Konsulta-Health-Screening-FPE
type: Bundle
node role: treeRoot
id:
  v: Konsulta-Health-Screening-FPE
identifier:
  system:
    v: http://nhdr.gov.ph/fhir/ValueSet-form-type
    l: ValueSet-form-type
  value:
    v: Konsulta-Availment-Slip
type:
  v: transaction
entry:
  full url:
    v: urn:uuid:patient-5
    l: patient-5
  resource: patient-5
  request:
    method:
      v: POST
    url:
      v: Patient
      l: Patient
entry:
  full url:
    v: urn:uuid:encounter-5
    l: encounter-5
  resource: encounter-5
  request:
    method:
      v: POST
    url:
      v: Encounter
      l: Encounter
entry:
  full url:
    v: urn:uuid:observation-5
    l: observation-5
  resource: observation-5
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  full url:
    v: urn:uuid:observation-5
    l: observation-5
  resource: observation-5
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  full url:
    v: urn:uuid:observation-5
    l: observation-5
  resource: observation-5
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  full url:
    v: urn:uuid:observation-5
    l: observation-5
  resource: observation-5
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  full url:
    v: urn:uuid:observation-5
    l: observation-5
  resource: observation-5
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  full url:
    v: urn:uuid:questionnaire-5
    l: questionnaire-5
  resource: questionnaire-5
  request:
    method:
      v: POST
    url:
      v: Questionnaire
      l: Questionnaire
entry:
  full url:
    v: urn:uuid:questionnaireresponse-5
    l: questionnaireresponse-5
  resource: questionnaireresponse-5
  request:
    method:
      v: POST
    url:
      v: QuestionnaireResponse
      l: QuestionnaireResponse

patient-5
type: Patient
id:
  v: K5-Patient
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient
    l: PH-Patient
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient K5-Patient Profile: PH Patient Quinn Ry Senilla (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001) Contact Detail ph: 09456469323 Patient Type Member Sex at birth Male
extension:
  url:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PatientType
    l: PatientType
  value: CodeableConcept
    coding:
      system:
        v: https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS
        l: PatientTypeVS
      code:
        v: MM
      display:
        v: Member
extension:
  url:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/Sex
    l: Sex
  value: CodeableConcept
    coding:
      system:
        v: https://nhdr.gov.ph/fhir/ValueSet/Sex
        l: Sex
      code:
        v: M
      display:
        v: Male
identifier:
  type:
    text:
      v: PhilHealth ID
  system:
    v: http://nhdr.gov.ph/fhir/Identifier/philhealth-id
    l: philhealth-id
  value:
    v: PH-00001
name:
  family:
    v: Senilla
  given:
    v: Quinn
  given:
    v: Ry
telecom:
  system:
    v: phone
  value:
    v: 09456469323
birth date:
  v: 1998-07-08
photo:
  content type:
    v: image/jpeg
  url:
    v: input/images/CF1.png

encounter-5
type: Encounter
id:
  v: K5-Encounter
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter
    l: PH-Encounter
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Encounter K5-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) subject: Quinn Ry Senilla (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001) period: 2026-03-02 09:00:00+0800 --> (ongoing) reasonReference: Observation Pertinent Physical Examination
extension:
  url:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears
    l: AgeYears
  value: Integer
    v: 35
identifier:
  system:
    v: https://nhdr.gov.ph/fhir/Identifier/encounter-id
    l: encounter-id
  value:
    v: EN-0001
status:
  v: booked
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
subject:
  l: K5-Patient
  reference:
    v: Patient/K5-Patient
period:
  start:
    v: 2026-03-02T09:00:00+08:00
reason reference:
  l: K5-Observation-PPE
  reference:
    v: Observation/K5-Observation-PPE

observation-5
type: Observation
id:
  v: K5-Observation-Female-Physiology
id:
  v: K5-Observation-PPE
id:
  v: K5-Observation-Pediatric-Client
id:
  v: K5-Observation-Blood-Type
id:
  v: K5-Observation-General-Survey
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation
    l: PH-Observation
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation
    l: PH-Observation
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation
    l: PH-Observation
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation
    l: PH-Observation
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation
    l: PH-Observation
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation K5-Observation-Female-Physiology Profile: PH Observation status: Final code: Female Physiology value: Lower abdominal pain and dizziness component code: First menstrual Period value: 2026-02-20 08:30:00+0800 --> (ongoing) component code: Last menstrual Period value: ?? --> 2026-02-20 08:45:00+0800 component code: Number of Pregnancies value: 3
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation K5-Observation-PPE Profile: PH Observation status: Final code: Pertinent Physical Examination component code: Blood Pressure value: 120/80 mmHg component code: Heart Rate value: 72 beats/minute component code: Respiratory Rate value: 18 breaths/minute component code: Visual Acuity value: 20/20 component code: Height (cm) value: 165 cm component code: Height (in) value: 64.96 in component code: Weight (kg) value: 60 kg component code: Weight (lb) value: 132.28 lb component code: BMI value: 22 component code: Temperature value: 36.8
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation K5-Observation-Pediatric-Client Profile: PH Observation status: Final code: Pediatric Client aged 0-24 months component code: Length value: 75 cm component code: Head Circumference value: 46 cm component code: Skinfold Thickness value: 1.2 cm component code: Body Circumference - Waist value: 48 cm component code: Body Circumference - Hip value: 50 cm component code: Body Circumference - Middle and Upper Arm value: 14 cm
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation K5-Observation-Blood-Type Profile: PH Observation status: Final code: ABO and Rh blood group value: O Positive
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation K5-Observation-General-Survey Profile: PH Observation status: Final code: General Survey value: ABDOMINAL CRAMP/PAIN
status:
  v: final
status:
  v: final
status:
  v: final
status:
  v: final
status:
  v: final
code:
  coding: https://loinc.org/rdf/11111
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11111
    display:
      v: Female Physiology
code:
  coding: https://loinc.org/rdf/22222
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22222
    display:
      v: Pertinent Physical Examination
code:
  coding: https://loinc.org/rdf/33333
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 33333
    display:
      v: Pediatric Client aged 0-24 months
code:
  coding: https://loinc.org/rdf/882-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 882-1
    display:
      v: ABO and Rh blood group
code:
  coding: https://loinc.org/rdf/89205-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 89205-8
    display:
      v: General Survey
value: String
  v: Lower abdominal pain and dizziness
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0004
      l: v2-0004
    code:
      v: O+
    display:
      v: O Positive
value: CodeableConcept
  coding:
    system:
      v: https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVS
      l: ObservationValueVS
    code:
      v: AbdominalCrampPain
    display:
      v: ABDOMINAL CRAMP/PAIN
component:
  code:
    text:
      v: First menstrual Period
  value: Period
    start:
      v: 2026-02-20T08:30:00+08:00
component:
  code:
    text:
      v: Last menstrual Period
  value: Period
    end:
      v: 2026-02-20T08:45:00+08:00
component:
  code:
    text:
      v: Number of Pregnancies
  value: Integer
    v: 3
component:
  code:
    text:
      v: Blood Pressure
  value: String
    v: 120/80 mmHg
component:
  code:
    text:
      v: Heart Rate
  value: Quantity
    value:
      v: 72
    unit:
      v: beats/minute
component:
  code:
    text:
      v: Respiratory Rate
  value: Quantity
    value:
      v: 18
    unit:
      v: breaths/minute
component:
  code:
    text:
      v: Visual Acuity
  value: Ratio
    numerator:
      value:
        v: 20
    denominator:
      value:
        v: 20
component:
  code:
    text:
      v: Height (cm)
  value: Quantity
    value:
      v: 165
    unit:
      v: cm
component:
  code:
    text:
      v: Height (in)
  value: Quantity
    value:
      v: 64.96

questionnaire-5
type: Questionnaire
id:
  v: K5-Questionnaire
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire
    l: PH-Questionnaire
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Questionnaire K5-Questionnaire Profile: PH Questionnaire LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Questionnaire #xD; K5-Q1 Do you experience any of the following: fever, cough, colds, or headache? 0..1 boolean #xD; K5-Q2 If yes, please explain 0..1 string Enable When: K5-Q1 = true #xD; K5-Q3 Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain? 0..1 boolean #xD; K5-Q4 If yes, please explain 0..1 string Enable When: K5-Q3 = true #xD; K5-Q5 Do you experience any of the following: chest pain or difficulty in breathing? 0..1 boolean #xD; K5-Q6 If yes, please explain 0..1 string Enable When: K5-Q5 = true #xD; K5-Q7 Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol? 0..1 boolean #xD; K5-Q8 If yes, please explain 0..1 string Enable When: K5-Q7 = true #xD; K5-Q9 For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination? 0..1 boolean #xD; K5-Q10 If yes, please explain 0..1 string Enable When: K5-Q9 = true #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
status:
  v: active
item:
  link id:
    v: K5-Q1
  text:
    v: Do you experience any of the following: fever, cough, colds, or headache?
  type:
    v: boolean
item:
  link id:
    v: K5-Q2
  text:
    v: If yes, please explain
  type:
    v: string
  enable when:
    question:
      v: K5-Q1
    operator:
      v: =
    answer: Boolean
      v: true
item:
  link id:
    v: K5-Q3
  text:
    v: Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain?
  type:
    v: boolean
item:
  link id:
    v: K5-Q4
  text:
    v: If yes, please explain
  type:
    v: string
  enable when:
    question:
      v: K5-Q3
    operator:
      v: =
    answer: Boolean
      v: true
item:
  link id:
    v: K5-Q5
  text:
    v: Do you experience any of the following: chest pain or difficulty in breathing?
  type:
    v: boolean
item:
  link id:
    v: K5-Q6
  text:
    v: If yes, please explain
  type:
    v: string
  enable when:
    question:
      v: K5-Q5
    operator:
      v: =
    answer: Boolean
      v: true
item:
  link id:
    v: K5-Q7
  text:
    v: Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol?
  type:
    v: boolean
item:
  link id:
    v: K5-Q8
  text:
    v: If yes, please explain
  type:
    v: string
  enable when:
    question:
      v: K5-Q7
    operator:
      v: =
    answer: Boolean
      v: true
item:
  link id:
    v: K5-Q9
  text:
    v: For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination?
  type:
    v: boolean
item:
  link id:
    v: K5-Q10
  text:
    v: If yes, please explain
  type:
    v: string
  enable when:
    question:
      v: K5-Q9
    operator:
      v: =
    answer: Boolean
      v: true

questionnaireresponse-5
type: QuestionnaireResponse
id:
  v: K5-QuestionnaireResponse
meta:
  profile:
    v: https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse
    l: PH-QuestionnaireResponse
text:
  status:
    v: generated
  div:
    v: Generated Narrative: QuestionnaireResponse K5-QuestionnaireResponse Profile: PH QuestionnaireResponse LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> K5-QuestionnaireResponse Questionnaire:None specified #xD; K5-Q1 true #xD; K5-Q2 Fever and headache for 2 days #xD; K5-Q3 false #xD; K5-Q5 false #xD; K5-Q7 true #xD; K5-Q8 Occasional drinking alcohol #xD; K5-Q9 false #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
status:
  v: completed
item:
  link id:
    v: K5-Q1
  answer:
    value: Boolean
      v: true
item:
  link id:
    v: K5-Q2
  answer:
    value: String
      v: Fever and headache for 2 days
item:
  link id:
    v: K5-Q3
  answer:
    value: Boolean
      v: false
item:
  link id:
    v: K5-Q5
  answer:
    value: Boolean
      v: false
item:
  link id:
    v: K5-Q7
  answer:
    value: Boolean
      v: true
item:
  link id:
    v: K5-Q8
  answer:
    value: String
      v: Occasional drinking alcohol
item:
  link id:
    v: K5-Q9
  answer:
    value: Boolean
      v: false

v: in

code:
  text:
    v: Weight (kg)
value: Quantity
  value:
    v: 60
  unit:
    v: kg

code:
  text:
    v: Weight (lb)
value: Quantity
  value:
    v: 132.28
  unit:
    v: lb

code:
  text:
    v: BMI
value: Quantity
  value:
    v: 22

code:
  text:
    v: Temperature
value: Quantity
  value:
    v: 36.8

code:
  text:
    v: Length
value: Quantity
  value:
    v: 75
  unit:
    v: cm

code:
  text:
    v: Head Circumference
value: Quantity
  value:
    v: 46
  unit:
    v: cm

code:
  text:
    v: Skinfold Thickness
value: Quantity
  value:
    v: 1.2
  unit:
    v: cm

code:
  text:
    v: Body Circumference - Waist
value: Quantity
  value:
    v: 48
  unit:
    v: cm

code:
  text:
    v: Body Circumference - Hip
value: Quantity
  value:
    v: 50
  unit:
    v: cm

code:
  text:
    v: Body Circumference - Middle and Upper Arm
value: Quantity
  value:
    v: 14
  unit:
    v: cm