Charity's confirmed pregnancy, provisionally dated to a last menstrual period around New Year 2026, giving an estimated gestational age of 12–15 weeks.

The counselling session (08:30–10:00) in which nurse Jane confirms Charity's pregnancy, records vital signs and clinical history, and initiates the referral.

A brief ambulatory encounter (08:00–08:15) in which clerk Abraham collects Charity's demographic information and registers her in the system.

Jane dispenses iron and folic acid (IFA) tablets to Charity with instructions to take one tablet daily, following WHO ANC guidelines for nutritional supplementation.

Charity's blood pressure measured during the physical exam: systolic 110 mmHg, diastolic 70 mmHg — within the normal range for pregnancy.

Charity's body temperature of 36.8 degrees Celsius, a normal reading taken during the physical exam.

Charity's weight of 55 kg, recorded as a baseline measurement at her first ANC contact.

Charity's reason for visiting the health centre: a missed menstrual cycle and nausea, prompting her to seek antenatal care.

Charity's resting heart rate of 78 beats per minute, recorded as part of her vital signs during the ANC contact.

Charity's peripheral oxygen saturation at 98 percent, confirming adequate oxygenation.

Charity's respiratory rate of 18 breaths per minute, within the normal adult range.

The government health centre where Charity is registered and receives her first ANC contact. Identified by its NHFR code.

The external imaging centre where Charity is referred for an obstetric ultrasound to confirm gestational age.

Charity is a 24-year-old woman from Barangay Malusog, Quezon City, visiting the health centre for the first time during her pregnancy. Abraham registers her demographics, national IDs, and contact details.

Abraham is the registration clerk who creates Charity's patient record at the health centre front desk.

Jane is the nurse who conducts Charity's first antenatal care counselling session, records vital signs, and creates the ultrasound referral.

Abraham's role as a registration clerk at Barangay Malusog Health Centre.

Jane's role as a nurse at Barangay Malusog Health Centre, linked to her practitioner record and the sending facility.

Charity's mother Maria, registered as her next-of-kin and alternative contact person during the registration process.

Routine ANC laboratory tests ordered for Charity: diabetes screen, hepatitis B surface antigen, and HIV — in line with WHO recommended investigations.

Jane refers Charity to Metro Imaging Centre for an obstetric ultrasound to confirm gestational age and due date, needed before 24 weeks of pregnancy.

Tracks the status of Charity's ultrasound referral. Currently in 'requested' state, awaiting acceptance by Metro Imaging Centre.

Nurse Jane conducts Charity's first antenatal care visit at Barangay Malusog Health Centre. This bundle captures the full clinical encounter: pregnancy confirmation, vital signs, chief complaint, iron-and-folic-acid dispensing, laboratory orders, and the ultrasound referral to Metro Imaging Centre — along with the task that tracks the referral outcome.

Clerk Abraham registers Charity at Barangay Malusog Health Centre. This bundle captures everything recorded at the front desk: Charity's demographic details, her national identifiers (PhilSys and PhilHealth), her home address and phone number, and her mother Maria as next-of-kin. It also records Abraham's practitioner role and the registration encounter.