#

.gitea/workflows/ci-cd.yaml

@@ -382,10 +382,11 @@ jobs:
           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
 
-          _updatePublisher.sh -y
           _genonce.sh
           ")
 

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="0.3.0"/>
+  <version value="0.4.1"/>
   <name value="BangladeshCoreFHIRIG"/>
   <title value="Bangladesh Core FHIR Implementation Guide"/>
   <status value="active"/>

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/BDMedicationCS.fsh

@@ -1,4 +1,4 @@
-CodeSystem: BDMedicationCodeSystem
+CodeSystem: BDMedicationCS
 Id: bd-medication-code
 Title: "Bangladesh Medication Codes"
 Description: "Bangladesh Medication Codes"
@@ -21,4 +21,4 @@ ValueSet: BDMedicationVS
 Id: bd-medication-valueset
 Title: "Bangladesh Medication ValueSet"
 Description: "Bangladesh Medication ValueSet"
-* include codes from system BDMedicationCodeSystem
+* include codes from system BDMedicationCS

input/fsh/codeSystems/BDMedicationForm.fsh

@@ -30,12 +30,11 @@ Description: "Medication dose form codes according to CCDS guideline"
     "Low-viscosity liquid topical dosage form for external application."
 
 
-// ---------------------------
+// // ---------------------------
-// ValueSet for BD Medication Dose Forms
+// // ValueSet for BD Medication Dose Forms
-// ---------------------------
+// // ---------------------------
-ValueSet: BDMedicationDoseFormVS
+// ValueSet: BDMedicationDoseFormVS
-Id: bd-dose-form-valueset
+// Id: bd-dose-form-valueset
-Title: "Bangladesh Medication Dose Form ValueSet"
+// Title: "Bangladesh Medication Dose Form ValueSet"
-Description: "Medication dose form value set according to CCDS guideline"
+// Description: "Medication dose form value set according to CCDS guideline"
-* ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-dose-form-valueset"
+// * ^url = "https://fhir.dghs.gov.bd/core/ValueSet/bd-dose-form-valueset"
-* include codes from system BDMedicationDoseForm

input/fsh/codeSystems/ICD11MMSCS.fsh

@@ -17,7 +17,7 @@ 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=`):
+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}
 

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/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/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

@@ -23,7 +23,7 @@ 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=`):
+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

input/fsh/profile/BDConditionProfile.fsh

@@ -16,7 +16,7 @@ Guide (BD-Core-FHIR-IG) published by DGHS/MoHFW.
 """
 
 * code 1..1 MS
-* code from bd-condition-icd11-diagnosis-valueset (preferred)
+* 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.

input/fsh/profile/BDEncounter.fsh

@@ -1,5 +1,5 @@
 
-Profile:     BDEncounterProfile
+Profile:     BDEncounter
 Id:          bd-encounter
 Parent:      Encounter
 Title:       "Encounter Profile for Bangladesh"

input/fsh/profile/BDImmunization.fsh

@@ -35,11 +35,11 @@ Description: "Bangladesh Immunization Profile"
 
 * patient 1..1
 * patient ^definition = "The patient receiving the vaccine"
-* patient only Reference(BDPatientProfile)
+* patient only Reference(BDPatient)
 
 * encounter 1..1
 * encounter ^definition = "Encounter during which vaccine was administered"
-* encounter only Reference(BDEncounterProfile)
+* encounter only Reference(BDEncounter)
 
 * occurrence[x] 1..1
 

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/BDMedication.fsh

@@ -1,17 +1,76 @@
-// @Name: Profile
-// @Description: Example of a profile of the Medication resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
-
 Profile: BDMedication
 Id: bd-medication
 Parent: Medication
-Title: "Medication Profile for Bangladesh-V2"
+Title: "Medication Profile for Bangladesh"
-Description: "Profile of Medication Bangladesh Standard V2"
+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.
 
-* form 1..1 MS
+Ingredient coding uses ICD-11 MMS substance codes (XM-prefix) to support
-* form from BDMedicationDoseFormVS
+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 BDMedicationVS
+* 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.
+"""
 
-* ingredient 1..* MS
+* form 0..1 MS
-* ingredient.strength 1..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

@@ -1,24 +1,66 @@
-// @Name: Profile
-// @Description: Example of a profile of the MedicationRequest resource. This example includes a few of the most commonly used constraints and documentation features of FHIR profiles.
-
 Profile: BDMedicationRequest
 Id: bd-medication-request
 Parent: MedicationRequest
-Title: "Medication Request Profile for Bangladesh-V2"
+Title: "Medication Request Profile for Bangladesh"
-Description: "Profile of MedicationRequest Bangladesh Standard V2"
+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.
+"""
 
-* identifier 1..*
 * medication[x] 1..1 MS
-* medication[x] only Reference(BDMedication) or CodeableConcept
+* medication[x] only Reference(BDMedication)
-* subject only Reference(BDPatientProfile)
+* 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(BDEncounterProfile)
+* encounter only Reference(BDEncounter)
-* encounter ^definition = "The encounter during which this prescription was created."
+* encounter ^short = "Encounter during which this prescription was created"
-* authoredOn 1..1
+* encounter ^definition = """
-* requester 1..1
+The encounter during which this prescription was created. Should be populated
+for inpatient and outpatient prescriptions where an encounter record exists.
+"""
 
-* reportedReference only Reference(BDPractitioner or BDOrganization or BDPatientProfile)
+* 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

@@ -2,51 +2,83 @@ Profile:     BDObservationProfile
 Id:          bd-observation
 Parent:      Observation
 Title:       "Bangladesh Observation Profile"
-Description: "Bangladesh Observation Profile"
+Description: """
-* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-observation"
+Base observation profile for Bangladesh. This is an abstract-style base profile
-* ^version = "1.0.0"
+from which all BD-Core observation profiles are derived. It is not intended to
-* ^status = #active
+be used directly in clinical resources — use a derived profile instead.
 
-* identifier 1..* MS
+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
 
-* partOf 0..*
+// ── 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 (required)
+* category from http://hl7.org/fhir/ValueSet/observation-category (preferred)
-* category ^definition = "Type of category"
+* category ^definition = "Type of observation category"
-* category ^comment = "E.g. vital, physical examination"
+* 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 (required)
+* code from http://hl7.org/fhir/ValueSet/observation-codes (extensible)
-* code ^definition = "Type of test/measurement"
+* code ^definition = "Type of observation / test / measurement"
-* code ^comment = "E.g., Hb, RBS, CBC"
+* code ^comment = "E.g. Hb, RBS, CBC. Child profiles bind to specific ValueSets."
 
-// Subject: Reference to Patient Profile (Required)
+// ── 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 Patient Profile"
+* 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 Patient Profile"
+* encounter ^definition = "Reference to the Encounter during which this observation was made"
-* encounter ^comment = "EX: uuid:34c38499-58ab-41e0-8e94-c3931491ad0e - bundle encounter uuid from local"
+* encounter ^comment = "EX: uuid:34c38499-58ab-41e0-8e94-c3931491ad0e"
 
+// ── Performer ─────────────────────────────────────────────────────────────
 * performer 1..*
 * performer.reference 1..1
 
-// Value[x]: Result value (Optional, but constrained)
+// ── 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
@@ -59,26 +91,43 @@ Description: "Bangladesh Observation Profile"
 * 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 (required)
+* interpretation from http://hl7.org/fhir/ValueSet/observation-interpretation (extensible)
-* interpretation ^definition = "Type of test/measurement"
+* interpretation ^definition = "Assessment of the observation result"
-* interpretation ^comment = "E.g.: High, low, normal, etc"
+* 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 (required)
+* method from http://hl7.org/fhir/ValueSet/observation-methods (extensible)
 * method ^definition = "Type of observation method"
-* method ^comment = "E.g.: Technique, Total measurement"
+* method ^comment = "E.g. Technique, Total measurement"
 
-// Issued: Date/time result was issued (Optional)
+// ── Issued ────────────────────────────────────────────────────────────────
 * issued 0..1
-* issued ^definition = "Date/time result was issued"
+* issued ^definition = "Date/time the result was issued"
 
-// Reference Range: Normal reference range (Optional)
+// ── Reference Range ───────────────────────────────────────────────────────
 * referenceRange 0..*
-* referenceRange ^definition = "Normal reference range"
+* referenceRange ^definition = "Normal reference range for the observation"
-* referenceRange ^comment = "Optional"
 
-// Specimen: Specimen used for the observation (Optional)
+// ── Specimen ──────────────────────────────────────────────────────────────
-* specimen 0..1
+// MustSupport at base — relevant for lab, pathology, and future imaging.
-* specimen ^definition = "Specimen used for the observation"
+* specimen 0..1 MS
-* specimen ^comment = "Optional"
+* 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/BDPatient.fsh

@@ -1,7 +1,7 @@
 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:     BDPatientProfile
+Profile:     BDPatient
 Id:          bd-patient
 Parent:      Patient
 Title:       "Patient Profile for Bangladesh"
@@ -51,7 +51,7 @@ Patient profile for Bangladesh.
 * 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 = "https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type-valueset"
+* 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"
@@ -61,7 +61,7 @@ Patient profile for Bangladesh.
 
 * identifier[BRN].system = "http://dghs.gov.bd/identifier/brn"
 * identifier[BRN].type.coding.code = #BRN
-* identifier[BRN].type.coding.system = "https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type-valueset"
+* 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"
@@ -69,7 +69,7 @@ Patient profile for Bangladesh.
 
 * identifier[UHID].system = "http://dghs.gov.bd/identifier/uhid"
 * identifier[UHID].type.coding.code = #UHID
-* identifier[UHID].type.coding.system = "https://fhir.dghs.gov.bd/core/ValueSet/bd-identifier-type-valueset"
+* identifier[UHID].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
 * identifier[UHID].type from BangladeshIdentifierTypeVS (extensible)
 * identifier[UHID].type.text = "Organization identifier"
 

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/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/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/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/package-list.json

@@ -12,6 +12,22 @@
       "current": true
     },
         {
+      "version": "0.4.0",
+      "date": "2026-04-06",
+      "desc": "DGDA Drug and LOINC Integration",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.0/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.3.0",
+      "date": "2026-03-08",
+      "desc": "ICD-11 MMS integration and minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.3.0/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
       "version": "0.2.5",
       "date": "2025-10-06",
       "desc": "Minor bug fix release",

package-list.json

@@ -12,6 +12,22 @@
       "current": true
     },
         {
+      "version": "0.4.0",
+      "date": "2026-04-06",
+      "desc": "DGDA Drug and LOINC Integration",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.0/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.3.0",
+      "date": "2026-03-08",
+      "desc": "ICD-11 MMS integration and minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.3.0/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
       "version": "0.2.5",
       "date": "2025-10-06",
       "desc": "Minor bug fix release",