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: Konsulta-Health-Screening-FPE

Bundle Konsulta-Health-Screening-FPE of type transaction

Entry 1 - fullUrl = urn:uuid:patient-5

Resource Patient:

> Generated Narrative: Patient K5-Patient

> Profile: PH Patient

> Quinn Ry Senilla (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001)

> Contact Detail | ph: 09456469323
> Patient Type | Member
> Sex at birth | Male

Request:

    POST Patient

Entry 2 - fullUrl = urn:uuid:encounter-5

Resource Encounter:

> Generated Narrative: Encounter K5-Encounter

> Profile: PH Encounter

> Age in Years: 35

> identifier: `https://nhdr.gov.ph/fhir/Identifier/encounter-id`/EN-0001

> status: booked

> class: ActCode: AMB (ambulatory)

> subject: Quinn Ry Senilla (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001)

> period: 2026-03-02 09:00:00+0800 --> (ongoing)

> reasonReference: Observation Pertinent Physical Examination

Request:

    POST Encounter

Entry 3 - fullUrl = urn:uuid:observation-5

Resource Observation:

> Generated Narrative: Observation K5-Observation-Female-Physiology

> Profile: PH Observation

> status: Final

> code: Female Physiology

> value: Lower abdominal pain and dizziness

> > component

> > code: First menstrual Period

> > value: 2026-02-20 08:30:00+0800 --> (ongoing)

> > component

> > code: Last menstrual Period

> > value: ?? --> 2026-02-20 08:45:00+0800

> > component

> > code: Number of Pregnancies

> > value: 3

Request:

    POST Observation

Entry 4 - fullUrl = urn:uuid:observation-5

Resource Observation:

> Generated Narrative: Observation K5-Observation-PPE

> Profile: PH Observation

> status: Final

> code: Pertinent Physical Examination

> > component

> > code: Blood Pressure

> > value: 120/80 mmHg

> > component

> > code: Heart Rate

> > value: 72 beats/minute

> > component

> > code: Respiratory Rate

> > value: 18 breaths/minute

> > component

> > code: Visual Acuity

> > value: 20/20

> > component

> > code: Height (cm)

> > value: 165 cm

> > component

> > code: Height (in)

> > value: 64.96 in

> > component

> > code: Weight (kg)

> > value: 60 kg

> > component

> > code: Weight (lb)

> > value: 132.28 lb

> > component

> > code: BMI

> > value: 22

> > component

> > code: Temperature

> > value: 36.8

Request:

    POST Observation

Entry 5 - fullUrl = urn:uuid:observation-5

Resource Observation:

> Generated Narrative: Observation K5-Observation-Pediatric-Client

> Profile: PH Observation

> status: Final

> code: Pediatric Client aged 0-24 months

> > component

> > code: Length

> > value: 75 cm

> > component

> > code: Head Circumference

> > value: 46 cm

> > component

> > code: Skinfold Thickness

> > value: 1.2 cm

> > component

> > code: Body Circumference - Waist

> > value: 48 cm

> > component

> > code: Body Circumference - Hip

> > value: 50 cm

> > component

> > code: Body Circumference - Middle and Upper Arm

> > value: 14 cm

Request:

    POST Observation

Entry 6 - fullUrl = urn:uuid:observation-5

Resource Observation:

> Generated Narrative: Observation K5-Observation-Blood-Type

> Profile: PH Observation

> status: Final

> code: ABO and Rh blood group

> value: O Positive

Request:

    POST Observation

Entry 7 - fullUrl = urn:uuid:observation-5

Resource Observation:

> Generated Narrative: Observation K5-Observation-General-Survey

> Profile: PH Observation

> status: Final

> code: General Survey

> value: ABDOMINAL CRAMP/PAIN

Request:

    POST Observation

Entry 8 - fullUrl = urn:uuid:questionnaire-5

Resource Questionnaire:

> Generated Narrative: Questionnaire K5-Questionnaire

> Profile: PH Questionnaire

> LinkID | Text | Cardinality | Type | Description & Constraints
> --- | --- | --- | --- | ---
> |  |  | Questionnaire |
> K5-Q1 | Do you experience any of the following: fever, cough, colds, or headache? | 0..1 | boolean |
> K5-Q2 | If yes, please explain | 0..1 | string | Enable When: K5-Q1 = true
> K5-Q3 | Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain? | 0..1 | boolean |
> K5-Q4 | If yes, please explain | 0..1 | string | Enable When: K5-Q3 = true
> K5-Q5 | Do you experience any of the following: chest pain or difficulty in breathing? | 0..1 | boolean |
> K5-Q6 | If yes, please explain | 0..1 | string | Enable When: K5-Q5 = true
> K5-Q7 | Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol? | 0..1 | boolean |
> K5-Q8 | If yes, please explain | 0..1 | string | Enable When: K5-Q7 = true
> K5-Q9 | For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination? | 0..1 | boolean |
> K5-Q10 | If yes, please explain | 0..1 | string | Enable When: K5-Q9 = true
> Documentation for this format

Request:

    POST Questionnaire

Entry 9 - fullUrl = urn:uuid:questionnaireresponse-5

Resource QuestionnaireResponse:

> Generated Narrative: QuestionnaireResponse K5-QuestionnaireResponse

> Profile: PH QuestionnaireResponse

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> K5-QuestionnaireResponse |  |  | Questionnaire:None specified
> K5-Q1 |  |  | true
> K5-Q2 |  |  | Fever and headache for 2 days
> K5-Q3 |  |  | false
> K5-Q5 |  |  | false
> K5-Q7 |  |  | true
> K5-Q8 |  |  | Occasional drinking alcohol
> K5-Q9 |  |  | false
> Documentation for this format

Request:

    POST QuestionnaireResponse