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

## Example Bundle: ClaimsForm1-1

Bundle ClaimsForm1-1 of type transaction

Entry 1 - fullUrl = urn:uuid:relatedperson

Resource RelatedPerson:

> Profile: PH RelatedPerson

> Sex at birth: F

> identifier: PhilHealth Identification Number/PH54321

> patient: Patient

> name: Lorna Mae Santos Bautista

> telecom: ph: 912-00-00, ph: 0927-000-0000, lmbautista@email.com

> birthDate: 1971-02-11

> address: Fordham Road 1110 PH

Request:

    POST RelatedPerson

Entry 2 - fullUrl = urn:uuid:organization

Resource Organization:

> Profile: PH Organization

> identifier: PhilHealth Employer Number (PEN)/EN15243

> name: PhilHealth

> ### Contacts

> - | Telecom
> * | 080-00-00

Request:

    POST Organization

Entry 3 - fullUrl = urn:uuid:questionnaire

Resource Questionnaire:

> Profile: PH Questionnaire

> LinkID | Text | Cardinality | Type | Description & Constraints
> --- | --- | --- | --- | ---
> |  |  | Questionnaire |
> CF1-Q1 | Patient is the member? | 0..1 | boolean |
> Documentation for this format

Request:

    POST Questionnaire

Entry 4 - fullUrl = urn:uuid:questionnaireresponse

Resource QuestionnaireResponse:

> Profile: PH QuestionnaireResponse

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> CF1-QuestionnaireResponse |  |  | Questionnaire:None specified
> CF1-Q1 |  |  | true
> Documentation for this format

Request:

    POST QuestionnaireResponse

Entry 5 - fullUrl = urn:uuid:provenance

Resource Provenance:

> Profile: PH Provenance

> Provenance for Claim

> Summary

> Recorded | 2026-02-03 09:00:00+0800

> Agents

> who
> Organization

Request:

    POST Provenance

Entry 6 - fullUrl = urn:uuid:coverage

Resource Coverage:

> Profile: PH Coverage

> status: Active

> policyHolder: Organization

> beneficiary: Patient

Request:

    POST Coverage

Entry 7 - fullUrl = urn:uuid:claim

Resource Claim:

> Profile: PH Claim

> identifier: `https://philhealth.gov.ph/claim`/CF1-CLM-00001

> status: Active

> type: Institutional

> use: Claim

> patient: Patient

> created: 2026-02-03 08:00:00+0800

> provider: Organization

> priority: Normal

> ### Payees

> - | Type | Party
> * | Subscriber | RelatedPerson

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Coverage

Request:

    POST Claim