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
/ Target Element |
||||
|---|---|---|---|---|
| To be filled out by the facility | ||||
| Consent Confirmation | Questionnaire.item.text | string | 0..1 | |
| HCI Name | Claim.provider | Reference(PH_Organization) | 1..1 | |
| Organization.name | string | |||
| Case Number | Claim.encounter | Reference(PH_Encounter) | 0..* | |
| Encounter.identifier | identifier | |||
| HCI Accreditation Number | Claim.provider | Reference(PH_Organization) | 1..1 | |
| Organization.Identifier | identifier | DOH fhudcode | ||
| Transaction Number | Claim.identifier | identifier | 0..1 | |
| PhilHealth Identification Number (PIN) | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.identifier | identifier | PhilHealth ID | ||
| Membership Category | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.MemberType | codeableConcept | ValueSet: MemberType | ||
| Patient Name (Last Name) | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.name.family | string | |||
| Patient Name (First Name) | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.name.given | string | |||
| Patient Name (Name Extension) | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.name.suffix | string | |||
| Patient Name (Middle Name) | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.name.given | string | |||
| Age | Claim.encounter | Reference(PH_Encounter) | 0..1 | |
| Encounter.ageYears | integer | |||
| Contact Number | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.telecom.value | string | |||
| Membership Type | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.type | codeableConcept | ValueSet: PatientType | ||
| Authorization Transaction Code | Claim.encounter | Reference(PH_Encounter) | 0..1 | |
| Encounter.appointment | Reference(PH_Appointment) | |||
| Appointment.identifier | identifier | |||
| Konsulta Services | Claim.item.productOrService | codeableConcept | ||
| Performed? [check - x] | Questionnaire.item.text | string | 0..1 | |
| Date Performed | Claim.item.serviced[x] | date | 0..1 | |
| Performed by (Last Name) | Claim.careTeam.provider | Reference(PH_Practitioner) | 1..1 | |
| Practitioner.name.family | string | |||
| Performed by (First Name) | Claim.careTeam.provider | Reference(PH_Practitioner) | 1..1 | |
| Practitioner.name.given | string | |||
| Performed by (Name Extension) | Claim.careTeam.provider | Reference(PH_Practitioner) | 1..1 | |
| Practitioner.name.suffix | string | |||
| Performed by (Middle Name) | Claim.careTeam.provider | Reference(PH_Practitioner) | 1..1 | |
| Practitioner.name.given | string | |||
| To be filled out by the patient | ||||
| Have you received the above-mentioned essential service? [Y or N] | Questionnaire.item.text | string | 0..1 | |
| How satisfied are you with the services provided? | Questionnaire.item.text | string | 0..1 | |
| For your comment, suggestion or complaint | Questionnaire.item.text | string | 0..1 | |
| PhilHealth Identification Number of Patient | Claim.patient | Reference(PH_Patient) | 1..1 | |
| Patient.identifier | identifier | PhilHealth ID | ||
| Patient Name over Signature | Provenance.signature.who | Reference(PH_Patient) | 1..1 | |
| Patient.name | HumanName | |||
| Patient Name over Signature | Provenance.signature.data | base64Binary | 0..1 | |
| Thumbmark Print | Provenance.signature.data | base64Binary | 0..1 |
| Claim.status | code | |
| Claim.type | CodeableConcept | |
| Claim.use | code | |
| Claim.created | dateTime | |
| Claim.priority | CodeableConcept | |
| Claim.careTeam.sequence | positiveInt | |
| Claim.insurance | ||
| Claim.insurance.sequence | positiveInt | |
| Claim.insurance.focal | boolean | |
| Claim.insurance.coverage | Reference(PH_Coverage) | |
| Claim.item.sequence | positiveInt | |
| Provenance.signature.type | coding | |
| Provenance.target | Reference(Any) | |
| Provenance.recorded | instant | |
| Provenance.agent | ||
| Provenance.agent.who | Reference(PH_Organization) | |
| Organization.name | string | |
| Provenance.signature.when | instant | |
| Questionnaire.status | code | |
| Questionnaire.item.linkId | string | |
| Questionnaire.item.type | code | |
| Encounter.status | code | |
| Encounter.class | coding | |
| Appointment.status | code | |
| Appointment.participant.status | code | |
| Coverage.status | code | |
| Coverage.beneficiary | Reference(PH_Patient) | |
| Coverage.payor | Reference(PH_RelatedPerson) | |
| Coverage.costToBeneficiary.value[x] | SimpleQuantity, Money |