NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

: ClaimsForm2 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ClaimsForm2"/>
  <identifier>
    <system value="http://nhdr.gov.ph/fhir/ValueSet-form-type"/>
    <value value="CF2"/>
  </identifier>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:patient"/>
    <resource>
      <Patient>
        <id value="CF2-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_CF2-Patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient CF2-Patient</b></p><a name="CF2-Patient"> </a><a name="hcCF2-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 Harris Doe  (no stated gender), DoB Unknown</p><hr/></div>
        </text>
        <name>
          <family value="Doe"/>
          <given value="John"/>
          <given value="Harris"/>
          <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="CF2-Org"/>
        <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_CF2-Org"> </a><p class="res-header-id"><b>Generated Narrative: Organization CF2-Org</b></p><a name="CF2-Org"> </a><a name="hcCF2-Org"> </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)/AN199513893</p><p><b>name</b>: 6th General Hospital</p><p><b>address</b>: </p><ul><li>137 Fourth Street 1110 </li><li>125 Fordham 1101 </li><li>12 Riverdale Street 1102 </li></ul></div>
        </text>
        <identifier>
          <type>
            <coding>
              <code value="AN"/>
            </coding>
            <text value="PhilHealth Accreditation Number (PAN)"/>
          </type>
          <value value="AN199513893"/>
        </identifier>
        <name value="6th General Hospital"/>
        <address>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality">
            <valueCoding>
              <code value="0123456"/>
              <display value="Marikina City"/>
            </valueCoding>
          </extension>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/Province">
            <valueCoding>
              <code value="01234"/>
              <display value="Metro Manila"/>
            </valueCoding>
          </extension>
          <line value="137 Fourth Street"/>
          <postalCode value="1110"/>
        </address>
        <address>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality">
            <valueCoding>
              <code value="0123457"/>
              <display value="Pasay City"/>
            </valueCoding>
          </extension>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/Province">
            <valueCoding>
              <code value="01234"/>
              <display value="Metro Manila"/>
            </valueCoding>
          </extension>
          <line value="125 Fordham"/>
          <postalCode value="1101"/>
        </address>
        <address>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality">
            <valueCoding>
              <code value="0123458"/>
              <display value="Pasig City"/>
            </valueCoding>
          </extension>
          <extension
                     url="https://nhdr.gov.ph/fhir/StructureDefinition/Province">
            <valueCoding>
              <code value="01234"/>
              <display value="Metro Manila"/>
            </valueCoding>
          </extension>
          <line value="12 Riverdale Street"/>
          <postalCode value="1102"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:questionnaireresponse"/>
    <resource>
      <QuestionnaireResponse>
        <id value="CF2-QuestionnaireResponse"/>
        <meta>
          <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_CF2-QuestionnaireResponse"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse CF2-QuestionnaireResponse</b></p><a name="CF2-QuestionnaireResponse"> </a><a name="hcCF2-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">Profile: <a href="StructureDefinition-PH-QuestionnaireResponse.html">PH QuestionnaireResponse</a></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"/> CF2-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_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"/> Was Patient referred by another HCI? [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"></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><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,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
        </text>
        <status value="in-progress"/>
        <item>
          <linkId value="Was Patient referred by another HCI? [Yes/No]"/>
          <answer>
            <valueBoolean value="true"/>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
    <request>
      <method value="POST"/>
      <url value="QuestionnaireResponse"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:encounter"/>
    <resource>
      <Encounter>
        <id value="CF2-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_CF2-Encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter CF2-Encounter</b></p><a name="CF2-Encounter"> </a><a name="hcCF2-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>: Triaged</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode EMER</a>: emergency</p><p><b>period</b>: 2024-07-18 08:00:00+0800 --&gt; 2024-07-18 10:00:00+0800</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 109006}">Anxiety disorder of childhood OR adolescence</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition/Condition-1">Diabetes mellitus type 2</a></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Origin</b></td><td><b>Destination</b></td></tr><tr><td style="display: none">*</td><td><a href="Location/Location-General-Hospital-Room-101">General Hospital Room</a></td><td><a href="Location/Location-General-Hospital-Room-101">General Hospital Room</a></td></tr></table><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style="display: none">*</td><td><a href="Location/Location-General-Hospital-Room-101">General Hospital Room</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wa}">Ward</span></td></tr></table></div>
        </text>
        <status value="triaged"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="EMER"/>
          <display value="emergency"/>
        </class>
        <period>
          <start value="2024-07-18T08:00:00+08:00"/>
          <end value="2024-07-18T10:00:00+08:00"/>
        </period>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="109006"/>
            <display value="Anxiety disorder of childhood OR adolescence"/>
          </coding>
          <text value="Anxiety disorder of childhood OR adolescence"/>
        </reasonCode>
        <diagnosis>
          <condition>
            <reference value="Condition/Condition-1"/>
            <display value="Diabetes mellitus type 2"/>
          </condition>
        </diagnosis>
        <hospitalization>
          <origin>
            <reference value="Location/Location-General-Hospital-Room-101"/>
            <display value="General Hospital Room"/>
          </origin>
          <destination>
            <reference value="Location/Location-General-Hospital-Room-101"/>
            <display value="General Hospital Room"/>
          </destination>
        </hospitalization>
        <location>
          <location>
            <reference value="Location/Location-General-Hospital-Room-101"/>
            <display value="General Hospital Room"/>
          </location>
          <physicalType>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
              <code value="wa"/>
              <display value="Ward"/>
            </coding>
          </physicalType>
        </location>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:condition"/>
    <resource>
      <Condition>
        <id value="CF2-Condition"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_CF2-Condition"> </a><p class="res-header-id"><b>Generated Narrative: Condition CF2-Condition</b></p><a name="CF2-Condition"> </a><a name="hcCF2-Condition"> </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-Condition.html">PH Condition</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical 0}">Active</span></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 A00}">Cholera</span></p><p><b>subject</b>: <a href="Bundle-ClaimsForm2.html#Patient_CF2-Patient">CF2 Patient</a></p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="0"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10"/>
            <code value="A00"/>
            <display value="Cholera"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/CF2-Patient"/>
          <display value="CF2 Patient"/>
        </subject>
      </Condition>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Condition"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:procedure"/>
    <resource>
      <Procedure>
        <id value="CF2-Procedure"/>
        <meta>
          <profile
                   value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_CF2-Procedure"> </a><p class="res-header-id"><b>Generated Narrative: Procedure CF2-Procedure</b></p><a name="CF2-Procedure"> </a><a name="hcCF2-Procedure"> </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-Procedure.html">PH Procedure</a></p></div><p><b>status</b>: Preparation</p><p><b>code</b>: <span title="Codes:{https://nhdr.gov.ph/fhir/CodeSystem/RVSCodeCS 10060}">INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)</span></p><p><b>subject</b>: <a href="Bundle-ClaimsForm2.html#Patient_CF2-Patient">CF2 Patient</a></p><p><b>performed</b>: 2025-04-15 10:00:00+0000</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 108003}">Entire condylar emissary vein</span></p></div>
        </text>
        <status value="preparation"/>
        <code>
          <coding>
            <system value="https://nhdr.gov.ph/fhir/CodeSystem/RVSCodeCS"/>
            <code value="10060"/>
            <display
                     value="INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/CF2-Patient"/>
          <display value="CF2 Patient"/>
        </subject>
        <performedDateTime value="2025-04-15T10:00:00.000Z"/>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108003"/>
            <display value="Entire condylar emissary vein"/>
          </coding>
        </bodySite>
      </Procedure>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Procedure"/>
    </request>
  </entry>
</Bundle>