anc-contact-transaction-ex
type: Bundle
node role: treeRoot
id:
  v: anc-contact-transaction-ex
type:
  v: transaction
timestamp:
  v: 2026-02-24T10:00:00+08:00
entry:
  request:
    method:
      v: POST
    url:
      v: Practitioner
      l: Practitioner
entry:
  request:
    method:
      v: POST
    url:
      v: PractitionerRole
      l: PractitionerRole
entry:
  request:
    method:
      v: POST
    url:
      v: Organization
      l: Organization
entry:
  request:
    method:
      v: POST
    url:
      v: Encounter
      l: Encounter
entry:
  request:
    method:
      v: POST
    url:
      v: Condition
      l: Condition
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: Observation
      l: Observation
entry:
  request:
    method:
      v: POST
    url:
      v: MedicationAdministration
      l: MedicationAdministration
entry:
  request:
    method:
      v: POST
    url:
      v: ServiceRequest
      l: ServiceRequest
entry:
  request:
    method:
      v: POST
    url:
      v: ServiceRequest
      l: ServiceRequest
entry:
  request:
    method:
      v: POST
    url:
      v: Task
      l: Task

urn:…
type: Practitioner
id:
  v: practitioner-jane-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-1
    display:
      v: REF-1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner practitioner-jane-ex Tag: REF-1 (Details: peref-dd code REF-1) name: Jane Dela Cruz
name:
  family:
    v: Dela Cruz
  given:
    v: Jane

urn:…
type: PractitionerRole
id:
  v: practitionerrole-jane-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-1
    display:
      v: REF-1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole practitionerrole-jane-ex Tag: REF-1 (Details: peref-dd code REF-1) practitioner: Practitioner Jane Dela Cruz organization: Organization Barangay Malusog Health Centre code: Nurse
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/practitioner-role
      l: practitioner-role
    code:
      v: nurse
    display:
      v: Nurse
  text:
    v: Nurse

urn:…
type: Organization
id:
  v: organization-receiving-facility-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-organization
    l: ph-core-organization
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-9
    display:
      v: REF-9
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-10
    display:
      v: REF-10
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization organization-receiving-facility-ex 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
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FI
  system:
    v: http://doh.gov.ph/fhir/Identifier/doh-nhfr-code
    l: doh-nhfr-code
  value:
    v: DOH000-OO-0-0000456
name:
  v: Metro Imaging Centre

urn:…
type: Encounter
id:
  v: encounter-anc-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-encounter
    l: ph-core-encounter
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-43
    display:
      v: REF-43
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter encounter-anc-ex Profile: PH Core Encounter Tag: REF-43 (Details: peref-dd code REF-43) status: Finished class: ActCode: AMB (ambulatory) type: First antenatal care contact subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) Participants - Individual * PractitionerRole Nurse period: 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800 reasonCode: Pregnant serviceProvider: Organization Barangay Malusog Health Centre
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
  display:
    v: ambulatory
type:
  coding: http://snomed.info/id/424619006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 424619006
    display:
      v: Prenatal initial visit
  text:
    v: First antenatal care contact
period:
  start:
    v: 2026-02-24T08:30:00+08:00
  end:
    v: 2026-02-24T10:00:00+08:00
reason code:
  coding: http://snomed.info/id/77386006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 77386006
    display:
      v: Pregnant

urn:…
type: Condition
id:
  v: condition-pregnancy-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-40
    display:
      v: REF-40
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-pregnancy-ex Tag: REF-40 (Details: peref-dd code REF-40) clinicalStatus: Active verificationStatus: Provisional code: Pregnant subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant onset: 2026-01-01 note: LMP approximately around the New Year holiday; gestational age estimated 12–15 weeks.
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: provisional
    display:
      v: Provisional
code:
  coding: http://snomed.info/id/77386006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 77386006
    display:
      v: Pregnant
onset: DateTime
  v: 2026-01-01
note:
  text:
    v: LMP approximately around the New Year holiday; gestational age estimated 12–15 weeks.

urn:…
type: Observation
id:
  v: observation-chief-complaint-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-30
    display:
      v: REF-30
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-chief-complaint-ex Profile: PH Core Observation Tag: REF-30 (Details: peref-dd code REF-30) status: Final category: Exam code: Chief complaint - Reported subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 value: Missed menstrual cycle and nausea
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: exam
    display:
      v: Exam
code:
  coding: https://loinc.org/rdf/10154-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10154-3
    display:
      v: Chief complaint - Reported
effective: DateTime
  v: 2026-02-24
value: String
  v: Missed menstrual cycle and nausea

urn:…
type: Observation
id:
  v: observation-blood-pressure-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  profile:
    v: http://hl7.org/fhir/StructureDefinition/bp
    l: bp
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-32
    display:
      v: REF-32
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-blood-pressure-ex 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 subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant 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]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/85354-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85354-9
    display:
      v: Blood pressure panel with all children optional
  text:
    v: Blood pressure systolic & diastolic
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
component:
  code:
    coding: https://loinc.org/rdf/8480-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8480-6
      display:
        v: Systolic blood pressure
  value: Quantity
    value:
      v: 110
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/8462-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8462-4
      display:
        v: Diastolic blood pressure
  value: Quantity
    value:
      v: 70
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]

urn:…
type: Observation
id:
  v: observation-heart-rate-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-33
    display:
      v: REF-33
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-heart-rate-ex Profiles: PH Core Observation, Vital Signs Profile Tag: REF-33 (Details: peref-dd code REF-33) status: Final category: Vital Signs code: Heart rate subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 09:00:00+0800 performer: Practitioner Jane Dela Cruz value: 78 beats/minute (Details: UCUM code/min = '/min')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/8867-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8867-4
    display:
      v: Heart rate
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
value: Quantity
  value:
    v: 78
  unit:
    v: beats/minute
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: /min

urn:…
type: Observation
id:
  v: observation-respiratory-rate-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-34
    display:
      v: REF-34
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-respiratory-rate-ex Profiles: PH Core Observation, Vital Signs Profile Tag: REF-34 (Details: peref-dd code REF-34) status: Final category: Vital Signs code: Respiratory rate subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 09:00:00+0800 performer: Practitioner Jane Dela Cruz value: 18 breaths/minute (Details: UCUM code/min = '/min')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/9279-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 9279-1
    display:
      v: Respiratory rate
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
value: Quantity
  value:
    v: 18
  unit:
    v: breaths/minute
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: /min

urn:…
type: Observation
id:
  v: observation-oxygen-saturation-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-35
    display:
      v: REF-35
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-oxygen-saturation-ex 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 subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 09:00:00+0800 performer: Practitioner Jane Dela Cruz value: 98 % (Details: UCUM code% = '%')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/59408-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 59408-5
    display:
      v: Oxygen saturation in Arterial blood by Pulse oximetry
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
value: Quantity
  value:
    v: 98
  unit:
    v: %
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %

urn:…
type: Observation
id:
  v: observation-temperature-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-36
    display:
      v: REF-36
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-temperature-ex Profiles: PH Core Observation, Vital Signs Profile Tag: REF-36 (Details: peref-dd code REF-36) status: Final category: Vital Signs code: Body temperature subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 09:00:00+0800 performer: Practitioner Jane Dela Cruz value: 36.8 °C (Details: UCUM codeCel = 'Cel')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/8310-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8310-5
    display:
      v: Body temperature
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
value: Quantity
  value:
    v: 36.8
  unit:
    v: °C
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: Cel

urn:…
type: Observation
id:
  v: observation-weight-ex
meta:
  profile:
    v: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation
    l: ph-core-observation
  profile:
    v: http://hl7.org/fhir/StructureDefinition/vitalsigns
    l: vitalsigns
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-37
    display:
      v: REF-37
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-weight-ex Profiles: PH Core Observation, Vital Signs Profile Tag: REF-37 (Details: peref-dd code REF-37) status: Final category: Vital Signs code: Body weight subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 09:00:00+0800 performer: Practitioner Jane Dela Cruz value: 55 kg (Details: UCUM codekg = 'kg')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/29463-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29463-7
    display:
      v: Body weight
effective: DateTime
  v: 2026-02-24T09:00:00+08:00
value: Quantity
  value:
    v: 55
  unit:
    v: kg
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: kg

urn:…
type: MedicationAdministration
id:
  v: medicationadministration-ifa-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-38
    display:
      v: REF-38
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration medicationadministration-ifa-ex Tag: REF-38 (Details: peref-dd code REF-38) status: Completed medication: Iron and Folic Acid (IFA) tablets subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) context: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant effective: 2026-02-24 Performers - Actor * Practitioner Jane Dela Cruz Dosages - Text Route * 1 tablet daily Oral route
status:
  v: completed
medication: CodeableConcept
  coding: http://snomed.info/id/74935002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 74935002
    display:
      v: Product containing iron and folic acid
  text:
    v: Iron and Folic Acid (IFA) tablets
effective: DateTime
  v: 2026-02-24
dosage:
  text:
    v: 1 tablet daily
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
      display:
        v: Oral route

urn:…
type: ServiceRequest
id:
  v: servicerequest-ultrasound-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-12
    display:
      v: REF-12
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-13
    display:
      v: REF-13
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-15
    display:
      v: REF-15
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-31
    display:
      v: REF-31
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest servicerequest-ultrasound-ex 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: Obstetric ultrasound to estimate gestational age subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant authoredOn: 2026-02-24 requester: PractitionerRole Nurse performer: Organization Metro Imaging Centre reasonReference: Condition Pregnant 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.
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/103693007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 103693007
    display:
      v: Diagnostic procedure
  text:
    v: Diagnostics
priority:
  v: routine
code:
  coding: http://snomed.info/id/268445003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 268445003
    display:
      v: Ultrasound scan - Loss of pregnancy
  text:
    v: Obstetric ultrasound to estimate gestational age
authored on:
  v: 2026-02-24
note:
  text:
    v: 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.

urn:…
type: ServiceRequest
id:
  v: servicerequest-lab-orders-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-39
    display:
      v: REF-39
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest servicerequest-lab-orders-ex Tag: REF-39 (Details: peref-dd code REF-39) status: Active intent: Order category: Laboratory priority: Routine code: Diabetes screen, Hepatitis B surface antigen, HIV test subject: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant authoredOn: 2026-02-24 requester: PractitionerRole Nurse reasonReference: Condition Pregnant note: Ordered during first ANC contact: diabetes screening, hepatitis B, HIV.
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/108252007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 108252007
    display:
      v: Laboratory procedure
  text:
    v: Laboratory
priority:
  v: routine
code:
  coding: http://snomed.info/id/15220000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 15220000
    display:
      v: Laboratory test
  text:
    v: Diabetes screen, Hepatitis B surface antigen, HIV test
authored on:
  v: 2026-02-24
note:
  text:
    v: Ordered during first ANC contact: diabetes screening, hepatitis B, HIV.

urn:…
type: Task
id:
  v: task-referral-ex
meta:
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-16
    display:
      v: REF-16
  tag:
    system:
      v: https://example.com/peref-dd
      l: peref-dd
    code:
      v: REF-42
    display:
      v: REF-42
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Task task-referral-ex 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 for: Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2) encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Prenatal initial visit; period = 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800; reasonCode = Pregnant authoredOn: 2026-02-24 requester: PractitionerRole Nurse owner: Organization Metro Imaging Centre
status:
  v: requested
business status:
  coding:
    system:
      v: https://example.com/peref/CodeSystem/referral-disposition
      l: referral-disposition
    code:
      v: requested
    display:
      v: Requested
intent:
  v: order
authored on:
  v: 2026-02-24