NP Core profiles

Everything in this list is read from the official NP Core package. Click a profile to see its required elements, must-support elements, terminology bindings and official examples.

All IG artifacts ↗

AllergyIntolerance 1

NP Core Allergy Intolerance

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-allergyintolerance

Sets minimum expectations for recording a patient's allergies and adverse reactions in Nepal.

2 required elements · 11 must-support

Condition 1

NP Core Condition

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-condition

Sets minimum expectations for recording a clinical problem, diagnosis, or health concern for a patient in Nepal.

3 required elements · 6 must-support

Device 1

NP Core Device

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-device

Sets minimum expectations for representing a medical device used in the delivery of care in Nepal, such as an instrument, implant, or equipment referenced by procedures, observations, or medication activities.

5 required elements · 5 must-support

DiagnosticReport 2

NP Core Laboratory Report

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-lab-report

Sets minimum expectations for representing a laboratory diagnostic report in Nepal.

10 required elements · 11 must-support

NP Core Radiology Report

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-radiology-report

Sets minimum expectations for representing a radiology (diagnostic imaging) report in Nepal.

9 required elements · 14 must-support

DocumentReference 1

NP Core Clinical Document Reference

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-clinical-documentreference

Sets minimum expectations for referencing a clinical document (such as a discharge summary, progress note, or referral letter) within the NP Core context.

6 required elements · 7 must-support

Encounter 1

NP Core Encounter

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-encounter

Sets minimum expectations for representing a clinical interaction between a patient and a healthcare provider in Nepal.

12 required elements · 15 must-support

HealthcareService 1

NP Core HealthcareService

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-healthcareservice

Sets minimum expectations for representing a health service offered by an organization in Nepal.

2 required elements · 4 must-support

Immunization 1

NP Core Immunization

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-immunization

Sets minimum expectations for representing a vaccine administration event in Nepal, in support of the national Expanded Programme on Immunization (EPI) and routine care.

6 required elements · 11 must-support

Location 1

NP Core Location

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-location

Sets minimum expectations for representing a physical or logical location where health services are delivered in Nepal.

3 required elements · 3 must-support

Medication 1

NP Core Medication

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medication

Sets minimum expectations for representing a medication within the NP Core context.

3 required elements · 9 must-support

MedicationAdministration 1

NP Core MedicationAdministration

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationadministration

Sets minimum expectations for representing the administration of a medication dose to a patient in Nepal.

5 required elements · 8 must-support

MedicationDispense 1

NP Core MedicationDispense

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationdispense

Sets minimum expectations for representing the dispensing of a medication to a patient in Nepal.

4 required elements · 8 must-support

MedicationRequest 1

NP Core MedicationRequest

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationrequest

Sets minimum expectations for representing a medication prescription or order in Nepal.

5 required elements · 9 must-support

MedicationStatement 1

NP Core MedicationStatement

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationstatement

Sets minimum expectations for representing a patient's current or historical medication use in Nepal, including self-reported medications.

3 required elements · 7 must-support

Observation 10

NP Core Blood Pressure Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-blood-pressure-observation

Sets minimum expectations for blood pressure observations in the NP Core. Derives from the FHIR Blood Pressure vital signs profile, which fixes the panel LOINC code (85354-9), the systolic (8480-6) …

35 required elements · 33 must-support

NP Core Body Height Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-body-height-observation

Sets minimum expectations for body height observations in the NP Core. Derives from the FHIR Body Height vital signs profile, which fixes the LOINC code (8302-2) and constrains the value …

18 required elements · 21 must-support

NP Core Body Temperature Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-body-temperature-observation

Sets minimum expectations for body temperature observations in the NP Core. Derives from the FHIR Body Temperature vital signs profile, which fixes the LOINC code (8310-5) and constrains the value …

18 required elements · 21 must-support

NP Core Body Weight Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-body-weight-observation

Sets minimum expectations for body weight observations in the NP Core. Derives from the FHIR Body Weight vital signs profile, which fixes the LOINC code (29463-7) and constrains the value …

18 required elements · 21 must-support

NP Core Heart Rate Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-heart-rate-observation

Sets minimum expectations for heart rate observations in the NP Core. Derives from the FHIR Heart Rate vital signs profile, which fixes the LOINC code (8867-4) and constrains the value …

18 required elements · 21 must-support

NP Core Laboratory Panel Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-lab-panel-observation

Sets minimum expectations for representing a laboratory panel — a named grouping of related test results such as a CBC or LFT — in Nepal.

7 required elements · 14 must-support

NP Core Laboratory Result Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-lab-result-observation

Sets minimum expectations for representing the result of a single laboratory test in Nepal.

10 required elements · 17 must-support

NP Core Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-observation

Sets minimum expectations for representing a clinical measurement, finding, or assessment for a patient in Nepal.

5 required elements · 9 must-support

NP Core Oxygen Saturation Observation

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-oxygen-saturation-observation

Sets minimum expectations for oxygen saturation observations in the NP Core. Derives from the FHIR Oxygen Saturation vital signs profile, which fixes the LOINC code (2708-6) and constrains the value …

18 required elements · 21 must-support

NP Core Vital Signs Panel

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-vital-signs-panel

Sets minimum expectations for a vital signs panel in the NP Core. Derives from the FHIR Vital Signs Panel profile, which defines the panel LOINC code (85353-1) as an optional …

13 required elements · 17 must-support

Organization 2

NP Core Health Facility

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-health-facility

Sets minimum expectations for representing a registered health facility operating in Nepal.

20 required elements · 8 must-support

NP Core Organization

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-organization

Sets minimum expectations for representing an organization operating in Nepal.

1 required element · 2 must-support

Patient 1

NP Core Patient

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-patient

Sets minimum expectations for identifying and locating individuals receiving healthcare in Nepal.

6 required elements · 14 must-support

Practitioner 1

NP Core Practitioner

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-practitioner

Sets minimum expectations for representing a licensed health professional practicing in Nepal.

2 required elements · 8 must-support

PractitionerRole 1

NP Core PractitionerRole

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-practitionerrole

Sets minimum expectations for representing the role and speciality of a health professional within a specific organization and location in Nepal.

2 required elements · 5 must-support

Procedure 1

NP Core Procedure

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-procedure

Sets minimum expectations for recording a clinical procedure performed on or for a patient in Nepal.

6 required elements · 8 must-support

RelatedPerson 1

NP Core RelatedPerson

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-relatedperson

Sets minimum expectations for representing a person with a personal or non-professional relationship to a patient in Nepal, such as a next of kin or guardian.

2 required elements · 10 must-support

ServiceRequest 2

NP Core Referral Request

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-referral-request

Sets minimum expectations for representing a patient referral between health facilities in Nepal.

9 required elements · 12 must-support

NP Core Service Request

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-servicerequest

Sets minimum expectations for representing a clinical order or service request in Nepal. Intended as a base profile to be further specialised for specific request types such as referrals.

3 required elements · 7 must-support

Specimen 1

NP Core Specimen

http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-specimen

Sets minimum expectations for representing a specimen (e.g. a blood, urine, or tissue sample) collected from a patient for laboratory analysis in Nepal.

1 required element · 5 must-support

Identifier systems

Use these exact system URIs in Identifier.system. They are read from the NP Core package.

Identifier	system	type	Used in
Nepal Citizenship Certificate Number	http://moha.gov.np	citizenship-number	Patient.identifier:citizenshipNumber, RelatedPerson.identifier:citizenshipNumber
Nepal Health ID	http://fhir.digitalhealth.gov.np/core/NamingSystem/nepal-health-id	health-id	Patient.identifier:healthId, RelatedPerson.identifier:healthId
Nepal Health Insurance ID	http://hib.gov.np	health-insurance-id	Patient.identifier:healthInsuranceId, RelatedPerson.identifier:healthInsuranceId
Nepal Ayurveda Medical Council (NAMC) Identifier	http://namc.org.np	LN	Practitioner.identifier:namc
Nepal National ID	http://donidcr.gov.np	NI	Patient.identifier:nationalId, RelatedPerson.identifier:nationalId
Nepal NHFR Organization Identifier	http://nhfr.digitalhealth.gov.np	FI	Organization.identifier:nhfrCode
Nepal Health Professional Council (NHPC) Identifier	http://nhpc.org.np	LN	Practitioner.identifier:nhpc
National Health Workforce Registry (NHWR) Identifier	http://nhwr.digitalhealth.gov.np	NPI	Practitioner.identifier:nhwr
Nepal Medical Council (NMC) Identifier	http://nmc.org.np	MD	Practitioner.identifier:nmc
Nepal Nursing Council (NNC) Identifier	http://nnc.org.np	RN	Practitioner.identifier:nnc
Nepal Pharmacy Council (NPC) Identifier	http://nepalpharmacycouncil.org.np	RPH	Practitioner.identifier:npc
Nepal Passport Number	http://nepalpassport.gov.np	PPN	Patient.identifier:passportNumber, RelatedPerson.identifier:passportNumber
Nepal Social Security Fund Number	http://ssf.gov.np	ssf-number	Patient.identifier:ssfNumber, RelatedPerson.identifier:ssfNumber
Encounter identifier namespaced under the assigning facility (np-enc-1)	http://nhfr.digitalhealth.gov.np/{code}	—	Encounter.identifier

Extensions

Extension	URL	Context	Value
Bikram Sambat Date	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-bikram-sambat-date	date, dateTime	string
Caste / Ethnicity of a Nepali citizen	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-caste-ethnicity	Patient	Coding
Nepal District Code	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-district	Address	Coding
Is Police Case	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-is-police-case	Encounter	boolean
Nepal Local Level Code	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-local-level	Address	Coding
Nepal Province Code	http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-province	Address	Coding

Value sets

Clinical Document Type 11

http://fhir.digitalhealth.gov.np/core/ValueSet/clinical-document-type-vs

A value set for the type of clinical document (such as clinical notes, progress notes, discharge summaries, referral notes, etc.).

code	display
18842-5	Discharge summary
11488-4	Consult Note
34117-2	History and Physical Note
11506-3	Progress Note
28570-0	Procedure Note
18748-4	Diagnostic Imaging Study
11502-2	Laboratory Report
11526-1	Pathology Study
11504-8	Surgical operation note
34111-5	Emergency Department Note
57133-1	Referral note

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Encounter Type ValueSet 18

http://fhir.digitalhealth.gov.np/core/ValueSet/encounter-type-vs

A value set for the nature or purpose of an encounter in Nepal, used as a preferred binding on Encounter.type.

code	display
new-visit	New visit
follow-up	Follow-up visit
referral-visit	Referred-in visit
emergency-visit	Emergency visit
inpatient-admission	Inpatient admission
daycare	Day-care visit
lab-only	Laboratory-only visit
imaging-only	Imaging-only visit
pharmacy-only	Pharmacy-only visit
procedure-visit	Procedure or treatment visit
anc	Antenatal care visit
pnc	Postnatal care visit
delivery	Institutional delivery
immunization	Immunization visit
family-planning	Family planning visit
growth-monitoring	Growth monitoring visit
counseling	Counseling or testing visit
screening	Screening or health camp visit

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Facility Authority Level 3

http://fhir.digitalhealth.gov.np/core/ValueSet/facility-authority-level-vs

A value set defining the administrative level of the authority responsible for a health facility.

code	display
federal	Federal
provincial	Provincial
local	Local

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Facility Authority 2

http://fhir.digitalhealth.gov.np/core/ValueSet/facility-authority-vs

A value set defining the authority responsible for the health facility.

code	display
1	Government
2	Non-Government

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Health Facility Ownership ValueSet 15

http://fhir.digitalhealth.gov.np/core/ValueSet/facility-ownership-vs

A value set defining the ownership of a health facility.

code	display
1	Ministry of Defense
2	Ministry of Education
3	Ministry of Federal Affairs and General Administration
4	Ministry of General Administration
5	Ministry of Health and Food Safety
6	Ministry of Home Affairs
8	Charitable/Trust
9	Cooperative Organizations
10	Humanitarian Organizations
11	NGO/INGO
13	Non Governmental Organizations
14	Private Enterprise
15	Community/Co-operative Hospital
19	Local Government
20	Provincial Government

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Health Facility Type 40

http://fhir.digitalhealth.gov.np/core/ValueSet/health-facility-type-vs

A value set defining the type of a health facility.

code	display
1	Basic Health Service Centre
2	Basic Hospital (5 to 15 beds)
3	General Hospital
5	Specialist Hospital
6	Specialized Hospital
7	Academy of Health Science/ Teaching hospital/ Institute of Health Sciences
8	Children's Hospital
9	Basic Ayurveda Service Centre
10	Ayurveda Health Center (General Ayurveda Hospital)
11	Specialist Ayurveda Hospital
12	Homeopathy Hospital
13	Laboratory "A"
14	Laboratory "D"
15	Laboratory "C"
16	Laboratory "B"
18	Health Clinic
19	Specialist Clinic
20	Poly Clinic
21	Dental Clinic
22	Geriatric Counseling Centre
23	Geriatric Care Centre
24	Eye Treatment Centre
25	Physiotherapy Centre
26	Dialysis Centre
27	Rehabilitation Centre (Psycho Social)
28	Rehabilitation Centre (Physical)
29	Ayurveda Clinic
30	Sowarigpa Clinic
31	Homeopathy Clinic
32	Naturopathy Treatment Centre
33	Acupuncture Centre
34	Unani Treatment Centre
35	Yoga and Physical Centre
36	Traditional Service Centre
37	Radio Imaging Centre B class
38	Radio Imaging Centre A class
39	Hospice Centre
40	Blood transfusion center
41	Test Tube Baby Centre
80	Medical Centre

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ICD-11 Codes

http://fhir.digitalhealth.gov.np/core/ValueSet/icd-11-vs

Value set for ICD-11 codes

all codes from http://id.who.int/icd/release/11/mms (external terminology, not enumerated)

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Nepal Caste / Ethnicity ValueSet 6

http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-caste-ethnicity-vs

This value set captures the caste or ethnicity of a patient based in Nepal.

code	display
1	Dalit
2	Janajati
3	Madheshi
4	Muslim
5	Brahman/Kshetri
6	Others

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Nepal District ValueSet 77

http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-district-vs

Value set for districts of Nepal.

code	display
101	Taplejung
102	Sankhuwasabha
103	Solukhumbu
104	Okhaldhunga
105	Khotang
106	Bhojpur
107	Dhankuta
108	Terhathum
109	Panchthar
110	Ilam
111	Jhapa
112	Morang
113	Sunsari
114	Udayapur
201	Saptari
202	Siraha
203	Dhanusa
204	Mahottari
205	Sarlahi
206	Rautahat
207	Bara
208	Parsa
301	Dolakha
302	Sindhupalchok
303	Rasuwa
304	Dhading
305	Nuwakot
306	Kathmandu
307	Bhaktapur
308	Lalitpur
309	Kavrepalanchok
310	Ramechhap
311	Sindhuli
312	Makwanpur
313	Chitwan
401	Gorkha
402	Manang
403	Mustang
404	Myagdi
405	Kaski
406	Lamjung
407	Tanahu
408	Nawalparasi East
409	Syangja
410	Parbat
411	Baglung
501	Rukum East
502	Rolpa
503	Pyuthan
504	Gulmi
505	Arghakhanchi
506	Palpa
507	Nawalparasi West
508	Rupandehi
509	Kapilbastu
510	Dang
511	Banke
512	Bardiya
601	Dolpa
602	Mugu
Showing 60 of 77 codes — see the IG page for all.

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Nepal Drug Value Set 17

http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-drug-vs

Generic medicines from the Nepal Drug code system, bound (preferred) to the medication code elements of the NP Core medication profiles. The underlying code system is a placeholder to be developed and maintained by the Department of Drug Administration (DDA); this value set will grow with it. The preferred binding allows other code systems (e.g. SNOMED CT) to be used where the national list has no suitable concept.

code	display
paracetamol	Paracetamol
aceclofenac	Aceclofenac
azithromycin	Azithromycin
ciprofloxacin	Ciprofloxacin
ofloxacin	Ofloxacin
cefixime	Cefixime
metronidazole	Metronidazole
albendazole	Albendazole
amlodipine	Amlodipine
telmisartan	Telmisartan
losartan	Losartan
atorvastatin	Atorvastatin
metformin	Metformin
glimepiride	Glimepiride
cetirizine	Cetirizine
salbutamol	Salbutamol
esomeprazole	Esomeprazole

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Nepal Local Level ValueSet 753

http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-local-level-vs

Value set for local levels (municipalities and rural municipalities) of Nepal.

code	display
10105	Aatharai Tribeni Rural Municipality
10104	Maiwakhola Rural Municipality
10103	Meringden Rural Municipality
10102	Mikwakhola Rural Municipality
10101	Phaktanlung Rural Municipality
10106	Phungling Municipality
10109	Sidingba Rural Municipality
10108	Sirijanga Rural Municipality
10107	Yangwarak Rural Municipality
10201	Bhotkhola Rural Municipality
10208	Chainapur Municipality
10204	Chichila Rural Municipality
10210	Dharmadevi Municipality
10206	Khandabari Municipality
10209	Madi Municipality
10202	Makalu Rural Municipality
10207	Panchakhapan Municipality
10205	Sabhapokhari Rural Municipality
10203	Silichong Rural Municipality
10301	Khumbu Pasanglhamu Rural Municipality
10308	Likhu Pike Rural Municipality
10302	Mahakulung Rural Municipality
10304	Mapya Dudhkoshi Rural Municipality
10306	Necha Salyan Rural Municipality
10307	Solu Dudhakunda Municipality
10303	Sotang Rural Municipality
10305	Thulung Dudhkoushi Rural Municipality
10406	Champadevi Rural Municipality
10401	Chishankhu Gadhi Rural Municipality
10404	Khiji Demba Rural Municipality
10405	Likhu Rural Municipality
10408	Manebhanjyang Rural Municipality
10403	Molung Rural Municipality
10402	Siddhicharan Municipality
10407	Sunkoshi Rural Municipality
10502	Aiselukharka Rural Municipality
10510	Baraha Pokhari Rural Municipality
10505	Diktel Rupakot Majhuwagadhi Municipality
10507	Diprung Chuichumma Rural Municipality
10504	Halesi Tuwachung Municipality
10509	Jante Dhunga Rural Municipality
10501	Kepilasgadhi Rural Municipality
10508	Khotehang Rural Municipality
10503	Rawabesi Rural Municipality
10506	Sakela Rural Municipality
10609	Aamchowk Rural Municipality
10605	Arun Rural Municipality
10604	Bhojpur Municipality
10608	Hatuwagadhi Rural Municipality
10606	Pauwa Dunma Rural Municipality
10607	Ramprasad Rai Rural Municipality
10602	Salpa Silichho Rural Municipality
10601	Shadananda Municipality
10603	Tyamke Maiyum Rural Municipality
10707	Chaubise Rural Municipality
10703	Chhathar Jorpati Rural Municipality
10704	Dhankuta Municipality
10701	Mahalaxmi Municipality
10702	Pakhribas Municipality
10705	Sahidbhumi Rural Municipality
Showing 60 of 753 codes — see the IG page for all.

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Nepal Province ValueSet 7

http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-province-vs

Value set for provinces of Nepal.

code	display
1	Koshi Province
2	Madhesh Province
3	Bagmati Province
4	Gandaki Province
5	Lumbini Province
6	Karnali Province
7	Sudurpashchim Province

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NP Core Identifier Type ValueSet 4

http://fhir.digitalhealth.gov.np/core/ValueSet/np-core-identifier-type-vs

This ValueSet extends the extensible identifier type valueset used in base FHIR and includes the health id code.

all codes from http://terminology.hl7.org/CodeSystem/v2-0203 (external terminology, not enumerated)

code	display
health-id	Nepal Health ID
citizenship-number	Nepal Citizenship Certificate Number
health-insurance-id	Nepal Health Insurance ID
ssf-number	Nepal Social Security Fund Number

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NP Core Procedure Value Set

http://fhir.digitalhealth.gov.np/core/ValueSet/np-core-procedure-vs

Codes identifying the clinical procedure performed, drawn from SNOMED CT: all descendants of 71388002 |Procedure (procedure)|.

all codes from http://snomed.info/sct where concept descendent-of 71388002 (external terminology, not enumerated)

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NP Core Vaccine Value Set

http://fhir.digitalhealth.gov.np/core/ValueSet/np-core-vaccine-vs

Codes identifying the vaccine administered, drawn from SNOMED CT: all descendants of 787859002 |Vaccine product (product)|. This is the same hierarchy bound by the International Patient Summary and HL7 Europe Base, so Nepali immunization records remain usable in cross-border exchange, and it covers the vaccines used in Nepal's Expanded Programme on Immunization (e.g. BCG, OPV, Pentavalent, PCV, MR, JE, fIPV, Td). The binding is extensible so that a curated national EPI vaccine code list can supersede or augment it in a future release.

all codes from http://snomed.info/sct where concept descendent-of 787859002 (external terminology, not enumerated)

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