<status value="active"/> <experimental value="false"/> <date value="2026-04-10T17:24:05+00:00"/> <publisher value="Directorate General of Health Services (DGHS), Bangladesh"/> <contact> <telecom> <system value="url"/> <value value="http://dghs.gov.bd"/> </telecom> </contact> <description value="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."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="050"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <context> <type value="element"/> <expression value="Coding"/> </context> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Extension"> <path value="Extension"/> <short value="ICD-11 Cluster Expression"/> <definition value="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."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Extension.id"> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.url"> <path value="Extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="ICD-11 postcoordinated cluster expression string"/> <definition value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension"/> <short value="ICD-11 Cluster Expression"/> <definition value="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."/> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <max value="0"/> </element> <element id="Extension.url"> <path value="Extension.url"/> <fixedUri value="https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"/> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="ICD-11 postcoordinated cluster expression string"/> <definition value="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."/> <min value="1"/> <type> <code value="string"/> </type> </element> </differential> </StructureDefinition>

English

Generated Narrative: StructureDefinition icd11-cluster-expression

German

Generated Narrative: StructureDefinition icd11-cluster-expression

French

Narratif généré : DéfinitionStructure icd11-cluster-expression