Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION - Local Development build (v0.0.1-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Official URL: http://fhir.hmis.gov.np/ImplementationGuide/hl7.fhir.hmis				Version: 0.0.1-ballot
Active as of 2025-08-01				Computable Name: NPCoreImplementationGuide
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Introduction

Welcome to the FHIR Implementation Guide for Nepal’s Health Information System. This guide outlines the key concepts, features, and use cases for implementing FHIR-based data exchange across health systems in Nepal.

Key Concepts

• Resources: FHIR structures health data as modular "resources" such as Patient, Observation, MedicationRequest, etc.
• Interoperability: Designed to ensure smooth data exchange between disparate healthcare systems.
• RESTful API: FHIR supports RESTful APIs for consistent, accessible, and standardized data interactions.
• Data Formats: FHIR supports multiple formats including JSON, XML, and RDF.
• Terminology Services: Includes support for standardized terminologies using CodeSystem, ValueSet, and ConceptMap.

Use Cases

• Integration of patient data across hospitals and clinics
• Digital health registries for maternal and child health
• National disease surveillance and reporting systems
  _(Additional use cases can be listed as relevant)_

Key Features

• FHIR Server: Centralized infrastructure to host and serve health data using FHIR standards.
• Implementation Guide (IG): Provides customized FHIR profiles, resource mappings, and validation rules.
• Terminology Services: Enables standardized coding and mapping across systems.
• Core Resources: Includes support for Patient, Encounter, Observation, Organization, and more.
• API Documentation: Technical references and guidelines for implementers and developers.

Dependencies

Package hl7.fhir.uv.extensions.r5#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Implementation Guide

Access the official FHIR Implementation Guide (IG) at 🔗 https://hl7.hmis.gov.np

The IG includes:

• FHIR profiles and extensions specific to Nepal
• Resource mappings aligned with national data standards
• API specifications and authentication mechanisms
• Real-world use cases and workflow

Get Involved

We invite stakeholders, developers, and public health professionals to collaborate and contribute.

• GitHub Repository: Coming Soon
• Community Forum: Coming Soon
• Contact: 📧 it@hmis.gov.np

Authors and Contributors

This Implementation Guide has been developed and maintained as part of the Integrated Health Information Management System (IHMIS) for Nepal’s electronic Health Management Information System (EHMIS).

Lead Organization:

Ministry of Health and Population (MoHP), Government of Nepal

• Department of Health Services
• Management Division
• Health Management Information System (HMIS) Section

Technical Lead:

• Integrated Health Information Management System (IHMIS) Team
• Amakomaya Team

Key Contributors:

Role	Name	Organization	Contact
Primary Editor, FHIR Lead	RC Poudel	Software Engineer, Health Informatics Specialist, AMK	rcpoudel@amakomaya.com
Computer Engineer, Editor	Prabin Chauhan	IHIMS	it@hmis.gov.np

Supporting Organizations:

• IHIMS
• Amakomaya Nepal

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Last Updated: August 05, 2025