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: ClaimsForm1-2

Bundle ClaimsForm1-2 of type transaction


Entry 1 - fullUrl = urn:uuid:relatedperson

Resource RelatedPerson:

Sex at birth: F

identifier: PhilHealth Identification Number/PH54321

patient: Patient

name: Lorna Mae Santos Bautista

telecom: ph: 912-00-00, ph: 0927-000-0000, lmbautista@email.com

birthDate: 1971-02-11

address: Fordham Road 1110 PH

Request:

POST RelatedPerson

Entry 2 - fullUrl = urn:uuid:patient

Resource Patient:

Profile: PH Patient

Antonio Jerome Morales Manipol (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)


Employer:
  • ph: 09171234567
Sex at birthM

Request:

POST Patient

Entry 3 - fullUrl = urn:uuid:organization

Resource Organization:

identifier: PhilHealth Employer Number (PEN)/EN15243

name: PhilHealth

Contacts

-Telecom
*080-00-00

Request:

POST Organization

Entry 4 - fullUrl = urn:uuid:questionnaire

Resource Questionnaire:

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire
... CF1-Q1Patient is the member?0..1boolean

doco Documentation for this format

Request:

POST Questionnaire

Entry 5 - fullUrl = urn:uuid:questionnaireresponse

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
.. CF1-QuestionnaireResponse-2Questionnaire:None specified
... CF1-Q1false

doco Documentation for this format

Request:

POST QuestionnaireResponse

Entry 6 - fullUrl = urn:uuid:provenance

Resource Provenance:

Profile: PH Provenance

Provenance for Claim

Summary

Recorded2026-02-03 09:00:00+0800

Agents

who
Organization

Request:

POST Provenance

Entry 7 - fullUrl = urn:uuid:coverage

Resource Coverage:

Profile: PH Coverage

status: Active

policyHolder: Organization

beneficiary: Patient

Request:

POST Coverage

Entry 8 - fullUrl = urn:uuid:claim

Resource Claim:

Profile: PH Claim

identifier: https://philhealth.gov.ph/claim/CF1-CLM-00001

status: Active

type: Institutional

use: Claim

patient: Patient

created: 2026-02-03 08:00:00+0800

provider: Organization

priority: Normal

Payees

-TypeParty
*SubscriberRelatedPerson

Insurances

-SequenceFocalCoverage
*1trueCoverage

Request:

POST Claim