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

Mapping of Konsulta Request for Authorization Transaction Code Form to FHIR

Mapped Fields

Form Field
Use-Case Mapping
/ Target Element
Data Type
Cardinality
Notes
To be filled out by Beneficiary        
Date of Appointment Appointment.created dateTime 0..1  
Membership Type Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.type codeableConcept   ValueSet: PatientType
PhilHealth Identification Number (PIN) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.identifier Identifier   PhilHealth ID
Date of Birth (MM-DD-YYYY) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.birthDate date    
Name (Last Name) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.name.family string    
Name (First Name) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.name.given string    
Name (Middle Name) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.name.given string    
Address (BRGY/Town) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.address.barangay coding   ValueSet: BarangayCodes
Address (City/Municipality) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.address.cityMunicipality coding   ValueSet: CityCodes
Address (Province) Appointment.participant.actor Reference(PH_Patient) 0..1  
Patient.address.province coding   ValueSet: ProvinceCodes
Signature Over Printed Name Provenance.signature.data base64Binary 0..1  
Signature Over Printed Name Provenance.signature.who Reference(PH_Patient) 1..1  
Patient.name HumanName    
To be filled out by Philhealth Konsulta Personnel        
ATC Appointment.identifier identifier 0..* Then referenced in a later claim
Signature Over Printed Name of Authored PhilHealth Personnel Provenance.signature.data base64Binary 0..1  
Signature Over Printed Name of Authored PhilHealth Personnel Provenance.signature.who Reference(PH_Organization) 1..1  
Organization.contact.name HumanName    

Mandatory Elements Not in the Form

Use-Case Mapping / Target Element
Data Type
Notes
Appointment.status code  
Appointment.participant.status code  
Provenance.target Reference(Any)  
Provenance.recorded instant  
Provenance.signature.type coding  
Provenance.agent.who Reference(PH_Organization)  
Organization.name string  
Provenance.signature.when instant