#

.gitea/workflows/ci-cd.yaml

@@ -364,7 +364,7 @@ jobs:
           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#$PREV_VERSION"
+          tar -xzf "$TMPDIR/package.tgz" --strip-components=1 -C "previous-packages/bd.fhir.core#$PREV_VERSION"
 
           echo "Previous package cached:"
           ls previous-packages
@@ -372,26 +372,50 @@ jobs:
       - name: Build FHIR IG
         run: |
           echo "Building FHIR IG version ${{ steps.version.outputs.version }}..."
+          PREV_VERSION=$(ls previous-packages/ 2>/dev/null | grep 'bd.fhir.core#' | sed 's/bd.fhir.core#//' | head -1)
+
+          echo "Injecting previous version into ig.ini: $PREV_VERSION"
+          if [ -n "$PREV_VERSION" ]; then
+            if grep -q "^previous-version" ig.ini; then
+              sed -i "s/^previous-version.*/previous-version = $PREV_VERSION/" ig.ini
+            else
+              # Ensure newline before appending
+              echo "" >> ig.ini
+              echo "previous-version = $PREV_VERSION" >> ig.ini
+            fi
+          fi
+          
+          cat ig.ini
 
           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
             
-          mkdir -p /tmp/build
+            # NEW: Install previous packages to cache
-          cp -r /home/publisher/ig /tmp/build/ig
+            if [ -d /previous-packages ]; then
+              echo 'Installing previous versions to package cache...'
+              for pkg_dir in /previous-packages/bd.fhir.core#*; do
+                if [ -d \"\$pkg_dir\" ]; then
+                  PKG_NAME=\$(basename \"\$pkg_dir\")
+                  echo \"  Installing \$PKG_NAME\"
+                  cp -r \"\$pkg_dir\" /home/publisher/.fhir/packages/\$PKG_NAME
+                fi
+              done
+              echo 'Previous versions installed'
+            fi
             
-          cd /tmp/build/ig
+            _genonce.sh
-          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"

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="0.4.1"/>
+  <version value="0.4.6"/>
   <name value="BangladeshCoreFHIRIG"/>
   <title value="Bangladesh Core FHIR Implementation Guide"/>
   <status value="active"/>

input/fsh/codeSystems/BDMaritalStatusCS.fsh

@@ -0,0 +1,18 @@
+//codeSystems/bd-regions.fsh
+CodeSystem: BDMaritalStatusCS
+Id: bd-marital-status
+Title: "Bangladesh Marital Status"
+* ^url =  "https://fhir.dghs.gov.bd/core/CodeSystem/bd-marital-status"
+
+* #1 "Unmarried" "Unmarried"
+* #2 "Married" "Married"
+* #3 "Widowed" "Widowed"
+* #4 "Separated" "Separated"
+* #5 "Divorced" "Divorced"
+
+ValueSet: BDMaritalStatusVS 
+Id: bd-marital-status-valueset
+Title: "Bangladesh Marital Status ValueSet"
+Description: "Marital status value set according to CCDS guideline"
+* ^url =  "https://fhir.dghs.gov.bd/core/ValueSet/bd-marital-status-valueset"
+* include codes from system https://fhir.dghs.gov.bd/core/CodeSystem/bd-marital-status

input/fsh/examples/BDOrganizationExample.fsh

@@ -1,7 +1,7 @@
 Instance: BDOrganizationExample
 InstanceOf: BDOrganization
 Usage: #example
-Title: "Dhaka Medical College Hospital"
+Title: "Example of a Bangladesh Organization"
 Description: "Example for DMCH using the Facility Code 10000033"
 
 // Strictly following 'identifier 1..* MS' from your profile

input/fsh/examples/BDPatientExample.fsh

@@ -4,36 +4,32 @@ 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
+// Required Name with English and Bangla Translations using separate extensions
 * name[0].use = #official
 * name[0].text = "Abul Kashem"
-* name[0].text.extension[nameEn].extension[lang].valueCode = #en
+* name[0].text.extension[nameEn].valueString = "Abul Kashem"
-* name[0].text.extension[nameEn].extension[content].valueString = "Abul Kashem"
+* name[0].text.extension[nameBn].valueString = "আবুল কাশেম"
-* 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)
+// Required Gender and BirthDate
 * 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].type.text = "Organization identifier"
 * identifier[NID].value = "1234567890"
 
-// --- Address with required extensions ---
+// Address with required extensions
 * address[0].use = #home
-* address[0].line = "House 12, Road 5"
+* address[0].district = "3026"
-* 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)
+// Division extension
 * 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)
+// Upazilla extension
-* address[0].extension[upazilla].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes#3026 "Dhamrai"
+* address[0].extension[upazilla].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-geocodes#10040028 "Dhamrai"
 
 // Optional Religion Extension
-* extension[religion].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-religions-cs#islam "Islam"
+* extension[religion].valueCodeableConcept = https://fhir.dghs.gov.bd/core/CodeSystem/bd-religions#1 "Islam"

input/fsh/extensions/BDNameBn.fsh

@@ -0,0 +1,6 @@
+Extension: BDNameBn
+Id: bd-name-bn
+Title: "Bangla Name"
+Description: "Bangla translation of the patient name"
+Context: HumanName.text
+* value[x] only string

input/fsh/extensions/BDNameEn.fsh

@@ -0,0 +1,6 @@
+Extension: BDNameEn
+Id: bd-name-en
+Title: "English Name"
+Description: "English translation of the patient name"
+Context: HumanName.text
+* value[x] only string

input/fsh/profile/BDLabPanelObservation.fsh

@@ -36,7 +36,7 @@ FHIR hasMember pattern:
 // ── 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 from https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-panels (required)
 * code ^definition = "LOINC panel/order code for this laboratory panel"
 * code ^comment = "E.g. 58410-2 CBC panel, 24323-8 Comprehensive metabolic panel"
 

input/fsh/profile/BDLabResultObservation.fsh

@@ -39,7 +39,7 @@ Coded results (Ord/Nom scale):
 // ── 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 from https://fhir.dghs.gov.bd/core/ValueSet/loinc-lab-results (required)
 * code ^definition = "LOINC result/component code for this individual laboratory result"
 * code ^comment = "E.g. 718-7 Hemoglobin, 2160-0 Creatinine"
 
@@ -68,7 +68,7 @@ Coded results (Ord/Nom scale):
 
 // 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 from https://fhir.dghs.gov.bd/core/ValueSet/loinc-answer-lists (required)
 * valueCodeableConcept ^comment = "Use for ordinal or nominal (Ord/Nom scale) results."
 
 // ── hasMember ─────────────────────────────────────────────────────────────

input/fsh/profile/BDObservation.fsh

@@ -43,7 +43,7 @@ Planned derived profiles (v0.5.0+):
 // (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 from http://hl7.org/fhir/ValueSet/observation-codes (example)
 * code ^definition = "Type of observation / test / measurement"
 * code ^comment = "E.g. Hb, RBS, CBC. Child profiles bind to specific ValueSets."
 

input/fsh/profile/BDPatient.fsh

@@ -13,27 +13,13 @@ Patient profile for Bangladesh.
 """
 
 // ----- Begin rules:
-// Require exactly one HumanName
 * name 1..1 MS
 * name.use 1..1
 * name.use = #official (exactly)
-
-// Require a text element
 * name.text 1..1 MS
-
-// Require translation extensions on text
-* name.text.extension 2..* MS
 * name.text.extension contains
-    $translation named nameEn 1..1 MS and
+    BDNameEn named nameEn 1..1 MS and
-    $translation named nameBn 1..1 MS
+    BDNameBn named nameBn 0..1 MS
-
-// Constraints on English name
-* name.text.extension[nameEn].extension[lang].valueCode = #en (exactly)
-* name.text.extension[nameEn].extension[content] 1..1 MS
-
-// Constraints on Bangla name
-* name.text.extension[nameBn].extension[lang].valueCode = #bn (exactly)
-* name.text.extension[nameBn].extension[content] 1..1 MS
 
 //////////////////////
 
@@ -46,7 +32,7 @@ Patient profile for Bangladesh.
 * identifier contains
     NID 0..1 and
     BRN 0..1 and
-    UHID 0..1
+    UHID 1..1
 
 * identifier[NID].system = "http://dghs.gov.bd/identifier/nid"
 * identifier[NID].type.coding.code = #NID
@@ -89,7 +75,9 @@ Patient profile for Bangladesh.
 
 
 // Require a value from a specific value set be used for an element
-* maritalStatus from http://hl7.org/fhir/ValueSet/marital-status
+// * maritalStatus from http://hl7.org/fhir/ValueSet/marital-status
+* maritalStatus 0..1 MS
+* maritalStatus from BDMaritalStatusVS
 
 // Restrict something[x] to a specific type -- in this case only allowing dateTime to be used
 * deceased[x] only dateTime
@@ -100,3 +88,19 @@ Patient profile for Bangladesh.
 
 * address 1..* MS
 * address only BDAddress
+
+// ── Photo ─────────────────────────────────────────────────────────────────
+// Optional patient photo — may be used for identity verification at point of care.
+* photo 0..* MS
+* photo ^definition = "Patient photo for identity verification"
+* photo ^comment = "Attach a photo of the patient when available. Use image/jpeg or image/png."
+
+// ── Link to RelatedPerson ─────────────────────────────────────────────────
+// At least one RelatedPerson link is required — father, mother, or guardian.
+// The referenced RelatedPerson must carry a BD identifier and a relationship.
+* link 0..* MS
+* link ^definition = "Link to a RelatedPerson resource representing father, mother, or guardian"
+* link ^comment = "At least one RelatedPerson with BD identifier and relationship is required."
+* link.other 1..1 MS
+* link.other only Reference(BDRelatedPerson)
+* link.type = #seealso (exactly)

input/fsh/profile/BDRelatedPerson.fsh

@@ -0,0 +1,55 @@
+Profile: BDRelatedPerson
+Id: bd-related-person
+Parent: RelatedPerson
+Title: "Related Person Profile for Bangladesh"
+Description: """
+Profile for RelatedPerson in Bangladesh.
+Used to represent father, mother, or guardian of a patient.
+- Identifier is mandatory and must use BD identifier systems (NID, BRN, UHID)
+- Relationship is mandatory
+- Name is mandatory
+"""
+
+* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-related-person"
+
+// ── Identifier ────────────────────────────────────────────────────────────
+// Mandatory BD identifier — NID, BRN, or UHID
+* identifier 1..* MS
+* identifier ^slicing.discriminator.type = #value
+* identifier ^slicing.discriminator.path = "system"
+* identifier ^slicing.rules = #open
+* identifier ^slicing.ordered = false
+* identifier contains
+    NID 0..1 and
+    BRN 0..1 and
+    UHID 0..1
+
+* identifier[NID].system = "http://dghs.gov.bd/identifier/nid"
+* identifier[NID].type.coding.code = #NID
+* identifier[NID].type.coding.system = "https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type"
+* identifier[NID].type.text = "Organization identifier"
+
+* 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/CodeSystem/bd-identifier-type"
+* identifier[BRN].type.text = "Organization identifier"
+
+* 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/CodeSystem/bd-identifier-type"
+* identifier[UHID].type.text = "Organization identifier"
+
+// ── Relationship ──────────────────────────────────────────────────────────
+// Mandatory — must specify the relationship to the patient
+* relationship 1..* MS
+* relationship ^definition = "Relationship of this person to the patient"
+* relationship ^comment = "E.g. FTH (father), MTH (mother), GUARD (guardian) from v3-RoleCode"
+
+// ── Name ──────────────────────────────────────────────────────────────────
+* name 1..1 MS
+* name ^definition = "Name of the related person"
+
+// ── Patient ───────────────────────────────────────────────────────────────
+* patient 1..1 MS
+* patient only Reference(BDPatient)
+* patient ^definition = "The patient this related person is associated with"

input/package-list.json

@@ -11,7 +11,47 @@
       "status": "ci-build",
       "current": true
     },
-        {
+    {
+      "version": "0.4.5",
+      "date": "2026-04-10",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.5/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.4",
+      "date": "2026-04-06",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.4/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.3",
+      "date": "2026-04-06",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.3/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.2",
+      "date": "2026-04-06",
+      "desc": "Patient profile minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.2/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.1",
+      "date": "2026-04-06",
+      "desc": "DGDA Drug and LOINC Integration with minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.1/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
       "version": "0.4.0",
       "date": "2026-04-06",
       "desc": "DGDA Drug and LOINC Integration",

input/pagecontent/index.xml

@@ -8,6 +8,33 @@
   <p>
     By adopting international FHIR standards, this guide helps ensure that patient data can flow smoothly between hospitals, clinics, and national programs, while also enabling future cross-border health information exchange.
   </p>
+  <hr/>
+
+  <h4>FHIR Sandbox Server</h4>
+
+  <p>
+    A live sandbox environment is available for testing and development based on this implementation guide.
+  </p>
+
+  <p>
+    <b>Base URL:</b><br/>
+    <a href="https://sandbox.fhir.dghs.gov.bd/fhir" target="_blank">
+      https://sandbox.fhir.dghs.gov.bd/fhir
+    </a>
+  </p>
+
+  <p>
+    This sandbox supports HL7 FHIR R4 and implements the Bangladesh Core FHIR profiles and terminology bindings.
+    It is intended for testing, validation, and system integration only.
+  </p>
+  <ul>
+    <li><a href="https://sandbox.fhir.dghs.gov.bd/fhir/metadata" target="_blank" rel="noopener noreferrer">Capability Statement</a></li>
+    <li><a href="https://sandbox.fhir.dghs.gov.bd" target="_blank" rel="noopener noreferrer">FHIR Tester UI</a></li>
+  </ul>
+  <p>
+    Developers are encouraged to validate their implementations against this sandbox before moving to production environments.
+  </p>
+  <hr/>
 	<a name="technical"> </a>
 	<h3>Technical Overview</h3>
 	<p>

package-list.json

@@ -11,7 +11,47 @@
       "status": "ci-build",
       "current": true
     },
-        {
+    {
+      "version": "0.4.5",
+      "date": "2026-04-10",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.5/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.4",
+      "date": "2026-04-06",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.4/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.3",
+      "date": "2026-04-06",
+      "desc": "minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.3/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.2",
+      "date": "2026-04-06",
+      "desc": "Patient profile minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.2/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
+      "version": "0.4.1",
+      "date": "2026-04-06",
+      "desc": "DGDA Drug and LOINC Integration with minor bug fixes",
+      "path": "https://fhir.dghs.gov.bd/core/0.4.1/",
+      "status": "trial-use",
+      "sequence": "STU 1"
+    },
+    {
       "version": "0.4.0",
       "date": "2026-04-06",
       "desc": "DGDA Drug and LOINC Integration",