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

• Narrative Content
• XML
• JSON
• TTL

: ClaimsForm3 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ClaimsForm3"/>
  <identifier>
    <system value="http://nhdr.gov.ph/fhir/ValueSet-form-type"/>
    <value value="CF3"/>
  </identifier>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:patient"/>
    <resource>
      <Patient>
        <id value="CF3-Patient"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_CF3-Patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient CF3-Patient</b></p><a name="CF3-Patient"> </a><a name="hcCF3-Patient"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Patient.html">PH Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">John Mark Apilyido  (no stated gender), DoB Unknown</p><hr/></div>
        </text>
        <name>
          <family value="Apilyido"/>
          <given value="John"/>
          <given value="Mark"/>
          <suffix value="Mr."/>
        </name>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:organization"/>
    <resource>
      <Organization>
        <id value="CF3-Organization"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_CF3-Organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization CF3-Organization</b></p><a name="CF3-Organization"> </a><a name="hcCF3-Organization"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Organization.html">PH Organization</a></p></div><p><b>identifier</b>: PhilHealth Accreditation Number (PAN)/AN55555</p><p><b>name</b>: Pasig General Hospital</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <code value="AN"/>
            </coding>
            <text value="PhilHealth Accreditation Number (PAN)"/>
          </type>
          <value value="AN55555"/>
        </identifier>
        <name value="Pasig General Hospital"/>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:encounter"/>
    <resource>
      <Encounter>
        <id value="CF3-Encounter"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_CF3-Encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter CF3-Encounter</b></p><a name="CF3-Encounter"> </a><a name="hcCF3-Encounter"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Encounter.html">PH Encounter</a></p></div><p><b>status</b>: booked</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p><p><b>period</b>: 2024-07-18 08:00:00+0800 --&gt; 2024-07-18 10:00:00+0800</p><p><b>reasonReference</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Physical-Examination">Observation</a></p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}">Discharged to home</span></td></tr></table></div>
        </text>
        <status value="booked"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
        <period>
          <start value="2024-07-18T08:00:00+08:00"/>
          <end value="2024-07-18T10:00:00+08:00"/>
        </period>
        <reasonReference>
          <reference
                     value="Observation/CF3-Observation-Physical-Examination"/>
          <display value="Observation"/>
        </reasonReference>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Discharged to home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Physical-Examination"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Physical-Examination"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Physical-Examination</b></p><a name="CF3-Observation-Physical-Examination"> </a><a name="hcCF3-Observation-Physical-Examination"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 29545-1}">Physical examination</span></p><p><b>value</b>: Patient complains of severe headache</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">General Survey</span></p><p><b>value</b>: Patient appears weak</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Vital Signs - BP</span></p><p><b>value</b>: 120/80 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Vital Signs - CR</span></p><p><b>value</b>: 78 bpm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Vital Signs - RR</span></p><p><b>value</b>: 18 breaths/min</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Vital Signs - Temperature</span></p><p><b>value</b>: 36.8°C</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Abdomen</span></p><p><b>value</b>: Soft, non-tender, no organomegaly</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">HEENT</span></p><p><b>value</b>: Pupils equal, round, reactive to light; oropharynx clear</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">GU (IE)</span></p><p><b>value</b>: Normal external genitalia; no masses or tenderness</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Chest/Lungs</span></p><p><b>value</b>: Clear to auscultation bilaterally; no wheezes or crackles</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Skin/Extremities</span></p><p><b>value</b>: Skin warm and dry; no rashes; peripheral pulses palpable</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">CVS</span></p><p><b>value</b>: Heart sounds normal; regular rate and rhythm; no murmurs</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Neuro Examination</span></p><p><b>value</b>: Alert, cranial nerves II-XII intact; motor and sensory exam normal</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29545-1"/>
            <display value="Physical examination"/>
          </coding>
        </code>
        <valueString value="Patient complains of severe headache"/>
        <component>
          <code>
            <text value="General Survey"/>
          </code>
          <valueString value="Patient appears weak"/>
        </component>
        <component>
          <code>
            <text value="Vital Signs - BP"/>
          </code>
          <valueString value="120/80 mmHg"/>
        </component>
        <component>
          <code>
            <text value="Vital Signs - CR"/>
          </code>
          <valueString value="78 bpm"/>
        </component>
        <component>
          <code>
            <text value="Vital Signs - RR"/>
          </code>
          <valueString value="18 breaths/min"/>
        </component>
        <component>
          <code>
            <text value="Vital Signs - Temperature"/>
          </code>
          <valueString value="36.8°C"/>
        </component>
        <component>
          <code>
            <text value="Abdomen"/>
          </code>
          <valueString value="Soft, non-tender, no organomegaly"/>
        </component>
        <component>
          <code>
            <text value="HEENT"/>
          </code>
          <valueString
                       value="Pupils equal, round, reactive to light; oropharynx clear"/>
        </component>
        <component>
          <code>
            <text value="GU (IE)"/>
          </code>
          <valueString
                       value="Normal external genitalia; no masses or tenderness"/>
        </component>
        <component>
          <code>
            <text value="Chest/Lungs"/>
          </code>
          <valueString
                       value="Clear to auscultation bilaterally; no wheezes or crackles"/>
        </component>
        <component>
          <code>
            <text value="Skin/Extremities"/>
          </code>
          <valueString
                       value="Skin warm and dry; no rashes; peripheral pulses palpable"/>
        </component>
        <component>
          <code>
            <text value="CVS"/>
          </code>
          <valueString
                       value="Heart sounds normal; regular rate and rhythm; no murmurs"/>
        </component>
        <component>
          <code>
            <text value="Neuro Examination"/>
          </code>
          <valueString
                       value="Alert, cranial nerves II-XII intact; motor and sensory exam normal"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Pertinent-Laboratory"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Pertinent-Laboratory"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Pertinent-Laboratory</b></p><a name="CF3-Observation-Pertinent-Laboratory"> </a><a name="hcCF3-Observation-Pertinent-Laboratory"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 26436-6}">Pertinent Laboratory</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">CBC</span></td><td>Normal</td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="26436-6"/>
            <display value="Pertinent Laboratory"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="CBC"/>
          </code>
          <valueString value="Normal"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Pregnancy-Risk-Assessment"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Pregnancy-Risk-Assessment"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Pregnancy-Risk-Assessment</b></p><a name="CF3-Observation-Pregnancy-Risk-Assessment"> </a><a name="hcCF3-Observation-Pregnancy-Risk-Assessment"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 82810-3}">Pregnancy risk assessment</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Vital signs</span></p><p><b>interpretation</b>: <span title="Codes:">Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Pregnancy Low Risk</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Menstrual History - Last Menstrual Period (LMP)</span></p><p><b>value</b>: 2026-02-10</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Menstrual History - Age of Menarche</span></p><p><b>value</b>: 13</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (G)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (P)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (P)[T]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (P)[P]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (P)[A]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Obstetric History (P)[L]</span></p><p><b>value</b>: 1</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="82810-3"/>
            <display value="Pregnancy risk assessment"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="Vital signs"/>
          </code>
          <interpretation>
            <text value="Normal"/>
          </interpretation>
        </component>
        <component>
          <code>
            <text value="Pregnancy Low Risk"/>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <text value="Menstrual History - Last Menstrual Period (LMP)"/>
          </code>
          <valueDateTime value="2026-02-10"/>
        </component>
        <component>
          <code>
            <text value="Menstrual History - Age of Menarche"/>
          </code>
          <valueInteger value="13"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (G)"/>
          </code>
          <valueInteger value="2"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (P)"/>
          </code>
          <valueInteger value="1"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (P)[T]"/>
          </code>
          <valueInteger value="1"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (P)[P]"/>
          </code>
          <valueInteger value="0"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (P)[A]"/>
          </code>
          <valueInteger value="0"/>
        </component>
        <component>
          <code>
            <text value="Obstetric History (P)[L]"/>
          </code>
          <valueInteger value="1"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Obstetric-Risk-Factors"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Obstetric-Risk-Factors"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Obstetric-Risk-Factors</b></p><a name="CF3-Observation-Obstetric-Risk-Factors"> </a><a name="hcCF3-Observation-Obstetric-Risk-Factors"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 82801-8}">Obstetric risk factors</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Multiple pregnancy</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Ovarian cyst</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Myoma uteri</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Placenta previa</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">History of 3 miscarriages</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">History of stillbirth</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">History of pre-eclampsia</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">History of eclampsia</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Premature contraction</span></p><p><b>value</b>: true</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="82801-8"/>
            <display value="Obstetric risk factors"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="Multiple pregnancy"/>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <text value="Ovarian cyst"/>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <text value="Myoma uteri"/>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <text value="Placenta previa"/>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <text value="History of 3 miscarriages"/>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <text value="History of stillbirth"/>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <text value="History of pre-eclampsia"/>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <text value="History of eclampsia"/>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <text value="Premature contraction"/>
          </code>
          <valueBoolean value="true"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Estimated-Delivery-Date"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Estimated-Delivery-Date"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Estimated-Delivery-Date</b></p><a name="CF3-Observation-Estimated-Delivery-Date"> </a><a name="hcCF3-Observation-Estimated-Delivery-Date"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11778-8}">Delivery date Estimated</span></p><p><b>effective</b>: 2026-03-10</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11778-8"/>
            <display value="Delivery date Estimated"/>
          </coding>
        </code>
        <effectiveDateTime value="2026-03-10"/>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Age-of-Gestation"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Age-of-Gestation"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Age-of-Gestation</b></p><a name="CF3-Observation-Age-of-Gestation"> </a><a name="hcCF3-Observation-Age-of-Gestation"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 18185-9}">Age of Gestation</span></p><p><b>value</b>: 20 weeks</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18185-9"/>
            <display value="Age of Gestation"/>
          </coding>
        </code>
        <valueQuantity>
          <value value="20"/>
          <unit value="weeks"/>
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Weight-and-Vital-Signs"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Weight-and-Vital-Signs"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Weight-and-Vital-Signs</b></p><a name="CF3-Observation-Weight-and-Vital-Signs"> </a><a name="hcCF3-Observation-Weight-and-Vital-Signs"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 85353-1}">Vital signs panel</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Weight</span></p><p><b>value</b>: 65 kg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Cardiac Rate</span></p><p><b>value</b>: 80 beats/minute</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Respiratory Rate</span></p><p><b>value</b>: 18 breaths/minute</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Blood Pressure</span></p><p><b>value</b>: 120/80 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Temperature</span></p><p><b>value</b>: 36.8 °C</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85353-1"/>
            <display value="Vital signs panel"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="Weight"/>
          </code>
          <valueQuantity>
            <value value="65"/>
            <unit value="kg"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <text value="Cardiac Rate"/>
          </code>
          <valueQuantity>
            <value value="80"/>
            <unit value="beats/minute"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <text value="Respiratory Rate"/>
          </code>
          <valueQuantity>
            <value value="18"/>
            <unit value="breaths/minute"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <text value="Blood Pressure"/>
          </code>
          <valueString value="120/80 mmHg"/>
        </component>
        <component>
          <code>
            <text value="Temperature"/>
          </code>
          <valueQuantity>
            <value value="36.8"/>
            <unit value="°C"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Pregnancy-status-panel"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Pregnancy-status-panel"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Pregnancy-status-panel</b></p><a name="CF3-Observation-Pregnancy-status-panel"> </a><a name="hcCF3-Observation-Pregnancy-status-panel"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 57075-4}">Pregnancy status panel</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Maternal Outcome - Obstetric Index</span></p><p><b>value</b>: G2P1 (1-0-0-1)</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Pregnancy Uterine - AOG by LMP</span></p><p><b>value</b>: 20 weeks</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Pregnancy Uterine - Manner of Delivery</span></p><p><b>value</b>: Normal Spontaneous Vaginal Delivery</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Pregnancy Uterine - Presentation</span></p><p><b>value</b>: Cephalic</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="57075-4"/>
            <display value="Pregnancy status panel"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="Maternal Outcome - Obstetric Index"/>
          </code>
          <valueString value="G2P1 (1-0-0-1)"/>
        </component>
        <component>
          <code>
            <text value="Pregnancy Uterine - AOG by LMP"/>
          </code>
          <valueString value="20 weeks"/>
        </component>
        <component>
          <code>
            <text value="Pregnancy Uterine - Manner of Delivery"/>
          </code>
          <valueString value="Normal Spontaneous Vaginal Delivery"/>
        </component>
        <component>
          <code>
            <text value="Pregnancy Uterine - Presentation"/>
          </code>
          <valueString value="Cephalic"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:observation"/>
    <resource>
      <Observation>
        <id value="CF3-Observation-Birth-Outcome-Panel"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CF3-Observation-Birth-Outcome-Panel"> </a><p class="res-header-id"><b>Generated Narrative: Observation CF3-Observation-Birth-Outcome-Panel</b></p><a name="CF3-Observation-Birth-Outcome-Panel"> </a><a name="hcCF3-Observation-Birth-Outcome-Panel"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 57076-2}">Birth outcome panel</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Birth Outcome - Fetal Outcome</span></p><p><b>value</b>: Live birth</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Birth Outcome - Sex</span></p><p><b>value</b>: Male</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Birth Outcome - Birth Weight (grm)</span></p><p><b>value</b>: 3200 g</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Birth Outcome - APGAR Score</span></p><p><b>value</b>: 9</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="57076-2"/>
            <display value="Birth outcome panel"/>
          </coding>
        </code>
        <component>
          <code>
            <text value="Birth Outcome - Fetal Outcome"/>
          </code>
          <valueString value="Live birth"/>
        </component>
        <component>
          <code>
            <text value="Birth Outcome - Sex"/>
          </code>
          <valueString value="Male"/>
        </component>
        <component>
          <code>
            <text value="Birth Outcome - Birth Weight (grm)"/>
          </code>
          <valueQuantity>
            <value value="3200"/>
            <unit value="g"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <text value="Birth Outcome - APGAR Score"/>
          </code>
          <valueInteger value="9"/>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:clinicalimpression"/>
    <resource>
      <ClinicalImpression>
        <id value="CF3-ClinicalImpression"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-ClinicalImpression"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalImpression_CF3-ClinicalImpression"> </a><p class="res-header-id"><b>Generated Narrative: ClinicalImpression CF3-ClinicalImpression</b></p><a name="CF3-ClinicalImpression"> </a><a name="hcCF3-ClinicalImpression"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-ClinicalImpression.html">PH ClinicalImpression</a></p></div><p><b>status</b>: Completed</p><p><b>description</b>: Patient admitted for observation and management of hypertension. During the ward stay, vital signs stabilized, medications were adjusted, and patient responded well to treatment. No complications noted. Discharged in stable condition.</p><p><b>subject</b>: <a href="Bundle-ClaimsForm3.html#Patient_CF3-Patient">John Mark Apilyido  (no stated gender), DoB Unknown</a></p></div>
        </text>
        <status value="completed"/>
        <description
                     value="Patient admitted for observation and management of hypertension. During the ward stay, vital signs stabilized, medications were adjusted, and patient responded well to treatment. No complications noted. Discharged in stable condition."/>
        <subject>
          <reference value="Patient/CF3-Patient"/>
        </subject>
      </ClinicalImpression>
    </resource>
    <request>
      <method value="POST"/>
      <url value="ClinicalImpression"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:diagnosticreport"/>
    <resource>
      <DiagnosticReport>
        <id value="CF3-DiagnosticReport"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-DiagnosticReport"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_CF3-DiagnosticReport"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport CF3-DiagnosticReport</b></p><a name="CF3-DiagnosticReport"> </a><a name="hcCF3-DiagnosticReport"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-DiagnosticReport.html">PH DiagnosticReport</a></p></div><h2><span title="Codes:{http://hl7.org/fhir/sid/icd-10 D64.9}">Anemia, unspecified</span> </h2><table class="grid"/><p><b>Report Details</b></p><p>Patient shows mild anemia with hemoglobin slightly below normal range; other CBC parameters within normal limits.</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10"/>
            <code value="D64.9"/>
            <display value="Anemia, unspecified"/>
          </coding>
        </code>
        <conclusion
                    value="Patient shows mild anemia with hemoglobin slightly below normal range; other CBC parameters within normal limits."/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="DiagnosticReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:provenance"/>
    <resource>
      <Provenance>
        <id value="CF3-Provenance"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Provenance"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_CF3-Provenance"> </a><p class="res-header-id"><b>Generated Narrative: Provenance CF3-Provenance</b></p><a name="CF3-Provenance"> </a><a name="hcCF3-Provenance"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Provenance.html">PH Provenance</a></p></div><p>Provenance for <a href="Bundle-ClaimsForm3.html#Claim_CF3-Claim">Claim: extension = -&gt;Encounter; status = active; type = Institutional; use = claim; created = 2024-07-18; priority = Normal</a></p><p>Summary</p><table class="grid"><tr><td>Recorded</td><td>2026-02-03 09:00:00+0800</td></tr></table><p><b>Agents</b></p><table class="grid"><tr><td><b>who</b></td></tr><tr><td><a href="Bundle-Konsulta-Prescription-Slip.html#Practitioner_K4-Practitioner">Practitioner</a></td></tr></table></div>
        </text>
        <target>
          <reference value="Claim/CF3-Claim"/>
        </target>
        <recorded value="2026-02-03T09:00:00+08:00"/>
        <agent>
          <who>
            <reference value="Practitioner/K4-Practitioner"/>
            <display value="Practitioner"/>
          </who>
        </agent>
        <signature>
          <type>
            <system value="urn:iso-astm:E1762-95:2013"/>
            <code value="1.2.840.10065.1.12.1.20"/>
            <display value="Electronic Signature"/>
          </type>
          <when value="2026-02-03T10:30:00+08:00"/>
          <who>
            <reference value="Practitioner/K4-Practitioner"/>
            <display value="Practitioner"/>
          </who>
          <data value="QkFTRTY0X1NJR05BVFVSRV9QQVRJRU5U"/>
        </signature>
      </Provenance>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Provenance"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:questionnaire"/>
    <resource>
      <Questionnaire>
        <id value="CF3-Questionnaire"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"/>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH_Questionnaire"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Questionnaire_CF3-Questionnaire"> </a><p class="res-header-id"><b>Generated Narrative: Questionnaire CF3-Questionnaire</b></p><a name="CF3-Questionnaire"> </a><a name="hcCF3-Questionnaire"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-PH-Questionnaire.html">PH Questionnaire</a>, <code>https://nhdr.gov.ph/fhir/StructureDefinition/PH_Questionnaire</code></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Orientation to MCP/Availment of Benefits (Yes/No)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Perineal wound care</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Perineal wound care - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Signs of Maternal Postpartum Complications</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Signs of Maternal Postpartum Complications - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Counselling and Education (Breastfeeding and Nutrition)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Counselling and Education (Breastfeeding and Nutrition) - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Counselling and Education (Family Planning)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Counselling and Education (Family Planning) - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Provided family planning service to patient (as requested by patient)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q11" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Provided family planning service to patient (as requested by patient) - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q12" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q12</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q13" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q13</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.CF3-Q14" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> CF3-Q14</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Schedule the next postpartum follow-up</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.CF3-Q15" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> CF3-Q15</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Schedule the next postpartum follow-up - Remarks</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
        </text>
        <status value="active"/>
        <item>
          <linkId value="CF3-Q1"/>
          <text value="Orientation to MCP/Availment of Benefits (Yes/No)"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q2"/>
          <text value="Perineal wound care"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q3"/>
          <text value="Perineal wound care - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q4"/>
          <text value="Signs of Maternal Postpartum Complications"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q5"/>
          <text value="Signs of Maternal Postpartum Complications - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q6"/>
          <text
                value="Counselling and Education (Breastfeeding and Nutrition)"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q7"/>
          <text
                value="Counselling and Education (Breastfeeding and Nutrition) - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q8"/>
          <text value="Counselling and Education (Family Planning)"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q9"/>
          <text
                value="Counselling and Education (Family Planning) - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q10"/>
          <text
                value="Provided family planning service to patient (as requested by patient)"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q11"/>
          <text
                value="Provided family planning service to patient (as requested by patient) - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q12"/>
          <text
                value="Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.)"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q13"/>
          <text
                value="Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) - Remarks"/>
          <type value="string"/>
        </item>
        <item>
          <linkId value="CF3-Q14"/>
          <text value="Schedule the next postpartum follow-up"/>
          <type value="boolean"/>
        </item>
        <item>
          <linkId value="CF3-Q15"/>
          <text value="Schedule the next postpartum follow-up - Remarks"/>
          <type value="string"/>
        </item>
      </Questionnaire>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Questionnaire"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:questionnaireresponse"/>
    <resource>
      <QuestionnaireResponse>
        <id value="CF3-QuestionnaireResponse"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"/>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH_QuestionnaireResponse"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="QuestionnaireResponse_CF3-QuestionnaireResponse"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse CF3-QuestionnaireResponse</b></p><a name="CF3-QuestionnaireResponse"> </a><a name="hcCF3-QuestionnaireResponse"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-PH-QuestionnaireResponse.html">PH QuestionnaireResponse</a>, <code>https://nhdr.gov.ph/fhir/StructureDefinition/PH_QuestionnaireResponse</code></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> CF3-QuestionnaireResponse</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:None specified</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient instructed on proper perineal hygiene and wound care.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient advised to watch for fever, excessive bleeding, and severe abdominal pain.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Counselling provided on exclusive breastfeeding and balanced nutrition.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Discussed available family planning methods suitable for postpartum mothers.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">false</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient opted to decide on family planning method at next visit.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q12</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">false</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q13</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">No referral requested by patient.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q14</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> CF3-Q15</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Next postpartum follow-up scheduled after 6 weeks.</td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
        </text>
        <status value="completed"/>
        <item>
          <linkId value="CF3-Q1"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q2"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q3"/>
          <answer>
            <valueString
                         value="Patient instructed on proper perineal hygiene and wound care."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q4"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q5"/>
          <answer>
            <valueString
                         value="Patient advised to watch for fever, excessive bleeding, and severe abdominal pain."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q6"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q7"/>
          <answer>
            <valueString
                         value="Counselling provided on exclusive breastfeeding and balanced nutrition."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q8"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q9"/>
          <answer>
            <valueString
                         value="Discussed available family planning methods suitable for postpartum mothers."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q10"/>
          <answer>
            <valueBoolean value="false"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q11"/>
          <answer>
            <valueString
                         value="Patient opted to decide on family planning method at next visit."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q12"/>
          <answer>
            <valueBoolean value="false"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q13"/>
          <answer>
            <valueString value="No referral requested by patient."/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q14"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
        <item>
          <linkId value="CF3-Q15"/>
          <answer>
            <valueString
                         value="Next postpartum follow-up scheduled after 6 weeks."/>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
    <request>
      <method value="POST"/>
      <url value="QuestionnaireResponse"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:claim"/>
    <resource>
      <Claim>
        <id value="CF3-Claim"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim"/>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH_Claim"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_CF3-Claim"> </a><p class="res-header-id"><b>Generated Narrative: Claim CF3-Claim</b></p><a name="CF3-Claim"> </a><a name="hcCF3-Claim"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-PH-Claim.html">PH Claim</a>, <code>https://nhdr.gov.ph/fhir/StructureDefinition/PH_Claim</code></p></div><p><b>Encounter (Extension)</b>: <a href="Encounter-CF3-Encounter.html">Encounter</a></p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Bundle-ClaimsForm3.html#Patient_CF3-Patient">Patient</a></p><p><b>created</b>: 2024-07-18</p><p><b>provider</b>: <a href="Bundle-ClaimsForm3.html#Organization_CF3-Organization">Organization</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory exam}">Physical Examination</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Physical-Examination">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory lab}">Laboratory</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Pertinent-Laboratory">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:">Pregnancy Risk Assessment</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Pregnancy-Risk-Assessment">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title="Codes:">Obstetric Risk Factors</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Obstetric-Risk-Factors">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title="Codes:">Estimated Delivery Date</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Estimated-Delivery-Date">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title="Codes:">Age of Gestation</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Age-of-Gestation">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 7</p><p><b>category</b>: <span title="Codes:">Weight and Vital Signs</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Weight-and-Vital-Signs">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title="Codes:">Pregnancy Status Panel</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Pregnancy-status-panel">Observation</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title="Codes:">Birth Outcome Panel</span></p><p><b>value</b>: <a href="Bundle-ClaimsForm3.html#Observation_CF3-Observation-Birth-Outcome-Panel">Observation</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href="Bundle-ClaimsForm4.html#Condition_CF4-Condition">Condition</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 J45.4}">Moderate persistent asthma</span></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Bundle-Konsulta-Registration.html#Coverage_K1-Coverage">Coverage</a></td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:">Maternity Care Package Service</span></td><td>2024-07-18</td></tr></table></div>
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