PH eReferral Implementation Guide
0.3.0-draft - draft
Philippines
PH eReferral Implementation Guide - Local Development build (v0.3.0-draft) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Bundle anc-contact-transaction-ex of type transaction
Entry 1 - fullUrl = urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c
Resource Practitioner:
Tag: REF-1 (Details: peref-dd code REF-1)
name: Jane Dela Cruz
Request:
POST Practitioner
Entry 2 - fullUrl = urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d
Resource PractitionerRole:
Tag: REF-1 (Details: peref-dd code REF-1)
practitioner: Practitioner Jane Dela Cruz
organization: Organization Barangay Malusog Health Centre
code: Nurse
Request:
POST PractitionerRole
Entry 3 - fullUrl = urn:uuid:1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed
Resource Organization:
Profile: PH Core Organization
Tags: REF-9 (Details: peref-dd code REF-9), REF-10 (Details: peref-dd code REF-10)
identifier: Facility ID/DOH000-OO-0-0000456 (use: official, )
name: Metro Imaging Centre
Request:
POST Organization
Entry 4 - fullUrl = urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901
Resource Encounter:
Profile: PH Core Encounter
Tag: REF-43 (Details: peref-dd code REF-43)
status: completed
class: ambulatory
type: First antenatal care contact
serviceProvider: Organization Barangay Malusog Health Centre
participant
Request:
POST Encounter
Entry 5 - fullUrl = urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012
Resource Condition:
Tag: REF-40 (Details: peref-dd code REF-40)
clinicalStatus: Active
verificationStatus: Provisional
code: Pregnant
onset: 2026-01-01
note:
LMP approximately around the New Year holiday; gestational age estimated 12–15 weeks.
Request:
POST Condition
Entry 6 - fullUrl = urn:uuid:d4e5f6a7-b8c9-0123-defa-234567890123
Resource Observation:
Profile: PH Core Observation
Tag: REF-30 (Details: peref-dd code REF-30)
status: Final
category: Exam
code: Chief complaint - Reported
effective: 2026-02-24
value: Missed menstrual cycle and nausea
Request:
POST Observation
Entry 7 - fullUrl = urn:uuid:e5f6a7b8-c9d0-1234-efab-345678901234
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile, Observation Blood Pressure Profile
Tag: REF-32 (Details: peref-dd code REF-32)
status: Final
category: Vital Signs
code: Blood pressure systolic & diastolic
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
component
code: Systolic blood pressure
value: 110 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 70 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Request:
POST Observation
Entry 8 - fullUrl = urn:uuid:f6a7b8c9-d0e1-2345-fabc-456789012345
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile
Tag: REF-33 (Details: peref-dd code REF-33)
status: Final
category: Vital Signs
code: Heart rate
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
value: 78 beats/minute (Details: UCUM code/min = '/min')
Request:
POST Observation
Entry 9 - fullUrl = urn:uuid:a7b8c9d0-e1f2-3456-abcd-567890123456
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile
Tag: REF-34 (Details: peref-dd code REF-34)
status: Final
category: Vital Signs
code: Respiratory rate
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
value: 18 breaths/minute (Details: UCUM code/min = '/min')
Request:
POST Observation
Entry 10 - fullUrl = urn:uuid:b8c9d0e1-f2a3-4567-bcde-678901234567
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile
Tag: REF-35 (Details: peref-dd code REF-35)
status: Final
category: Vital Signs
code: Oxygen saturation in Arterial blood by Pulse oximetry
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
value: 98 % (Details: UCUM code% = '%')
Request:
POST Observation
Entry 11 - fullUrl = urn:uuid:c9d0e1f2-a3b4-5678-cdef-789012345678
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile
Tag: REF-36 (Details: peref-dd code REF-36)
status: Final
category: Vital Signs
code: Body temperature
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
value: 36.8 °C (Details: UCUM codeCel = 'Cel')
Request:
POST Observation
Entry 12 - fullUrl = urn:uuid:d0e1f2a3-b4c5-6789-defa-890123456789
Resource Observation:
Profiles: PH Core Observation, Vital Signs Profile
Tag: REF-37 (Details: peref-dd code REF-37)
status: Final
category: Vital Signs
code: Body weight
effective: 2026-02-24 09:00:00+0800
performer: Practitioner Jane Dela Cruz
value: 55 kg (Details: UCUM codekg = 'kg')
Request:
POST Observation
Entry 13 - fullUrl = urn:uuid:e1f2a3b4-c5d6-7890-efab-901234567890
Resource MedicationAdministration:
Tag: REF-38 (Details: peref-dd code REF-38)
status: completed
Performers
Actor No display for MedicationAdministration.performer.actor (reference: ->Practitioner Jane Dela Cruz ) Dosages
Text Route 1 tablet daily Oral route
Request:
POST MedicationAdministration
Entry 14 - fullUrl = urn:uuid:f2a3b4c5-d6e7-8901-fabc-012345678901
Resource ServiceRequest:
Tags: REF-12 (Details: peref-dd code REF-12), REF-13 (Details: peref-dd code REF-13), REF-15 (Details: peref-dd code REF-15), REF-31 (Details: peref-dd code REF-31)
status: Active
intent: Order
category: Diagnostics
priority: Routine
code: No display for ServiceRequest.code (concept: Ultrasound scan - Loss of pregnancy)
authoredOn: 2026-02-24
requester: PractitionerRole Nurse
performer: Organization Metro Imaging Centre
note:
First ANC contact. LMP approximately New Year 2026; gestational age estimated 12–15 weeks. Ultrasound needed before 24 weeks to confirm dates and due date.
Request:
POST ServiceRequest
Entry 15 - fullUrl = urn:uuid:a3b4c5d6-e7f8-9012-abcd-123456789012
Resource ServiceRequest:
Tag: REF-39 (Details: peref-dd code REF-39)
status: Active
intent: Order
category: Laboratory
priority: Routine
code: No display for ServiceRequest.code (concept: Laboratory test)
authoredOn: 2026-02-24
requester: PractitionerRole Nurse
note:
Ordered during first ANC contact: diabetes screening, hepatitis B, HIV.
Request:
POST ServiceRequest
Entry 16 - fullUrl = urn:uuid:b4c5d6e7-f8a9-0123-bcde-234567890123
Resource Task:
Tags: REF-16 (Details: peref-dd code REF-16), REF-42 (Details: peref-dd code REF-42)
status: Requested
businessStatus: Requested
intent: Order
focus: ServiceRequest Ultrasound scan - Loss of pregnancy
authoredOn: 2026-02-24
requester: PractitionerRole Nurse
Request:
POST Task