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
Bundle ClaimsForm1-2 of type transaction
Entry 1 - fullUrl = urn:uuid:relatedperson
Resource RelatedPerson:
Profile: PH 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 birth M
Request:
POST Patient
Entry 3 - fullUrl = urn:uuid:organization
Resource Organization:
Profile: PH 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:
Profile: PH Questionnaire
LinkID Text Cardinality Type Description & Constraints ![]()
Questionnaire CF1-Q1
Patient is the member? 0..1 boolean Documentation for this format
Request:
POST Questionnaire
Entry 5 - fullUrl = urn:uuid:questionnaireresponse
Resource QuestionnaireResponse:
Profile: PH QuestionnaireResponse
LinkID Text Definition Answer CF1-QuestionnaireResponse-2
Questionnaire:None specified CF1-Q1
false Documentation for this format
Request:
POST QuestionnaireResponse
Entry 6 - fullUrl = urn:uuid:provenance
Resource Provenance:
Profile: PH Provenance
Provenance for Claim
Summary
Recorded 2026-02-03 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-00001status: Active
type: Institutional
use: Claim
patient: Patient
created: 2026-02-03 08:00:00+0800
provider: Organization
priority: Normal
Payees
Type Party Subscriber RelatedPerson Insurances
Sequence Focal Coverage 1 true Coverage
Request:
POST Claim