Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION
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Extensions and Profiles

Profiles

The following profiles have been defined for this implementation guide.

NP Core Encounter Profile

The NP Core Encounter Profile inherits from the FHIR Encounter resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. By providing a standardized foundation for capturing encounters in Nepal (including OPD visits, outreach clinics, and home visits), this profile promotes interoperability, consistent data capture, and adoption across national health programs.

NP Core Immunization Profile

The NP Core Immunization Profile inherits from the FHIR Immunization resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Immunization resource to record, search, and fetch basic immunization information for an individual patient within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. By providing a standardized foundation for capturing immunization events in Nepal

NP Core Medication Dispense Profile

The NP Core MedicationDispense Profile inherits from the FHIR MedicationDispense resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the MedicationDispense resource to record, search, and fetch information about medications dispensed to a patient within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used.

NP Core Patient Profile

The NP Core Patient Profile inherits from the FHIR Patient resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Patient resource to record, search, and fetch core patient information within the Nepal health system. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. By providing a standardized foundation for capturing patient demographics, identifiers, and key health attributes, this profile promotes interoperability, consistent data capture, and adoption across national health programs

Nepal Person Profile

Foundational person registry profile for Nepal. Supports IDs, Name, and telecom.

Extensions

The following Extensions have been defined as part of the NP Core Implementation Guide.

Nepal Address

Extension to represent coded and textual forms of Nepal's administrative divisions (Province, District, Municipality, Ward).

Ethnic Code

Extension to capture जाति कोड (ethnicity) based on Nepali classification