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

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Official URL: https://fhir.amakomaya.com/ImplementationGuide/amakomaya.fhir.core				Version: 2.0.0
Active as of 2025-08-01				Computable Name: AMKCoreImplementationGuide
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Introduction

Welcome to the Amakomaya Nepal FHIR Implementation Guide, developed to support standards-based digital health interoperability across Nepal’s health information ecosystem. This guide provides the principles, specifications, and implementation patterns required to enable consistent, reliable FHIR-based data exchange among national, provincial, and local digital health systems.

Key Concepts

• FHIR Resources
  Health information is represented using modular, reusable resources such as Patient, Observation, Encounter, and MedicationRequest.

• Interoperability
  Enables seamless, standards-aligned data exchange across heterogeneous health systems, registries, and applications.

• RESTful API Support
  FHIR provides lightweight, developer-friendly REST APIs for reading, creating, updating, and searching health data.

• Multi-format Data Exchange
  Supports JSON, XML, and RDF to meet diverse system requirements.

• Terminology Services
  Standardized coding and terminology management using CodeSystem, ValueSet, and ConceptMap to ensure consistent meaning across systems.

Use Cases

• Integrated patient information across hospitals, clinics, and community-level systems
• Digital registries for maternal, newborn, and child health
• Immunization record management and interoperability
• Electronic referrals and continuity of care workflows
  (Additional use cases can be added)

Key Features

• FHIR Server Infrastructure
  Central and distributed server options for storing and exchanging standardized health data.

• Implementation Guide (IG)
  Contains customized FHIR profiles, extensions, validation rules, and workflow definitions tailored to Nepal’s health programs.

• Terminology Services
  Provides code systems, value sets, and mapping structures aligned with national and global health standards.

• Core Resource Set
  Includes Patient, Encounter, Organization, Observation, Practitioner, CarePlan, and other essential health resources.

• Developer & API Documentation
  Clear guidance for implementers to integrate digital health applications using secure and standardized FHIR APIs.

Dependencies

Package hl7.fhir.uv.extensions.r5#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package hl7.fhir.uv.tools.r5#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

Implementation Guide Access

The official Amakomaya Nepal FHIR Implementation Guide is available at:
🔗 https://fhir.amakomaya.com

This includes:

• Nepal-specific FHIR profiles and extensions
• Terminology bindings and national data standards
• Authentication, authorization, and API integration guidelines
• Reference workflows and real-world implementation examples

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Technical Lead

• Amakomaya Nepal Team

Key Contributors

Role	Name	Organization	Contact
Primary Editor, FHIR Lead	RC Poudel	Software Engineer & Health Informatics Specialist, Amakomaya Nepal	rcpoudel@amakomaya.com / rmchndrapdl@gmail.com
Primary Editor	Basanta Gaire	Publih Health Expert

Supporting Organization

• Amakomaya Nepal

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Last Updated: 2026-08-21