Amakomaya Nepal FHIR Implementation Guide
1.0.1 - ci-build

Amakomaya Nepal FHIR Implementation Guide - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AMKCoreObservation - Mappings

Active as of 2026-06-15

Mappings for the amk-observation resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | FiveWs Pattern Mapping | SNOMED CT Concept Domain Binding | HL7 V2 Mapping | RIM Mapping | SNOMED CT Attribute Binding
--- | --- | --- | --- | --- | --- | ---
Observation | Event | clinical.diagnostics | < 363787002 |Observable entity| | OBX | Entity Role or Act Observation[classCode=OBS moodCode=EVN] |
id |  |  |  |  |  |
meta |  |  |  |  |  |
implicitRules |  |  |  |  |  |
language |  |  |  |  |  |
text |  |  |  |  | Act.text? |
contained |  |  |  |  | N/A |
extension |  |  |  |  | N/A |
modifierExtension |  |  |  |  | N/A |
identifier | Event.identifier | FiveWs.identifier |  | 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 3) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4. | id |
instantiates[x] | Event.instantiatesCanonical |  |  |  | .outboundRelationship[typeCode=DEFN].target |
basedOn | Event.basedOn |  |  | ORC | .inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
triggeredBy |  |  |  | ORC | .inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
id |  |  |  |  | n/a |
extension |  |  |  |  | n/a |
modifierExtension |  |  |  |  | N/A |
observation |  |  |  |  | outBoundRelationship |
type |  |  |  |  | code |
reason |  |  |  |  | annotation |
partOf | Event.partOf |  |  | Varies by domain | .outboundRelationship[typeCode=FLFS].target |
status | Event.status | FiveWs.status | < 445584004 |Report by finality status| | OBX-11 | status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise" |
category |  | FiveWs.class |  |  | .outboundRelationship[typeCode="COMP].target[classCode="LIST" moodCode="EVN"].code |
code | Event.code | FiveWs.what[x] | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| | OBX-3 | code | 116680003 |Is a|
subject | Event.subject | FiveWs.subject[x] |  | PID-3 | participation[typeCode=RTGT] |
focus |  | FiveWs.subject[x] |  | OBX-3 | participation[typeCode=SBJ] |
encounter | Event.encounter | FiveWs.context |  | PV1 | inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN] |
Slices for effective[x] | Event.occurrence[x] | FiveWs.done[x] |  | OBX-14 and/or OBX-19 after v2.4 (depends on who observation made) | effectiveTime |
effective[x]:effectiveDateTime | Event.occurrence[x] | FiveWs.done[x] |  | OBX-14 and/or OBX-19 after v2.4 (depends on who observation made) | effectiveTime |
issued |  | FiveWs.recorded |  | OBR-22 (or MSH-7) or perhaps OBX-19 (depends on who observation made) | participation[typeCode=AUT].time |
performer | Event.performer.actor | FiveWs.actor |  | OBX-15 / (Practitioner) OBX-16 PRT-4='RO' / (Device) OBX-18 PRT-4='EQUIP' / (Organization) OBX-23 PRT-4='PO' | participation[typeCode=PRF] |
value[x] |  |  | < 441742003 |Evaluation finding| | OBX-2 OBX-5 OBX-6 | value | 363714003 |Interprets|
dataAbsentReason |  |  |  | N/A | value.nullFlavor |
interpretation |  |  | < 260245000 |Findings values| | OBX-8 | interpretationCode | 363713009 |Has interpretation|
note |  |  |  | NTE-3 (partner NTE to OBX or sometimes another (child?) OBX) | subjectOf.observationEvent[code="annotation"].value |
bodySite |  |  | < 123037004 |Body structure| | OBX-20 | targetSiteCode | 718497002 |Inherent location|
bodyStructure |  |  |  |  | targetSiteCode |
method |  |  |  | OBX-17 | methodCode |
specimen |  |  | < 123038009 |Specimen| | SPM segment | participation[typeCode=SPC].specimen | 704319004 |Inherent in|
device |  |  | < 49062001 |Device| | OBX-17 / PRT -10 | participation[typeCode=DEV] | 424226004 |Using device|
referenceRange |  |  |  | OBX-7 | outboundRelationship[typeCode=REFV]/target[classCode=OBS moodCode=EVN] |
id |  |  |  |  | n/a |
extension |  |  |  |  | n/a |
modifierExtension |  |  |  |  | N/A |
low |  |  |  | OBX-7 | IVL_PQ.low |
high |  |  |  | OBX-7 | IVL_PQ.high |
normalValue |  |  |  | OBX-7 | IVL_PQ.normal |
type |  |  | < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject| | OBX-10 | interpretationCode |
appliesTo |  |  | < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject| | OBX-10 | interpretationCode |
age |  |  |  |  | outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
text |  |  |  | OBX-7 | ST |
hasMember |  |  |  | Relationships established by OBX-4 usage | outBoundRelationship |
derivedFrom |  |  |  | Relationships established by OBX-4 usage | .targetObservation |
component |  |  |  | containment by OBX-4? | outBoundRelationship[typeCode=COMP] |
id |  |  |  |  | n/a |
extension |  |  |  |  | n/a |
modifierExtension |  |  |  |  | N/A |
code |  | FiveWs.what[x] | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| | OBX-3 | code |
value[x] |  |  | 363714003 |Interprets| < 441742003 |Evaluation finding| | OBX-2 OBX-5 OBX-6 | value | 363714003 |Interprets|
dataAbsentReason |  |  |  | N/A | value.nullFlavor |
interpretation |  |  | < 260245000 |Findings values| | OBX-8 | interpretationCode | 363713009 |Has interpretation|
referenceRange |  |  |  | OBX-7 | outboundRelationship[typeCode=REFV]/target[classCode=OBS moodCode=EVN] |
Documentation for this format