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/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions
Example Bundle: ClaimsForm3
Bundle ClaimsForm3 of type transaction
Entry 1 - fullUrl = urn:uuid:patient
Resource Patient:
Generated Narrative: Patient CF3-Patient
Profile: PH Patient
John Mark Apilyido (no stated gender), DoB Unknown
Request:
POST Patient
Entry 2 - fullUrl = urn:uuid:organization
Resource Organization:
Generated Narrative: Organization CF3-Organization
Profile: PH Organization
identifier: PhilHealth Accreditation Number (PAN)/AN55555
name: Pasig General Hospital
Request:
POST Organization
Entry 3 - fullUrl = urn:uuid:encounter
Resource Encounter:
Generated Narrative: Encounter CF3-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
reasonReference: Observation
Hospitalizations
DischargeDisposition Discharged to home
Request:
POST Encounter
Entry 4 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Physical-Examination
Profile: PH Observation
status: Final
code: Physical examination
value: Patient complains of severe headache
component
code: General Survey
value: Patient appears weak
component
code: Vital Signs - BP
value: 120/80 mmHg
component
code: Vital Signs - CR
value: 78 bpm
component
code: Vital Signs - RR
value: 18 breaths/min
component
code: Vital Signs - Temperature
value: 36.8°C
component
code: Abdomen
value: Soft, non-tender, no organomegaly
component
code: HEENT
value: Pupils equal, round, reactive to light; oropharynx clear
component
code: GU (IE)
value: Normal external genitalia; no masses or tenderness
component
code: Chest/Lungs
value: Clear to auscultation bilaterally; no wheezes or crackles
component
code: Skin/Extremities
value: Skin warm and dry; no rashes; peripheral pulses palpable
component
code: CVS
value: Heart sounds normal; regular rate and rhythm; no murmurs
component
code: Neuro Examination
value: Alert, cranial nerves II-XII intact; motor and sensory exam normal
Request:
POST Observation
Entry 5 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Pertinent-Laboratory
Profile: PH Observation
status: Final
code: Pertinent Laboratory
Components
Code Value[x] CBC Normal
Request:
POST Observation
Entry 6 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Pregnancy-Risk-Assessment
Profile: PH Observation
status: Final
code: Pregnancy risk assessment
component
code: Vital signs
interpretation: Normal
component
code: Pregnancy Low Risk
value: true
component
code: Menstrual History - Last Menstrual Period (LMP)
value: 2026-02-10
component
code: Menstrual History - Age of Menarche
value: 13
component
code: Obstetric History (G)
value: 2
component
code: Obstetric History (P)
value: 1
component
code: Obstetric History (P)[T]
value: 1
component
code: Obstetric History (P)[P]
value: 0
component
code: Obstetric History (P)[A]
value: 0
component
code: Obstetric History (P)[L]
value: 1
Request:
POST Observation
Entry 7 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Obstetric-Risk-Factors
Profile: PH Observation
status: Final
code: Obstetric risk factors
component
code: Multiple pregnancy
value: false
component
code: Ovarian cyst
value: true
component
code: Myoma uteri
value: false
component
code: Placenta previa
value: false
component
code: History of 3 miscarriages
value: true
component
code: History of stillbirth
value: false
component
code: History of pre-eclampsia
value: true
component
code: History of eclampsia
value: false
component
code: Premature contraction
value: true
Request:
POST Observation
Entry 8 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Estimated-Delivery-Date
Profile: PH Observation
status: Final
code: Delivery date Estimated
effective: 2026-03-10
Request:
POST Observation
Entry 9 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Age-of-Gestation
Profile: PH Observation
status: Final
code: Age of Gestation
value: 20 weeks
Request:
POST Observation
Entry 10 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Weight-and-Vital-Signs
Profile: PH Observation
status: Final
code: Vital signs panel
component
code: Weight
value: 65 kg
component
code: Cardiac Rate
value: 80 beats/minute
component
code: Respiratory Rate
value: 18 breaths/minute
component
code: Blood Pressure
value: 120/80 mmHg
component
code: Temperature
value: 36.8 °C
Request:
POST Observation
Entry 11 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Pregnancy-status-panel
Profile: PH Observation
status: Final
code: Pregnancy status panel
component
code: Maternal Outcome - Obstetric Index
value: G2P1 (1-0-0-1)
component
code: Pregnancy Uterine - AOG by LMP
value: 20 weeks
component
code: Pregnancy Uterine - Manner of Delivery
value: Normal Spontaneous Vaginal Delivery
component
code: Pregnancy Uterine - Presentation
value: Cephalic
Request:
POST Observation
Entry 12 - fullUrl = urn:uuid:observation
Resource Observation:
Generated Narrative: Observation CF3-Observation-Birth-Outcome-Panel
Profile: PH Observation
status: Final
code: Birth outcome panel
component
code: Birth Outcome - Fetal Outcome
value: Live birth
component
code: Birth Outcome - Sex
value: Male
component
code: Birth Outcome - Birth Weight (grm)
value: 3200 g
component
code: Birth Outcome - APGAR Score
value: 9
Request:
POST Observation
Entry 13 - fullUrl = urn:uuid:clinicalimpression
Resource ClinicalImpression:
Generated Narrative: ClinicalImpression CF3-ClinicalImpression
Profile: PH ClinicalImpression
status: Completed
description: Patient admitted for observation and management of hypertension. During the ward stay, vital signs stabilized, medications were adjusted, and patient responded well to treatment. No complications noted. Discharged in stable condition.
Request:
POST ClinicalImpression
Entry 14 - fullUrl = urn:uuid:diagnosticreport
Resource DiagnosticReport:
Generated Narrative: DiagnosticReport CF3-DiagnosticReport
Profile: PH DiagnosticReport
Anemia, unspecified
Report Details
Patient shows mild anemia with hemoglobin slightly below normal range; other CBC parameters within normal limits.
Request:
POST DiagnosticReport
Entry 15 - fullUrl = urn:uuid:provenance
Resource Provenance:
Generated Narrative: Provenance CF3-Provenance
Profile: PH Provenance
Provenance for Claim: extension = ->Encounter; status = active; type = Institutional; use = claim; created = 2024-07-18; priority = Normal
Summary
Recorded 2026-02-03 09:00:00+0800 Agents
who Practitioner
Request:
POST Provenance
Entry 16 - fullUrl = urn:uuid:questionnaire
Resource Questionnaire:
Generated Narrative: Questionnaire CF3-Questionnaire
Profiles: PH Questionnaire,
https://nhdr.gov.ph/fhir/StructureDefinition/PH_Questionnaire
LinkID Text Cardinality Type Description & Constraints 
Questionnaire CF3-Q1
Orientation to MCP/Availment of Benefits (Yes/No) 0..1 boolean Perineal wound care 0..1 boolean CF3-Q3
Perineal wound care - Remarks 0..1 string Signs of Maternal Postpartum Complications 0..1 boolean Signs of Maternal Postpartum Complications - Remarks 0..1 string Counselling and Education (Breastfeeding and Nutrition) 0..1 boolean Counselling and Education (Breastfeeding and Nutrition) - Remarks 0..1 string Counselling and Education (Family Planning) 0..1 boolean Counselling and Education (Family Planning) - Remarks 0..1 string Provided family planning service to patient (as requested by patient) 0..1 boolean Provided family planning service to patient (as requested by patient) - Remarks 0..1 string Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) 0..1 boolean Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) - Remarks 0..1 string Schedule the next postpartum follow-up 0..1 boolean Schedule the next postpartum follow-up - Remarks 0..1 string Documentation for this format
Request:
POST Questionnaire
Entry 17 - fullUrl = urn:uuid:questionnaireresponse
Resource QuestionnaireResponse:
Generated Narrative: QuestionnaireResponse CF3-QuestionnaireResponse
Profiles: PH QuestionnaireResponse,
https://nhdr.gov.ph/fhir/StructureDefinition/PH_QuestionnaireResponse
LinkID Text Definition Answer Questionnaire:None specified true true Patient instructed on proper perineal hygiene and wound care. true Patient advised to watch for fever, excessive bleeding, and severe abdominal pain. true Counselling provided on exclusive breastfeeding and balanced nutrition. true Discussed available family planning methods suitable for postpartum mothers. false Patient opted to decide on family planning method at next visit. false No referral requested by patient. true Next postpartum follow-up scheduled after 6 weeks.
Request:
POST QuestionnaireResponse
Entry 18 - fullUrl = urn:uuid:claim
Resource Claim:
Generated Narrative: Claim CF3-Claim
Profiles: PH Claim,
https://nhdr.gov.ph/fhir/StructureDefinition/PH_ClaimEncounter (Extension): Encounter
status: Active
type: Institutional
use: Claim
patient: Patient
created: 2024-07-18
provider: Organization
priority: Normal
supportingInfo
sequence: 1
category: Physical Examination
value: Observation
supportingInfo
sequence: 2
category: Laboratory
value: Observation
supportingInfo
sequence: 3
category: Pregnancy Risk Assessment
value: Observation
supportingInfo
sequence: 4
category: Obstetric Risk Factors
value: Observation
supportingInfo
sequence: 5
category: Estimated Delivery Date
value: Observation
supportingInfo
sequence: 6
category: Age of Gestation
value: Observation
supportingInfo
sequence: 7
category: Weight and Vital Signs
value: Observation
supportingInfo
sequence: 8
category: Pregnancy Status Panel
value: Observation
supportingInfo
sequence: 9
category: Birth Outcome Panel
value: Observation
diagnosis
sequence: 1
diagnosis: Condition
diagnosis
sequence: 2
diagnosis: Moderate persistent asthma
Insurances
Sequence Focal Coverage 1 true Coverage Items
Sequence ProductOrService Serviced[x] 1 Maternity Care Package Service 2024-07-18
Request:
POST Claim