PH eReferral Implementation Guide, published by SILab CoP IG Accelerator (eReferral). 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/jldalisay95/ph-ereferral-jld/ and changes regularly. See the Directory of published versions

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• XML
• JSON
• TTL

: ERefPatient Example - Juan Dela Cruz

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<Patient xmlns="http://hl7.org/fhir">
  <id value="ERefPatientExample"/>
  <meta>
    <profile
             value="urn://example.com/ph-ereferral/fhir/StructureDefinition/ereferral-patient"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Juan Dela Cruz is a male patient born on 15 June 1985, residing in Barangay Malinis, Quezon City, NCR, Philippines. Contact: +639171234567. PWD ID: PWD-NCR-QC-123456 (expires 2027-03-15). Father contact: Roberto Dela Cruz.</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
    <extension url="code">
      <valueCodeableConcept>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="PH"/>
          <display value="Philippines"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-religion">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"/>
        <code value="1025"/>
        <display value="Jehovah's Witnesses"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="https://fhir.doh.gov.ph/phcore/StructureDefinition/race">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-Race"/>
        <code value="2036-2"/>
        <display value="Filipino"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="urn://example.com/ph-ereferral/fhir/StructureDefinition/ereferral-pwd-disability">
    <extension url="pwdId">
      <valueString value="PWD-NCR-QC-123456"/>
    </extension>
    <extension url="disabilityType">
      <valueCodeableConcept>
        <coding>
          <system
                  value="urn://example.com/ph-ereferral/fhir/CodeSystem/pwd-disability-type-cs"/>
          <code value="physical"/>
          <display value="Physical/Orthopedic Disability"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="idExpirationDate">
      <valueDate value="2027-03-15"/>
    </extension>
  </extension>
  <identifier>
    <system value="http://philhealth.gov.ph/fhir/Identifier/philhealth-id"/>
    <value value="63-584789845-5"/>
  </identifier>
  <identifier>
    <system value="http://philsys.gov.ph/fhir/Identifier/philsys-id"/>
    <value value="1234-5678-9012-3456"/>
  </identifier>
  <active value="true"/>
  <name>
    <use value="official"/>
    <family value="Dela Cruz"/>
    <given value="Juan"/>
    <given value="Dela Fuente"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="+639171234567"/>
    <use value="mobile"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="juandelacruz@example.com"/>
    <use value="home"/>
  </telecom>
  <gender value="male"/>
  <birthDate value="1985-06-15"/>
  <address>
    <extension
               url="https://fhir.doh.gov.ph/phcore/StructureDefinition/barangay">
      <valueCoding>
        <system value="https://psa.gov.ph/classification/psgc"/>
        <code value="1380100001"/>
        <display value="Barangay 1"/>
      </valueCoding>
    </extension>
    <extension
               url="https://fhir.doh.gov.ph/phcore/StructureDefinition/city-municipality">
      <valueCoding>
        <system value="https://psa.gov.ph/classification/psgc"/>
        <code value="1380200000"/>
        <display value="City of Las Piñas"/>
      </valueCoding>
    </extension>
    <extension
               url="https://fhir.doh.gov.ph/phcore/StructureDefinition/province">
      <valueCoding>
        <system value="https://psa.gov.ph/classification/psgc"/>
        <code value="0402100000"/>
        <display value="Cavite"/>
      </valueCoding>
    </extension>
    <use value="home"/>
    <type value="physical"/>
    <line value="123 Mabini Street"/>
    <postalCode value="1100"/>
    <country value="PH"/>
  </address>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="FTH"/>
        <display value="Father"/>
      </coding>
    </relationship>
    <name>
      <use value="official"/>
      <family value="Dela Cruz"/>
      <given value="Roberto"/>
    </name>
    <telecom>
      <system value="phone"/>
      <value value="+639189876543"/>
      <use value="mobile"/>
    </telecom>
  </contact>
</Patient>