Bangladesh Core FHIR Implementation Guide
0.4.5 - Published by DGHS, MoHFW

Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions

## : Bangladesh ICD-11 MMS Condition ValueSet (Diagnosis and Finding) - XML Representation

Page standards status: Informative | Maturity Level: 1

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="bd-condition-icd11-diagnosis-valueset"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ValueSet bd-condition-icd11-diagnosis-valueset</b></p><a name="bd-condition-icd11-diagnosis-valueset"> </a><a name="hcbd-condition-icd11-diagnosis-valueset"> </a><p>This value set includes codes based on the following rules:</p><ul/></div><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ValueSet bd-condition-icd11-diagnosis-valueset</b></p><a name="de-bd-condition-icd11-diagnosis-valueset"> </a><a name="de-hcbd-condition-icd11-diagnosis-valueset"> </a><p>This value set includes codes based on the following rules:</p><ul/></div><div xml:lang="fr" lang="fr"><hr/><p><b>French</b></p><hr/><p class="res-header-id"><b>Narratif généré : EnsembleValeurs bd-condition-icd11-diagnosis-valueset</b></p><a name="fr-bd-condition-icd11-diagnosis-valueset"> </a><a name="fr-hcbd-condition-icd11-diagnosis-valueset"> </a><p>Ce jeu de valeur (ValueSet) inclut les codes selon les règles suivantes :</p><ul/></div></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="informative">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset"/>
      <version value="0.4.5"/>
      <name value="BDConditionICD11DiagnosisVS"/>
      <title
             value="Bangladesh ICD-11 MMS Condition ValueSet (Diagnosis and Finding)"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-04-10T17:50:34+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="ICD-11 MMS concepts restricted to the Diagnosis (14,071) and Finding (5,590)
    concept classes, totalling 19,661 concepts as of version 2025-01.

    This ValueSet is the binding target for Condition.code in the BD-Core
    Condition profile. Substance, Organism, Device, Anatomy, and Misc class
    concepts are excluded and SHALL NOT appear as standalone stem codes in
    Condition.code. This restriction applies to stem codes only — satellite
    codes carried in the icd11-cluster-expression extension are exempt.

    This ValueSet is an empty stub. No compose block is declared because
    $expand is not supported by the national OCL terminology server and
    no machine-executable filter for concept_class is available at the
    IG layer. The compose would be nominal only and is omitted to avoid
    misrepresenting machine-executable semantics.

    The ValueSet is hosted in OCL as a collection with 19,661 explicit
    concept references (Diagnosis and Finding classes only). Runtime
    enforcement is via OCL ValueSet $validate-code:

      GET https://tr.ocl.dghs.gov.bd/api/fhir/ValueSet/$validate-code
          ?url=https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset
          &amp;system=http://id.who.int/icd/release/11/mms
          &amp;code={code}

    Confirmed behaviour:
      - Diagnosis class (e.g. 1A00): accepted
      - Finding class: accepted
      - Device class (e.g. XD7EB1): rejected
      - Substance class (e.g. XM6RB2): rejected

    At the HAPI FHIR layer, enforcement is via RemoteTerminologyServiceValidationSupport
    configured to call OCL. HAPI FHIR deployment is a known gap to be closed
    before vendor onboarding.

    VERSION UPGRADES:
      Upgrading to a new ICD-11 MMS release requires re-running
      populate_condition_valueset.py. Automated via version_upgrade.py."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="050"/>
        </coding>
      </jurisdiction>
      <immutable value="false"/>
      <copyright
                 value="ICD-11 is copyright © World Health Organization. Used under licence."/>
    </ValueSet>