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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Foundation Profiles

PH Provenance | Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.

### Base Profiles

PH Appointment | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time.
PH Encounter | An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities.
PH Location | Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
PH Organization | Refers to a formally or informally recognized grouping of people or entities that are formed to achieve a common goal, particularly in healthcare.
PH Patient | Captures key demographic and administrative information about individuals receiving care or other health-related services.
PH Person | Demographics and administrative information about a person independent of a specific health-related context.
PH Practitioner | A person who is directly or indirectly involved in the provisioning of healthcare or related services.
PH PractitionerRole | A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
PH RelatedPerson | Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

### Clinical Profiles

PH AllergyIntolerance | Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance.
PH CarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
PH ClinicalImpression | A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.
PH Condition | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
PH DiagnosticReport | The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these.
PH FamilyMemberHistory | Significant health conditions for a person related to the patient relevant in the context of care for the patient.
PH Goal | Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.
PH Immunization | Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.
PH Medication | This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
PH MedicationAdministration | Describes the event of a patient consuming or otherwise being administered a medication.
PH MedicationDispense | Indicates that a medication product is to be or has been dispensed for a named person or patient.
PH MedicationRequest | An order or request for both supply of the medication and the instructions for administration of the medication to a patient.
PH MedicationStatement | A record of a medication that is being consumed by a patient.
PH Observation | Measurements and simple assertions made about a patient, device or other subject.
PH Procedure | An action that is or was performed on or for a patient, practitioner, device, organization, or location.
PH QuestionnaireResponse | A structured set of questions and their answers.
PH ServiceRequest | A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.
PH Specimen | A sample to be used for analysis.

### Financial Profiles

PH Claim | A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
PH Coverage | Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
PH EnrollmentRequest | This resource provides the insurance enrollment details to the insurer regarding a specified coverage.

### Specialized Profiles

PH Questionnaire | A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.

### Data Types

PH Address | An address for the individual.
PH Signature | The signature of an individual.

### Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Minimum Required Patient Data | Sample Logical Model

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

PH Claim - dummy | This is just a sample template for slicing on Claim.item.

### Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Address (Extension) | Address where the observation was made.
Age in Days | Age of the patient in days.
Age in Months | Age of the patient in months.
Age in Years | Age of the patient in years.
Barangay Code | Code of the barangay from the standard geographic code.
City Code | Code of the city/municipality from the standard geographic code.
Date of Interview | Date of interview.
Date of Investigation | Date of investigation.
Date of result | The date on which the outcome of the particular specimen was recorded.
Educational Attainment | Highest educational attainment of the patient.
Encounter (Extension) | Extension to capture healthcare encounters.
Indigenous Group | Indigenous group that the patient belongs to.
Interviewer | Name of the interviewer at first point of contact.
Investigator | Name of the investigator/assessor.
Marital Status | Marital Status
Medication Type | Medication Type
Member Type | Member Type
Occupation / In Years | Patient's occupation.
Package description | Detailed description on the medication packaging.
Patient Classification | Classification of patient.
Patient Type | Patient Type
Philippine Indigenous Status | If the patient is a member of an indigenous group.
Position of the Signatory | Position or Occupation of the person who signed.
Province | Code of the province from the standard geographic code.
Race | Extension to capture the race of a patient.
Reason for the Signature | Reason of the person who signed.
Region code | Code of the region from the standard geographic code.
Reporter | Name of the reporter of the encounter.
Sex at birth | Extension to capture the sex of a patient, practitioner, or person.
Specimen release date | Date when the specimen was released.
The date indicating when the record was last updated by the health facility. | The date indicating when the record was last updated by the health facility.
The recorded date indicating when the record was uploaded by the health facility. | The recorded date indicating when the record was uploaded by the health facility.
Type of species | Describes the type of species / organism [e.g. Malaria (Plasmodium falciparum, Plasmodium malariae, Plasmodium vivax, Plasmodium ovale, Plasmodium knowlesi)].

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Barangay Codes | The Barangay codes valueset includes all barangay values from the Philippine Standard Geographic Codes (PSGC) published by the Philippine Statistic Authority (PSA).
City Codes | The City codes valueset includes all city values from the Philippine Standard Geographic Codes (PSGC) published by the Philippine Statistic Authority (PSA).
Coverage Copay Type | A valueset representing different types of copayments associated with healthcare coverage
Drug Codes | This value set includes all drug or medicament substance codes and all pharmaceutical/biologic products from FDA
Educational Attainment | This ValueSet includes all categories of educational programs, courses, and attainment levels in the Philippines, based on the Philippine Standard Classification of Education (PSCED) published by the Philippine Statistics Authority (PSA)
Facility Major Type | A value set categorizing different major types of facility
Health Facility Codes | The Health Facility codes valueset contains offical records of all licensed and accredited health facilities in the Philippines, published by the Department of Health (DOH).
ICD-10 Codes | This value set represents the International Classification of Diseases (ICD), 10th Revision.
Indigenous Groups | A value set representing the recognized Indigenous groups to which a person may belong.
Local Health Insurance Office | A value set representing different Local Health Insurance Offices
Member Type | A valueset representing different type of membership within a healthcare coverage plan or insurance policy.
Observation Value | A value set for various observation values, including medical history, symptoms, clinical signs, and diagnostic outcomes.
Occupation Classification | The Occupation codes valueset includes Occupational Classification values from the Philippine Standard Occupational Classification (PSOC) published by the Philippine Statistic Authority (PSA).
Patient Type | A value set representing different types of Patient
PhilHealth Regional Offices | A value set representing different types of Patient
Practitioner Role | A value set representing the different roles a healthcare practitioner can perform within an organization or care setting.
Procedure Code | A value set representing Relative Value Scale (RVS) codes for various procedures
Province Codes | The Province codes valueset includes all province values from the Philippine Standard Geographic Codes (PSGC) published by the Philippine Statistic Authority (PSA).
Region Codes | The Region codes valueset includes all regions values from the Philippine Standard Geographic Codes (PSGC) published by the Philippine Statistic Authority (PSA).
Service Type | A value set specifying the various types of services provided during an encounter.
Sex | A person's sex at birth
Signature Type | A set of codes representing different types of signatures used in healthcare documentation and transactions.

### Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Coverage Co-Payment Type - Local | Representing the additional local codes of Coverage Co-Payment Type
Drug Codes | This CodeSystem resource represents the list of Establishments and Health Products. This is not the official publication of this code system, nor is it intended to be published on behalf of the Food and Drug Administration Philippines (FDA). For the complete content of the code system, contact the publisher. For more details, visit: FDA Website.
Facility Major Type | A code system representing different major type of Patient
Indigenous Groups | A list of codes representing the recognized indigenous groups in the Philippines to which a person may belong.
Local Health Insurance Office | A code system representing Local Health Insurance Offices
Member Type | A code system representing different type of membership.
NHFR Codes | This CodeSystem resource represents the National Health Facility Registry (NHFR) in the Philippines. This is not the official publication of this code system, nor is it intended to be published on behalf of the Department of Health (DOH). For the complete content of the code system, contact the publisher. For more details, visit: NHFR Link.
Observation Value | Placeholder for Observation Value
Organization Types - Local | Organization type codes used locally.
Ownership Major Classification | A code system representing different major classification of Ownership
PSCED Codes | This CodeSystem resource represents the Philippine Standard Classification of Education. This is not the canonical publication of this code system nor it is intended to be publication on behalf of the Philippine Statistic Authority. For the complete content of the code system contact the publisher. For more details, visit: PSA Website - PSCED.
PSGC Codes | This CodeSystem resource represents the Philippine Standard Geographic Code. This is not the canonical publication of this code system nor it is intended to be publication on behalf of the Philippine Statistic Authority. For the complete content of the code system contact the publisher. For more details, visit: PSA Website - PSGC.
PSOC Codes | This CodeSystem resource represents the Philippine Standard Occupational Classification. This is not the canonical publication of this code system nor it is intended to be publication on behalf of the Philippine Statistic Authority. For the complete content of the code system contact the publisher. For more details, visit: PSA Website - PSOC.
Patient Type | A code system representing different types of Patient
PhilHealth Regional Offices | A code system representing regional offices of PhilHealth
Relative Value Scale (RVS) Codes | Placeholder version of RVS codes to avoid long build times in local development.
Signature Type - Local | Defines the types of signatures used for authentication and verification in health information exchange.

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

CF3-Encounter
ClaimsForm1-1
ClaimsForm1-2
ClaimsForm2
ClaimsForm3
ClaimsForm4
Konsulta-Availment-Slip
Konsulta-Health-Screening-FPE
Konsulta-Prescription-Slip
Konsulta-Registration
Konsulta-RequestforAuthorizationTransactionCode
Test-Bundle