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 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_RelatedPersonpatient: Patient
relationship: mother
name: Maria Dela Cruz
Request:
POST RelatedPerson
Entry 3 - fullUrl = urn:uuid:organization
Resource Organization:
Generated Narrative: Organization CF2-Organization
Profile: PH 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
Profile: PH 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
Profile: PH 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
Profile: PH Practitioner
identifier:
https://prc.gov.ph/1234567name: 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
Type Value[x] Copayment ₱500.00 (PHP)
Request:
POST Coverage
Entry 10 - fullUrl = urn:uuid:questionnaire
Resource Questionnaire:
Generated Narrative: Questionnaire CF2-Questionnaire
Profile: PH Questionnaire
LinkID Text Cardinality Type Description & Constraints ![]()
Questionnaire CF2-Q1
A. Certification of Consumption of Benefits (Y/N) 0..1 boolean Documentation for this format
Request:
POST Questionnaire
Entry 11 - fullUrl = urn:uuid:questionnaireResponse
Resource QuestionnaireResponse:
Generated Narrative: QuestionnaireResponse CF2-QuestionnaireResponse
Profile: PH QuestionnaireResponse
LinkID Text Definition Answer CF2-QuestionnaireResponse
Questionnaire:None specified CF2-Q1
true 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
Recorded 2026-02-03 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-2026-00001status: Active
type: Institutional
use: Claim
patient: Patient
created: 2026-02-03 08:00:00+0800
provider: Organization
priority: Normal
referral: ServiceRequest
SupportingInfos
Sequence Category Value[x] 1 Supporting Information Practitioner Diagnoses
Sequence Diagnosis[x] 1 Essential (primary) hypertension Procedures
Sequence Date Procedure[x] 1 2026-02-03 09:00:00+0800 Procedure Insurances
Sequence Focal Coverage 1 true Coverage item
sequence: 1
productOrService: Appendectomy
serviced: 2026-02-03
Nets
Value Currency 15000 Philippine piso detail
sequence: 1
productOrService: Appendectomy Procedure Fee
Nets
Value Currency 15000 Philippine piso Totals
Value Currency 15000 Philippine piso
Request:
POST Claim