FHIR IG analytics| Package | PHCDI |
| Resource Type | Bundle |
| Id | Bundle-ClaimsForm2.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "ClaimsForm2",
"identifier": {
"system": "http://nhdr.gov.ph/fhir/ValueSet-form-type",
"value": "CF2"
},
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:patient",
"resource": {
"resourceType": "Patient",
"id": "CF2-Patient",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"
]
},
"text": {
"status": "generated",
"div": "<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>"
},
"name": [
{
"family": "Doe",
"given": [
"John",
"Harris"
],
"suffix": [
"Mr."
]
}
]
},
"request": {
"method": "POST",
"url": "Patient"
}
},
{
"fullUrl": "urn:uuid:organization",
"resource": {
"resourceType": "Organization",
"id": "CF2-Org",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"
]
},
"text": {
"status": "generated",
"div": "<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>"
},
"identifier": [
{
"type": {
"coding": [
{
"code": "AN"
}
],
"text": "PhilHealth Accreditation Number (PAN)"
},
"value": "AN199513893"
}
],
"name": "6th General Hospital",
"address": [
{
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123456",
"display": "Marikina City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"line": [
"137 Fourth Street"
],
"postalCode": "1110"
},
{
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123457",
"display": "Pasay City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"line": [
"125 Fordham"
],
"postalCode": "1101"
},
{
"extension": [
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/CityMunicipality",
"valueCoding": {
"code": "0123458",
"display": "Pasig City"
}
},
{
"url": "https://nhdr.gov.ph/fhir/StructureDefinition/Province",
"valueCoding": {
"code": "01234",
"display": "Metro Manila"
}
}
],
"line": [
"12 Riverdale Street"
],
"postalCode": "1102"
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
},
{
"fullUrl": "urn:uuid:questionnaireresponse",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "CF2-QuestionnaireResponse",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"
]
},
"text": {
"status": "generated",
"div": "<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>\r\n<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>\r\n<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>"
},
"status": "in-progress",
"item": [
{
"linkId": "Was Patient referred by another HCI? [Yes/No]",
"answer": [
{
"valueBoolean": true
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:encounter",
"resource": {
"resourceType": "Encounter",
"id": "CF2-Encounter",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"
]
},
"text": {
"status": "generated",
"div": "<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/7.0.1/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">ActCode: EMER</a> (emergency)</p><p><b>period</b>: 2024-07-18 08:00:00+0800 --> 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>"
},
"status": "triaged",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
},
"period": {
"start": "2024-07-18T08:00:00+08:00",
"end": "2024-07-18T10:00:00+08:00"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "109006",
"display": "Anxiety disorder of childhood OR adolescence"
}
],
"text": "Anxiety disorder of childhood OR adolescence"
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/Condition-1",
"display": "Diabetes mellitus type 2"
}
}
],
"hospitalization": {
"origin": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
},
"destination": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
}
},
"location": [
{
"location": {
"reference": "Location/Location-General-Hospital-Room-101",
"display": "General Hospital Room"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "wa",
"display": "Ward"
}
]
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:condition",
"resource": {
"resourceType": "Condition",
"id": "CF2-Condition",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition"
]
},
"text": {
"status": "generated",
"div": "<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>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "0",
"display": "Active"
}
],
"text": "Active"
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "A00",
"display": "Cholera"
}
]
},
"subject": {
"reference": "Patient/CF2-Patient",
"display": "CF2 Patient"
}
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:procedure",
"resource": {
"resourceType": "Procedure",
"id": "CF2-Procedure",
"meta": {
"profile": [
"https://nhdr.gov.ph/fhir/StructureDefinition/PH-Procedure"
]
},
"text": {
"status": "generated",
"div": "<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>"
},
"status": "preparation",
"code": {
"coding": [
{
"system": "https://nhdr.gov.ph/fhir/CodeSystem/RVSCodeCS",
"code": "10060",
"display": "INCISION AND DRAINAGE OF ABSCESS (E.G., CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA)"
}
]
},
"subject": {
"reference": "Patient/CF2-Patient",
"display": "CF2 Patient"
},
"performedDateTime": "2025-04-15T10:00:00.000Z",
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108003",
"display": "Entire condylar emissary vein"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}
]
}