<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="Konsulta-Availment-Slip"/>
  <identifier>
    <system value="http://nhdr.gov.ph/fhir/ValueSet-form-type"/>
    <value value="Konsulta-Availment-Slip"/>
  </identifier>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:patient-3"/>
    <resource>
      <Patient>
        <id value="K1-Patient"/>
        <meta>
          <profile value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_K1-Patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient K1-Patient</b></p><a name="K1-Patient"> </a><a name="hcK1-Patient"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Patient.html">PH Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Quinn Ry Senilla  (no stated gender), DoB: 1990-05-10 ( PhilHealth ID: PH-00001)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 09456469323</li><li></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: <a href="Bundle-Konsulta-Availment-Slip.html#Organization_K1-Organization">Organization 6th General Hospital</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Type"><a href="StructureDefinition-PatientType.html">Patient Type</a></td><td colspan="3"><span title="Codes:{https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS MM}">Member</span></td></tr></table></div>
        </text>
        <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/PatientType">
          <valueCodeableConcept>
            <coding>
              <system value="https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS"/>
              <code value="MM"/>
              <display value="Member"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <type>
            <text value="PhilHealth ID"/>
          </type>
          <system value="http://nhdr.gov.ph/fhir/Identifier/philhealth-id"/>
          <value value="PH-00001"/>
        </identifier>
        <name>
          <family value="Senilla"/>
          <given value="Quinn"/>
          <given value="Ry"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="09456469323"/>
        </telecom>
        <birthDate value="1990-05-10"/>
        <address>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/Province">
            <valueCoding>
              <system value="https://psa.gov.ph/classification/psgc"/>
              <code value="036900000"/>
              <display value="Tarlac"/>
            </valueCoding>
          </extension>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality">
            <valueCoding>
              <system value="https://psa.gov.ph/classification/psgc"/>
              <code value="036916000"/>
              <display value="Tarlac City"/>
            </valueCoding>
          </extension>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/Barangay">
            <valueCoding>
              <system value="https://psa.gov.ph/classification/psgc"/>
              <code value="036916001"/>
              <display value="San Roque"/>
            </valueCoding>
          </extension>
        </address>
        <generalPractitioner>
          <reference value="Organization/K1-Organization"/>
        </generalPractitioner>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:organization-3"/>
    <resource>
      <Organization>
        <id value="K1-Organization"/>
        <meta>
          <profile value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_K1-Organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization K1-Organization</b></p><a name="K1-Organization"> </a><a name="hcK1-Organization"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Organization.html">PH Organization</a></p></div><p><b>identifier</b>: PhilHealth Accreditation Number (PAN)/AN199513893</p><p><b>name</b>: 6th General Hospital</p><p><b>address</b>: </p><ul><li>San Roque </li><li>Tarlac City </li><li>Tarlac </li></ul><h3>Contacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td>Dr. Maria Santos</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <code value="AN"/>
            </coding>
            <text value="PhilHealth Accreditation Number (PAN)"/>
          </type>
          <value value="AN199513893"/>
        </identifier>
        <name value="6th General Hospital"/>
        <address>
          <line value="San Roque"/>
        </address>
        <address>
          <line value="Tarlac City"/>
        </address>
        <address>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/Barangay">
            <valueCoding>
              <code value="036916001"/>
              <display value="San Roque"/>
            </valueCoding>
          </extension>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality">
            <valueCoding>
              <code value="036916000"/>
              <display value="Tarlac City"/>
            </valueCoding>
          </extension>
          <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/Province">
            <valueCoding>
              <code value="036900000"/>
              <display value="Tarlac"/>
            </valueCoding>
          </extension>
          <line value="Tarlac"/>
        </address>
        <contact>
          <name>
            <text value="Dr. Maria Santos"/>
          </name>
        </contact>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:encounter-3"/>
    <resource>
      <Encounter>
        <id value="K3-Encounter"/>
        <meta>
          <profile value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"/>
        </meta>
        <text>
          <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_K3-Encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter K3-Encounter</b></p><a name="K3-Encounter"> </a><a name="hcK3-Encounter"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Encounter.html">PH Encounter</a></p></div><p><b>Age in Years</b>: 35</p><p><b>identifier</b>: <code>https://nhdr.gov.ph/fhir/Identifier/encounter-id</code>/EN-0001</p><p><b>status</b>: booked</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p></div>
        </text>
        <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears">
          <valueInteger value="35"/>
        </extension>
        <identifier>
          <system value="https://nhdr.gov.ph/fhir/Identifier/encounter-id"/>
          <value value="EN-0001"/>
        </identifier>
        <status value="booked"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:claim-3"/>
    <resource>
      <Claim>
        <id value="K3-Claim"/>
        <meta>
          <profile value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"/>
        </meta>
        <text>
          <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_K3-Claim"> </a><p class="res-header-id"><b>Generated Narrative: Claim K3-Claim</b></p><a name="K3-Claim"> </a><a name="hcK3-Claim"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Claim.html">PH Claim</a></p></div><p><b>Encounter (Extension)</b>: <a href="Bundle-Konsulta-Availment-Slip.html#Encounter_K3-Encounter">Encounter</a></p><p><b>identifier</b>: <code>https://nhdr.gov.ph/fhir/Identifier/claim-id</code>/CLM-0001</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Bundle-Konsulta-Availment-Slip.html#Patient_K1-Patient">Patient</a></p><p><b>created</b>: 2026-03-01 10:15:00+0800</p><p><b>provider</b>: <a href="Bundle-Konsulta-Availment-Slip.html#Organization_K1-Organization">Organization</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Bundle-Konsulta-Registration.html#Practitioner_K1-Practitioner">Practitioner</a></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Bundle-Konsulta-Registration.html#Coverage_K1-Coverage">Coverage</a></td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{https://nhdr.gov.ph/fhir/CodeSystem/PH-ItemCode CONSULT}">Consultation Service</span></td><td>2026-03-01</td></tr></table></div>
        </text>
        <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension">
          <valueReference>
            <reference value="Encounter/K3-Encounter"/>
            <display value="Encounter"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="https://nhdr.gov.ph/fhir/Identifier/claim-id"/>
          <value value="CLM-0001"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
            <code value="professional"/>
            <display value="Professional"/>
          </coding>
        </type>
        <use value="claim"/>
        <patient>
          <reference value="Patient/K1-Patient"/>
          <display value="Patient"/>
        </patient>
        <created value="2026-03-01T10:15:00+08:00"/>
        <provider>
          <reference value="Organization/K1-Organization"/>
          <display value="Organization"/>
        </provider>
        <priority>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
            <code value="normal"/>
            <display value="Normal"/>
          </coding>
        </priority>
        <careTeam>
          <sequence value="1"/>
          <provider>
            <reference value="Practitioner/K1-Practitioner"/>
            <display value="Practitioner"/>
          </provider>
        </careTeam>
        <insurance>
          <sequence value="1"/>
          <focal value="true"/>
          <coverage>
            <reference value="Coverage/K1-Coverage"/>
            <display value="Coverage"/>
          </coverage>
        </insurance>
        <item>
          <sequence value="1"/>
          <productOrService>
            <coding>
              <system value="https://nhdr.gov.ph/fhir/CodeSystem/PH-ItemCode"/>
              <code value="CONSULT"/>
              <display value="Consultation Service"/>
            </coding>
          </productOrService>
          <servicedDate value="2026-03-01"/>
        </item>
      </Claim>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Claim"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:appointment-3"/>
    <resource>
      <Appointment>
        <id value="K3-Appointment"/>
        <meta>
          <profile value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Appointment"/>
        </meta>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Appointment_K3-Appointment"> </a><p class="res-header-id"><b>Generated Narrative: Appointment K3-Appointment</b></p><a name="K3-Appointment"> </a><a name="hcK3-Appointment"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Appointment.html">PH Appointment</a></p></div><p><b>identifier</b>: <code>https://nhdr.gov.ph/fhir/Identifier/appointment-id</code>/K3-APPT-0001</p><p><b>status</b>: Booked</p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Status</b></td></tr><tr><td style="display: none">*</td><td>Accepted</td></tr></table></div>
        </text>
        <identifier>
          <system value="https://nhdr.gov.ph/fhir/Identifier/appointment-id"/>
          <value value="K3-APPT-0001"/>
        </identifier>
        <status value="booked"/>
        <participant>
          <status value="Accepted"/>
        </participant>
      </Appointment>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Appointment"/>
    </request>
  </entry>
</Bundle>