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

Extensions

The following are the extensions utilized in the PHCDI Implementation Guide. These extensions represent additional elements or concepts that are not covered by the standard core resources provided by HL7 FHIR. Extensions are used to customize the FHIR standard to address specific requirements or use cases that are unique to an implementation, without compromising the base FHIR model's interoperability or structure.

Extensions are typically designed and implemented to cater to the particular needs of a health data exchange, such as those outlined by the Philippine Health Data Interoperability Framework, ensuring the inclusion of essential localized or contextual information. These elements are defined outside of the core FHIR specification and adhere to strict guidelines to maintain consistency and compatibility with existing FHIR standards.

In the case of the PHCDI Implementation Guide, these extensions allow for the representation of country-specific data elements, regulatory requirements, or business rules that are critical for achieving the national health data repository's objectives, while still leveraging the global FHIR framework for data interoperability.

Extensions:


Extension Name Description Used in
Address (extension) Address where the observation was made. PH_Observation
AgeDays Age of the patient in days. PH_Encounter
AgeMonths Age of the patient in months. PH_Encounter
AgeYears Age of the patient in years. PH_Encounter
Barangay Code of the barangay from the Philippine Standard Geographic Code (PSGC) PH_Address
CityMunicipality Code of the city/municipality from the Philippine Standard Geographic Code (PSGC) PH_Address
Cost Cost of the medication. PH_MedicationDispense
DateInterview Date of interview. PH_Encounter
DateInvestigation Date of investigation. PH_Encounter
DateReleased Date when the specimen was released. PH_Specimen
EducationalAttainment Highest educational attainment of the patient. PH_Patient
Encounter (extension) The encounter when the medicine was consumed or administered. PH_MedicationAdministration / PH_MedicationStatement
FatherName Name of the patient's father. PH_Patient
HeadName Name of the head of the facility. PH_Organization
HeadPosition Position of the head of the facility. PH_Organization
HeadTelecom Contact information of the head of the facility. PH_Organization
IllnessClass Illness code of the disease as listed in PhilHealth. PH_Procedure
Illness_Class Classification of illness. PH_Encounter
Indigenous Group Indigenous group that the patient belongs to. PH_Patient
Indigenous People If the patient is a member of an indigenous group. PH_Patient
Interviewer Name of the interviewer at first point of contact. PH_Encounter
InvestigatorName Name of the investigator/assessor. PH_Encounter
MedicationType Medication Type. PH_Medication
MemberType Membership Type PH_Patient
MotherName Name of the patient's mother. PH_Patient
Nationality The nationality of the patient. PH_Patient
Occupation Patient's occupation. PH_Patient
Packaging Detailed description on the medication packaging. PH_Medication
PatientClassification Classification of patient. PH_Encounter
PatientType Patient Type PH_Patient
Province Code of the province from the Philippine Standard Geographic Code (PSGC). PH_Address
Race Extension to capture the race of the patient. PH_Patient
RecordedDate Indicates the timestamp when the record was uploaded to the NHDR. PH_MedicationAdministration / PH_Observation / PH_Patient / PH_Procedure / PH_Specimen
Region Code of the region from the Philippine Standard Geographic Code (PSGC). PH_Address
Religion Extension to capture the religious affiliation of a person. PH_Patient
ReporterName Name of the reporter of the encounter. PH_Encounter
ResultDate The date on which the outcome of the particular specimen was recorded. PH_Specimen
Sex Extension to capture the sex at birth. PH_Patient / PH_Person / PH_Practitioner
Signature Signature PH_Patient / PH_Practitioner
Species Describes the type of species / organism. PH_Specimen
SpouseName Name of the patient's spouse. PH_Patient