Generated Narrative: Patient CF2-Patient
Profile: PH Patient
John Harris Doe (no stated gender), DoB Unknown
Generated Narrative: RelatedPerson CF2-RelatedPerson
Profiles: PH RelatedPerson, https://nhdr.gov.ph/fhir/StructureDefinition/PH_RelatedPerson
patient: Patient
relationship: mother
name: Maria Dela Cruz
Generated Narrative: Organization CF2-Organization
Profile: PH Organization
identifier: PhilHealth Accreditation Number (PAN)/AN199513893
name: 6th General Hospital
address:
| Name |
| Dr. Maria Santos |
Generated Narrative: Encounter CF2-Encounter
Profile: PH Encounter
status: booked
class: ActCode: AMB (ambulatory)
period: 2024-07-18 08:00:00+0800 --> 2024-07-18 10:00:00+0800
| DischargeDisposition |
| Discharged to home |
serviceProvider: Organization
Generated Narrative: Procedure CF2-Procedure
Profile: PH Procedure
status: Completed
code: INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)
subject: Patient
bodySite: Appendix structure
Generated Narrative: ServiceRequest CF2-ServiceRequest
Profile: PH ServiceRequest
status: Completed
intent: Order
subject: Patient
requester: Organization
performer: Organization
reasonReference: Observation
Generated Narrative: Observation CF2-Observation
Profile: PH Observation
status: Final
code: Preoperative assessment
subject: Patient
value: Subject for Surgery
Generated Narrative: Practitioner CF2-Practitioner
Profile: PH Practitioner
identifier: https://prc.gov.ph/1234567
name: Maria Santos
Generated Narrative: Coverage CF2-Coverage
Profile: PH Coverage
status: Active
type: extended healthcare
beneficiary: Patient
payor: Organization
| Type | Value[x] |
| Copayment | ₱500.00 (PHP) |
Generated Narrative: Questionnaire CF2-Questionnaire
Profile: PH Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | |||
  CF2-Q1 | A. Certification of Consumption of Benefits (Y/N) | 0..1 | boolean | |
| Documentation for this format | ||||
Generated Narrative: QuestionnaireResponse CF2-QuestionnaireResponse
Profile: PH QuestionnaireResponse
| LinkID | Text | Definition | Answer |
|---|---|---|---|
| CF2-QuestionnaireResponse | Questionnaire:None specified | ||
 CF2-Q1 | true | ||
| Documentation for this format | |||
Generated Narrative: Provenance CF2-Provenance
Profile: PH Provenance
Provenance for Claim
Summary
| Recorded | 2026-02-03 09:00:00+0800 |
Agents
| who |
| Practitioner |
Generated Narrative: Claim CF2-Claim
Profile: PH Claim
Encounter (Extension): Encounter
identifier: https://philhealth.gov.ph/claim/CLM-2026-00001
status: Active
type: Institutional
use: Claim
patient: Patient
created: 2026-02-03 08:00:00+0800
provider: Organization
priority: Normal
referral: ServiceRequest
| Sequence | Category | Value[x] |
| 1 | Supporting Information | Practitioner |
| Sequence | Diagnosis[x] |
| 1 | Essential (primary) hypertension |
| Sequence | Date | Procedure[x] |
| 1 | 2026-02-03 09:00:00+0800 | Procedure |
| Sequence | Focal | Coverage |
| 1 | true | Coverage |
item
sequence: 1
productOrService: Appendectomy
serviced: 2026-02-03
Nets
Value Currency 15000 Philippine piso detail
sequence: 1
productOrService: Appendectomy Procedure Fee
Nets
Value Currency 15000 Philippine piso
| Value | Currency |
| 15000 | Philippine piso |