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: AMKDocumentReference - Mappings

Active as of 2026-08-21

Mappings for the amk-document-reference resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM MappingFHIR CompositionXDS metadata equivalentCDA (R2)HL7 V2 Mappingdoco
.. DocumentReference
Event
infrastructure.documents
  • Entity
  • Role
  • or Act
  • Document[classCode="DOC" and moodCode="EVN"]
when describing a Composition
DocumentEntry
when describing a CDA
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
.id / .setId
Composition.identifier
  • DocumentEntry.entryUUID
  • DocumentEntry.uniqueId
ClinicalDocument/id
TXA-12
... version
FiveWs.version
Composition.version
... basedOn
Event.basedOn
.outboundRelationship[typeCode=FLFS].target
DocumentEntry.referenceIdList
... status
Event.status
FiveWs.status
  • .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
  • .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
  • .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
DocumentEntry.availabilityStatus
TXA-19
... docStatus
FiveWs.status
.statusCode
Composition.status
TXA-17
... modality
FiveWs.class
... type
Event.code
FiveWs.what[x]
./code
Composition.type
DocumentEntry.typeCode
  • ClinicalDocument/code/@code The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC
  • in which case the mapping step can be omitted.
TXA-2
... category
Event.category
FiveWs.what[x]
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
Composition.category
DocumentEntry.classCode
  • Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service
  • based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
... subject
Event.subject
FiveWs.subject
.participation[typeCode="SBJ"].role[typeCode="PAT"]
Composition.subject
DocumentEntry.patientId
ClinicalDocument/recordTarget/
PID-3 (No standard way to define a Practitioner or Group subject in HL7 V2 MDM message)
... context
Event.encounter
FiveWs.context
  • unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]
  • priorityNumber)/target[moodCode="EVN" and classCode=("ENC"
  • "PCPR") and isNormalAct])
Composition.encounter
... event
.code
Composition.event.detail
DocumentEntry.eventCodeList
... related
./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct]
Composition.event.detail
DocumentEntry.referenceIdList
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code
.... target
... bodyStructure
.targetSiteCode
... facilityType
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
usually from a mapping to a local ValueSet
DocumentEntry.healthcareFacilityTypeCode
usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code
... practiceSetting
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
usually from a mapping to a local ValueSet
DocumentEntry.practiceSettingCode
usually from a mapping to a local ValueSet
... period
Event.occurrence[x]
FiveWs.done[x]
.effectiveTime
Composition.event.period
  • DocumentEntry.serviceStartTime
  • DocumentEntry.serviceStopTime
ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value
... date
Event.recorded
FiveWs.recorded
.availabilityTime[type="TS"]
Composition.date
... author
Event.performer.actor
FiveWs.author
.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
Composition.author
DocumentEntry.author
ClinicalDocument/author
TXA-9 (No standard way to indicate a Device in HL7 V2 MDM message)
... attester
Event.performer
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
Composition.attester
DocumentEntry.legalAuthenticator
.authenticator/.legalAuthenticator
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... mode
Event.performer.function
unique(./modeCode)
Composition.attester.mode
implied by .authenticator/.legalAuthenticator
.... time
./time[type="TS" and isNormalDatatype()]
Composition.attester.time
.authenticator.time
.... party
Event.performer.actor
FiveWs.witness
  • ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV"
  • "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
Composition.attester.party
.authenticator.assignedEnttty
TXA-10
... custodian
.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
Composition.custodian
... relatesTo
.outboundRelationship
Composition.relatesTo
DocumentEntry Associations
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code
.outboundRelationship.typeCode
Composition.relatesTo.type
DocumentEntry Associations type
ClinicalDocument/relatedDocument/typeCode
.... target
  • .target[classCode="DOC"
  • moodCode="EVN"].id
Composition.relatesTo.targetReference
DocumentEntry Associations reference
ClinicalDocument/relatedDocument/parentDocument
... description
.outboundRelationship[typeCode="SUBJ"].target.text
DocumentEntry.comments
TXA-25
... securityLabel
.confidentialityCode
Bundle.meta.security
DocumentEntry.confidentialityCode
ClinicalDocument/confidentialityCode/@code
TXA-18
... content
document.text
Bundle(Composition+*)
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... attachment
document.text
  • Composition.language
  • Composition.title
  • Composition.date
  • DocumentEntry.mimeType
  • DocumentEntry.languageCode
  • DocumentEntry.repositoryUniqueId
  • DocumentEntry.URI
  • DocumentEntry.size
  • DocumentEntry.hash
  • DocumentEntry.title
  • DocumentEntry.creationTime
  • ClinicalDocument/languageCode
  • ClinicalDocument/title
  • ClinicalDocument/date
TXA-3 for mime type
..... id
n/a
..... extension
n/a
..... contentType
  • ./mediaType
  • ./charset
ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
..... language
./language
..... data
./data
ED.5
..... url
./reference/literal
RP.1+RP.2 - if they refer to a URL (see v2.6)
..... size
N/A (needs data type R3 proposal)
..... hash
:ED/integrityCheckAlgorithm="SHA-1"]
..... title
./title/data
..... creation
N/A (needs data type R3 proposal)
..... height
  • .outboundRelationship[typeCode="COMP].target[classCode="OBS"
  • moodCode="EVN"
  • code="<CODE>"].value
..... width
  • .outboundRelationship[typeCode="COMP].target[classCode="OBS"
  • moodCode="EVN"
  • code="<CODE>"].value
..... frames
  • .outboundRelationship[typeCode="COMP].target[classCode="OBS"
  • moodCode="EVN"
  • code="<CODE>"].value
..... duration
  • .outboundRelationship[typeCode="COMP].target[classCode="OBS"
  • moodCode="EVN"
  • code="<CODE>"].value
..... pages
.... profile
document.text
Composition.meta.profile
DocumentEntry.formatCode
derived from the IHE Profile or Implementation Guide templateID
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... value[x]
document.text
Composition.meta.profile
DocumentEntry.formatCode
derived from the IHE Profile or Implementation Guide templateID

doco Documentation for this format