Untitled
PATIENT
{
"resourceType":"Patient",
"name":[
{
"family":"DelNorte", //Patient's last name
"given":[
"Socorro", //Patient's given name, separated per word
"Maria",
"Santos" //By default middle name is the last name in the array.
]
}
],
"telecom":[ //can have multiple entries, with different telecom types (PermanentMobile, CurrentMobile, PermanentPhone, CurrentPhone, PermanentEmail, CurrentEmail)
// see examples below
{
"system":"phone",
"value":"09507775854",
"extension":[
{
"url":"<http://xcrfg.cvo/fhir/StructureDefinition/telecomType>",
"valueString":"CurrentMobile"
}
]
},
{
"system":"email",
"value":"[email protected]",
"extension":[
{
"url":"<http://xcrfg.cvo/fhir/StructureDefinition/telecomType>",
"valueString":"CurrentEmail"
}
]
}
],
"gender":"female", //male or female
"birthDate":"1997-11-12", //YYYY-MM-DD
"address":[ //can have more than one entry, with different address types(Permanent, Current, Outside Philippines)
// see examples below
{
"line":[ //required to have at least one element
"Sierra Madre St"
],
"city":"Mandaluyong City", //required
"district":"NCR,Second District", //required
"state":"NCR", //required
"extension":[
{
"url":"<http://xcrfg.cvo/fhir/StructureDefinition/addressType>",
"valueString":"Permanent" //required
},
{
"url":"<http://xcrfg.cvo/fhir/StructureDefinition/Barangay>",
"valueString":"Anunas" //required
},
{
"url":"<http://xcrfg.cvo/fhir/StructureDefinition/PSGC>",
"valueInteger":141102040//required, integer, see link on PSGC Coding Rules above
},
{
"url":"<http://hl7.org/fhir/StructureDefinition/geolocation>",
"extension":[
{
"url":"latitude",
"valueDecimal":100.1 //required
},
{
"url":"longitude",
"valueDecimal":100.1 //required
}
]
}
]
}
],
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"code": "PHIC"
}
]
},
"value": "12345", //this will be the value of the Philhealth number
"assigner": {
"display": "Philhealth"
}
}
]
}
TRAVEL HISTORY
{
"resourceType": "QuestionnaireResponse",
"id": "Questionnaire/QTravelExposureHistory",
"subject": {
"reference": "Patient/pfc1c83k" //Patient's COVID Kaya ID
},
"contained": [ //no need to edit this. Contains mappings to codes and values for certain types of questionnaire responses
{
"resourceType": "ValueSet",
"id": "yesno",
"compose": {
"include": [
{
"concept": [
{
"code": "01",
"display": "Yes"
}
]
},
{
"concept": [
{
"code": "02",
"display": "No"
}
]
}
]
}
},
{
"resourceType": "ValueSet",
"id": "yesnounknown",
"compose": {
"include": [
{
"concept": [
{
"code": "01",
"display": "Yes"
}
]
},
{
"concept": [
{
"code": "02",
"display": "No"
}
]
},
{
"concept": [
{
"code": "03",
"display": "Unknown"
}
]
}
]
}
}
],
"name": "Travel & Exposure History",
"item": [ //only need to modify answer element, all other fields pertain to the questions.
{
"linkId": "1",
"definition": "<http://loinc.org/rdf#54126-8>",
"text": "Travel and Exposure History",
"type": "group",
"required": true,
"item": [
{
"linkId": "2.0",
"text": "CIF Other",
"type": "group",
"item": [
{
"linkId": "2.0.1",
"text": "Disease Reporting Unit/Hospital",
"type": "string",
"answer": [
{
"valueString": "Central New Hospital" //Disease Reporting Unit/Hospital
}
]
},
{
"linkId": "2.0.4",
"text": "History of travel/visit/work in other countries with a known COVID-19 transmission 14 days before the onset of your signs and symptoms",
"type": "choice",
"options": {
"reference": "#yesno"
},
"answer": [
{
"valueString": "01" //History of travel/visit/work in other countries with a known COVID-19 transmission 14 days before the onset of your signs and symptoms? 01 for Yes, 02 for No
}
]
},
{
"linkId": "2.0.5",
"text": "History of Exposure to Known COVID-19 Case 14 days before the onset of signs and symptoms",
"type": "choice",
"options": {
"reference": "#yesnounknown"
},
"answer": [
{
"valueString": "01" //History of Exposure to Known COVID-19 Case 14 days before the onset of signs and symptoms. 01 for yes, 02 for no, 03 for unknown
}
]
},
{
"linkId": "2.0.5",
"text": "Have you been in a place with a known COVID-19 transmission 14 days before the onset of signs and symptoms:",
"type": "choice",
"options": {
"reference": "#yesnounknown"
},
"answer": [
{
"valueString": "01" //Have you been in a place with a known COVID-19 transmission 14 days before the onset of signs and symptoms? 01 for yes, 02 for no, 03 for unknown
}
]
}
]
}
]
}
]
}
TREATMENT
{
"resourceType": "QuestionnaireResponse",
"id": "Questionnaire/QTreatment",
"subject": {
"reference": "Patient/pfc1c83k" //Patient's COVID Kaya ID
},
"contained": [ //no need to edit this. Contains mappings to codes and values for certain types of questionnaire responses
{
"resourceType": "ValueSet",
"id": "statusType",
"compose": {
"include": [
{
"concept": [
{
"code": "01",
"display": "Asymptomatic"
}
]
},
{
"concept": [
{
"code": "02",
"display": "Mild"
}
]
},
{
"concept": [
{
"code": "03",
"display": "Severe"
}
]
},
{
"concept": [
{
"code": "04",
"display": "Critical"
}
]
},
{
"concept": [
{
"code": "05",
"display": "Recovered"
}
]
},
{
"concept": [
{
"code": "06",
"display": "Died"
}
]
}
]
}
},
],
"name": "Treatment",
"item": [
{
"linkId": "1",
"text": "STATUS",
"type": "choice",
"options": {
"reference": "#statusType"
},
"answer": [
{
"valueString": "01" //Status Type. Choose from 01 for Asymptomatic, 02 for Mild, 03 for Severe, 04 for Critical, 05 for Recovered, 06 for Died
}
]
},
{
"linkId": "5",
"text": "DATE OF ADMISSION",
"type": "date",
"answer": [
{
"valueDate": "2020-05-05" //Date of admission
}
]
},
{
"linkId": "6",
"text": "REGION",
"type": "string",
"answer": [
{
"valueString": "CAR" //Region
}
]
},
{
"linkId": "7",
"text": "PROVINCE",
"type": "string",
"answer": [
{
"valueString": "Apayao" //Province
}
]
},
{
"linkId": "8",
"text": "CITY",
"type": "string",
"answer": [
{
"valueString": "Luna" //City
}
]
},
{
"linkId": "9",
"text": "FACILITY",
"type": "string",
"answer": [
{
"valueString": "FAR NORTH LUZON GENERAL HOSPITAL & TRAINING CENTER" //Facility
}
]
},
{
"linkId": "14",
"text": "PLACE OF QUARANTINE",
"type": "string",
"options": {
"reference": "#placeQuarantine"
},
"answer": [
{
"valueString": "01" //Place of quarantine. Choose from 01 for Home, 02 for Quarantine Facility, 03 for Non-Quarantine Health Facility
}
]
}
]
}
CLINICAL INFORMATION
{
"resourceType":"Bundle",
"entry":[
{
"resource":{
"resourceType":"QuestionnaireResponse",
"id": "Questionnaire/QClinicalInformation",
"subject": {
"reference": "Patient/pfc1c83k" //Patient's COVID Kaya ID
},
"name":"Clinical Information",
"item":[
{
"linkId":"CI01",
"text":"Date of Onset of Illness",
"type":"date",
"answer": [
{
"valueDate": "2008-01-17" //Date of Onset of Illness
}
]
}
]
}
}
]
}
OUTCOME
{
"resourceType":"QuestionnaireResponse",
"id":"Questionnaire/QOutcome",
"subject": {
"reference": "Patient/pfc1c83k" //Patient's COVID Kaya ID
},
"contained":[ //no need to edit this. Contains mappings to codes and values for certain types of questionnaire responses
{
"resourceType":"ValueSet",
"id":"outcomeOptions",
"compose":{
"include":[
{
"concept":[
{
"code":"01",
"display":"Improving"
}
]
},
{
"concept":[
{
"code":"02",
"display":"Recovered"
}
]
},
{
"concept":[
{
"code":"03",
"display":"Transferred"
}
]
},
{
"concept":[
{
"code":"04",
"display":"Lost to follow-up"
}
]
},
{
"concept":[
{
"code":"05",
"display":"Died"
}
]
}
]
}
}
],
"name":"Outcome",
"item":[
{
"linkId":"1",
"text":"Outcome",
"type":"choice",
"required":true,
"options":{
"reference":"#outcomeOptions"
},
"answer": [
{
"valueString": "01" //Code for outcome. Choose from 01 for Improving, 02 for Recovered, 03 for Transferred, 04 for Lost to follow-up, 05 for Died
}
]
},
{
"linkId":"2",
"text":"Date of Discharge",
"type":"date",
"answer": [
{
"valueDate": "2008-01-17" //Date of Discharge
}
]
},
{
"linkId":"3",
"text":"Date of death",
"type":"date",
"answer": [
{
"valueDate": "2008-01-17" //Date of death
}
]
},
{
"linkId":"5",
"text":"Cause of death",
"type":"string",
"answer": [
{
"valueString": "Breathlessness" //Cause of death
}
]
},
{
"linkId":"6",
"text":"Date Recovered",
"type":"date",
"answer": [
{
"valueDate": "2008-01-17" //Date Recovered
}
]
}
]
}
SPECIMEN INFORMATION