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

Example Bundle: Test-Bundle

Bundle Test-Bundle of type transaction


Entry 1 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440000

Resource Patient:

Antonio Jerome Morales Manipol (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)


Employer:

Request:

POST Patient

Entry 2 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440001

Resource RelatedPerson:

Lorna Mae Santos Bautista (PhilHealth Identification Number: PH54321)


Date of Birth:1971-02
Patient:Antonio Jerome Morales Manipol (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)
Contact Detail

Request:

POST RelatedPerson

Entry 3 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440002

Resource Organization:

PhilHealth (PhilHealth Employer Number (PEN): EN15243)


Contact Detail
  • ph: 080-00-00

Request:

POST Organization

Entry 4 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440003

Resource Questionnaire:

LinkIDTextCardinalityTypeDescription & Constraintsdoco
Questionnaire
1Patient is the member?0..1boolean

doco Documentation for this format

Request:

POST Questionnaire

Entry 5 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440004

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
questionnaireresponse-3Questionnaire:None specified
questionnaireresponse-3 / 1Patient is the member?false

doco Documentation for this format

Request:

POST QuestionnaireResponse

Entry 6 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440005

Resource Coverage:

status: Active

beneficiary: Antonio Jerome Morales Manipol (no stated gender), DoB: 1994-02-25 ( PhilHealth Identification Number: PH12345)

Request:

POST Coverage

Entry 7 - fullUrl = urn:uuid:550e8400-e29b-41d4-a716-446655440006

Resource Claim:

status: Active

type: Vision

use: Claim

created: 2025-07-03

provider: PhilHealth (PhilHealth Employer Number (PEN): EN15243)

priority: Normal

Payees

-TypeParty
*ProviderPhilHealth (PhilHealth Employer Number (PEN): EN15243)

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active

Request:

POST Claim