@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ClaimsForm1-1"] ; # fhir:identifier [ fhir:system [ fhir:v "http://nhdr.gov.ph/fhir/ValueSet-form-type"^^xsd:anyURI ; fhir:l ] ; fhir:value [ fhir:v "CF1" ] ] ; # fhir:type [ fhir:v "transaction"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "urn:uuid:relatedperson"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "RelatedPerson"^^xsd:anyURI ; fhir:l fhir:RelatedPerson ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:organization"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Organization"^^xsd:anyURI ; fhir:l fhir:Organization ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:questionnaire"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Questionnaire"^^xsd:anyURI ; fhir:l fhir:Questionnaire ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:questionnaireresponse"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "QuestionnaireResponse"^^xsd:anyURI ; fhir:l fhir:QuestionnaireResponse ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:provenance"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Provenance"^^xsd:anyURI ; fhir:l fhir:Provenance ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:coverage"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Coverage"^^xsd:anyURI ; fhir:l fhir:Coverage ] ] ] [ fhir:fullUrl [ fhir:v "urn:uuid:claim"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ; fhir:request [ fhir:method [ fhir:v "POST" ] ; fhir:url [ fhir:v "Claim"^^xsd:anyURI ; fhir:l fhir:Claim ] ] ] ) . # a fhir:RelatedPerson ; fhir:id [ fhir:v "CF1-RelatedPerson"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-RelatedPerson"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: RelatedPerson CF1-RelatedPerson

Profile: PH RelatedPerson

Sex at birth: F

identifier: PhilHealth Identification Number/PH54321

patient: Patient

name: Lorna Mae Santos Bautista

telecom: ph: 912-00-00, ph: 0927-000-0000, lmbautista@email.com

birthDate: 1971-02-11

address: Fordham Road 1110 PH

"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Sex"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "F" ] ] ) ; # fhir:identifier ( [ fhir:type [ fhir:coding ( [ fhir:code [ fhir:v "NIIP" ] ] ) ; fhir:text [ fhir:v "PhilHealth Identification Number" ] ] ; fhir:value [ fhir:v "PH54321" ] ] ) ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/CF1-Patient-2" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:name ( [ fhir:family [ fhir:v "Bautista" ] ; fhir:given ( [ fhir:v "Lorna Mae" ] [ fhir:v "Santos" ] ) ; fhir:suffix ( [ fhir:v "Mrs." ] ) ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "912-00-00" ] ] [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "0927-000-0000" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "lmbautista@email.com" ] ] ) ; # fhir:birthDate [ fhir:v "1971-02-11"^^xsd:date] ; # fhir:address ( [ fhir:extension ( [ fhir:url [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Barangay"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:code [ fhir:v "0123456789" ] ; fhir:display [ fhir:v "Blue Ridge" ] ] ] [ fhir:url [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:code [ fhir:v "0123456" ] ; fhir:display [ fhir:v "Quezon City" ] ] ] [ fhir:url [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Province"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:code [ fhir:v "01234" ] ; fhir:display [ fhir:v "Metro Manila" ] ] ] ) ; fhir:line ( [ fhir:v "Fordham Road" ] ) ; fhir:postalCode [ fhir:v "1110" ] ; fhir:country [ fhir:v "PH" ] ] ) . # a fhir:Organization ; fhir:id [ fhir:v "CF1-Organization"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Organization CF1-Organization

Profile: PH Organization

identifier: PhilHealth Employer Number (PEN)/EN15243

name: PhilHealth

telecom: 080-00-00

"^^rdf:XMLLiteral ] ] ; # fhir:identifier ( [ fhir:type [ fhir:coding ( [ fhir:code [ fhir:v "EN" ] ] ) ; fhir:text [ fhir:v "PhilHealth Employer Number (PEN)" ] ] ; fhir:value [ fhir:v "EN15243" ] ] ) ; # fhir:name [ fhir:v "PhilHealth"] ; # fhir:telecom ( [ fhir:value [ fhir:v "080-00-00" ] ] ) . # a fhir:Questionnaire ; fhir:id [ fhir:v "CF1-Questionnaire"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Questionnaire CF1-Questionnaire

Profile: PH Questionnaire

#xD;\n#xD;\n

LinkID	Text	Cardinality	Type
$\".\"$ $\".\"$			Questionnaire
$\".\"$ $\".\"$ $\".\"$ CF1-Q1	Patient is the member?	0..1	boolean
$\"doco\"$ Documentation for this format

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:item ( [ fhir:linkId [ fhir:v "CF1-Q1" ] ; fhir:text [ fhir:v "Patient is the member?" ] ; fhir:type [ fhir:v "boolean" ] ] ) . # a fhir:QuestionnaireResponse ; fhir:id [ fhir:v "CF1-QuestionnaireResponse"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: QuestionnaireResponse CF1-QuestionnaireResponse

Profile: PH QuestionnaireResponse

#xD;\n#xD;\n

LinkID	Text	Definition	Answer $\"doco\"$
$\".\"$ $\".\"$ CF1-QuestionnaireResponse			Questionnaire:None specified
$\".\"$ $\".\"$ $\".\"$ CF1-Q1			true
$\"doco\"$ Documentation for this format

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "completed"] ; # fhir:item ( [ fhir:linkId [ fhir:v "CF1-Q1" ] ; fhir:answer ( [ fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ] ) . # a fhir:Provenance ; fhir:id [ fhir:v "CF1-Provenance"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Provenance CF1-Provenance

Profile: PH Provenance

Provenance for Claim

Summary

Recorded

2026-02-03 09:00:00+0800

Agents

who

Organization

"^^rdf:XMLLiteral ] ] ; # fhir:target ( [ fhir:l ; fhir:reference [ fhir:v "Claim/CF1-Claim" ] ; fhir:display [ fhir:v "Claim" ] ] ) ; # fhir:recorded [ fhir:v "2026-02-03T09:00:00+08:00"^^xsd:dateTime] ; # fhir:agent ( [ fhir:who [ fhir:l ; fhir:reference [ fhir:v "Organization/CF1-Organization" ] ; fhir:display [ fhir:v "Organization" ] ] ] ) ; # fhir:signature ( [ fhir:extension ( [ fhir:url [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/SignatureReason"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Claim Approval" ] ] ) ; fhir:type ( [ fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "1.2.840.10065.1.12.1.20" ] ; fhir:display [ fhir:v "Electronic Signature" ] ] ) ; fhir:when [ fhir:v "2026-02-03T10:30:00+08:00"^^xsd:dateTime ] ; fhir:who [ fhir:l ; fhir:reference [ fhir:v "RelatedPerson/CF1-RelatedPerson" ] ; fhir:display [ fhir:v "Related Person" ] ] ; fhir:data [ fhir:v "QkFTRTY0X1NJR05BVFVSRV9QQVRJRU5U"^^xsd:base64Binary ] ] [ fhir:type ( [ fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "1.2.840.10065.1.12.1.20" ] ; fhir:display [ fhir:v "Electronic Signature" ] ] ) ; fhir:when [ fhir:v "2026-02-03T10:30:00+08:00"^^xsd:dateTime ] ; fhir:who [ fhir:l ; fhir:reference [ fhir:v "Organization/CF1-Organization" ] ; fhir:display [ fhir:v "PhilHealth Regional Office" ] ] ; fhir:data [ fhir:v "QkFTRTY0X1NJR05BVFVSRV9PUkdBTklaVElPTg=="^^xsd:base64Binary ] ] ) . # a fhir:Coverage ; fhir:id [ fhir:v "CF1-Coverage"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Coverage"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Coverage CF1-Coverage

Profile: PH Coverage

status: Active

policyHolder: Organization

beneficiary: Patient

payor: Organization

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:policyHolder [ fhir:l ; fhir:reference [ fhir:v "Organization/CF1-Organization" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:beneficiary [ fhir:l ; fhir:reference [ fhir:v "Patient/CF1-Patient-2" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:payor ( [ fhir:l ; fhir:reference [ fhir:v "Organization/CF1-Organization" ] ; fhir:display [ fhir:v "Organization" ] ] ) . # a fhir:Claim ; fhir:id [ fhir:v "CF1-Claim"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Claim CF1-Claim

Profile: PH Claim

identifier: https://philhealth.gov.ph/claim/CF1-CLM-00001

status: Active

type: Institutional

use: Claim

patient: Patient

created: 2026-02-03 08:00:00+0800

provider: Organization

priority: Normal

Payees

-	Type	Party
*	Subscriber	RelatedPerson

Insurances

-	Sequence	Focal	Coverage
*	1	true	Coverage

"^^rdf:XMLLiteral ] ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://philhealth.gov.ph/claim"^^xsd:anyURI ; fhir:l ] ; fhir:value [ fhir:v "CF1-CLM-00001" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "institutional" ] ; fhir:display [ fhir:v "Institutional" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/CF1-Patient-2" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:created [ fhir:v "2026-02-03T08:00:00+08:00"^^xsd:dateTime] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Organization/CF1-Organization" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "normal" ] ; fhir:display [ fhir:v "Normal" ] ] ) ] ; # fhir:payee [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "subscriber" ] ; fhir:display [ fhir:v "Subscriber" ] ] ) ] ; fhir:party [ fhir:l ; fhir:reference [ fhir:v "RelatedPerson/CF1-RelatedPerson" ] ; fhir:display [ fhir:v "RelatedPerson" ] ] ] ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:l ; fhir:reference [ fhir:v "Coverage/CF1-Coverage" ] ; fhir:display [ fhir:v "Coverage" ] ] ] ) . # # -------------------------------------------------------------------------------------