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

## Extension: ICD11ClusterExpression - TTL Profile

Page standards status: Informative | Maturity Level: 1

TTL representation of the icd11-cluster-expression extension.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "icd11-cluster-expression"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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: StructureDefinition icd11-cluster-expression</b></p><a name=\"icd11-cluster-expression\"> </a><a name=\"hcicd11-cluster-expression\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension\" title=\"Carries a postcoordinated ICD-11 cluster expression as a single string#xA;on a Coding element where the stem code alone is insufficient to fully#xA;represent the clinical concept.#xA;#xA;A cluster expression combines a stem code with one or more satellite#xA;codes using the &amp; operator (combination) or / operator (specificity).#xA;Example: NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM#xA;  - NC72.Z  — stem: Fracture of femur, unspecified#xA;  - XK8G    — satellite: laterality#xA;  - XJ7ZH   — satellite: fracture subtype#xA;  - XJ7YM   — satellite: fracture open or closed#xA;#xA;Usage rules:#xA;  - SHALL only be present when the expression contains at least one#xA;    satellite code joined by &amp; or / operators.#xA;  - Single stem codes SHALL be represented in Coding.code only and#xA;    validated via OCL $validate-code. The cluster validator at#xA;    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects#xA;    stem-only expressions.#xA;  - The stem code in Coding.code SHALL match the leading stem code#xA;    in this expression string.#xA;  - Satellite codes in the cluster expression are exempt from the#xA;    Diagnosis/Finding class restriction that applies to stem codes#xA;    in Condition.code.#xA;  - Cluster expressions SHALL be validated against the Bangladesh#xA;    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate#xA;    prior to submission to the HIE.#xA;#xA;Cluster validator endpoint:#xA;  POST https://icd11.dghs.gov.bd/cluster/validate#xA;  Body: { &quot;expression&quot;: &quot;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM&quot; }#xA;#xA;This extension is not MustSupport and is not mandatory. It is present#xA;only when postcoordination is clinically required. Cluster expressions#xA;are typically sourced from the WHO Electronic Coding Tool (ECT) at the#xA;point of care.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 Cluster Expression</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.extension\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.value[x]\" title=\"The full postcoordinated cluster expression, including the stem code and#xA;all satellite codes joined by &amp; or / operators. Example:#xA;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM. The stem code in this string SHALL match#xA;Coding.code on the parent Coding element.\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 postcoordinated cluster expression string</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div><div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition icd11-cluster-expression</b></p><a name=\"de-icd11-cluster-expression\"> </a><a name=\"de-hcicd11-cluster-expression\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension\" title=\"Carries a postcoordinated ICD-11 cluster expression as a single string#xA;on a Coding element where the stem code alone is insufficient to fully#xA;represent the clinical concept.#xA;#xA;A cluster expression combines a stem code with one or more satellite#xA;codes using the &amp; operator (combination) or / operator (specificity).#xA;Example: NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM#xA;  - NC72.Z  — stem: Fracture of femur, unspecified#xA;  - XK8G    — satellite: laterality#xA;  - XJ7ZH   — satellite: fracture subtype#xA;  - XJ7YM   — satellite: fracture open or closed#xA;#xA;Usage rules:#xA;  - SHALL only be present when the expression contains at least one#xA;    satellite code joined by &amp; or / operators.#xA;  - Single stem codes SHALL be represented in Coding.code only and#xA;    validated via OCL $validate-code. The cluster validator at#xA;    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects#xA;    stem-only expressions.#xA;  - The stem code in Coding.code SHALL match the leading stem code#xA;    in this expression string.#xA;  - Satellite codes in the cluster expression are exempt from the#xA;    Diagnosis/Finding class restriction that applies to stem codes#xA;    in Condition.code.#xA;  - Cluster expressions SHALL be validated against the Bangladesh#xA;    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate#xA;    prior to submission to the HIE.#xA;#xA;Cluster validator endpoint:#xA;  POST https://icd11.dghs.gov.bd/cluster/validate#xA;  Body: { &quot;expression&quot;: &quot;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM&quot; }#xA;#xA;This extension is not MustSupport and is not mandatory. It is present#xA;only when postcoordination is clinically required. Cluster expressions#xA;are typically sourced from the WHO Electronic Coding Tool (ECT) at the#xA;point of care.\">Extension</a><a name=\"de-Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 Cluster Expression</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.extension\">extension</a><a name=\"de-Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.url\">url</a><a name=\"de-Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.value[x]\" title=\"The full postcoordinated cluster expression, including the stem code and#xA;all satellite codes joined by &amp; or / operators. Example:#xA;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM. The stem code in this string SHALL match#xA;Coding.code on the parent Coding element.\">value[x]</a><a name=\"de-Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 postcoordinated cluster expression string</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div><div xml:lang=\"fr\" lang=\"fr\"><hr/><p><b>French</b></p><hr/><p class=\"res-header-id\"><b>Narratif généré : DéfinitionStructure icd11-cluster-expression</b></p><a name=\"fr-icd11-cluster-expression\"> </a><a name=\"fr-hcicd11-cluster-expression\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Le nom logique de l'élément\">Nom</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informations sur l'utilisation de l'élément\">Drapeaux</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Nombre minimum et maximum de fois que l'élément peut apparaître dans l'instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Référence au type de l'élément\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informations supplémentaires sur l'élément\">Description et contraintes</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension\" title=\"Carries a postcoordinated ICD-11 cluster expression as a single string#xA;on a Coding element where the stem code alone is insufficient to fully#xA;represent the clinical concept.#xA;#xA;A cluster expression combines a stem code with one or more satellite#xA;codes using the &amp; operator (combination) or / operator (specificity).#xA;Example: NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM#xA;  - NC72.Z  — stem: Fracture of femur, unspecified#xA;  - XK8G    — satellite: laterality#xA;  - XJ7ZH   — satellite: fracture subtype#xA;  - XJ7YM   — satellite: fracture open or closed#xA;#xA;Usage rules:#xA;  - SHALL only be present when the expression contains at least one#xA;    satellite code joined by &amp; or / operators.#xA;  - Single stem codes SHALL be represented in Coding.code only and#xA;    validated via OCL $validate-code. The cluster validator at#xA;    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects#xA;    stem-only expressions.#xA;  - The stem code in Coding.code SHALL match the leading stem code#xA;    in this expression string.#xA;  - Satellite codes in the cluster expression are exempt from the#xA;    Diagnosis/Finding class restriction that applies to stem codes#xA;    in Condition.code.#xA;  - Cluster expressions SHALL be validated against the Bangladesh#xA;    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate#xA;    prior to submission to the HIE.#xA;#xA;Cluster validator endpoint:#xA;  POST https://icd11.dghs.gov.bd/cluster/validate#xA;  Body: { &quot;expression&quot;: &quot;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM&quot; }#xA;#xA;This extension is not MustSupport and is not mandatory. It is present#xA;only when postcoordination is clinically required. Cluster expressions#xA;are typically sourced from the WHO Electronic Coding Tool (ECT) at the#xA;point of care.\">Extension</a><a name=\"fr-Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 Cluster Expression</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Extension simple\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.extension\">extension</a><a name=\"fr-Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.url\">url</a><a name=\"fr-Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Type de donnée primitif\" class=\"hierarchy\"/> <a href=\"StructureDefinition-icd11-cluster-expression-definitions.html#Extension.value[x]\" title=\"The full postcoordinated cluster expression, including the stem code and#xA;all satellite codes joined by &amp; or / operators. Example:#xA;NC72.Z&amp;XK8G&amp;XJ7ZH&amp;XJ7YM. The stem code in this string SHALL match#xA;Coding.code on the parent Coding element.\">value[x]</a><a name=\"fr-Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ICD-11 postcoordinated cluster expression string</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Légende pour ce format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation pour ce format</a></td></tr></table></div></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1 ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"^^xsd:anyURI ;
    fhir:l <https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core>         ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "informative" ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"^^xsd:anyURI ;
    fhir:l <https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core>         ]       ] )     ]
      ] ) ; #
      fhir:url [
    fhir:v "https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"^^xsd:anyURI ;
    fhir:l <https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression>
      ] ; #
      fhir:version [ fhir:v "0.4.6"] ; #
      fhir:name [ fhir:v "ICD11ClusterExpression"] ; #
      fhir:title [ fhir:v "ICD-11 Cluster Expression"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-04-27T17:15:47+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Directorate General of Health Services (DGHS), Bangladesh"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://dghs.gov.bd" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Carries a postcoordinated ICD-11 cluster expression as a single string\non a Coding element where the stem code alone is insufficient to fully\nrepresent the clinical concept.\n\nA cluster expression combines a stem code with one or more satellite\ncodes using the & operator (combination) or / operator (specificity).\nExample: NC72.Z&XK8G&XJ7ZH&XJ7YM\n  - NC72.Z  — stem: Fracture of femur, unspecified\n  - XK8G    — satellite: laterality\n  - XJ7ZH   — satellite: fracture subtype\n  - XJ7YM   — satellite: fracture open or closed\n\nUsage rules:\n  - SHALL only be present when the expression contains at least one\n    satellite code joined by & or / operators.\n  - Single stem codes SHALL be represented in Coding.code only and\n    validated via OCL $validate-code. The cluster validator at\n    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects\n    stem-only expressions.\n  - The stem code in Coding.code SHALL match the leading stem code\n    in this expression string.\n  - Satellite codes in the cluster expression are exempt from the\n    Diagnosis/Finding class restriction that applies to stem codes\n    in Condition.code.\n  - Cluster expressions SHALL be validated against the Bangladesh\n    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate\n    prior to submission to the HIE.\n\nCluster validator endpoint:\n  POST https://icd11.dghs.gov.bd/cluster/validate\n  Body: { \"expression\": \"NC72.Z&XK8G&XJ7ZH&XJ7YM\" }\n\nThis extension is not MustSupport and is not mandatory. It is present\nonly when postcoordination is clinically required. Cluster expressions\nare typically sourced from the WHO Electronic Coding Tool (ECT) at the\npoint of care."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "050" ]     ] )
      ] ) ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:mapping ( [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:uri [
    fhir:v "http://hl7.org/v3"^^xsd:anyURI ;
    fhir:l <http://hl7.org/v3>     ] ;
    fhir:name [ fhir:v "RIM Mapping" ]
      ] ) ; #
      fhir:kind [ fhir:v "complex-type"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:context ( [
    fhir:type [ fhir:v "element" ] ;
    fhir:expression [ fhir:v "Coding" ]
      ] ) ; #
      fhir:type [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension
      ] ; #
      fhir:baseDefinition [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
      ] ; #
      fhir:derivation [ fhir:v "constraint"] ; #
      fhir:snapshot [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "4.0.1"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "Extension" ] ;
    fhir:path [ fhir:v "Extension" ] ;
    fhir:short [ fhir:v "ICD-11 Cluster Expression" ] ;
    fhir:definition [ fhir:v "Carries a postcoordinated ICD-11 cluster expression as a single string\non a Coding element where the stem code alone is insufficient to fully\nrepresent the clinical concept.\n\nA cluster expression combines a stem code with one or more satellite\ncodes using the & operator (combination) or / operator (specificity).\nExample: NC72.Z&XK8G&XJ7ZH&XJ7YM\n  - NC72.Z  — stem: Fracture of femur, unspecified\n  - XK8G    — satellite: laterality\n  - XJ7ZH   — satellite: fracture subtype\n  - XJ7YM   — satellite: fracture open or closed\n\nUsage rules:\n  - SHALL only be present when the expression contains at least one\n    satellite code joined by & or / operators.\n  - Single stem codes SHALL be represented in Coding.code only and\n    validated via OCL $validate-code. The cluster validator at\n    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects\n    stem-only expressions.\n  - The stem code in Coding.code SHALL match the leading stem code\n    in this expression string.\n  - Satellite codes in the cluster expression are exempt from the\n    Diagnosis/Finding class restriction that applies to stem codes\n    in Condition.code.\n  - Cluster expressions SHALL be validated against the Bangladesh\n    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate\n    prior to submission to the HIE.\n\nCluster validator endpoint:\n  POST https://icd11.dghs.gov.bd/cluster/validate\n  Body: { \"expression\": \"NC72.Z&XK8G&XJ7ZH&XJ7YM\" }\n\nThis extension is not MustSupport and is not mandatory. It is present\nonly when postcoordination is clinically required. Cluster expressions\nare typically sourced from the WHO Electronic Coding Tool (ECT) at the\npoint of care." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:condition [ fhir:v "ele-1" ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Extension.id" ] ;
    fhir:path [ fhir:v "Extension.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "Extension.extension" ] ;
    fhir:path [ fhir:v "Extension.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Extension" ] ;
    fhir:definition [ fhir:v "An Extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "0" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ]     ] [
    fhir:id [ fhir:v "Extension.url" ] ;
    fhir:path [ fhir:v "Extension.url" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "identifies the meaning of the extension" ] ;
    fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension.url" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "uri"^^xsd:anyURI ;
    fhir:l fhir:uri           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:fixed [
    a fhir:Uri ;
    fhir:v "https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"^^xsd:anyURI ;
    fhir:l <https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression>       ] ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "Extension.value[x]" ] ;
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:short [ fhir:v "ICD-11 postcoordinated cluster expression string" ] ;
    fhir:definition [ fhir:v "The full postcoordinated cluster expression, including the stem code and\nall satellite codes joined by & or / operators. Example:\nNC72.Z&XK8G&XJ7ZH&XJ7YM. The stem code in this string SHALL match\nCoding.code on the parent Coding element." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "Extension" ] ;
    fhir:path [ fhir:v "Extension" ] ;
    fhir:short [ fhir:v "ICD-11 Cluster Expression" ] ;
    fhir:definition [ fhir:v "Carries a postcoordinated ICD-11 cluster expression as a single string\non a Coding element where the stem code alone is insufficient to fully\nrepresent the clinical concept.\n\nA cluster expression combines a stem code with one or more satellite\ncodes using the & operator (combination) or / operator (specificity).\nExample: NC72.Z&XK8G&XJ7ZH&XJ7YM\n  - NC72.Z  — stem: Fracture of femur, unspecified\n  - XK8G    — satellite: laterality\n  - XJ7ZH   — satellite: fracture subtype\n  - XJ7YM   — satellite: fracture open or closed\n\nUsage rules:\n  - SHALL only be present when the expression contains at least one\n    satellite code joined by & or / operators.\n  - Single stem codes SHALL be represented in Coding.code only and\n    validated via OCL $validate-code. The cluster validator at\n    https://icd11.dghs.gov.bd/cluster/validate explicitly rejects\n    stem-only expressions.\n  - The stem code in Coding.code SHALL match the leading stem code\n    in this expression string.\n  - Satellite codes in the cluster expression are exempt from the\n    Diagnosis/Finding class restriction that applies to stem codes\n    in Condition.code.\n  - Cluster expressions SHALL be validated against the Bangladesh\n    ICD-11 Cluster Validator at https://icd11.dghs.gov.bd/cluster/validate\n    prior to submission to the HIE.\n\nCluster validator endpoint:\n  POST https://icd11.dghs.gov.bd/cluster/validate\n  Body: { \"expression\": \"NC72.Z&XK8G&XJ7ZH&XJ7YM\" }\n\nThis extension is not MustSupport and is not mandatory. It is present\nonly when postcoordination is clinically required. Cluster expressions\nare typically sourced from the WHO Electronic Coding Tool (ECT) at the\npoint of care." ]     ] [
    fhir:id [ fhir:v "Extension.extension" ] ;
    fhir:path [ fhir:v "Extension.extension" ] ;
    fhir:max [ fhir:v "0" ]     ] [
    fhir:id [ fhir:v "Extension.url" ] ;
    fhir:path [ fhir:v "Extension.url" ] ;
    fhir:fixed [
    a fhir:Uri ;
    fhir:v "https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression"^^xsd:anyURI ;
    fhir:l <https://fhir.dghs.gov.bd/core/StructureDefinition/icd11-cluster-expression>       ]     ] [
    fhir:id [ fhir:v "Extension.value[x]" ] ;
    fhir:path [ fhir:v "Extension.value[x]" ] ;
    fhir:short [ fhir:v "ICD-11 postcoordinated cluster expression string" ] ;
    fhir:definition [ fhir:v "The full postcoordinated cluster expression, including the stem code and\nall satellite codes joined by & or / operators. Example:\nNC72.Z&XK8G&XJ7ZH&XJ7YM. The stem code in this string SHALL match\nCoding.code on the parent Coding element." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] )     ] )
      ] . #