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

Claims Form 3

This is a sample representation of the Use Case implementation guide for Claims Form 3


Implementation Rules

  • name.given is an array that captures the first name and middle name.
    1. name.given[0] is used to capture a person's first name.
    2. name.given[1] is used to capture a person's middle name.

Questionnaire Fields in CF3:

    {
        "resourceType": "Questionnaire",
        "id": "CF3-Questionnaire",
        "meta": {
            "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"
            ]
        },
        "item": [
            {
                "linkId": "1",
                "text": "6. Orientation to MCP/Availment of Benefits (Yes/No)",
                "type": "boolean"
            },
            {
                "linkId": "2",
                "text": "13. Perineal wound care (done)",
                "type": "boolean"
            },
            {
                "linkId": "3",
                "text": "13. Perineal wound care (Remarks)",
                "type": "string"
            },
            {
                "linkId": "4",
                "text": "14. Signs of Maternal Postpartum Complications (done)",
                "type": "boolean"
            },
            {
                "linkId": "5",
                "text": "14. Signs of Maternal Postpartum Complications (Remarks)",
                "type": "string"
            },
            {
                "linkId": "6",
                "text": "15. Counselling and Education (Breastfeeding and Nutrition) (done)",
                "type": "boolean"
            },
            {
                "linkId": "7",
                "text": "15. Counselling and Education (Breastfeeding and Nutrition) (Remarks)",
                "type": "string"
            },
            {
                "linkId": "8",
                "text": "15. Counselling and Education (Family Planning) (done)",
                "type": "boolean"
            },
            {
                "linkId": "9",
                "text": "15. Counselling and Education (Family Planning) (Remarks)",
                "type": "string"
            },
            {
                "linkId": "10",
                "text": "16. Provided family planning service to patient (as requested by patient) (done)",
                "type": "boolean"
            },
            {
                "linkId": "11",
                "text": "16. Provided family planning service to patient (as requested by patient) (Remarks)",
                "type": "string"
            },
            {
                "linkId": "12",
                "text": "17. Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) (done)",
                "type": "boolean"
            },
            {
                "linkId": "13",
                "text": "17. Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) (Remarks)",
                "type": "string"
            },
            {
                "linkId": "14",
                "text": "18. Schedule the next postpartum follow-up (done)",
                "type": "boolean"
            },
            {
                "linkId": "15",
                "text": "18. Schedule the next postpartum follow-up (Remarks)",
                "type": "string"
            }
        ],
        "status": "active"
    }