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

Name | Workflow Pattern | FiveWs Pattern Mapping | HL7 V2 Mapping | RIM Mapping | SNOMED CT Concept Domain Binding | SNOMED CT Attribute Binding
--- | --- | --- | --- | --- | --- | ---
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] |  |
Documentation for this format