description: Profile of the Medication resource for the Bangladesh National Health Information\nExchange (HIE). Drug products are coded using the DGDA Drug Registry maintained\nby the Drug Registration Authority of Bangladesh and served via the national OCL\nterminology server at https://tr.ocl.dghs.gov.bd.\n\nIngredient coding uses ICD-11 MMS substance codes (XM-prefix) to support\nInternational Patient Summary (IPS) generation and cross-border data exchange.\nIngredient data is system-populated from OCL Has-active-ingredient mappings and\nis not required to be entered manually by clinicians.\n\nCombination drugs are supported via the repeating ingredient element.\nIngredients are derived from the DGDA drug concept in the national OCL\nterminology server through its Has-active-ingredient mappings to ICD-11 MMS\nsubstance codes (one mapping per ingredient). Newly registered drugs can take\ntime to appear in the DGDA data, so the ingredient elements are Must Support:\nsystems that hold ingredient data may populate them in the meantime.\n\nDose form is optional and should be coded using EDQM Standard Terms when\npopulated. Dose form is derivable from the DGDA drug concept via OCL lookup, where DGDA\ndose forms are mapped to EDQM Standard Terms codes.
package_name: bd.fhir.core
derivation: constraint
name: BDMedication
type: Medication
elements:
  code:
    short: DGDA registered drug product code
    binding: {strength: required, valueSet: 'https://fhir.dghs.gov.bd/core/ValueSet/dgda-registered-drugs'}
    mustSupport: true
    index: 0
    elements:
      text: {short: Trade name of the drug product, mustSupport: true, index: 1}
    required: [text]
  form:
    short: Pharmaceutical dose form — EDQM Standard Terms (optional)
    binding: {strength: preferred, valueSet: 'https://fhir.dghs.gov.bd/core/ValueSet/edqm-dose-forms'}
    mustSupport: true
    index: 2
  ingredient:
    short: Active ingredient(s) of the drug product
    mustSupport: true
    index: 3
    elements:
      item:
        short: ICD-11 substance code for the ingredient
        mustSupport: true
        choices: [itemCodeableConcept]
        index: 5
      itemCodeableConcept: {type: CodeableConcept, short: ICD-11 substance code for the ingredient, mustSupport: true, choiceOf: item, index: 6}
      strength: {short: Strength of the ingredient (optional), index: 7}
package_version: 0.5.0
class: profile
kind: resource
url: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 0.5.0
required: [code]