{ "resourceType" : "Bundle", "id" : "Konsulta-Availment-Slip", "identifier" : { "system" : "http://nhdr.gov.ph/fhir/ValueSet-form-type", "value" : "Konsulta-Availment-Slip" }, "type" : "transaction", "entry" : [{ "fullUrl" : "urn:uuid:patient-3", "resource" : { "resourceType" : "Patient", "id" : "K1-Patient", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient K1-Patient

Profile: PH Patient

Quinn Ry Senilla (no stated gender), DoB: 1990-05-10 ( PhilHealth ID:\u00a0PH-00001)

Contact Detail
  • ph: 09456469323
Links:
Patient TypeMember
" }, "extension" : [{ "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/PatientType", "valueCodeableConcept" : { "coding" : [{ "system" : "https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS", "code" : "MM", "display" : "Member" }] } }], "identifier" : [{ "type" : { "text" : "PhilHealth ID" }, "system" : "http://nhdr.gov.ph/fhir/Identifier/philhealth-id", "value" : "PH-00001" }], "name" : [{ "family" : "Senilla", "given" : ["Quinn", "Ry"] }], "telecom" : [{ "system" : "phone", "value" : "09456469323" }], "birthDate" : "1990-05-10", "address" : [{ "extension" : [{ "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/Province", "valueCoding" : { "system" : "https://psa.gov.ph/classification/psgc", "code" : "036900000", "display" : "Tarlac" } }, { "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality", "valueCoding" : { "system" : "https://psa.gov.ph/classification/psgc", "code" : "036916000", "display" : "Tarlac City" } }, { "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/Barangay", "valueCoding" : { "system" : "https://psa.gov.ph/classification/psgc", "code" : "036916001", "display" : "San Roque" } }] }], "generalPractitioner" : [{ "reference" : "Organization/K1-Organization" }] }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "urn:uuid:organization-3", "resource" : { "resourceType" : "Organization", "id" : "K1-Organization", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization K1-Organization

Profile: PH Organization

identifier: PhilHealth Accreditation Number (PAN)/AN199513893

name: 6th General Hospital

address:

Contacts

-Name
*Dr. Maria Santos
" }, "identifier" : [{ "type" : { "coding" : [{ "code" : "AN" }], "text" : "PhilHealth Accreditation Number (PAN)" }, "value" : "AN199513893" }], "name" : "6th General Hospital", "address" : [{ "line" : ["San Roque"] }, { "line" : ["Tarlac City"] }, { "extension" : [{ "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/Barangay", "valueCoding" : { "code" : "036916001", "display" : "San Roque" } }, { "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality", "valueCoding" : { "code" : "036916000", "display" : "Tarlac City" } }, { "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/Province", "valueCoding" : { "code" : "036900000", "display" : "Tarlac" } }], "line" : ["Tarlac"] }], "contact" : [{ "name" : { "text" : "Dr. Maria Santos" } }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:encounter-3", "resource" : { "resourceType" : "Encounter", "id" : "K3-Encounter", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Encounter K3-Encounter

Profile: PH Encounter

Age in Years: 35

identifier: https://nhdr.gov.ph/fhir/Identifier/encounter-id/EN-0001

status: booked

class: ActCode: AMB (ambulatory)

" }, "extension" : [{ "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears", "valueInteger" : 35 }], "identifier" : [{ "system" : "https://nhdr.gov.ph/fhir/Identifier/encounter-id", "value" : "EN-0001" }], "status" : "booked", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB" } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "urn:uuid:claim-3", "resource" : { "resourceType" : "Claim", "id" : "K3-Claim", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Claim K3-Claim

Profile: PH Claim

Encounter (Extension): Encounter

identifier: https://nhdr.gov.ph/fhir/Identifier/claim-id/CLM-0001

status: Active

type: Professional

use: Claim

patient: Patient

created: 2026-03-01 10:15:00+0800

provider: Organization

priority: Normal

CareTeams

-SequenceProvider
*1Practitioner

Insurances

-SequenceFocalCoverage
*1trueCoverage

Items

-SequenceProductOrServiceServiced[x]
*1Consultation Service2026-03-01
" }, "extension" : [{ "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension", "valueReference" : { "reference" : "Encounter/K3-Encounter", "display" : "Encounter" } }], "identifier" : [{ "system" : "https://nhdr.gov.ph/fhir/Identifier/claim-id", "value" : "CLM-0001" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "professional", "display" : "Professional" }] }, "use" : "claim", "patient" : { "reference" : "Patient/K1-Patient", "display" : "Patient" }, "created" : "2026-03-01T10:15:00+08:00", "provider" : { "reference" : "Organization/K1-Organization", "display" : "Organization" }, "priority" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/processpriority", "code" : "normal", "display" : "Normal" }] }, "careTeam" : [{ "sequence" : 1, "provider" : { "reference" : "Practitioner/K1-Practitioner", "display" : "Practitioner" } }], "insurance" : [{ "sequence" : 1, "focal" : true, "coverage" : { "reference" : "Coverage/K1-Coverage", "display" : "Coverage" } }], "item" : [{ "sequence" : 1, "productOrService" : { "coding" : [{ "system" : "https://nhdr.gov.ph/fhir/CodeSystem/PH-ItemCode", "code" : "CONSULT", "display" : "Consultation Service" }] }, "servicedDate" : "2026-03-01" }] }, "request" : { "method" : "POST", "url" : "Claim" } }, { "fullUrl" : "urn:uuid:appointment-3", "resource" : { "resourceType" : "Appointment", "id" : "K3-Appointment", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Appointment"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Appointment K3-Appointment

Profile: PH Appointment

identifier: https://nhdr.gov.ph/fhir/Identifier/appointment-id/K3-APPT-0001

status: Booked

Participants

-Status
*Accepted
" }, "identifier" : [{ "system" : "https://nhdr.gov.ph/fhir/Identifier/appointment-id", "value" : "K3-APPT-0001" }], "status" : "booked", "participant" : [{ "status" : "Accepted" }] }, "request" : { "method" : "POST", "url" : "Appointment" } }] }