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

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

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

Official URL: https://fhir.dghs.gov.bd/core/ValueSet/bd-condition-icd11-diagnosis-valueset | Version: 0.4.6
Standards status: Informative | Maturity Level: 1 | Computable Name: BDConditionICD11DiagnosisVS
Copyright/Legal: ICD-11 is copyright © World Health Organization. Used under licence.

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 &system=http://id.who.int/icd/release/11/mms &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.

References

- BD Core Condition Profile (ICD-11)

### Logical Definition (CLD)

No formal definition provided for this value set

### Expansion

This value set contains 0 concepts

System | Code | Display (en) | JSON | XML

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code