<?xml version="1.0" encoding="UTF-8"?>

<ImplementationGuide xmlns="http://hl7.org/fhir">
  <id value="hl7.fhir.amakomaya"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ImplementationGuide hl7.fhir.amakomaya</b></p><a name="hl7.fhir.amakomaya"> </a><a name="hchl7.fhir.amakomaya"> </a><h2>AMKCoreImplementationGuide</h2><p>The official URL for this implementation guide is: </p><pre>https://amakomaya.com/ImplementationGuide/hl7.fhir.amakomaya</pre><div><p>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.
This 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.</p>
</div></div>
  </text>
  <url value="https://amakomaya.com/ImplementationGuide/hl7.fhir.amakomaya"/>
  <version value="1.0.1"/>
  <name value="AMKCoreImplementationGuide"/>
  <title value="Amakomaya Nepal FHIR Implementation Guide"/>
  <status value="active"/>
  <date value="2025-08-01"/>
  <publisher value="Amakomaya Nepal"/>
  <contact>
    <name value="Amakomaya Nepal"/>
    <telecom>
      <system value="url"/>
      <value value="https://amakomaya.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@amakomaya.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="RC Poudel"/>
    <telecom>
      <system value="email"/>
      <value value="rcpoudel@amakomaya.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="rmchndrapdl@gmail.com"/>
    </telecom>
    <telecom>
      <system value="phone"/>
      <value value="+977-9851341921"/>
    </telecom>
  </contact>
  <description value="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.&#xA;This 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 value="urn:iso:std:iso:3166"/>
      <code value="NP"/>
    </coding>
  </jurisdiction>
  <copyright value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <packageId value="hl7.fhir.amakomaya"/>
  <license value="CC-BY-SA-3.0"/>
  <fhirVersion value="5.0.0"/>
  <dependsOn id="hl7tx">
    <extension url="http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment">
      <valueMarkdown value="Automatically added as a dependency - all IGs depend on HL7 Terminology"/>
    </extension>
    <uri value="http://terminology.hl7.org/ImplementationGuide/hl7.terminology"/>
    <packageId value="hl7.terminology.r5"/>
    <version value="7.1.0"/>
  </dependsOn>
  <dependsOn id="hl7ext">
    <extension url="http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment">
      <valueMarkdown value="Automatically added as a dependency - all IGs depend on the HL7 Extension Pack"/>
    </extension>
    <uri value="http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions"/>
    <packageId value="hl7.fhir.uv.extensions.r5"/>
    <version value="5.3.0"/>
  </dependsOn>
  <definition>
    <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency">
      <valueCode value="hl7.fhir.uv.tools.r5#1.1.2"/>
    </extension>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/AMKCounsellingID"/>
      </reference>
      <name value="Aamako Maya Counselling Services ID"/>
      <description value="Unique identifier for individuals registered for counselling services under Aamako Maya."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/administrative-gender"/>
      </reference>
      <name value="Administrative Gender"/>
      <description value="A value set containing administrative gender codes from the FHIR core."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-binary"/>
      </reference>
      <name value="Amakomaya Binary (Minimal)"/>
      <description value="Minimal Binary profile for uploading and storing files in the Amakomaya system."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/amk-application-mode"/>
      </reference>
      <name value="AMK Application Mode"/>
      <description value="Allowed application modes for the AMK tracking app."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-appointment"/>
      </reference>
      <name value="AMK Appointment Profile"/>
      <description value="Profile for representing appointments in the Amakomaya health system, capturing scheduling and participant"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-core-immunization"/>
      </reference>
      <name value="AMK Core Immunization Profile"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-core-medication-dispense"/>
      </reference>
      <name value="AMK Core Medication Dispense Profile"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-observation"/>
      </reference>
      <name value="AMK Core Observation Profile"/>
      <description value="Observation Profile"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-core-patient"/>
      </reference>
      <name value="AMK Core Patient Profile"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-core-person"/>
      </reference>
      <name value="AMK Core Person Profile"/>
      <description value="The AMK Core Person Profile defines a standardized representation of a real-world individual&#xA;within the Nepal health system. It supports identity resolution, demographic capture,&#xA;and identity assurance across Patient, Practitioner, and RelatedPerson records.&#xA;This profile enables reliable identity verification, deduplication, and interoperability&#xA;across national digital health programs."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-encounter"/>
      </reference>
      <name value="AMK Encounter"/>
      <description value="Encounter representing in the Amakomaya app."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-healthcare-service"/>
      </reference>
      <name value="AMK Healthcare Service"/>
      <description value="Minimal profile for describing healthcare services provided by an organization at one or more locations."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-location"/>
      </reference>
      <name value="AMK Location"/>
      <description value="Location resource representing a physical or virtual location, including GPS coordinates."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-organization"/>
      </reference>
      <name value="AMK Organization"/>
      <description value="Organization profile representing healthcare organizations such as hospitals, clinics, and health institutions."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-relatedperson"/>
      </reference>
      <name value="AMK Related Person"/>
      <description value="Profile representing a person related to a patient, such as a caregiver or family member."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-communication"/>
      </reference>
      <name value="AMKCommunication"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-consent"/>
      </reference>
      <name value="AMKConsent"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/amk-document-reference"/>
      </reference>
      <name value="AMKDocumentReference"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/application-mode"/>
      </reference>
      <name value="Application Mode for Amakomaya App"/>
      <description value="The different modes a user can select in the AMK tracking app."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Appointment"/>
      </extension>
      <reference>
        <reference value="Appointment/appointment-pregnant-anc"/>
      </reference>
      <name value="Appointment - ANC Counseling Session for Pregnant Patient"/>
      <description value="An example appointment for an ANC counseling session scheduled for a pregnant patient."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-appointment"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Communication"/>
      </extension>
      <reference>
        <reference value="Communication/amk-communication-notification"/>
      </reference>
      <name value="Communication - Lab Report Notification"/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-communication"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/condition-code"/>
      </reference>
      <name value="Condition/Problem/Diagnosis codes"/>
      <description value="Condition/Problem/Diagnosis codes"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Consent"/>
      </extension>
      <reference>
        <reference value="Consent/amk-consent-opt-in"/>
      </reference>
      <name value="Consent - Opt In"/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-consent"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/medication"/>
      </reference>
      <name value="Dietary Supplements (SNOMED)"/>
      <description value="Vitamins, minerals, and other dietary supplements"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/district"/>
      </reference>
      <name value="District"/>
      <description value="All district used in administrative divisions"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="DocumentReference"/>
      </extension>
      <reference>
        <reference value="DocumentReference/document-reference-anc-visit"/>
      </reference>
      <name value="DocumentReference - ANC Visit Report"/>
      <description value="ANC Visit Report from 2nd trimester"/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-document-reference"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/educational-level"/>
      </reference>
      <name value="Educational Level"/>
      <description value="SNOMED CT for the highest level of education attained."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Encounter"/>
      </extension>
      <reference>
        <reference value="Encounter/PregnancyAMKApplicationModeEncounter"/>
      </reference>
      <name value="Encounter - Pregnancy Application Mode"/>
      <description value="An example instance representing an encounter with a pregnancy application mode."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-encounter"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Organization"/>
      </extension>
      <reference>
        <reference value="Organization/organization-hams-hospital"/>
      </reference>
      <name value="HAMS Hospital Organization"/>
      <description value="HAMS Hospital, a tertiary care private hospital in Kathmandu, Nepal."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-organization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="HealthcareService"/>
      </extension>
      <reference>
        <reference value="HealthcareService/healthcare-service-hams-cardiology"/>
      </reference>
      <name value="HealthcareService - Cardiology Outpatient Service"/>
      <description value="Cardiology outpatient healthcare service provided by HAMS Hospital"/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-healthcare-service"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ConceptMap"/>
      </extension>
      <reference>
        <reference value="ConceptMap/AdministrativeGenderCM"/>
      </reference>
      <name value="HL7 Administrative Gender to SNOMED CT"/>
      <description value="Maps HL7 Administrative Gender codes to SNOMED CT concepts."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-bcg"/>
      </reference>
      <name value="Immunization Record - BCG"/>
      <description value="An example of an immunization resource for BCG vaccine."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-dpt"/>
      </reference>
      <name value="Immunization Record - DPT"/>
      <description value="An example of an immunization resource for Diphtheria, Pertussis, and Tetanus (DPT) vaccine."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-fipv"/>
      </reference>
      <name value="Immunization Record - Fractional Injectable Polio Vaccine (fIPV)"/>
      <description value="Example immunization resource for fractional IPV, given intradermally at 14 weeks and 9 months (2 doses)."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-hpv"/>
      </reference>
      <name value="Immunization Record - HPV Vaccine"/>
      <description value="Example immunization resource for Human Papillomavirus vaccine, given intramuscularly to adolescent girls in grades 6-10 and out-of-school girls aged 10+."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-je"/>
      </reference>
      <name value="Immunization Record - Japanese Encephalitis Vaccine"/>
      <description value="Example immunization resource for Japanese Encephalitis vaccine, given subcutaneously at 12 months."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-mr"/>
      </reference>
      <name value="Immunization Record - Measles-Rubella Vaccine"/>
      <description value="Example immunization resource for Measles-Rubella vaccine, given subcutaneously at 9 and 15 months."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-opv"/>
      </reference>
      <name value="Immunization Record - OPV"/>
      <description value="An example of an immunization resource for Oral Polio Vaccine (OPV)."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-pcv"/>
      </reference>
      <name value="Immunization Record - PCV"/>
      <description value="An example of an immunization resource for Pneumococcal Conjugate Vaccine (PCV)."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-penta"/>
      </reference>
      <name value="Immunization Record - Pentavalent Vaccine"/>
      <description value="An example of an immunization resource for the Pentavalent vaccine (DPT-HepB-Hib)."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-polio"/>
      </reference>
      <name value="Immunization Record - Polio"/>
      <description value="An example of an immunization resource for Poliomyelitis vaccine (IPV/OPV)."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-rota"/>
      </reference>
      <name value="Immunization Record - Rotavirus"/>
      <description value="An example of an immunization resource for Rotavirus vaccine."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-td"/>
      </reference>
      <name value="Immunization Record - Td"/>
      <description value="An example of an immunization resource for Tetanus and Diphtheria (Td) vaccine."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Immunization"/>
      </extension>
      <reference>
        <reference value="Immunization/immunization-typhoid"/>
      </reference>
      <name value="Immunization Record - Typhoid Vaccine"/>
      <description value="Example immunization resource for Typhoid vaccine, given intramuscularly at 15 months."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-immunization"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/localbody"/>
      </reference>
      <name value="LocalBody"/>
      <description value="All LocalBody used in administrative divisions"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Location"/>
      </extension>
      <reference>
        <reference value="Location/location-HAMS-hospital"/>
      </reference>
      <name value="Location - HAMS Hospital"/>
      <description value="Physical location of HAMS Hospital, Kathmandu, Nepal."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-location"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="MedicationDispense"/>
      </extension>
      <reference>
        <reference value="MedicationDispense/medication-dispense-albendazole"/>
      </reference>
      <name value="MedicationDispense - Albendazole"/>
      <description value="Example of albendazole to a pregnant woman according to AMK Core MedicationDispense Profile."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="MedicationDispense"/>
      </extension>
      <reference>
        <reference value="MedicationDispense/medication-dispense-calcium"/>
      </reference>
      <name value="MedicationDispense - Calcium Dispense"/>
      <description value="Example of dispensing 30 Calcium to a pregnant woman according to AMK Core MedicationDispense Profile."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="MedicationDispense"/>
      </extension>
      <reference>
        <reference value="MedicationDispense/medication-dispense-iron"/>
      </reference>
      <name value="MedicationDispense - Iron Tablet Dispense"/>
      <description value="Example of dispensing 60 iron tablets to a pregnant woman according to AMK Core MedicationDispense Profile."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-medication-dispense"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/locations"/>
      </reference>
      <name value="Nepal Administrative Location Codes"/>
      <description value="Comprehensive code system for Nepals provinces, districts, and municipalities."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/NepalHealthFacilityRegistryID"/>
      </reference>
      <name value="Nepal Health Facility Registry Identifier"/>
      <description value="Unique identifier assigned to health facilities registered in the National Health Facility Registry (NHFR) of Nepal."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/HealthID"/>
      </reference>
      <name value="Nepal Health ID"/>
      <description value="Unique identifier for individuals for health services in Nepal."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/NationalID"/>
      </reference>
      <name value="Nepal National Identity Number"/>
      <description value="Nepalese National Identity Number issued by the Ministry of Home Affairs."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/nepal-telecom-system"/>
      </reference>
      <name value="Nepal Telecome Subscriber Identifier Namespace"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/observation-aamako-maya-counseling"/>
      </reference>
      <name value="Observation - Aamako Maya Counseling"/>
      <description value="Observation record from Aamako Maya counseling session."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-observation"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/observation-body-weight"/>
      </reference>
      <name value="Observation - Body Weight"/>
      <description value="Body weight measurement for a patient."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-observation"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/observation-vs"/>
      </reference>
      <name value="Observation ValueSet"/>
      <description value="A SNOMED CT value set for observations."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/yes-no"/>
      </reference>
      <name value="Option Set - Yes / No / Yes-only / Don't know / Not applicable"/>
      <description value="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&#xA;&#xA;| HL7 v2-0532 Code | SNOMED CT Code | English Meaning       | Nepali Variants                                      |&#xA;|-----------------|----------------|--------------------|-----------------------------------------------------|&#xA;| Y               | 373066001      | Yes / Affirmative  | हो / गराएको / लिएको / भएको / पाएको              |&#xA;| N               | 373067005      | No / Negative      | होइन / नगराएको / नलिएको / नभएको / नपाएको      |"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/patient-child"/>
      </reference>
      <name value="Patient – Child"/>
      <description value="1-year-old Suman Thapa from Kathmandu Metropolitan City Ward No. 12 visiting the Health Facility for routine immunizations."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-patient"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/patient-pregnant"/>
      </reference>
      <name value="Patient – Pregnant Woman (Mom-to-Be)"/>
      <description value="21-year-old Hiramaya Tamang from Ilam Municipality Ward No. 5 visiting the district hospital for pregnancy-related care."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-patient"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Person"/>
      </extension>
      <reference>
        <reference value="Person/AMKPersonMasterPersonIndex"/>
      </reference>
      <name value="Person - Master Person Index"/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-core-person"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/province"/>
      </reference>
      <name value="Province"/>
      <description value="All provinces used in administrative divisions"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="RelatedPerson"/>
      </extension>
      <reference>
        <reference value="RelatedPerson/relatedperson-pregnant"/>
      </reference>
      <name value="RelatedPerson - Caregiver for Pregnant Woman"/>
      <description value="An example related person/caregiver for a pregnant woman."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/amk-relatedperson"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/reminder-task"/>
      </reference>
      <name value="Reminder Task"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/severities"/>
      </reference>
      <name value="Severities"/>
      <description value="Severities"/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Task"/>
      </extension>
      <reference>
        <reference value="Task/SimpleReminderTask"/>
      </reference>
      <name value="Task - Simple Reminder for Pregnant Patient"/>
      <description value="A minimal example of an app-generated reminder task for a pregnant patient."/>
      <isExample value="true"/>
      <profile value="https://fhir.amakomaya.com/StructureDefinition/reminder-task"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/tele-call-consent-categories"/>
      </reference>
      <name value="Tele Call Consent Categories"/>
      <description value="Consent options for telephonic communication preferences."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/tele-call-consent-valueset"/>
      </reference>
      <name value="Tele Call Consent ValueSet"/>
      <description value="Allowed consent categories for telephonic communication preferences."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="NamingSystem"/>
      </extension>
      <reference>
        <reference value="NamingSystem/TokhaBHSCID"/>
      </reference>
      <name value="Tokha Municipality Basic Health Services ID"/>
      <description value="Unique identifier for individuals registered in Basic Health Services under Tokha Municipality."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/vaccine"/>
      </reference>
      <name value="Vaccines (SNOMED CT)"/>
      <description value="ValueSet of routine vaccines in Nepal, based on SNOMED CT concepts."/>
      <isExample value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ConceptMap"/>
      </extension>
      <reference>
        <reference value="ConceptMap/YesNoCM"/>
      </reference>
      <name value="Yes / No Concept Map"/>
      <description value="Mapping between HL7 v2-0532, SNOMED CT, and Nepali Yes/No custom codes"/>
      <isExample value="false"/>
    </resource>
    <page>
      <sourceUrl value="toc.html"/>
      <name value="toc.html"/>
      <title value="Table of Contents"/>
      <generation value="html"/>
      <page>
        <sourceUrl value="index.html"/>
        <name value="index.html"/>
        <title value="Home"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="profiles.html"/>
        <name value="profiles.html"/>
        <title value="Extensions and Profiles"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="codesystems.html"/>
        <name value="codesystems.html"/>
        <title value="Code Systems"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="valuesets.html"/>
        <name value="valuesets.html"/>
        <title value="Value Sets"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="conceptmaps.html"/>
        <name value="conceptmaps.html"/>
        <title value="Concept Maps"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="identifiers.html"/>
        <name value="identifiers.html"/>
        <title value="Identifier Systems"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="external_terminologies.html"/>
        <name value="external_terminologies.html"/>
        <title value="External Code Systems"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="health-journey.html"/>
        <name value="health-journey.html"/>
        <title value="Health Journey"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="security.html"/>
        <name value="security.html"/>
        <title value="Security and Privacy"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="gov_concepts.html"/>
        <name value="gov_concepts.html"/>
        <title value="Governance"/>
        <generation value="markdown"/>
        <page>
          <sourceUrl value="archimate-diagram.html"/>
          <name value="archimate-diagram.html"/>
          <title value="ArchiMate Diagram"/>
          <generation value="markdown"/>
        </page>
      </page>
      <page>
        <sourceUrl value="examples.html"/>
        <name value="examples.html"/>
        <title value="Examples"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="downloads.html"/>
        <name value="downloads.html"/>
        <title value="Downloads"/>
        <generation value="markdown"/>
        <page>
          <sourceUrl value="copyrights.html"/>
          <name value="copyrights.html"/>
          <title value="Copyrights"/>
          <generation value="markdown"/>
        </page>
      </page>
      <page>
        <sourceUrl value="health-journey-mnch.html"/>
        <name value="health-journey-mnch.html"/>
        <title value="Health Journey Mnch"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="health-journey-immunization.html"/>
        <name value="health-journey-immunization.html"/>
        <title value="Health Journey Immunization"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="health-journey-opd.html"/>
        <name value="health-journey-opd.html"/>
        <title value="Health Journey Opd"/>
        <generation value="markdown"/>
      </page>
      <page>
        <sourceUrl value="api-usage.html"/>
        <name value="api-usage.html"/>
        <title value="API Usage"/>
        <generation value="markdown"/>
      </page>
    </page>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="copyrightyear"/>
      </code>
      <value value="2025+"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="releaselabel"/>
      </code>
      <value value="ci-build"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="autoload-resources"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/capabilities"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/examples"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/extensions"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/models"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/operations"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/profiles"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/resources"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/vocabulary"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/maps"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/testing"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="input/history"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-resource"/>
      </code>
      <value value="fsh-generated/resources"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-pages"/>
      </code>
      <value value="template/config"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-pages"/>
      </code>
      <value value="input/images"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-liquid"/>
      </code>
      <value value="template/liquid"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-liquid"/>
      </code>
      <value value="input/liquid"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-qa"/>
      </code>
      <value value="temp/qa"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-temp"/>
      </code>
      <value value="temp/pages"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-output"/>
      </code>
      <value value="output"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/guide-parameter-code"/>
        <code value="path-tx-cache"/>
      </code>
      <value value="input-cache/txcache"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-suppressed-warnings"/>
      </code>
      <value value="input/ignoreWarnings.txt"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="path-history"/>
      </code>
      <value value="history.html"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="template-html"/>
      </code>
      <value value="template-page.html"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="template-md"/>
      </code>
      <value value="template-page-md.html"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-contact"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-context"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-copyright"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-jurisdiction"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-license"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-publisher"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-version"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="apply-wg"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="active-tables"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="fmm-definition"/>
      </code>
      <value value="http://hl7.org/fhir/versions.html#maturity"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="propagate-status"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="excludelogbinaryformat"/>
      </code>
      <value value="true"/>
    </parameter>
    <parameter>
      <code>
        <system value="http://hl7.org/fhir/tools/CodeSystem/ig-parameters"/>
        <code value="tabbed-snapshots"/>
      </code>
      <value value="true"/>
    </parameter>
  </definition>
</ImplementationGuide>