# Home - Amakomaya Nepal FHIR Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:https://amakomaya.com/ImplementationGuide/hl7.fhir.amakomaya | *Version*:1.0.1 |
| Active as of 2025-08-01 | *Computable Name*:AMKCoreImplementationGuide |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License | |

### Introduction

Welcome to the **Amakomaya Nepal FHIR Implementation Guide**, developed to support standards-based digital health interoperability across Nepal’s health information ecosystem. This guide provides the principles, specifications, and implementation patterns required to enable consistent, reliable FHIR-based data exchange among national, provincial, and local digital health systems.

### Key Concepts

* **FHIR Resources**
 Health information is represented using modular, reusable resources such as `Patient`, `Observation`, `Encounter`, and `MedicationRequest`.
* **Interoperability**
 Enables seamless, standards-aligned data exchange across heterogeneous health systems, registries, and applications.
* **RESTful API Support**
 FHIR provides lightweight, developer-friendly REST APIs for reading, creating, updating, and searching health data.
* **Multi-format Data Exchange**
 Supports JSON, XML, and RDF to meet diverse system requirements.
* **Terminology Services**
 Standardized coding and terminology management using `CodeSystem`, `ValueSet`, and `ConceptMap` to ensure consistent meaning across systems.

### Use Cases

* Integrated patient information across hospitals, clinics, and community-level systems
* Digital registries for maternal, newborn, and child health
* Immunization record management and interoperability
* Electronic referrals and continuity of care workflows
 **(Additional use cases can be added)**

### Key Features

* **FHIR Server Infrastructure**
 Central and distributed server options for storing and exchanging standardized health data.
* **Implementation Guide (IG)**
 Contains customized FHIR profiles, extensions, validation rules, and workflow definitions tailored to Nepal’s health programs.
* **Terminology Services**
 Provides code systems, value sets, and mapping structures aligned with national and global health standards.
* **Core Resource Set**
 Includes `Patient`, `Encounter`, `Organization`, `Observation`, `Practitioner`, `CarePlan`, and other essential health resources.
* **Developer & API Documentation**
 Clear guidance for implementers to integrate digital health applications using secure and standardized FHIR APIs.

### Dependencies



### Implementation Guide Access

The official Amakomaya Nepal FHIR Implementation Guide is available at:
 🔗 **https://fhir.amakomaya.com**

This includes:

* Nepal-specific FHIR profiles and extensions
* Terminology bindings and national data standards
* Authentication, authorization, and API integration guidelines
* Reference workflows and real-world implementation examples

-------

### Technical Lead

* **Amakomaya Nepal Team**

### Key Contributors

| | | | |
| :--- | :--- | :--- | :--- |
| Primary Editor, FHIR Lead | RC Poudel | Software Engineer & Health Informatics Specialist, Amakomaya Nepal | rcpoudel@amakomaya.com / rmchndrapdl@gmail.com |
| Primary Editor | Basanta Gaire | Publih Health Expert |  |

### Supporting Organization

* **Amakomaya Nepal**

-------

**Last Updated: 2026-06-15**



## Resource Content

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  "url" : "https://amakomaya.com/ImplementationGuide/hl7.fhir.amakomaya",
  "version" : "1.0.1",
  "name" : "AMKCoreImplementationGuide",
  "title" : "Amakomaya Nepal FHIR Implementation Guide",
  "status" : "active",
  "date" : "2025-08-01",
  "publisher" : "Amakomaya Nepal",
  "contact" : [{
    "name" : "Amakomaya Nepal",
    "telecom" : [{
      "system" : "url",
      "value" : "https://amakomaya.com"
    },
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      "value" : "info@amakomaya.com"
    }]
  },
  {
    "name" : "RC Poudel",
    "telecom" : [{
      "system" : "email",
      "value" : "rcpoudel@amakomaya.com"
    },
    {
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      "value" : "rmchndrapdl@gmail.com"
    },
    {
      "system" : "phone",
      "value" : "+977-9851341921"
    }]
  }],
  "description" : "The Amakomaya Nepal FHIR Implementation Guide defines the core profiles, data elements, workflows, and terminologies needed to support interoperable, standards-based digital health services for Nepal.\nThis guide ensures alignment with national digital health standards, WHO Digital Adaptation Kits (DAKs), and global FHIR best practices. It enables high-quality, structured data exchange between digital systems and national platforms, improving continuity of care, reporting, and decision-making.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "NP"
    }]
  }],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "packageId" : "hl7.fhir.amakomaya",
  "license" : "CC-BY-SA-3.0",
  "fhirVersion" : ["5.0.0"],
  "dependsOn" : [{
    "id" : "hl7tx",
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
      "valueMarkdown" : "Automatically added as a dependency - all IGs depend on HL7 Terminology"
    }],
    "uri" : "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
    "packageId" : "hl7.terminology.r5",
    "version" : "7.1.0"
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    "uri" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
    "packageId" : "hl7.fhir.uv.extensions.r5",
    "version" : "5.3.0"
  }],
  "definition" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.uv.tools.r5#1.1.2"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/AMKCounsellingID"
      },
      "name" : "Aamako Maya Counselling Services ID",
      "description" : "Unique identifier for individuals registered for counselling services under Aamako Maya.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/administrative-gender"
      },
      "name" : "Administrative Gender",
      "description" : "A value set containing administrative gender codes from the FHIR core.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-binary"
      },
      "name" : "Amakomaya Binary (Minimal)",
      "description" : "Minimal Binary profile for uploading and storing files in the Amakomaya system.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/amk-application-mode"
      },
      "name" : "AMK Application Mode",
      "description" : "Allowed application modes for the AMK tracking app.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-appointment"
      },
      "name" : "AMK Appointment Profile",
      "description" : "Profile for representing appointments in the Amakomaya health system, capturing scheduling and participant",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-core-immunization"
      },
      "name" : "AMK Core Immunization Profile",
      "description" : "The AMK Core Immunization Profile inherits from the FHIR [Immunization](https://hl7.org/fhir/R5/immunization.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Immunization resource to record, search, and fetch basic immunization information for an individual patient within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. By providing a standardized foundation for capturing immunization events in Nepal",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-core-medication-dispense"
      },
      "name" : "AMK Core Medication Dispense Profile",
      "description" : "The AMK Core MedicationDispense Profile inherits from the FHIR MedicationDispense resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch information about medications dispensed to a patient within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-observation"
      },
      "name" : "AMK Core Observation Profile",
      "description" : "Observation Profile",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-core-patient"
      },
      "name" : "AMK Core Patient Profile",
      "description" : "The AMK Core Patient Profile inherits from the FHIR [Patient](https://hl7.org/fhir/R5/patient.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Patient resource to record, search, and fetch core patient information within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. By providing a standardized foundation for capturing patient demographics, identifiers, and key health attributes, this profile promotes interoperability, consistent data capture, and adoption across national health programs",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-core-person"
      },
      "name" : "AMK Core Person Profile",
      "description" : "The AMK Core Person Profile defines a standardized representation of a real-world individual\nwithin the Nepal health system. It supports identity resolution, demographic capture,\nand identity assurance across Patient, Practitioner, and RelatedPerson records.\nThis profile enables reliable identity verification, deduplication, and interoperability\nacross national digital health programs.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-encounter"
      },
      "name" : "AMK Encounter",
      "description" : "Encounter representing in the Amakomaya app.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-healthcare-service"
      },
      "name" : "AMK Healthcare Service",
      "description" : "Minimal profile for describing healthcare services provided by an organization at one or more locations.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-location"
      },
      "name" : "AMK Location",
      "description" : "Location resource representing a physical or virtual location, including GPS coordinates.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-organization"
      },
      "name" : "AMK Organization",
      "description" : "Organization profile representing healthcare organizations such as hospitals, clinics, and health institutions.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-relatedperson"
      },
      "name" : "AMK Related Person",
      "description" : "Profile representing a person related to a patient, such as a caregiver or family member.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-communication"
      },
      "name" : "AMKCommunication",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-consent"
      },
      "name" : "AMKConsent",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/amk-document-reference"
      },
      "name" : "AMKDocumentReference",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/application-mode"
      },
      "name" : "Application Mode for Amakomaya App",
      "description" : "The different modes a user can select in the AMK tracking app.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Appointment"
      }],
      "reference" : {
        "reference" : "Appointment/appointment-pregnant-anc"
      },
      "name" : "Appointment - ANC Counseling Session for Pregnant Patient",
      "description" : "An example appointment for an ANC counseling session scheduled for a pregnant patient.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-appointment"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Communication"
      }],
      "reference" : {
        "reference" : "Communication/amk-communication-notification"
      },
      "name" : "Communication - Lab Report Notification",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-communication"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/condition-code"
      },
      "name" : "Condition/Problem/Diagnosis codes",
      "description" : "Condition/Problem/Diagnosis codes",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Consent"
      }],
      "reference" : {
        "reference" : "Consent/amk-consent-opt-in"
      },
      "name" : "Consent - Opt In",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-consent"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/medication"
      },
      "name" : "Dietary Supplements (SNOMED)",
      "description" : "Vitamins, minerals, and other dietary supplements",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/district"
      },
      "name" : "District",
      "description" : "All district used in administrative divisions",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/document-reference-anc-visit"
      },
      "name" : "DocumentReference - ANC Visit Report",
      "description" : "ANC Visit Report from 2nd trimester",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-document-reference"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/educational-level"
      },
      "name" : "Educational Level",
      "description" : "SNOMED CT for the highest level of education attained.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/PregnancyAMKApplicationModeEncounter"
      },
      "name" : "Encounter - Pregnancy Application Mode",
      "description" : "An example instance representing an encounter with a pregnancy application mode.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-encounter"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/organization-hams-hospital"
      },
      "name" : "HAMS Hospital Organization",
      "description" : "HAMS Hospital, a tertiary care private hospital in Kathmandu, Nepal.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-organization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "HealthcareService"
      }],
      "reference" : {
        "reference" : "HealthcareService/healthcare-service-hams-cardiology"
      },
      "name" : "HealthcareService - Cardiology Outpatient Service",
      "description" : "Cardiology outpatient healthcare service provided by HAMS Hospital",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-healthcare-service"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/AdministrativeGenderCM"
      },
      "name" : "HL7 Administrative Gender to SNOMED CT",
      "description" : "Maps HL7 Administrative Gender codes to SNOMED CT concepts.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-bcg"
      },
      "name" : "Immunization Record - BCG",
      "description" : "An example of an immunization resource for BCG vaccine.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-dpt"
      },
      "name" : "Immunization Record - DPT",
      "description" : "An example of an immunization resource for Diphtheria, Pertussis, and Tetanus (DPT) vaccine.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-fipv"
      },
      "name" : "Immunization Record - Fractional Injectable Polio Vaccine (fIPV)",
      "description" : "Example immunization resource for fractional IPV, given intradermally at 14 weeks and 9 months (2 doses).",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-hpv"
      },
      "name" : "Immunization Record - HPV Vaccine",
      "description" : "Example immunization resource for Human Papillomavirus vaccine, given intramuscularly to adolescent girls in grades 6-10 and out-of-school girls aged 10+.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-je"
      },
      "name" : "Immunization Record - Japanese Encephalitis Vaccine",
      "description" : "Example immunization resource for Japanese Encephalitis vaccine, given subcutaneously at 12 months.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-mr"
      },
      "name" : "Immunization Record - Measles-Rubella Vaccine",
      "description" : "Example immunization resource for Measles-Rubella vaccine, given subcutaneously at 9 and 15 months.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-opv"
      },
      "name" : "Immunization Record - OPV",
      "description" : "An example of an immunization resource for Oral Polio Vaccine (OPV).",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-pcv"
      },
      "name" : "Immunization Record - PCV",
      "description" : "An example of an immunization resource for Pneumococcal Conjugate Vaccine (PCV).",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-penta"
      },
      "name" : "Immunization Record - Pentavalent Vaccine",
      "description" : "An example of an immunization resource for the Pentavalent vaccine (DPT-HepB-Hib).",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-polio"
      },
      "name" : "Immunization Record - Polio",
      "description" : "An example of an immunization resource for Poliomyelitis vaccine (IPV/OPV).",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-rota"
      },
      "name" : "Immunization Record - Rotavirus",
      "description" : "An example of an immunization resource for Rotavirus vaccine.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-td"
      },
      "name" : "Immunization Record - Td",
      "description" : "An example of an immunization resource for Tetanus and Diphtheria (Td) vaccine.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/immunization-typhoid"
      },
      "name" : "Immunization Record - Typhoid Vaccine",
      "description" : "Example immunization resource for Typhoid vaccine, given intramuscularly at 15 months.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/localbody"
      },
      "name" : "LocalBody",
      "description" : "All LocalBody used in administrative divisions",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/location-HAMS-hospital"
      },
      "name" : "Location - HAMS Hospital",
      "description" : "Physical location of HAMS Hospital, Kathmandu, Nepal.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-location"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationDispense"
      }],
      "reference" : {
        "reference" : "MedicationDispense/medication-dispense-albendazole"
      },
      "name" : "MedicationDispense - Albendazole",
      "description" : "Example of albendazole to a pregnant woman according to AMK Core MedicationDispense Profile.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationDispense"
      }],
      "reference" : {
        "reference" : "MedicationDispense/medication-dispense-calcium"
      },
      "name" : "MedicationDispense - Calcium Dispense",
      "description" : "Example of dispensing 30 Calcium to a pregnant woman according to AMK Core MedicationDispense Profile.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationDispense"
      }],
      "reference" : {
        "reference" : "MedicationDispense/medication-dispense-iron"
      },
      "name" : "MedicationDispense - Iron Tablet Dispense",
      "description" : "Example of dispensing 60 iron tablets to a pregnant woman according to AMK Core MedicationDispense Profile.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/locations"
      },
      "name" : "Nepal Administrative Location Codes",
      "description" : "Comprehensive code system for Nepals provinces, districts, and municipalities.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/NepalHealthFacilityRegistryID"
      },
      "name" : "Nepal Health Facility Registry Identifier",
      "description" : "Unique identifier assigned to health facilities registered in the National Health Facility Registry (NHFR) of Nepal.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/HealthID"
      },
      "name" : "Nepal Health ID",
      "description" : "Unique identifier for individuals for health services in Nepal.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/NationalID"
      },
      "name" : "Nepal National Identity Number",
      "description" : "Nepalese National Identity Number issued by the Ministry of Home Affairs.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/nepal-telecom-system"
      },
      "name" : "Nepal Telecome Subscriber Identifier Namespace",
      "description" : "Defines the canonical identifier namespace used for all Nepal Telecome subscribers (phone numbers). Use this as identifier.system for Patient, Person, or Account resources.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/observation-aamako-maya-counseling"
      },
      "name" : "Observation - Aamako Maya Counseling",
      "description" : "Observation record from Aamako Maya counseling session.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-observation"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/observation-body-weight"
      },
      "name" : "Observation - Body Weight",
      "description" : "Body weight measurement for a patient.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-observation"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/observation-vs"
      },
      "name" : "Observation ValueSet",
      "description" : "A SNOMED CT value set for observations.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/yes-no"
      },
      "name" : "Option Set - Yes / No / Yes-only / Don't know / Not applicable",
      "description" : "Master option set for Yes/No/Yes-only/Don't know/Not applicable, including Nepali designations:छ/छैन, हो/होइन, गराएको/नगराएको, लिएको/नलिएको, भएको/नभएको, पाएको/नपाएको\n\n| HL7 v2-0532 Code | SNOMED CT Code | English Meaning       | Nepali Variants                                      |\n|-----------------|----------------|--------------------|-----------------------------------------------------|\n| Y               | 373066001      | Yes / Affirmative  | हो / गराएको / लिएको / भएको / पाएको              |\n| N               | 373067005      | No / Negative      | होइन / नगराएको / नलिएको / नभएको / नपाएको      |",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/patient-child"
      },
      "name" : "Patient – Child",
      "description" : "1-year-old Suman Thapa from Kathmandu Metropolitan City Ward No. 12 visiting the Health Facility for routine immunizations.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-patient"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/patient-pregnant"
      },
      "name" : "Patient – Pregnant Woman (Mom-to-Be)",
      "description" : "21-year-old Hiramaya Tamang from Ilam Municipality Ward No. 5 visiting the district hospital for pregnancy-related care.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-patient"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Person"
      }],
      "reference" : {
        "reference" : "Person/AMKPersonMasterPersonIndex"
      },
      "name" : "Person - Master Person Index",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-core-person"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/province"
      },
      "name" : "Province",
      "description" : "All provinces used in administrative divisions",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "RelatedPerson"
      }],
      "reference" : {
        "reference" : "RelatedPerson/relatedperson-pregnant"
      },
      "name" : "RelatedPerson - Caregiver for Pregnant Woman",
      "description" : "An example related person/caregiver for a pregnant woman.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/amk-relatedperson"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/reminder-task"
      },
      "name" : "Reminder Task",
      "description" : "A profile for system-generated reminder tasks created by a mobile or web application (e.g., Amakomaya App). Supports reminders for ANC visits, immunization dates, medication reminders, and follow-up actions.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/severities"
      },
      "name" : "Severities",
      "description" : "Severities",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Task"
      }],
      "reference" : {
        "reference" : "Task/SimpleReminderTask"
      },
      "name" : "Task - Simple Reminder for Pregnant Patient",
      "description" : "A minimal example of an app-generated reminder task for a pregnant patient.",
      "isExample" : true,
      "profile" : ["https://fhir.amakomaya.com/StructureDefinition/reminder-task"]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/tele-call-consent-categories"
      },
      "name" : "Tele Call Consent Categories",
      "description" : "Consent options for telephonic communication preferences.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/tele-call-consent-valueset"
      },
      "name" : "Tele Call Consent ValueSet",
      "description" : "Allowed consent categories for telephonic communication preferences.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/TokhaBHSCID"
      },
      "name" : "Tokha Municipality Basic Health Services ID",
      "description" : "Unique identifier for individuals registered in Basic Health Services under Tokha Municipality.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/vaccine"
      },
      "name" : "Vaccines (SNOMED CT)",
      "description" : "ValueSet of routine vaccines in Nepal, based on SNOMED CT concepts.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/YesNoCM"
      },
      "name" : "Yes / No Concept Map",
      "description" : "Mapping between HL7 v2-0532, SNOMED CT, and Nepali Yes/No custom codes",
      "isExample" : false
    }],
    "page" : {
      "sourceUrl" : "toc.html",
      "name" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "sourceUrl" : "index.html",
        "name" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "profiles.html",
        "name" : "profiles.html",
        "title" : "Extensions and Profiles",
        "generation" : "markdown"
      },
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        "sourceUrl" : "codesystems.html",
        "name" : "codesystems.html",
        "title" : "Code Systems",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "valuesets.html",
        "name" : "valuesets.html",
        "title" : "Value Sets",
        "generation" : "markdown"
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        "sourceUrl" : "conceptmaps.html",
        "name" : "conceptmaps.html",
        "title" : "Concept Maps",
        "generation" : "markdown"
      },
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        "sourceUrl" : "identifiers.html",
        "name" : "identifiers.html",
        "title" : "Identifier Systems",
        "generation" : "markdown"
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        "sourceUrl" : "external_terminologies.html",
        "name" : "external_terminologies.html",
        "title" : "External Code Systems",
        "generation" : "markdown"
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        "sourceUrl" : "health-journey.html",
        "name" : "health-journey.html",
        "title" : "Health Journey",
        "generation" : "markdown"
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        "sourceUrl" : "security.html",
        "name" : "security.html",
        "title" : "Security and Privacy",
        "generation" : "markdown"
      },
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        "sourceUrl" : "gov_concepts.html",
        "name" : "gov_concepts.html",
        "title" : "Governance",
        "generation" : "markdown",
        "page" : [{
          "sourceUrl" : "archimate-diagram.html",
          "name" : "archimate-diagram.html",
          "title" : "ArchiMate Diagram",
          "generation" : "markdown"
        }]
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        "sourceUrl" : "examples.html",
        "name" : "examples.html",
        "title" : "Examples",
        "generation" : "markdown"
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        "sourceUrl" : "downloads.html",
        "name" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown",
        "page" : [{
          "sourceUrl" : "copyrights.html",
          "name" : "copyrights.html",
          "title" : "Copyrights",
          "generation" : "markdown"
        }]
      },
      {
        "sourceUrl" : "health-journey-mnch.html",
        "name" : "health-journey-mnch.html",
        "title" : "Health Journey Mnch",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "health-journey-immunization.html",
        "name" : "health-journey-immunization.html",
        "title" : "Health Journey Immunization",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "health-journey-opd.html",
        "name" : "health-journey-opd.html",
        "title" : "Health Journey Opd",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "api-usage.html",
        "name" : "api-usage.html",
        "title" : "API Usage",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "copyrightyear"
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      "value" : "2025+"
    },
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      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "releaselabel"
      },
      "value" : "ci-build"
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        "code" : "autoload-resources"
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        "code" : "path-resource"
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        "code" : "path-resource"
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      "value" : "input/extensions"
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      "code" : {
        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
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      "value" : "input/models"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
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      "value" : "input/operations"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
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      "value" : "input/profiles"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
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        "code" : "path-resource"
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      "value" : "input/vocabulary"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
      },
      "value" : "input/maps"
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        "code" : "path-resource"
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      "value" : "input/testing"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
      },
      "value" : "input/history"
    },
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      "code" : {
        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
      },
      "value" : "fsh-generated/resources"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-pages"
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      "value" : "template/config"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-pages"
      },
      "value" : "input/images"
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        "code" : "path-liquid"
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-liquid"
      },
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    },
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-qa"
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-temp"
      },
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    },
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      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-output"
      },
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    },
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      "code" : {
        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-tx-cache"
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    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-suppressed-warnings"
      },
      "value" : "input/ignoreWarnings.txt"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-history"
      },
      "value" : "history.html"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "template-html"
      },
      "value" : "template-page.html"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "template-md"
      },
      "value" : "template-page-md.html"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-contact"
      },
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    },
    {
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-context"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-copyright"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-jurisdiction"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-license"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-publisher"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-version"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-wg"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "active-tables"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "fmm-definition"
      },
      "value" : "http://hl7.org/fhir/versions.html#maturity"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "propagate-status"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "excludelogbinaryformat"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "tabbed-snapshots"
      },
      "value" : "true"
    }]
  }
}

```
