NHDR Implementation Guide Release 1.0
0.1.0 - ci-build
NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions
{
"resourceType": "Bundle",
"id": "Bundle-ClaimsForm2",
"type": "transaction",
"identifier": {
"system": "http://nhdr.gov.ph/fhir/ValueSet-form-type",
"value": "CF2"
},
"entry": [
{
"fullUrl": "urn:uuid:patient",
"resource": {
"resourceType": "Patient",
"id": "CF2-Patient",
"meta": {
"profile": [
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]
},
"name": [
{
"family": "Doe",
"given": [
"John",
"Harris"
],
"suffix": [
"Mr."
]
}
]
},
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"url": "Patient"
}
},
{
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"id": "CF2-Org",
"meta": {
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},
"identifier": [
{
"type": {
"coding": [
{
"code": "AN"
}
],
"text": "PhilHealth Accreditation Number (PAN)"
},
"value": "AN199513893"
}
],
"name": "6th General Hospital",
"address": [
{
"line": [
"137 Fourth Street"
],
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123456",
"display": "Marikina City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"postalCode": "1110"
},
{
"line": [
"125 Fordham"
],
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123457",
"display": "Pasay City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"postalCode": "1101"
},
{
"line": [
"12 Riverdale Street"
],
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123458",
"display": "Pasig City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"postalCode": "1102"
}
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},
"request": {
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"url": "Organization"
}
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{
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"id": "CF2-QuestionnaireResponse",
"meta": {
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]
},
"item": [
{
"answer": [
{
"valueBoolean": true
}
],
"linkId": "Was Patient referred by another HCI? [Yes/No]"
}
],
"status": "in-progress"
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:encounter",
"resource": {
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"id": "CF2-Encounter",
"meta": {
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]
},
"hospitalization": {
"origin": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
},
"destination": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
}
},
"period": {
"start": "2024-07-18T08:00:00+08:00",
"end": "2024-07-18T10:00:00+08:00"
},
"reasonCode": [
{
"coding": [
{
"code": "109006",
"system": "http://snomed.info/sct",
"display": "Anxiety disorder of childhood OR adolescence"
}
],
"text": "Anxiety disorder of childhood OR adolescence"
}
],
"location": [{
"location": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
},
"physicalType": {
"coding": [
{
"code": "wa",
"system": "http://terminology.hl7.org/6.2.0/CodeSystem-location-physical-type.html",
"display": "Ward"
}
]
}
}],
"diagnosis": [{
"condition": {
"reference": "Condition/Condition-1",
"display": "Diabetes mellitus type 2"
}
}],
"status": "triaged",
"class": {
"code": "EMER",
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"display": "emergency"
}
},
"request": {
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"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:condition",
"resource": {
"resourceType": "Condition",
"id": "CF2-Condition",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition"
]
},
"clinicalStatus": {
"coding": [
{
"code": "0",
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"display": "Active"
}
],
"text": "Active"
},
"code": {
"coding": [
{
"code": "A00",
"system": "http://hl7.org/fhir/sid/icd-10",
"display": "A00"
}
]
},
"subject": {
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"display": "CF2 Patient"
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},
"request": {
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"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:procedure",
"resource": {
"resourceType": "Procedure",
"id": "CF2-Procedure",
"meta": {
"profile": [
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]
},
"code": {
"coding": [
{
"code": "10060",
"system": "https://nhdr.gov.ph/fhir/CodeSystem/RVSCodeCS",
"display": "INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)"
}
]
},
"performedDateTime": "2025-04-15T10:00:00.000Z",
"bodySite": [
{
"coding": [
{
"code": "108003",
"system": "http://snomed.info/sct",
"display": "Entire condylar emissary vein"
}
]
}
],
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/IllnessClass",
"valueCodeableConcept": {
"coding": [
{
"code": "108003",
"system": "http://snomed.info/sct",
"display": "Abscess"
}
]
}
}
],
"status": "preparation",
"subject": {
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"display": "CF2 Patient"
}
},
"request": {
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"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:practitioner",
"resource": {
"resourceType": "Practitioner",
"id": "CF2-Practitioner",
"meta": {
"profile": [
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]
},
"identifier": "1231231",
"name": [
{
"family": "Dela Cruz",
"given": [
"Sheena",
"Abesamis"
]
}
],
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/ExtSignature",
"when": "2025-04-15T10:30:00Z",
"data": "FGAD9FG9A0F8G97G09D"
}
]
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"request": {
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"url": "Practitioner"
}
}
]
}