# Test-Bundle - NHDR Implementation Guide Release 1.0 v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Test-Bundle**

## Example Bundle: Test-Bundle



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "Test-Bundle",
  "identifier" : {
    "system" : "http://nhdr.gov.ph/fhir/ValueSet-form-type",
    "value" : "CF1"
  },
  "type" : "transaction",
  "entry" : [{
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "550e8400-e29b-41d4-a716-446655440000",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_550e8400-e29b-41d4-a716-446655440000\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 550e8400-e29b-41d4-a716-446655440000</b></p><a name=\"550e8400-e29b-41d4-a716-446655440000\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440000\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Employer\">Employer:</td><td colspan=\"3\"><ul><li>Organization:<a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></li></ul></td></tr></table></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NIIP"
          }],
          "text" : "PhilHealth Identification Number"
        },
        "value" : "PH12345"
      }],
      "name" : [{
        "family" : "Manipol",
        "given" : ["Antonio Jerome", "Morales"],
        "suffix" : ["Mr."]
      }],
      "birthDate" : "1994-02-25",
      "contact" : [{
        "relationship" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
            "code" : "E",
            "display" : "Employer"
          }]
        }],
        "organization" : {
          "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Patient"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440001",
    "resource" : {
      "resourceType" : "RelatedPerson",
      "id" : "550e8400-e29b-41d4-a716-446655440001",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_550e8400-e29b-41d4-a716-446655440001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson 550e8400-e29b-41d4-a716-446655440001</b></p><a name=\"550e8400-e29b-41d4-a716-446655440001\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440001\"> </a><p><b>identifier</b>: PhilHealth Identification Number/PH54321</p><p><b>patient</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)</a></p><p><b>name</b>: Lorna Mae Santos Bautista </p><p><b>telecom</b>: ph: 912-00-00, ph: 0927-000-0000, <a href=\"mailto:lmbautista@email.com\">lmbautista@email.com</a></p><p><b>birthDate</b>: 1971-02</p><p><b>address</b>: Fordham Road 1110 PH </p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NIIP"
          }],
          "text" : "PhilHealth Identification Number"
        },
        "value" : "PH54321"
      }],
      "patient" : {
        "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
      },
      "name" : [{
        "family" : "Bautista",
        "given" : ["Lorna Mae", "Santos"],
        "suffix" : ["Mrs."]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "912-00-00"
      },
      {
        "system" : "phone",
        "value" : "0927-000-0000"
      },
      {
        "system" : "email",
        "value" : "lmbautista@email.com"
      }],
      "birthDate" : "1971-02",
      "address" : [{
        "line" : ["Fordham Road"],
        "postalCode" : "1110",
        "country" : "PH"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "RelatedPerson"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "550e8400-e29b-41d4-a716-446655440002",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_550e8400-e29b-41d4-a716-446655440002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 550e8400-e29b-41d4-a716-446655440002</b></p><a name=\"550e8400-e29b-41d4-a716-446655440002\"> </a><a name=\"hc550e8400-e29b-41d4-a716-446655440002\"> </a><p><b>identifier</b>: PhilHealth Employer Number (PEN)/EN15243</p><p><b>name</b>: PhilHealth</p><p><b>telecom</b>: ph: 080-00-00</p></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "EN"
          }],
          "text" : "PhilHealth Employer Number (PEN)"
        },
        "value" : "EN15243"
      }],
      "name" : "PhilHealth",
      "telecom" : [{
        "system" : "phone",
        "value" : "080-00-00"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Organization"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440003",
    "resource" : {
      "resourceType" : "Questionnaire",
      "id" : "questionnaire-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Questionnaire_questionnaire-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire questionnaire-3</b></p><a name=\"questionnaire-3\"> </a><a name=\"hcquestionnaire-3\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient is the member?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "status" : "active",
      "item" : [{
        "linkId" : "1",
        "text" : "Patient is the member?",
        "type" : "boolean"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Questionnaire"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440004",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "questionnaireresponse-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_questionnaireresponse-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse questionnaireresponse-3</b></p><a name=\"questionnaireresponse-3\"> </a><a name=\"hcquestionnaireresponse-3\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> questionnaireresponse-3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:None specified</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient is the member?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "status" : "in-progress",
      "item" : [{
        "linkId" : "1",
        "text" : "Patient is the member?",
        "answer" : [{
          "valueBoolean" : false
        }]
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "QuestionnaireResponse"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440005",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "coverage-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_coverage-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-3</b></p><a name=\"coverage-3\"> </a><a name=\"hccoverage-3\"> </a><p><b>status</b>: Active</p><p><b>beneficiary</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)</a></p><p><b>payor</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></p></div>"
      },
      "status" : "active",
      "beneficiary" : {
        "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
      },
      "payor" : [{
        "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Coverage"
    }
  },
  {
    "fullUrl" : "urn:uuid:550e8400-e29b-41d4-a716-446655440006",
    "resource" : {
      "resourceType" : "Claim",
      "id" : "claim-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_claim-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim claim-3</b></p><a name=\"claim-3\"> </a><a name=\"hcclaim-3\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type vision}\">Vision</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440000\">Antonio Jerome Morales Manipol  (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)</a></p><p><b>created</b>: 2025-07-03</p><p><b>provider</b>: <a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td><td><a href=\"Bundle-Test-Bundle.html#urn-uuid-550e8400-e29b-41d4-a716-446655440002\">Organization PhilHealth</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-Test-Bundle.html#Coverage_coverage-3\">Coverage: status = active</a></td></tr></table></div>"
      },
      "status" : "active",
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
          "code" : "vision"
        }]
      },
      "use" : "claim",
      "patient" : {
        "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440000"
      },
      "created" : "2025-07-03",
      "provider" : {
        "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
      },
      "priority" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
          "code" : "normal"
        }]
      },
      "payee" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
            "code" : "provider"
          }]
        },
        "party" : {
          "reference" : "urn:uuid:550e8400-e29b-41d4-a716-446655440002"
        }
      },
      "insurance" : [{
        "sequence" : 1,
        "focal" : true,
        "coverage" : {
          "reference" : "Coverage/coverage-3"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Claim"
    }
  }]
}

```
