NHDR Implementation Guide Release 1.0
0.1.0 - ci-build
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
{
"resourceType": "Bundle",
"id": "Bundle-ClaimsForm2",
"type": "transaction",
"identifier": {
"system": "http://nhdr.gov.ph/fhir/ValueSet-form-type",
"value": "CF2"
},
"entry": [
{
"fullUrl": "urn:uuid:CF2-Patient",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"
]
},
"name": [
{
"family": "Doe",
"given": [
"John",
"Harris"
],
"suffix": [
"Mr."
]
}
]
},
"request": {
"method": "POST",
"url": "Patient"
}
},
{
"fullUrl": "urn:uuid:CF2-RelatedPerson",
"resource": {
"resourceType": "RelatedPerson",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH_RelatedPerson"
]
},
"patient": {
"reference": "urn:uuid:CF2-Patient"
},
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "MTH",
"display": "mother"
}
]
}
],
"name": [
{
"family": "Dela Cruz",
"given": [
"Maria"
]
}
]
},
"request": {
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"url": "RelatedPerson"
}
},
{
"fullUrl": "urn:uuid:CF2-Organization",
"resource": {
"resourceType": "Organization",
"meta": {
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"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"
]
},
"identifier": [
{
"type": {
"coding": [
{
"code": "AN"
}
],
"text": "PhilHealth Accreditation Number (PAN)"
},
"value": "AN199513893"
}
],
"name": "6th General Hospital",
"address": [
{
"line": [
"San Roque",
"Tarlac City",
"Tarlac"
],
"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"
}
}
]
}
],
"contact": [
{
"name": {
"text": "Dr. Maria Santos"
}
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
},
{
"fullUrl": "urn:uuid:CF2-Encounter",
"resource": {
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"meta": {
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"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"
]
},
"status": "booked",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"period": {
"start": "2024-07-18T08:00:00+08:00",
"end": "2024-07-18T10:00:00+08:00"
},
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "home",
"display": "Discharged to home"
}
]
}
},
"serviceProvider": {
"reference": "urn:uuid:CF2-Organization"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:CF2-Observation",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "81247-9",
"display": "Preoperative assessment"
}
]
},
"subject": {
"reference": "urn:uuid:CF2-Patient"
},
"valueCodeableConcept": {
"text": "Subject for Surgery"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:CF2-Procedure",
"resource": {
"resourceType": "Procedure",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Procedure"
]
},
"status": "completed",
"subject": {
"reference": "urn:uuid:CF2-Patient"
},
"code": {
"coding": [
{
"system": "https://nhdr.gov.ph/fhir/ValueSet/ProcedureCodeVS",
"code": "10060",
"display": "INCISION AND DRAINAGE OF ABSCESS"
}
]
},
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "66754008",
"display": "Appendix structure"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:CF2-ServiceRequest",
"resource": {
"resourceType": "ServiceRequest",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-ServiceRequest"
]
},
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:CF2-Patient"
},
"reasonReference": [
{
"reference": "urn:uuid:CF2-Observation"
}
],
"requester": {
"reference": "Organization/33"
},
"performer": [
{
"reference": "urn:uuid:CF2-Organization"
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "urn:uuid:CF2-Practitioner",
"resource": {
"resourceType": "Practitioner",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner"
]
},
"identifier": [
{
"system": "https://prc.gov.ph",
"value": "1234567"
}
],
"name": [
{
"family": "Santos",
"given": [
"Maria"
],
"suffix": [
"MD"
]
}
]
},
"request": {
"method": "POST",
"url": "Practitioner"
}
},
{
"fullUrl": "urn:uuid:CF2-Coverage",
"resource": {
"resourceType": "Coverage",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Coverage"
]
},
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"beneficiary": {
"reference": "urn:uuid:CF2-Patient"
},
"payor": [
{
"reference": "urn:uuid:CF2-Organization"
}
],
"costToBeneficiary": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
"code": "copay",
"display": "Copayment"
}
]
},
"valueMoney": {
"value": 500,
"currency": "PHP"
}
}
]
},
"request": {
"method": "POST",
"url": "Coverage"
}
},
{
"fullUrl": "urn:uuid:CF2-Questionnaire",
"resource": {
"resourceType": "Questionnaire",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"
]
},
"status": "active",
"item": [
{
"linkId": "CF2-Q1",
"text": "A. Certification of Consumption of Benefits (Y/N)",
"type": "boolean"
}
]
},
"request": {
"method": "POST",
"url": "Questionnaire"
}
},
{
"fullUrl": "urn:uuid:CF2-QuestionnaireResponse",
"resource": {
"resourceType": "QuestionnaireResponse",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"
]
},
"status": "completed",
"item": [
{
"linkId": "CF2-Q1",
"answer": [
{
"valueBoolean": true
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:CF2-Provenance",
"resource": {
"resourceType": "Provenance",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance"
]
},
"target": [
{
"reference": "urn:uuid:CF2-Claim"
}
],
"recorded": "2026-02-03T09:00:00+08:00",
"agent": [
{
"who": {
"reference": "urn:uuid:CF2-Practitioner"
}
}
],
"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": "urn:uuid:CF2-Practitioner"
},
"data": "U1VCTUlUU0lPTl9QUkFDVElUSU9ORVJfU0lHTg==",
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/SignaturePosition",
"valueString": "Attending Physician"
}
]
},
{
"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": "urn:uuid:CF2-Patient"
},
"data": "U1VCTUlUU0lPTl9QQVRJRU5UX1NJR04="
},
{
"type": [
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"code": "1.2.840.10065.1.12.1.20",
"display": "Electronic Signature"
}
],
"when": "2026-02-03T10:30:00+08:00",
"who": {
"reference": "urn:uuid:CF2-RelatedPerson"
},
"data": "U1VCTUlUU0lPTl9SRUxBVEVEX1NJR04="
}
]
},
"request": {
"method": "POST",
"url": "Provenance"
}
},
{
"fullUrl": "urn:uuid:CF2-Claim",
"resource": {
"resourceType": "Claim",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"
]
},
"identifier": [
{
"system": "https://philhealth.gov.ph/claim",
"value": "CLM-2026-00001"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional",
"display": "Institutional"
}
]
},
"use": "claim",
"created": "2026-02-03T08:00:00+08:00",
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal",
"display": "Normal"
}
]
},
"provider": {
"reference": "urn:uuid:CF2-Organization"
},
"patient": {
"reference": "urn:uuid:CF2-Patient"
},
"referral": {
"reference": "urn:uuid:CF2-ServiceRequest"
},
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension",
"valueReference": {
"reference": "urn:uuid:CF2-Encounter"
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "urn:uuid:CF2-Coverage"
}
}
],
"total": {
"value": 15000,
"currency": "PHP"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}
]
}