Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION
0.0.1-ballot - ci-build

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

## Home

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

IG | Package | FHIR | Comment
--- | --- | --- | ---
Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION | hl7.fhir.hmis#0.0.1-ballot | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#6.5.0 | R5 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r5#5.2.0 | R5 |

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

Last Updated: August 05, 2025