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

## Sample Konsulta Health Screening/FPE Form Bundle

        {
      "resourceType": "Bundle",
      "id": "Bundle-NewHealthScreeningFPE",
      "type": "transaction",
      "identifier": {
        "system": "http://nhdr.gov.ph/fhir/ValueSet-form-type",
        "value": "K5-NewHealthScreeningFPE"
      },
      "entry": [
        {
          "fullUrl": "urn:uuid:patient-k5",
          "resource": {
            "resourceType": "Patient",
            "id": "K5-Patient",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"
              ]
            },
            "extension": [
              {
                "url": "https://nhdr.gov.ph/fhir/StructureDefinition/PatientType",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS",
                      "code": "MM",
                      "display": "Member"
                    }
                  ]
                }
              },
              {
                "url": "https://nhdr.gov.ph/fhir/StructureDefinition/Sex",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://nhdr.gov.ph/fhir/ValueSet/Sex",
                      "code": "M",
                      "display": "Male"
                    }
                  ]
                }
              }
            ],
            "identifier": [
              {
                "system": "http://nhdr.gov.ph/fhir/Identifier/philhealth-id",
                "value": "PH-00001",
                "type": {
                  "text": "PhilHealth ID"
                }
              }
            ],
            "name": [
              {
                "family": "Senilla",
                "given": [
                  "Quinn",
                  "Ry"
                ]
              }
            ],
            "birthDate": "1998-07-08",
            "telecom": [
              {
                "system": "phone",
                "value": "09456469323"
              }
            ],
            "photo": [
              {
                "contentType": "image/jpeg",
                "url": "input/images/CF1.png"
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Patient"
          }
        },
        {
          "fullUrl": "urn:uuid:encounter",
          "resource": {
            "resourceType": "Encounter",
            "id": "K5-Encounter",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"
              ]
            },
            "identifier": [
              {
                "system": "https://nhdr.gov.ph/fhir/Identifier/encounter-id",
                "value": "EN-0001"
              }
            ],
            "extension": [
              {
                "url": "https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears",
                "valueInteger": 35
              }
            ],
            "class": {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "AMB"
            },
            "status": "booked",
            "period": {
              "start": "2026-03-02T09:00:00+08:00"
            },
            "subject": {
              "reference": "Patient/K5-Patient"
            },
            "reasonReference": [
              {
                "reference": "Observation/K5-Observation-PPE"
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Encounter"
          }
        },
        {
          "fullUrl": "urn:uuid:observation-female-physiology",
          "resource": {
            "resourceType": "Observation",
            "id": "K5-Observation-Female-Physiology",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
              ]
            },
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11111",
                  "display": "Female Physiology"
                }
              ]
            },
            "valueString": "Lower abdominal pain and dizziness",
            "component": [
              {
                "code": {
                  "text": "First menstrual Period"
                },
                "valuePeriod": {
                  "start": "2026-02-20T08:30:00+08:00"
                }
              },
              {
                "code": {
                  "text": "Last menstrual Period"
                },
                "valuePeriod": {
                  "end": "2026-02-20T08:45:00+08:00"
                }
              },
              {
                "code": {
                  "text": "Number of Pregnancies"
                },
                "valueInteger": 3
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Observation"
          }
        },
        {
          "fullUrl": "urn:uuid:observation-PPE",
          "resource": {
            "resourceType": "Observation",
            "id": "K5-Observation-PPE",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
              ]
            },
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "22222",
                  "display": "Pertinent Physical Examination"
                }
              ]
            },
            "component": [
              {
                "code": {
                  "text": "Blood Pressure"
                },
                "valueString": "120/80 mmHg"
              },
              {
                "code": {
                  "text": "Heart Rate"
                },
                "valueQuantity": {
                  "value": 72,
                  "unit": "beats/minute"
                }
              },
              {
                "code": {
                  "text": "Respiratory Rate"
                },
                "valueQuantity": {
                  "value": 18,
                  "unit": "breaths/minute"
                }
              },
              {
                "code": {
                  "text": "Visual Acuity"
                },
                "valueRatio": {
                  "numerator": {
                    "value": 20
                  },
                  "denominator": {
                    "value": 20
                  }
                }
              },
              {
                "code": {
                  "text": "Height (cm)"
                },
                "valueQuantity": {
                  "value": 165,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Height (in)"
                },
                "valueQuantity": {
                  "value": 64.96,
                  "unit": "in"
                }
              },
              {
                "code": {
                  "text": "Weight (kg)"
                },
                "valueQuantity": {
                  "value": 60,
                  "unit": "kg"
                }
              },
              {
                "code": {
                  "text": "Weight (lb)"
                },
                "valueQuantity": {
                  "value": 132.28,
                  "unit": "lb"
                }
              },
              {
                "code": {
                  "text": "BMI"
                },
                "valueQuantity": {
                  "value": 22
                }
              },
              {
                "code": {
                  "text": "Temperature"
                },
                "valueQuantity": {
                  "value": 36.8
                }
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Observation"
          }
        },
        {
          "fullUrl": "urn:uuid:observation-Pediatric-Client",
          "resource": {
            "resourceType": "Observation",
            "id": "K5-Observation-Pediatric-Client",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
              ]
            },
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "33333",
                  "display": "Pediatric Client aged 0-24 months"
                }
              ]
            },
            "component": [
              {
                "code": {
                  "text": "Length"
                },
                "valueQuantity": {
                  "value": 75,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Head Circumference"
                },
                "valueQuantity": {
                  "value": 46,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Skinfold Thickness"
                },
                "valueQuantity": {
                  "value": 1.2,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Body Circumference - Waist"
                },
                "valueQuantity": {
                  "value": 48,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Body Circumference - Hip"
                },
                "valueQuantity": {
                  "value": 50,
                  "unit": "cm"
                }
              },
              {
                "code": {
                  "text": "Body Circumference - Middle and Upper Arm"
                },
                "valueQuantity": {
                  "value": 14,
                  "unit": "cm"
                }
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Observation"
          }
        },
        {
          "fullUrl": "urn:uuid:observation-Blood-Type",
          "resource": {
            "resourceType": "Observation",
            "id": "K5-Observation-Blood-Type",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
              ]
            },
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "882-1",
                  "display": "ABO and Rh blood group"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0004",
                  "code": "O+",
                  "display": "O Positive"
                }
              ]
            }
          },
          "request": {
            "method": "POST",
            "url": "Observation"
          }
        },
        {
          "fullUrl": "urn:uuid:observation-General-Survey",
          "resource": {
            "resourceType": "Observation",
            "id": "K5-Observation-General-Survey",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"
              ]
            },
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "89205-8",
                  "display": "General Survey"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVS",
                  "code": "AbdominalCrampPain",
                  "display": "ABDOMINAL CRAMP/PAIN"
                }
              ]
            }
          },
          "request": {
            "method": "POST",
            "url": "Observation"
          }
        },
        {
          "fullUrl": "urn:uuid:questionnaire",
          "resource": {
            "resourceType": "Questionnaire",
            "id": "K5-Questionnaire",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"
              ]
            },
            "status": "active",
            "item": [
              {
                "linkId": "K5-Q1",
                "text": "Do you experience any of the following: fever, cough, colds, or headache?",
                "type": "boolean"
              },
              {
                "linkId": "K5-Q2",
                "text": "If yes, please explain",
                "type": "string",
                "enableWhen": [
                  {
                    "question": "K5-Q1",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q3",
                "text": "Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain?",
                "type": "boolean"
              },
              {
                "linkId": "K5-Q4",
                "text": "If yes, please explain",
                "type": "string",
                "enableWhen": [
                  {
                    "question": "K5-Q3",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q5",
                "text": "Do you experience any of the following: chest pain or difficulty in breathing?",
                "type": "boolean"
              },
              {
                "linkId": "K5-Q6",
                "text": "If yes, please explain",
                "type": "string",
                "enableWhen": [
                  {
                    "question": "K5-Q5",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q7",
                "text": "Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol?",
                "type": "boolean"
              },
              {
                "linkId": "K5-Q8",
                "text": "If yes, please explain",
                "type": "string",
                "enableWhen": [
                  {
                    "question": "K5-Q7",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q9",
                "text": "For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination?",
                "type": "boolean"
              },
              {
                "linkId": "K5-Q10",
                "text": "If yes, please explain",
                "type": "string",
                "enableWhen": [
                  {
                    "question": "K5-Q9",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ]
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "Questionnaire"
          }
        },
        {
          "fullUrl": "urn:uuid:questionnaireresponse",
          "resource": {
            "resourceType": "QuestionnaireResponse",
            "id": "K5-QuestionnaireResponse",
            "meta": {
              "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"
              ]
            },
            "status": "completed",
            "questionnaire": "urn:uuid:questionnaire-k5",
            "item": [
              {
                "linkId": "K5-Q1",
                "answer": [
                  {
                    "valueBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q2",
                "answer": [
                  {
                    "valueString": "Fever and headache for 2 days"
                  }
                ]
              },
              {
                "linkId": "K5-Q3",
                "answer": [
                  {
                    "valueBoolean": false
                  }
                ]
              },
              {
                "linkId": "K5-Q4"
              },
              {
                "linkId": "K5-Q5",
                "answer": [
                  {
                    "valueBoolean": false
                  }
                ]
              },
              {
                "linkId": "K5-Q6"
              },
              {
                "linkId": "K5-Q7",
                "answer": [
                  {
                    "valueBoolean": true
                  }
                ]
              },
              {
                "linkId": "K5-Q8",
                "answer": [
                  {
                    "valueString": "Occasional drinking alcohol"
                  }
                ]
              },
              {
                "linkId": "K5-Q9",
                "answer": [
                  {
                    "valueBoolean": false
                  }
                ]
              },
              {
                "linkId": "K5-Q10"
              }
            ]
          },
          "request": {
            "method": "POST",
            "url": "QuestionnaireResponse"
          }
        }
      ]
    }