriminator.type = #value
-* identifier ^slicing.discriminator.path = "system"
-* identifier ^slicing.rules = #open
-* identifier ^slicing.description = "Identifier"
-* identifier ^slicing.ordered = false
-
-// nid, brn, uhid, passport, dl, tin
-// * identifier contains nid 0..1 and  brn 0..1 and uhid 0..1 and passport 0..1 and dl 0..1 and tin 0..1
-
-// * name 2..2
-
-// * name ^slicing.discriminator.type = #value
-// * name ^slicing.discriminator.path = ""
-// * name ^slicing.rules = #open
-// * name ^slicing.description = "Patient names (Bangla and English required) "
-// * name ^slicing.ordered = false
-
-// * name contains 
-//     bangla 1..1 and 
-//     english 1..1
-
-// * name[bangla].text = "Full name in Bangla"
-// //* name[bangla].language = "BN" 
-
-// * name[english].text 1..1
-
-* name 1..1
-* name.text 1..1
-
-* birthDate 1..1
-//* birthplace 1..1
-
-* gender 1..1 
-* gender from http://hl7.org/fhir/ValueSet/administrative-gender
-
-* telecom 0..* MS
-* telecom.system 1..1 
-* telecom.system from http://hl7.org/fhir/ValueSet/contact-point-system (required)
-* telecom.value 1..1
-* telecom.use 0..1
-* telecom.use from http://hl7.org/fhir/ValueSet/contact-point-use (required)
-
-* extension contains http://hl7.org/fhir/StructureDefinition/patient-nationality named PatientNationality 1..1
-
-
-* link 2..*
-* link ^slicing.discriminator.type = #value
-* link ^slicing.discriminator.path = "system"
-* link ^slicing.rules = #open
-* link ^slicing.description = ""
-* link ^slicing.ordered = false
-
-* link contains 
-    father 1..1 and
-    mother 1..1
-
-// * link[father].other.reference 1..1
-
-
-// * link[father].other.identifier 0..1
-// definition of identifier
-
-// TODO
-// * link[father].other.identifier from BdIdentifierTypeVS (required)
-
-// * link[father].other.relationship 1..1
-// definition of relationship
-
-// * link[mother].other only Reference(RelatedPerson)
-// * link[mother].other.reference 1..1
-
-// * link[mother].other.identifier 0..1
-// TODO
-// * link[mother].other.identifier from BdIdentifierTypeVS (required)
-
-Profile: RelatedPersonMother
-Id: relatedperson-mother
-Parent: RelatedPerson
-Title: "RelatedPerson Mother Profile"
-Description: "Profile for RelatedPerson representing the mother"
-* relationship.coding.code = #MTH
-* identifier 1..1
-
-// TODO
-// * identifier includes codes from system  BdIdentifierTypeVs# (required)
-// * identifier from  BdIdentifierTypeVs# (required)
-
-
-Profile: RelatedPersonFather
-Id: relatedperson-father
-Parent: RelatedPerson
-Title: "RelatedPerson Father Profile"
-Description: "Profile for RelatedPerson representing the father"
-* relationship.coding.code = #FTH
-* identifier 1..1
-
-// TODO
-// * includes codes from system  BdIdentifierTypeVs# (required)
-
-
-//Address
-* address 1..* MS
-* address only BDAddress

input/history/h1.json

@@ -1,48 +0,0 @@
-{
-  "resourceType" : "Bundle",
-  "id" : "h1",
-  "type" : "collection",
-  "entry" : [
-    {
-      "fullUrl" : "http://somewhere.org/fhir/uv/myig/Provenance/h1-1",
-      "resource" : {
-        "resourceType" : "Provenance",
-        "id" : "h1-1",
-        "target" : [ { "reference" : "StructureDefinition/myObservation" } ],
-        "occurredDateTime" : "2015-11-30",
-        "recorded" : "2020-01-01T00:00:00.000Z",
-        "reason" : [
-          {
-            "text" : "Add \"conductible\" property to ActRelationshipType and ParticipationType codes.for ContextConduction RIM Change. And create Concept domain CodeSystem and ValueSet for ContextConductionStyle"
-          }
-        ],
-        "activity" : {
-          "coding" : [{
-            "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
-            "code" : "UPDATE"
-          }]
-        },
-        "agent" : [
-          {
-            "type" : {
-              "coding" : [{
-                "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
-                "code" : "author"
-              }]
-            },
-            "who" : { "display" : "Rob Hausam" }
-          },
-          {
-            "type" : {
-              "coding" : [{
-                "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
-                "code" : "verifier"
-              }]
-            },
-            "who" : { "display" : "Vocab" }
-          }
-        ]
-      }
-    }
-  ]
-}

input/includes/StructureDefinition-bd-patient.xml

@@ -1,20 +0,0 @@
-<StructureDefinition xmlns="http://hl7.org/fhir">
-  <id value="bd-patient"/>
-  <url value="https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient"/>
-  <name value="BDPatient"/>
-  <title value="Bangladesh Patient Profile"/>
-  <status value="draft"/>
-  <fhirVersion value="4.0.1"/>
-  <kind value="resource"/>
-  <abstract value="false"/>
-  <type value="Patient"/>
-  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-  <derivation value="constraint"/>
-  <differential>
-    <!-- Example: constrain identifier system -->
-    <element id="Patient.identifier.system">
-      <path value="Patient.identifier.system"/>
-      <fixedUri value="https://fhir.dghs.gov.bd/core/identifier"/>
-    </element>
-  </differential>
-</StructureDefinition>