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

## Example Bundle: ClaimsForm4

Bundle ClaimsForm4 of type transaction

Entry 1 - fullUrl = urn:uuid:patient

Resource Patient:

> Profile: PH Patient

> John Mark Apilyido (no stated gender), DoB Unknown ( PhilHealth ID: PH-00001)

> Sex at birth | M

Request:

    POST Patient

Entry 2 - fullUrl = urn:uuid:organization

Resource Organization:

> Profile: PH Organization

> identifier: PhilHealth Accreditation Number (PAN)/AN199513893

> name: 6th General Hospital

> ### Contacts

> - | Address
> * | 572 BLK 2 LOT 21 Maharlika Village 2300

Request:

    POST Organization

Entry 3 - fullUrl = urn:uuid:encounter

Resource Encounter:

> Profile: PH Encounter

> Age in Years: 35

> status: completed

> class: Ambulatory

Request:

    POST Encounter

Entry 4 - fullUrl = urn:uuid:condition

Resource Condition:

> Profile: PH Condition

> code: Essential (primary) hypertension

> subject: Patient

> note: ,

> > Patient reports persistent headaches for the past 2 weeks.

> > Past medical history includes type 2 diabetes mellitus, controlled on metformin.

Request:

    POST Condition

Entry 5 - fullUrl = urn:uuid:observation

Resource Observation:

> Profile: PH Observation

> status: Final

> code: Pregnancy history panel

> dataAbsentReason: Not Applicable

> > component

> > code: OB/GYN History (G)

> > value: 3

> > component

> > code: OB/GYN History (P)

> > value: 2

> > component

> > code: OB/GYN History (P)(T)

> > value: 1

> > component

> > code: OB/GYN History (P)(P)

> > value: 1

> > component

> > code: OB/GYN History (P)(A)

> > value: 0

> > component

> > code: OB/GYN History (P)(L)

> > value: 2

> > component

> > code: OB/GYN History - LMP

> > value: 2026-02-01

Request:

    POST Observation

Entry 6 - fullUrl = urn:uuid:observation

Resource Observation:

> Profile: PH Observation

> status: Final

> code: Pertinent signs and symptoms on admission

> > component

> > code: Altered mental sensorium

> > value: true

> > component

> > code: Abdominal cramp/pain

> > value: true

> > component

> > code: Anorexia

> > value: false

> > component

> > code: Bleeding gum

> > value: false

> > component

> > code: Body weakness

> > value: true

Request:

    POST Observation

Entry 7 - fullUrl = urn:uuid:observation

Resource Observation:

> Profile: PH Observation

> status: Final

> code: Physical findings on admission

> > component

> > code: Body height

> > value: 160 cm

> > component

> > code: Body weight

> > value: 65 kg

> > component

> > code: Mental status - level of consciousness

> > value: Awake and alert

> > component

> > code: Blood pressure panel

> > value: 120/80 mmHg

> > component

> > code: Heart rate

> > value: 82 beats/min

> > component

> > code: Respiratory rate

> > value: 20 breaths/min

> > component

> > code: Body temperature

> > value: 37 °C

> > component

> > code: HEENT

> > value: Essentially Normal

> > component

> > code: Chest/Lungs

> > value: Symmetrical chest expansion

> > component

> > code: CVS

> > value: Displaced apex beat

> > component

> > code: Abdomen

> > value: Abdominal rigidity

> > component

> > code: GU (IE)

> > value: Blood stained on examining finger

> > component

> > code: Skin/Extremities

> > value: Rashes/petechiae

> > component

> > code: Neuro Exam

> > value: Essentially normal

Request:

    POST Observation

Entry 8 - fullUrl = urn:uuid:servicerequest

Resource ServiceRequest:

> Profile: PH ServiceRequest

> status: Completed

> intent: Order

> subject: Patient

> requester: Organization

Request:

    POST ServiceRequest

Entry 9 - fullUrl = urn:uuid:clinicalimpression

Resource ClinicalImpression:

> Profile: PH ClinicalImpression

> status: Completed

> description: Clinical impression on admission based on history, pertinent signs and symptoms, and physical examination.

> subject: Patient

> effective: 2026-03-12 09:30:00+0800

Request:

    POST ClinicalImpression

Entry 10 - fullUrl = urn:uuid:provenance

Resource Provenance:

> Profile: PH Provenance

> Provenance for Claim

> Summary

> Recorded | 2026-02-03 09:00:00+0800

> Agents

> who
> Practitioner

Request:

    POST Provenance

Entry 11 - fullUrl = urn:uuid:claim

Resource Claim:

> Profile: PH Claim

> Encounter (Extension): Encounter

> identifier: `https://nhdr.gov.ph/claim`/CLAIM-0001

> status: Active

> type: Institutional

> use: Claim

> patient: Patient

> created: 2026-03-17

> provider: Organization

> priority: Normal

> ​prescription: MedicationRequest

> referral: ServiceRequest

> > supportingInfo

> > sequence: 1

> > category: Pertinent Past Medical History

> > value: Observation

> > supportingInfo

> > sequence: 2

> > category: Signs and Symptoms

> > value: Observation

> > supportingInfo

> > sequence: 3

> > category: Physical Examination

> > value: Observation

> ### Diagnoses

> - | Sequence | Diagnosis[x]
> * | 1 | Hypertension

> ### Procedures

> - | Sequence | Procedure[x]
> * | 1 | Procedure

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Coverage

> > item

> > sequence: 1

> > productOrService: General Ward

> > quantity: 1

> > ### Nets

> > - | Value | Currency
> > * | 1000 | PHP

Request:

    POST Claim