{ "resourceType" : "Bundle", "id" : "Konsulta-Registration", "identifier" : { "system" : "http://nhdr.gov.ph/fhir/ValueSet-form-type", "value" : "Konsulta-Registration" }, "type" : "transaction", "entry" : [{ "fullUrl" : "urn:uuid:patient-1", "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-1", "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:organization-2", "resource" : { "resourceType" : "Organization", "id" : "K2-Organization", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization K2-Organization

Profile: PH Organization

name: Philippine Health Insurance Corporation

Contacts

-Name
*Dr. Maria Santos
" }, "name" : "Philippine Health Insurance Corporation", "contact" : [{ "name" : { "text" : "Dr. Maria Santos" } }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "urn:uuid:questionnaire-1", "resource" : { "resourceType" : "Questionnaire", "id" : "K1-Questionnaire", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Questionnaire K1-Questionnaire

Profile: PH Questionnaire

\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" Questionnaire
\".\"\".\"\".\" K1-Q1Register to a Konsulta Package Provider (KPP)?0..1boolean
\".\"\".\"\".\" K1-Q2Register all your declared minor dependents?0..1boolean
\".\"\".\"\".\" K1-Q3Transfer?0..1boolean

\"doco\" Documentation for this format
" }, "status" : "active", "item" : [{ "linkId" : "K1-Q1", "text" : "Register to a Konsulta Package Provider (KPP)?", "type" : "boolean" }, { "linkId" : "K1-Q2", "text" : "Register all your declared minor dependents?", "type" : "boolean" }, { "linkId" : "K1-Q3", "text" : "Transfer?", "type" : "boolean" }] }, "request" : { "method" : "POST", "url" : "Questionnaire" } }, { "fullUrl" : "urn:uuid:questionnaireresponse-1", "resource" : { "resourceType" : "QuestionnaireResponse", "id" : "K1-QuestionnaireResponse", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse K1-QuestionnaireResponse

Profile: PH QuestionnaireResponse

\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\".\"\".\" K1-QuestionnaireResponseQuestionnaire:None specified
\".\"\".\"\".\" K1-Q1true
\".\"\".\"\".\" K1-Q2true
\".\"\".\"\".\" K1-Q3false

\"doco\" Documentation for this format
" }, "status" : "completed", "item" : [{ "linkId" : "K1-Q1", "answer" : [{ "valueBoolean" : true }] }, { "linkId" : "K1-Q2", "answer" : [{ "valueBoolean" : true }] }, { "linkId" : "K1-Q3", "answer" : [{ "valueBoolean" : false }] }] }, "request" : { "method" : "POST", "url" : "QuestionnaireResponse" } }, { "fullUrl" : "urn:uuid:provenance-1", "resource" : { "resourceType" : "Provenance", "id" : "K1-Provenance", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance K1-Provenance

Profile: PH Provenance

Provenance for Patient

Summary

Recorded2026-02-03 09:00:00+0800

Agents

who
Organization
" }, "target" : [{ "reference" : "Patient/K1-Patient", "display" : "Patient" }], "recorded" : "2026-02-03T09:00:00+08:00", "agent" : [{ "who" : { "reference" : "Organization/CF1-Organization", "display" : "Organization" } }], "signature" : [{ "type" : [{ "system" : "urn:iso-astm:E1762-95:2013", "code" : "1.2.840.10065.1.12.1.20", "display" : "Electronic Signature" }], "when" : "2026-02-03T10:30:00+08:00", "who" : { "reference" : "Patient/K1-Patient", "display" : "Patient" }, "data" : "QkFTRTY0X1NJR05BVFVSRV9QQVRJRU5U" }, { "type" : [{ "system" : "urn:iso-astm:E1762-95:2013", "code" : "1.2.840.10065.1.12.1.20", "display" : "Electronic Signature" }], "when" : "2026-02-03T10:30:00+08:00", "who" : { "reference" : "Practitioner/K1-Practitioner", "display" : "Practitioner" }, "data" : "QkFTRTY0X1NJR05BVFVSRV9QQVRJRU5U" }] }, "request" : { "method" : "POST", "url" : "Provenance" } }, { "fullUrl" : "urn:uuid:practitioner-1", "resource" : { "resourceType" : "Practitioner", "id" : "K1-Practitioner", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner K1-Practitioner

Profile: PH Practitioner

name: Maria Santos

" }, "name" : [{ "family" : "Santos", "given" : ["Maria"] }] }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "urn:uuid:coverage-1", "resource" : { "resourceType" : "Coverage", "id" : "K1-Coverage", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Coverage"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage K1-Coverage

Profile: PH Coverage

status: Active

type: extended healthcare

beneficiary: Patient

payor: Organization

" }, "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EHCPOL", "display" : "extended healthcare" }] }, "beneficiary" : { "reference" : "Patient/K1-Patient", "display" : "Patient" }, "payor" : [{ "reference" : "Organization/CF1-Organization", "display" : "Organization" }] }, "request" : { "method" : "POST", "url" : "Coverage" } }, { "fullUrl" : "urn:uuid:enrollmentrequest-1", "resource" : { "resourceType" : "EnrollmentRequest", "id" : "K1-EnrollmentRequest", "meta" : { "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-EnrollmentRequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: EnrollmentRequest K1-EnrollmentRequest

Profile: PH EnrollmentRequest

identifier: https://nhdr.gov.ph/identifiers/enrollment-request/ER-2026-0001

created: 2026-02-04

insurer: Organization

candidate: Patient

coverage: Coverage

" }, "identifier" : [{ "system" : "https://nhdr.gov.ph/identifiers/enrollment-request", "value" : "ER-2026-0001" }], "created" : "2026-02-04", "insurer" : { "reference" : "Organization/K2-Organization", "display" : "Organization" }, "candidate" : { "reference" : "Patient/K1-Patient", "display" : "Patient" }, "coverage" : { "reference" : "Coverage/K1-Coverage", "display" : "Coverage" } }, "request" : { "method" : "POST", "url" : "EnrollmentRequest" } }] }