Amakomaya Nepal FHIR Implementation Guide
2.0.0 - ci-build Nepal

Amakomaya Nepal FHIR Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AMKCoreObservation - Mappings

Active as of 2026-08-21

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

NameWorkflow PatternFiveWs Pattern MappingHL7 V2 MappingRIM MappingSNOMED CT Concept Domain BindingSNOMED CT Attribute Bindingdoco
.. Observation
Event
clinical.diagnostics
OBX
  • Entity
  • Role
  • or Act
  • Observation[classCode=OBS
  • moodCode=EVN]
< 363787002 |Observable entity|
... 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
... 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
  • OBX-11 Map FHIR Observation.status to OBX-11. If FHIR carries Observation.dataAbsentReason = ‘not-asked’
  • set OBX-11 to the v2 as ‘N’. If there is alternate-code extension on Observation.status with code ‘X’
  • set OBX-11 as ‘X’.
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
< 445584004 |Report by finality status|
... statusReason
Event.statusReason
... category
Event.category
FiveWs.class
OBX-29
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
... code
Event.code
FiveWs.what[x]
OBX-3
code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
... subject
Event.subject
FiveWs.subject
PID-3
participation[typeCode=RTGT]
... focus
FiveWs.subject
OBX-3
participation[typeCode=SBJ]
... organizer
... 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 (If Observation carries the AnalysisDateTime extension
  • then map the extension to OBX-19)
effectiveTime
.... effective[x]:effectiveDateTime
Event.occurrence[x]
FiveWs.done[x]
  • OBX-14 (If Observation carries the AnalysisDateTime extension
  • then map the extension to OBX-19)
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
  • OBX-16
  • OBX-23
  • OBX-24
  • use OBX-25 (XCN) for the director with role code “MDIR” (system v2-0912)
  • and OBX-23/24 for org name/address; if there is no director
  • OBX-23/24 carry the org. OBX-15 is available for producer id (identifier for the producer).
participation[typeCode=PRF]
... value[x]
  • OBX-2
  • OBX-5
  • OBX-6
value
< 441742003 |Evaluation finding|
363714003 |Interprets|
... dataAbsentReason
  • OBX-32
  • OBX-11. Map Observation.dataAbsentReason to OBX-32 (Observation Value Absent Reason). Additionally
  • when dataAbsentReason.code = 'not-asked'
  • also set OBX-11 = 'N'.
value.nullFlavor
... interpretation
OBX-8
interpretationCode
< 260245000 |Findings values|
363713009 |Has interpretation|
... context
.outboundRelationship[typeCode=PERT].target
... note
Event.note
  • NTE-3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
... bodySite
OBX-20
targetSiteCode
< 123037004 |Body structure|
718497002 |Inherent location|
... bodyStructure
targetSiteCode
... method
OBX-17
methodCode
... specimen
SPM segment (OBX-33 for Specimen.identifier mapping)
participation[typeCode=SPC].specimen
< 123038009 |Specimen|
704319004 |Inherent in|
... device
OBX-18 / PRT -10
participation[typeCode=DEV]
< 49062001 |Device|
424226004 |Using device|
... supportingDevice
... 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
OBX-10
interpretationCode
< 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|
.... appliesTo
OBX-10
interpretationCode
< 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|
.... 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]
OBX-3
code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
.... value[x]
  • OBX-2
  • OBX-5
  • OBX-6
value
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
.... dataAbsentReason
N/A
value.nullFlavor
.... interpretation
OBX-8
interpretationCode
< 260245000 |Findings values|
363713009 |Has interpretation|
.... referenceRange
OBX-7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

doco Documentation for this format