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