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: ClaimsForm2

Bundle ClaimsForm2 of type transaction


Entry 1 - fullUrl = urn:uuid:patient

Resource Patient:

Generated Narrative: Patient CF2-Patient

Profile: PH Patient

John Harris Doe (no stated gender), DoB Unknown


Request:

POST Patient

Entry 2 - fullUrl = urn:uuid:relatedperson

Resource RelatedPerson:

Generated Narrative: RelatedPerson CF2-RelatedPerson

Profiles: PH RelatedPerson, https://nhdr.gov.ph/fhir/StructureDefinition/PH_RelatedPerson

patient: Patient

relationship: mother

name: Maria Dela Cruz

Request:

POST RelatedPerson

Entry 3 - fullUrl = urn:uuid:organization

Resource Organization:

Generated Narrative: Organization CF2-Organization

identifier: PhilHealth Accreditation Number (PAN)/AN199513893

name: 6th General Hospital

address:

  • San Roque
  • Tarlac City
  • Tarlac

Contacts

-Name
*Dr. Maria Santos

Request:

POST Organization

Entry 4 - fullUrl = urn:uuid:encounter

Resource Encounter:

Generated Narrative: Encounter CF2-Encounter

Profile: PH Encounter

status: booked

class: ActCode: AMB (ambulatory)

period: 2024-07-18 08:00:00+0800 --> 2024-07-18 10:00:00+0800

Hospitalizations

-DischargeDisposition
*Discharged to home

serviceProvider: Organization

Request:

POST Encounter

Entry 5 - fullUrl = urn:uuid:procedure

Resource Procedure:

Generated Narrative: Procedure CF2-Procedure

Profile: PH Procedure

status: Completed

code: INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)

subject: Patient

bodySite: Appendix structure

Request:

POST Procedure

Entry 6 - fullUrl = urn:uuid:servicerequest

Resource ServiceRequest:

Generated Narrative: ServiceRequest CF2-ServiceRequest

status: Completed

intent: Order

subject: Patient

requester: Organization

performer: Organization

reasonReference: Observation

Request:

POST ServiceRequest

Entry 7 - fullUrl = urn:uuid:observation

Resource Observation:

Generated Narrative: Observation CF2-Observation

status: Final

code: Preoperative assessment

subject: Patient

value: Subject for Surgery

Request:

POST Observation

Entry 8 - fullUrl = urn:uuid:practitioner

Resource Practitioner:

Generated Narrative: Practitioner CF2-Practitioner

identifier: https://prc.gov.ph/1234567

name: Maria Santos

Request:

POST Practitioner

Entry 9 - fullUrl = urn:uuid:coverage

Resource Coverage:

Generated Narrative: Coverage CF2-Coverage

Profile: PH Coverage

status: Active

type: extended healthcare

beneficiary: Patient

payor: Organization

CostToBeneficiaries

-TypeValue[x]
*Copayment₱500.00 (PHP)

Request:

POST Coverage

Entry 10 - fullUrl = urn:uuid:questionnaire

Resource Questionnaire:

Generated Narrative: Questionnaire CF2-Questionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire
... CF2-Q1A. Certification of Consumption of Benefits (Y/N)0..1boolean

doco Documentation for this format

Request:

POST Questionnaire

Entry 11 - fullUrl = urn:uuid:questionnaireResponse

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse CF2-QuestionnaireResponse

LinkIDTextDefinitionAnswerdoco
.. CF2-QuestionnaireResponseQuestionnaire:None specified
... CF2-Q1true

doco Documentation for this format

Request:

POST QuestionnaireResponse

Entry 12 - fullUrl = urn:uuid:provenance

Resource Provenance:

Generated Narrative: Provenance CF2-Provenance

Profile: PH Provenance

Provenance for Claim

Summary

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

Agents

who
Practitioner

Request:

POST Provenance

Entry 13 - fullUrl = urn:uuid:claim

Resource Claim:

Generated Narrative: Claim CF2-Claim

Profile: PH Claim

Encounter (Extension): Encounter

identifier: https://philhealth.gov.ph/claim/CLM-2026-00001

status: Active

type: Institutional

use: Claim

patient: Patient

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

provider: Organization

priority: Normal

referral: ServiceRequest

SupportingInfos

-SequenceCategoryValue[x]
*1Supporting InformationPractitioner

Diagnoses

-SequenceDiagnosis[x]
*1Essential (primary) hypertension

Procedures

-SequenceDateProcedure[x]
*12026-02-03 09:00:00+0800Procedure

Insurances

-SequenceFocalCoverage
*1trueCoverage

item

sequence: 1

productOrService: Appendectomy

serviced: 2026-02-03

Nets

-ValueCurrency
*15000Philippine piso

detail

sequence: 1

productOrService: Appendectomy Procedure Fee

Nets

-ValueCurrency
*15000Philippine piso

Totals

-ValueCurrency
*15000Philippine piso

Request:

POST Claim