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

## : ClaimsForm4 - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ClaimsForm4"] ; #
      fhir:identifier [
    fhir:system [
    fhir:v "http://nhdr.gov.ph/fhir/ValueSet-form-type"^^xsd:anyURI ;
    fhir:l <http://nhdr.gov.ph/fhir/ValueSet-form-type>     ] ;
    fhir:value [ fhir:v "CF4" ]
      ] ; #
      fhir:type [ fhir:v "transaction"] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "urn:uuid:patient"^^xsd:anyURI ;
    fhir:l <urn:uuid:patient>     ] ;
        ( fhir:resource <urn:uuid:patient> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Patient"^^xsd:anyURI ;
    fhir:l fhir:Patient       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:organization"^^xsd:anyURI ;
    fhir:l <urn:uuid:organization>     ] ;
        ( fhir:resource <urn:uuid:organization> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Organization"^^xsd:anyURI ;
    fhir:l fhir:Organization       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:encounter"^^xsd:anyURI ;
    fhir:l <urn:uuid:encounter>     ] ;
        ( fhir:resource <urn:uuid:encounter> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Encounter"^^xsd:anyURI ;
    fhir:l fhir:Encounter       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:condition"^^xsd:anyURI ;
    fhir:l <urn:uuid:condition>     ] ;
        ( fhir:resource <urn:uuid:condition> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Condition"^^xsd:anyURI ;
    fhir:l fhir:Condition       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:observation"^^xsd:anyURI ;
    fhir:l <urn:uuid:observation>     ] ;
        ( fhir:resource <urn:uuid:observation> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Observation"^^xsd:anyURI ;
    fhir:l fhir:Observation       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:observation"^^xsd:anyURI ;
    fhir:l <urn:uuid:observation>     ] ;
        ( fhir:resource <urn:uuid:observation> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Observation"^^xsd:anyURI ;
    fhir:l fhir:Observation       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:observation"^^xsd:anyURI ;
    fhir:l <urn:uuid:observation>     ] ;
        ( fhir:resource <urn:uuid:observation> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Observation"^^xsd:anyURI ;
    fhir:l fhir:Observation       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:servicerequest"^^xsd:anyURI ;
    fhir:l <urn:uuid:servicerequest>     ] ;
        ( fhir:resource <urn:uuid:servicerequest> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "ServiceRequest"^^xsd:anyURI ;
    fhir:l fhir:ServiceRequest       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:clinicalimpression"^^xsd:anyURI ;
    fhir:l <urn:uuid:clinicalimpression>     ] ;
        ( fhir:resource <urn:uuid:clinicalimpression> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "ClinicalImpression"^^xsd:anyURI ;
    fhir:l fhir:ClinicalImpression       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:provenance"^^xsd:anyURI ;
    fhir:l <urn:uuid:provenance>     ] ;
        ( fhir:resource <urn:uuid:provenance> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Provenance"^^xsd:anyURI ;
    fhir:l fhir:Provenance       ]     ]
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:claim"^^xsd:anyURI ;
    fhir:l <urn:uuid:claim>     ] ;
        ( fhir:resource <urn:uuid:claim> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [
    fhir:v "Claim"^^xsd:anyURI ;
    fhir:l fhir:Claim       ]     ]
      ] ) . #

    <urn:uuid:patient> a fhir:Patient ;
      fhir:id [ fhir:v "CF4-Patient"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_CF4-Patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient CF4-Patient</b></p><a name=\"CF4-Patient\"> </a><a name=\"hcCF4-Patient\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Patient.html\">PH Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">John Mark Apilyido  (no stated gender), DoB Unknown ( PhilHealth ID: PH-00001)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Extension to capture the sex of a patient, practitioner, or person.\"><a href=\"StructureDefinition-Sex.html\">Sex at birth</a></td><td colspan=\"3\">M</td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Sex"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/Sex>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "M"     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
    fhir:text [ fhir:v "PhilHealth ID" ]     ] ;
    fhir:system [
    fhir:v "http://nhdr.gov.ph/fhir/Identifier/philhealth-id"^^xsd:anyURI ;
    fhir:l <http://nhdr.gov.ph/fhir/Identifier/philhealth-id>     ] ;
    fhir:value [ fhir:v "PH-00001" ]
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "Apilyido" ] ;
        ( fhir:given [ fhir:v "John" ] [ fhir:v "Mark" ] ) ;
        ( fhir:suffix [ fhir:v "Mr." ] )
      ] ) . #

    <urn:uuid:organization> a fhir:Organization ;
      fhir:id [ fhir:v "CF4-Organization"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_CF4-Organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization CF4-Organization</b></p><a name=\"CF4-Organization\"> </a><a name=\"hcCF4-Organization\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Organization.html\">PH Organization</a></p></div><p><b>identifier</b>: PhilHealth Accreditation Number (PAN)/AN199513893</p><p><b>name</b>: 6th General Hospital</p><p><b>address</b>: 572 BLK 2 LOT 21 Maharlika Village 2300 </p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:code [ fhir:v "AN" ]       ] ) ;
    fhir:text [ fhir:v "PhilHealth Accreditation Number (PAN)" ]     ] ;
    fhir:value [ fhir:v "AN199513893" ]
      ] ) ; #
      fhir:name [ fhir:v "6th General Hospital"] ; #
      fhir:address ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Barangay"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/Barangay>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "036916001" ] ;
    fhir:display [ fhir:v "San Roque" ]       ]     ] [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "036916000" ] ;
    fhir:display [ fhir:v "Tarlac City" ]       ]     ] [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/Province"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/Province>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "036900000" ] ;
    fhir:display [ fhir:v "Tarlac" ]       ]     ] ) ;
        ( fhir:line [ fhir:v "572 BLK 2 LOT 21" ] [ fhir:v "Maharlika Village" ] ) ;
    fhir:postalCode [ fhir:v "2300" ]
      ] ) . #

    <urn:uuid:encounter> a fhir:Encounter ;
      fhir:id [ fhir:v "CF4-Encounter"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_CF4-Encounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter CF4-Encounter</b></p><a name=\"CF4-Encounter\"> </a><a name=\"hcCF4-Encounter\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Encounter.html\">PH Encounter</a></p></div><p><b>Age in Years</b>: 35</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (Ambulatory)</p><p><b>period</b>: 2026-03-11 08:00:00+0800 --&gt; 2026-03-11 09:30:00+0800</p><p><b>reasonReference</b>: <a href=\"Bundle-ClaimsForm4.html#Observation_CF4-Observation-Pertinent-Past-Medical-History\">Observation</a></p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Discharged to home</span></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears>     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 35     ]
      ] ) ; #
      fhir:status [ fhir:v "finished"] ; #
      fhir:class [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
    fhir:code [ fhir:v "AMB" ] ;
    fhir:display [ fhir:v "Ambulatory" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2026-03-11T08:00:00+08:00"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2026-03-11T09:30:00+08:00"^^xsd:dateTime ]
      ] ; #
      fhir:reasonReference ( [
    fhir:l fhir:Observation/CF4-Observation-Pertinent-Past-Medical-History ;
    fhir:reference [ fhir:v "Observation/CF4-Observation-Pertinent-Past-Medical-History" ] ;
    fhir:display [ fhir:v "Observation" ]
      ] ) ; #
      fhir:hospitalization [
    fhir:dischargeDisposition [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/discharge-disposition"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/discharge-disposition>         ] ;
    fhir:code [ fhir:v "home" ] ;
    fhir:display [ fhir:v "Discharged to home" ]       ] )     ]
      ] . #

    <urn:uuid:condition> a fhir:Condition ;
      fhir:id [ fhir:v "CF4-Condition"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_CF4-Condition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition CF4-Condition</b></p><a name=\"CF4-Condition\"> </a><a name=\"hcCF4-Condition\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Condition.html\">PH Condition</a></p></div><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I10}\">Essential (primary) hypertension</span></p><p><b>subject</b>: <a href=\"Bundle-ClaimsForm4.html#Patient_CF4-Patient\">Patient</a></p><p><b>note</b>: , </p><blockquote><div><p>Patient reports persistent headaches for the past 2 weeks.</p>\n</div></blockquote><blockquote><div><p>Past medical history includes type 2 diabetes mellitus, controlled on metformin.</p>\n</div></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
    fhir:code [ fhir:v "I10" ] ;
    fhir:display [ fhir:v "Essential (primary) hypertension" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/CF4-Patient ;
    fhir:reference [ fhir:v "Patient/CF4-Patient" ] ;
    fhir:display [ fhir:v "Patient" ]
      ] ; #
      fhir:note ( [
    fhir:text [ fhir:v "Patient reports persistent headaches for the past 2 weeks." ]
      ] [
    fhir:text [ fhir:v "Past medical history includes type 2 diabetes mellitus, controlled on metformin." ]
      ] ) . #

    <urn:uuid:observation> a fhir:Observation, fhir:Observation, fhir:Observation ;
      fhir:id [ fhir:v "CF4-Observation-Pertinent-Past-Medical-History"], [ fhir:v "CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission"], [ fhir:v "CF4-Observation-Physical-Examination-on-Admission"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation>     ] )
      ], [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation>     ] )
      ], [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CF4-Observation-Pertinent-Past-Medical-History\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CF4-Observation-Pertinent-Past-Medical-History</b></p><a name=\"CF4-Observation-Pertinent-Past-Medical-History\"> </a><a name=\"hcCF4-Observation-Pertinent-Past-Medical-History\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Observation.html\">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57075-4}\">Pregnancy history panel</span></p><p><b>dataAbsentReason</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-applicable}\">Not Applicable</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (G)</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (P)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (P)(T)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (P)(P)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (P)(A)</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History (P)(L)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">OB/GYN History - LMP</span></p><p><b>value</b>: 2026-02-01</p></blockquote></div>"^^rdf:XMLLiteral ]
      ], [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission</b></p><a name=\"CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission\"> </a><a name=\"hcCF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Observation.html\">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75325-1}\">Pertinent signs and symptoms on admission</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Altered mental sensorium</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Abdominal cramp/pain</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Anorexia</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Bleeding gum</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Body weakness</span></p><p><b>value</b>: true</p></blockquote></div>"^^rdf:XMLLiteral ]
      ], [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CF4-Observation-Physical-Examination-on-Admission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CF4-Observation-Physical-Examination-on-Admission</b></p><a name=\"CF4-Observation-Physical-Examination-on-Admission\"> </a><a name=\"hcCF4-Observation-Physical-Examination-on-Admission\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Observation.html\">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29545-1}\">Physical findings on admission</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>value</b>: 160 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>value</b>: 65 kg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80313-0}\">Mental status - level of consciousness</span></p><p><b>value</b>: Awake and alert</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel</span></p><p><b>value</b>: 120/80 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8867-4}\">Heart rate</span></p><p><b>value</b>: 82 beats/min</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 9279-1}\">Respiratory rate</span></p><p><b>value</b>: 20 breaths/min</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8310-5}\">Body temperature</span></p><p><b>value</b>: 37 °C</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">HEENT</span></p><p><b>value</b>: Essentially Normal</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Chest/Lungs</span></p><p><b>value</b>: Symmetrical chest expansion</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">CVS</span></p><p><b>value</b>: Displaced apex beat</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Abdomen</span></p><p><b>value</b>: Abdominal rigidity</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">GU (IE)</span></p><p><b>value</b>: Blood stained on examining finger</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Skin/Extremities</span></p><p><b>value</b>: Rashes/petechiae</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">Neuro Exam</span></p><p><b>value</b>: Essentially normal</p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"], [ fhir:v "final"], [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a loinc:57075-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "57075-4" ] ;
    fhir:display [ fhir:v "Pregnancy history panel" ]     ] )
      ], [
        ( fhir:coding [
    a loinc:75325-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "75325-1" ] ;
    fhir:display [ fhir:v "Pertinent signs and symptoms on admission" ]     ] )
      ], [
        ( fhir:coding [
    a loinc:29545-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "29545-1" ] ;
    fhir:display [ fhir:v "Physical findings on admission" ]     ] )
      ] ; #
      fhir:dataAbsentReason [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/data-absent-reason>       ] ;
    fhir:code [ fhir:v "not-applicable" ]     ] )
      ] ; #
      fhir:component ( [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (G)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 3     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (P)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (P)(T)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (P)(P)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (P)(A)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 0     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History (P)(L)" ]     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "OB/GYN History - LMP" ]     ] ;
    fhir:value [
    a fhir:DateTime ;
    fhir:v "2026-02-01"^^xsd:date     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Altered mental sensorium" ]     ] ;
    fhir:value [
    a fhir:Boolean ;
    fhir:v true     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Abdominal cramp/pain" ]     ] ;
    fhir:value [
    a fhir:Boolean ;
    fhir:v true     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Anorexia" ]     ] ;
    fhir:value [
    a fhir:Boolean ;
    fhir:v false     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Bleeding gum" ]     ] ;
    fhir:value [
    a fhir:Boolean ;
    fhir:v false     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Body weakness" ]     ] ;
    fhir:value [
    a fhir:Boolean ;
    fhir:v true     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:8302-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8302-2" ] ;
    fhir:display [ fhir:v "Body height" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "160"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "cm" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:29463-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "29463-7" ] ;
    fhir:display [ fhir:v "Body weight" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "65"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "kg" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:80313-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "80313-0" ] ;
    fhir:display [ fhir:v "Mental status - level of consciousness" ]       ] )     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Awake and alert"     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:85354-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "85354-9" ] ;
    fhir:display [ fhir:v "Blood pressure panel" ]       ] )     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "120/80 mmHg"     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:8867-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8867-4" ] ;
    fhir:display [ fhir:v "Heart rate" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "82"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "beats/min" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:9279-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "9279-1" ] ;
    fhir:display [ fhir:v "Respiratory rate" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "20"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "breaths/min" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:8310-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8310-5" ] ;
    fhir:display [ fhir:v "Body temperature" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "37"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "°C" ]     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "HEENT" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Essentially Normal"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Chest/Lungs" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Symmetrical chest expansion"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "CVS" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Displaced apex beat"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Abdomen" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Abdominal rigidity"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "GU (IE)" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Blood stained on examining finger"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Skin/Extremities" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Rashes/petechiae"     ]
      ] [
    fhir:code [
    fhir:text [ fhir:v "Neuro Exam" ]     ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Essentially normal"     ]
      ] ) . #

    <urn:uuid:servicerequest> a fhir:ServiceRequest ;
      fhir:id [ fhir:v "CF4-ServiceRequest"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-ServiceRequest"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-ServiceRequest>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_CF4-ServiceRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest CF4-ServiceRequest</b></p><a name=\"CF4-ServiceRequest\"> </a><a name=\"hcCF4-ServiceRequest\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-ServiceRequest.html\">PH ServiceRequest</a></p></div><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Bundle-ClaimsForm4.html#Patient_CF4-Patient\">Patient</a></p><p><b>requester</b>: <a href=\"Bundle-ClaimsForm4.html#Organization_CF4-Organization\">Organization</a></p><p><b>reasonReference</b>: <a href=\"Bundle-ClaimsForm4.html#Observation_CF4-Observation-Physical-Examination-on-Admission\">Observation</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:subject [
    fhir:l fhir:Patient/CF4-Patient ;
    fhir:reference [ fhir:v "Patient/CF4-Patient" ] ;
    fhir:display [ fhir:v "Patient" ]
      ] ; #
      fhir:requester [
    fhir:l fhir:Organization/CF4-Organization ;
    fhir:reference [ fhir:v "Organization/CF4-Organization" ] ;
    fhir:display [ fhir:v "Organization" ]
      ] ; #
      fhir:reasonReference ( [
    fhir:l fhir:Observation/CF4-Observation-Physical-Examination-on-Admission ;
    fhir:reference [ fhir:v "Observation/CF4-Observation-Physical-Examination-on-Admission" ] ;
    fhir:display [ fhir:v "Observation" ]
      ] ) . #

    <urn:uuid:clinicalimpression> a fhir:ClinicalImpression ;
      fhir:id [ fhir:v "CF4-ClinicalImpression"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-ClinicalImpression"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-ClinicalImpression>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClinicalImpression_CF4-ClinicalImpression\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClinicalImpression CF4-ClinicalImpression</b></p><a name=\"CF4-ClinicalImpression\"> </a><a name=\"hcCF4-ClinicalImpression\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-ClinicalImpression.html\">PH ClinicalImpression</a></p></div><p><b>status</b>: Completed</p><p><b>description</b>: Clinical impression on admission based on history, pertinent signs and symptoms, and physical examination.</p><p><b>subject</b>: <a href=\"Bundle-ClaimsForm4.html#Patient_CF4-Patient\">Patient</a></p><p><b>effective</b>: 2026-03-12 09:30:00+0800</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:description [ fhir:v "Clinical impression on admission based on history, pertinent signs and symptoms, and physical examination."] ; #
      fhir:subject [
    fhir:l fhir:Patient/CF4-Patient ;
    fhir:reference [ fhir:v "Patient/CF4-Patient" ] ;
    fhir:display [ fhir:v "Patient" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2026-03-12T09:30:00+08:00"^^xsd:dateTime
      ] . #

    <urn:uuid:provenance> a fhir:Provenance ;
      fhir:id [ fhir:v "CF4-Provenance"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_CF4-Provenance\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance CF4-Provenance</b></p><a name=\"CF4-Provenance\"> </a><a name=\"hcCF4-Provenance\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Provenance.html\">PH Provenance</a></p></div><p>Provenance for <a href=\"Bundle-ClaimsForm4.html#Claim_CF4-Claim\">Claim</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-02-03 09:00:00+0800</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>who</b></td></tr><tr><td><a href=\"Bundle-Konsulta-Prescription-Slip.html#Practitioner_K4-Practitioner\">Practitioner</a></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:target ( [
    fhir:l fhir:Claim/CF4-Claim ;
    fhir:reference [ fhir:v "Claim/CF4-Claim" ] ;
    fhir:display [ fhir:v "Claim" ]
      ] ) ; #
      fhir:recorded [ fhir:v "2026-02-03T09:00:00+08:00"^^xsd:dateTime] ; #
      fhir:agent ( [
    fhir:who [
    fhir:l fhir:Practitioner/K4-Practitioner ;
    fhir:reference [ fhir:v "Practitioner/K4-Practitioner" ] ;
    fhir:display [ fhir:v "Practitioner" ]     ]
      ] ) ; #
      fhir:signature ( [
        ( fhir:type [
    fhir:system [
    fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ;
    fhir:l <urn:iso-astm:E1762-95:2013>       ] ;
    fhir:code [ fhir:v "1.2.840.10065.1.12.1.20" ] ;
    fhir:display [ fhir:v "Electronic Signature" ]     ] ) ;
    fhir:when [ fhir:v "2026-02-03T10:30:00+08:00"^^xsd:dateTime ] ;
    fhir:who [
    fhir:l fhir:Practitioner/K4-Practitioner ;
    fhir:reference [ fhir:v "Practitioner/K4-Practitioner" ] ;
    fhir:display [ fhir:v "Practitioner" ]     ] ;
    fhir:data [ fhir:v "QkFTRTY0X1NJR05BVFVSRV9QQVRJRU5U"^^xsd:base64Binary ]
      ] ) . #

    <urn:uuid:claim> a fhir:Claim ;
      fhir:id [ fhir:v "CF4-Claim"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_CF4-Claim\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim CF4-Claim</b></p><a name=\"CF4-Claim\"> </a><a name=\"hcCF4-Claim\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PH-Claim.html\">PH Claim</a></p></div><p><b>Encounter (Extension)</b>: <a href=\"Bundle-ClaimsForm4.html#Encounter_CF4-Encounter\">Encounter</a></p><p><b>identifier</b>: <code>https://nhdr.gov.ph/claim</code>/CLAIM-0001</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Bundle-ClaimsForm4.html#Patient_CF4-Patient\">Patient</a></p><p><b>created</b>: 2026-03-17</p><p><b>provider</b>: <a href=\"Bundle-ClaimsForm4.html#Organization_CF4-Organization\">Organization</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><p><b>prescription</b>: <a href=\"MedicationRequest/CF4-MedicationRequest\">MedicationRequest</a></p><p><b>referral</b>: <a href=\"Bundle-ClaimsForm4.html#ServiceRequest_CF4-ServiceRequest\">ServiceRequest</a></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:\">Pertinent Past Medical History</span></p><p><b>value</b>: <a href=\"Bundle-ClaimsForm4.html#Observation_CF4-Observation-Pertinent-Past-Medical-History\">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:\">Signs and Symptoms</span></p><p><b>value</b>: <a href=\"Bundle-ClaimsForm4.html#Observation_CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission\">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title=\"Codes:\">Physical Examination</span></p><p><b>value</b>: <a href=\"Bundle-ClaimsForm4.html#Observation_CF4-Observation-Physical-Examination-on-Admission\">Observation</a></p></blockquote><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:\">Hypertension</span></td></tr></table><h3>Procedures</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Procedure[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Bundle-ClaimsForm2.html#Procedure_CF2-Procedure\">Procedure</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-Konsulta-Registration.html#Coverage_K1-Coverage\">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:\">General Ward</span></p><p><b>quantity</b>: 1</p><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1000</td><td>Philippine piso</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension>     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l fhir:Encounter/CF4-Encounter ;
    fhir:reference [ fhir:v "Encounter/CF4-Encounter" ] ;
    fhir:display [ fhir:v "Encounter" ]     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "https://nhdr.gov.ph/claim"^^xsd:anyURI ;
    fhir:l <https://nhdr.gov.ph/claim>     ] ;
    fhir:value [ fhir:v "CLAIM-0001" ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>       ] ;
    fhir:code [ fhir:v "institutional" ]     ] )
      ] ; #
      fhir:use [ fhir:v "claim"] ; #
      fhir:patient [
    fhir:l fhir:Patient/CF4-Patient ;
    fhir:reference [ fhir:v "Patient/CF4-Patient" ] ;
    fhir:display [ fhir:v "Patient" ]
      ] ; #
      fhir:created [ fhir:v "2026-03-17"^^xsd:date] ; #
      fhir:provider [
    fhir:l fhir:Organization/CF4-Organization ;
    fhir:reference [ fhir:v "Organization/CF4-Organization" ] ;
    fhir:display [ fhir:v "Organization" ]
      ] ; #
      fhir:priority [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/processpriority>       ] ;
    fhir:code [ fhir:v "normal" ]     ] )
      ] ; #
      fhir:prescription [
    fhir:l fhir:MedicationRequest/CF4-MedicationRequest ;
    fhir:reference [ fhir:v "MedicationRequest/CF4-MedicationRequest" ] ;
    fhir:display [ fhir:v "MedicationRequest" ]
      ] ; #
      fhir:referral [
    fhir:l fhir:ServiceRequest/CF4-ServiceRequest ;
    fhir:reference [ fhir:v "ServiceRequest/CF4-ServiceRequest" ] ;
    fhir:display [ fhir:v "ServiceRequest" ]
      ] ; #
      fhir:supportingInfo ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:category [
    fhir:text [ fhir:v "Pertinent Past Medical History" ]     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l fhir:Observation/CF4-Observation-Pertinent-Past-Medical-History ;
    fhir:reference [ fhir:v "Observation/CF4-Observation-Pertinent-Past-Medical-History" ] ;
    fhir:display [ fhir:v "Observation" ]     ]
      ] [
    fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
    fhir:category [
    fhir:text [ fhir:v "Signs and Symptoms" ]     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l fhir:Observation/CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission ;
    fhir:reference [ fhir:v "Observation/CF4-Observation-Pertinent-Signs-and-Symptoms-on-Admission" ] ;
    fhir:display [ fhir:v "Observation" ]     ]
      ] [
    fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
    fhir:category [
    fhir:text [ fhir:v "Physical Examination" ]     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l fhir:Observation/CF4-Observation-Physical-Examination-on-Admission ;
    fhir:reference [ fhir:v "Observation/CF4-Observation-Physical-Examination-on-Admission" ] ;
    fhir:display [ fhir:v "Observation" ]     ]
      ] ) ; #
      fhir:diagnosis ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:diagnosis [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "Hypertension" ]     ]
      ] ) ; #
      fhir:procedure ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:procedure [
    a fhir:Reference ;
    fhir:l fhir:Procedure/CF2-Procedure ;
    fhir:reference [ fhir:v "Procedure/CF2-Procedure" ] ;
    fhir:display [ fhir:v "Procedure" ]     ]
      ] ) ; #
      fhir:insurance ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:focal [ fhir:v true ] ;
    fhir:coverage [
    fhir:l fhir:Coverage/K1-Coverage ;
    fhir:reference [ fhir:v "Coverage/K1-Coverage" ] ;
    fhir:display [ fhir:v "Coverage" ]     ]
      ] ) ; #
      fhir:item ( [
    fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:productOrService [
    fhir:text [ fhir:v "General Ward" ]     ] ;
    fhir:quantity [
    fhir:value [ fhir:v "1"^^xsd:decimal ]     ] ;
    fhir:net [
    fhir:value [ fhir:v "1000"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "PHP" ]     ]
      ] ) . #