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 CF2 Bundle

    {
      "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": {
            "method": "POST",
            "url": "RelatedPerson"
          }
        },
        {
          "fullUrl": "urn:uuid:CF2-Organization",
          "resource": {
            "resourceType": "Organization",
            "meta": {
              "profile": [
                "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": {
            "resourceType": "Encounter",
            "meta": {
              "profile": [
                "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": [
                  {
                    "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-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"
          }
        }
      ]
    }