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

: ServiceRequest — Obstetric Ultrasound Referral - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <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"><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 --&gt; 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>