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 xmlns="http://hl7.org/fhir">
<id value="anc-contact-transaction-ex"/>
<type value="transaction"/>
<timestamp value="2026-02-24T10:00:00+08:00"/>
<entry>
<fullUrl value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
<resource>
<Practitioner>
<id value="practitioner-jane-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-1"/>
<display value="REF-1"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_practitioner-jane-ex"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner practitioner-jane-ex</b></p><a name="practitioner-jane-ex"> </a><a name="hcpractitioner-jane-ex"> </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">Tag: REF-1 (Details: peref-dd code REF-1)</p></div><p><b>name</b>: Jane Dela Cruz </p></div>
</text>
<name>
<family value="Dela Cruz"/>
<given value="Jane"/>
</name>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d"/>
<resource>
<PractitionerRole>
<id value="practitionerrole-jane-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-1"/>
<display value="REF-1"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_practitionerrole-jane-ex"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole practitionerrole-jane-ex</b></p><a name="practitionerrole-jane-ex"> </a><a name="hcpractitionerrole-jane-ex"> </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">Tag: REF-1 (Details: peref-dd code REF-1)</p></div><p><b>practitioner</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>organization</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-7c9e6679-7425-40de-944b-e07fc1f90ae7">Organization Barangay Malusog Health Centre</a></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/practitioner-role nurse}">Nurse</span></p></div>
</text>
<practitioner>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</practitioner>
<organization>
<reference value="urn:uuid:7c9e6679-7425-40de-944b-e07fc1f90ae7"/>
</organization>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/practitioner-role"/>
<code value="nurse"/>
<display value="Nurse"/>
</coding>
<text value="Nurse"/>
</code>
</PractitionerRole>
</resource>
<request>
<method value="POST"/>
<url value="PractitionerRole"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed"/>
<resource>
<Organization>
<id value="organization-receiving-facility-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-organization"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-9"/>
<display value="REF-9"/>
</tag>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-10"/>
<display value="REF-10"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_organization-receiving-facility-ex"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization-receiving-facility-ex</b></p><a name="organization-receiving-facility-ex"> </a><a name="hcorganization-receiving-facility-ex"> </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="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-organization.html">PH Core Organization</a></p><p style="margin-bottom: 0px">Tags: REF-9 (Details: peref-dd code REF-9), REF-10 (Details: peref-dd code REF-10)</p></div><p><b>identifier</b>: Facility ID/DOH000-OO-0-0000456 (use: official, )</p><p><b>name</b>: Metro Imaging Centre</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FI"/>
</coding>
</type>
<system value="http://doh.gov.ph/fhir/Identifier/doh-nhfr-code"/>
<value value="DOH000-OO-0-0000456"/>
</identifier>
<name value="Metro Imaging Centre"/>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
<resource>
<Encounter>
<id value="encounter-anc-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-encounter"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-43"/>
<display value="REF-43"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-anc-ex"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-anc-ex</b></p><a name="encounter-anc-ex"> </a><a name="hcencounter-anc-ex"> </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="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-encounter.html">PH Core Encounter</a></p><p style="margin-bottom: 0px">Tag: REF-43 (Details: peref-dd code REF-43)</p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.0.1/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 424619006}">First antenatal care contact</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d">PractitionerRole Nurse</a></td></tr></table><p><b>period</b>: 2026-02-24 08:30:00+0800 --> 2026-02-24 10:00:00+0800</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 77386006}">Pregnant</span></p><p><b>serviceProvider</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-7c9e6679-7425-40de-944b-e07fc1f90ae7">Organization Barangay Malusog Health Centre</a></p></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="424619006"/>
<display value="Prenatal initial visit"/>
</coding>
<text value="First antenatal care contact"/>
</type>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<participant>
<individual>
<reference value="urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d"/>
</individual>
</participant>
<period>
<start value="2026-02-24T08:30:00+08:00"/>
<end value="2026-02-24T10:00:00+08:00"/>
</period>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77386006"/>
<display value="Pregnant"/>
</coding>
</reasonCode>
<serviceProvider>
<reference value="urn:uuid:7c9e6679-7425-40de-944b-e07fc1f90ae7"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012"/>
<resource>
<Condition>
<id value="condition-pregnancy-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-40"/>
<display value="REF-40"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condition-pregnancy-ex"> </a><p class="res-header-id"><b>Generated Narrative: Condition condition-pregnancy-ex</b></p><a name="condition-pregnancy-ex"> </a><a name="hccondition-pregnancy-ex"> </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">Tag: REF-40 (Details: peref-dd code REF-40)</p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 77386006}">Pregnant</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>onset</b>: 2026-01-01</p><p><b>note</b>: </p><blockquote><div><p>LMP approximately around the New Year holiday; gestational age estimated 12–15 weeks.</p>
</div></blockquote></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="provisional"/>
<display value="Provisional"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77386006"/>
<display value="Pregnant"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<onsetDateTime value="2026-01-01"/>
<note>
<text
value="LMP approximately around the New Year holiday; gestational age estimated 12–15 weeks."/>
</note>
</Condition>
</resource>
<request>
<method value="POST"/>
<url value="Condition"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:d4e5f6a7-b8c9-0123-defa-234567890123"/>
<resource>
<Observation>
<id value="observation-chief-complaint-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-30"/>
<display value="REF-30"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-chief-complaint-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-chief-complaint-ex</b></p><a name="observation-chief-complaint-ex"> </a><a name="hcobservation-chief-complaint-ex"> </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="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a></p><p style="margin-bottom: 0px">Tag: REF-30 (Details: peref-dd code REF-30)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 10154-3}">Chief complaint - Reported</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24</p><p><b>value</b>: Missed menstrual cycle and nausea</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
<display value="Exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10154-3"/>
<display value="Chief complaint - Reported"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24"/>
<valueString value="Missed menstrual cycle and nausea"/>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:e5f6a7b8-c9d0-1234-efab-345678901234"/>
<resource>
<Observation>
<id value="observation-blood-pressure-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<profile value="http://hl7.org/fhir/StructureDefinition/bp"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-32"/>
<display value="REF-32"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-blood-pressure-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-blood-pressure-ex</b></p><a name="observation-blood-pressure-ex"> </a><a name="hcobservation-blood-pressure-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a>, <a href="http://hl7.org/fhir/R4/bp.html">Observation Blood Pressure Profile</a></p><p style="margin-bottom: 0px">Tag: REF-32 (Details: peref-dd code REF-32)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 85354-9}">Blood pressure systolic & diastolic</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">Systolic blood pressure</span></p><p><b>value</b>: 110 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic blood pressure</span></p><p><b>value</b>: 70 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
<display value="Blood pressure panel with all children optional"/>
</coding>
<text value="Blood pressure systolic & diastolic"/>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="110"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="70"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:f6a7b8c9-d0e1-2345-fabc-456789012345"/>
<resource>
<Observation>
<id value="observation-heart-rate-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-33"/>
<display value="REF-33"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-heart-rate-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-heart-rate-ex</b></p><a name="observation-heart-rate-ex"> </a><a name="hcobservation-heart-rate-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p><p style="margin-bottom: 0px">Tag: REF-33 (Details: peref-dd code REF-33)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}">Heart rate</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>value</b>: 78 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8867-4"/>
<display value="Heart rate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<valueQuantity>
<value value="78"/>
<unit value="beats/minute"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:a7b8c9d0-e1f2-3456-abcd-567890123456"/>
<resource>
<Observation>
<id value="observation-respiratory-rate-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-34"/>
<display value="REF-34"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-respiratory-rate-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-respiratory-rate-ex</b></p><a name="observation-respiratory-rate-ex"> </a><a name="hcobservation-respiratory-rate-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p><p style="margin-bottom: 0px">Tag: REF-34 (Details: peref-dd code REF-34)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 9279-1}">Respiratory rate</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>value</b>: 18 breaths/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="9279-1"/>
<display value="Respiratory rate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<valueQuantity>
<value value="18"/>
<unit value="breaths/minute"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b8c9d0e1-f2a3-4567-bcde-678901234567"/>
<resource>
<Observation>
<id value="observation-oxygen-saturation-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-35"/>
<display value="REF-35"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-oxygen-saturation-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-oxygen-saturation-ex</b></p><a name="observation-oxygen-saturation-ex"> </a><a name="hcobservation-oxygen-saturation-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p><p style="margin-bottom: 0px">Tag: REF-35 (Details: peref-dd code REF-35)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 59408-5}">Oxygen saturation in Arterial blood by Pulse oximetry</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>value</b>: 98 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="59408-5"/>
<display
value="Oxygen saturation in Arterial blood by Pulse oximetry"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<valueQuantity>
<value value="98"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:c9d0e1f2-a3b4-5678-cdef-789012345678"/>
<resource>
<Observation>
<id value="observation-temperature-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-36"/>
<display value="REF-36"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-temperature-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-temperature-ex</b></p><a name="observation-temperature-ex"> </a><a name="hcobservation-temperature-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p><p style="margin-bottom: 0px">Tag: REF-36 (Details: peref-dd code REF-36)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8310-5}">Body temperature</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>value</b>: 36.8 °C<span style="background: LightGoldenRodYellow"> (Details: UCUM codeCel = 'Cel')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Body temperature"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<valueQuantity>
<value value="36.8"/>
<unit value="°C"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:d0e1f2a3-b4c5-6789-defa-890123456789"/>
<resource>
<Observation>
<id value="observation-weight-ex"/>
<meta>
<profile
value="http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-37"/>
<display value="REF-37"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-weight-ex"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-weight-ex</b></p><a name="observation-weight-ex"> </a><a name="hcobservation-weight-ex"> </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">Profiles: <a href="https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition-ph-core-observation.html">PH Core Observation</a>, <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p><p style="margin-bottom: 0px">Tag: REF-37 (Details: peref-dd code REF-37)</p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}">Body weight</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24 09:00:00+0800</p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></p><p><b>value</b>: 55 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg = 'kg')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<effectiveDateTime value="2026-02-24T09:00:00+08:00"/>
<performer>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</performer>
<valueQuantity>
<value value="55"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:e1f2a3b4-c5d6-7890-efab-901234567890"/>
<resource>
<MedicationAdministration>
<id value="medicationadministration-ifa-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-38"/>
<display value="REF-38"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_medicationadministration-ifa-ex"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration medicationadministration-ifa-ex</b></p><a name="medicationadministration-ifa-ex"> </a><a name="hcmedicationadministration-ifa-ex"> </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">Tag: REF-38 (Details: peref-dd code REF-38)</p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 74935002}">Iron and Folic Acid (IFA) tablets</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>context</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>effective</b>: 2026-02-24</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c">Practitioner Jane Dela Cruz </a></td></tr></table><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td>1 tablet daily</td><td><span title="Codes:{http://snomed.info/sct 26643006}">Oral route</span></td></tr></table></div>
</text>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="74935002"/>
<display value="Product containing iron and folic acid"/>
</coding>
<text value="Iron and Folic Acid (IFA) tablets"/>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<context>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</context>
<effectiveDateTime value="2026-02-24"/>
<performer>
<actor>
<reference value="urn:uuid:4e8f6b0c-5a7d-6c3e-1b0f-9d8a7f6e5d4c"/>
</actor>
</performer>
<dosage>
<text value="1 tablet daily"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route"/>
</coding>
</route>
</dosage>
</MedicationAdministration>
</resource>
<request>
<method value="POST"/>
<url value="MedicationAdministration"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:f2a3b4c5-d6e7-8901-fabc-012345678901"/>
<resource>
<ServiceRequest>
<id value="servicerequest-ultrasound-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-12"/>
<display value="REF-12"/>
</tag>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-13"/>
<display value="REF-13"/>
</tag>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-15"/>
<display value="REF-15"/>
</tag>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-31"/>
<display value="REF-31"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-ultrasound-ex"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-ultrasound-ex</b></p><a name="servicerequest-ultrasound-ex"> </a><a name="hcservicerequest-ultrasound-ex"> </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">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)</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 103693007}">Diagnostics</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 268445003}">Obstetric ultrasound to estimate gestational age</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>authoredOn</b>: 2026-02-24</p><p><b>requester</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d">PractitionerRole Nurse</a></p><p><b>performer</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed">Organization Metro Imaging Centre</a></p><p><b>reasonReference</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-c3d4e5f6-a7b8-9012-cdef-123456789012">Condition Pregnant</a></p><p><b>note</b>: </p><blockquote><div><p>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.</p>
</div></blockquote></div>
</text>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103693007"/>
<display value="Diagnostic procedure"/>
</coding>
<text value="Diagnostics"/>
</category>
<priority value="routine"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="268445003"/>
<display value="Ultrasound scan - Loss of pregnancy"/>
</coding>
<text value="Obstetric ultrasound to estimate gestational age"/>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<authoredOn value="2026-02-24"/>
<requester>
<reference value="urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d"/>
</requester>
<performer>
<reference value="urn:uuid:1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed"/>
</performer>
<reasonReference>
<reference value="urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012"/>
</reasonReference>
<note>
<text
value="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."/>
</note>
</ServiceRequest>
</resource>
<request>
<method value="POST"/>
<url value="ServiceRequest"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:a3b4c5d6-e7f8-9012-abcd-123456789012"/>
<resource>
<ServiceRequest>
<id value="servicerequest-lab-orders-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-39"/>
<display value="REF-39"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_servicerequest-lab-orders-ex"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest servicerequest-lab-orders-ex</b></p><a name="servicerequest-lab-orders-ex"> </a><a name="hcservicerequest-lab-orders-ex"> </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">Tag: REF-39 (Details: peref-dd code REF-39)</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 108252007}">Laboratory</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 15220000}">Diabetes screen, Hepatitis B surface antigen, HIV test</span></p><p><b>subject</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>authoredOn</b>: 2026-02-24</p><p><b>requester</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d">PractitionerRole Nurse</a></p><p><b>reasonReference</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-c3d4e5f6-a7b8-9012-cdef-123456789012">Condition Pregnant</a></p><p><b>note</b>: </p><blockquote><div><p>Ordered during first ANC contact: diabetes screening, hepatitis B, HIV.</p>
</div></blockquote></div>
</text>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108252007"/>
<display value="Laboratory procedure"/>
</coding>
<text value="Laboratory"/>
</category>
<priority value="routine"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="15220000"/>
<display value="Laboratory test"/>
</coding>
<text
value="Diabetes screen, Hepatitis B surface antigen, HIV test"/>
</code>
<subject>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</subject>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<authoredOn value="2026-02-24"/>
<requester>
<reference value="urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d"/>
</requester>
<reasonReference>
<reference value="urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012"/>
</reasonReference>
<note>
<text
value="Ordered during first ANC contact: diabetes screening, hepatitis B, HIV."/>
</note>
</ServiceRequest>
</resource>
<request>
<method value="POST"/>
<url value="ServiceRequest"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b4c5d6e7-f8a9-0123-bcde-234567890123"/>
<resource>
<Task>
<id value="task-referral-ex"/>
<meta>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-16"/>
<display value="REF-16"/>
</tag>
<tag>
<system value="https://example.com/peref-dd"/>
<code value="REF-42"/>
<display value="REF-42"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Task_task-referral-ex"> </a><p class="res-header-id"><b>Generated Narrative: Task task-referral-ex</b></p><a name="task-referral-ex"> </a><a name="hctask-referral-ex"> </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">Tags: REF-16 (Details: peref-dd code REF-16), REF-42 (Details: peref-dd code REF-42)</p></div><p><b>status</b>: Requested</p><p><b>businessStatus</b>: <span title="Codes:{https://example.com/peref/CodeSystem/referral-disposition requested}">Requested</span></p><p><b>intent</b>: order</p><p><b>focus</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-f2a3b4c5-d6e7-8901-fabc-012345678901">ServiceRequest Ultrasound scan - Loss of pregnancy</a></p><p><b>for</b>: <a href="Bundle-registration-transaction-ex.html#urn-uuid-f47ac10b-58cc-4372-a567-0e02b2c3d479">Charity Santos (official) Female, DoB: 2001-08-15 ( http://doh.gov.ph/fhir/ph-core/NamingSystem/philsys-id-ns#1234-5678901-2)</a></p><p><b>encounter</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-b2c3d4e5-f6a7-8901-bcde-f12345678901">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</a></p><p><b>authoredOn</b>: 2026-02-24</p><p><b>requester</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d">PractitionerRole Nurse</a></p><p><b>owner</b>: <a href="Bundle-anc-contact-transaction-ex.html#urn-uuid-1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed">Organization Metro Imaging Centre</a></p></div>
</text>
<status value="requested"/>
<businessStatus>
<coding>
<system
value="https://example.com/peref/CodeSystem/referral-disposition"/>
<code value="requested"/>
<display value="Requested"/>
</coding>
</businessStatus>
<intent value="order"/>
<focus>
<reference value="urn:uuid:f2a3b4c5-d6e7-8901-fabc-012345678901"/>
</focus>
<for>
<reference value="urn:uuid:f47ac10b-58cc-4372-a567-0e02b2c3d479"/>
</for>
<encounter>
<reference value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
</encounter>
<authoredOn value="2026-02-24"/>
<requester>
<reference value="urn:uuid:5f9a7c1d-6b8e-7d4f-2c1a-0e9b8a7f6e5d"/>
</requester>
<owner>
<reference value="urn:uuid:1b9d6bcd-bbfd-4b2d-9b5d-ab8dfbbd4bed"/>
</owner>
</Task>
</resource>
<request>
<method value="POST"/>
<url value="Task"/>
</request>
</entry>
</Bundle>