FHIR IG analytics| Package | fhir.ph.ereferral |
| Resource Type | Bundle |
| Id | Bundle-ExampleERefSubmissionBundle.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "ExampleERefSubmissionBundle",
"type": "transaction",
"timestamp": "2026-06-18T08:30:00+08:00",
"entry": [
{
"fullUrl": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542",
"resource": {
"resourceType": "Patient",
"id": "ExampleERefPatient",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ExampleERefPatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ExampleERefPatient</b></p><a name=\"ExampleERefPatient\"> </a><a name=\"hcExampleERefPatient\"> </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=\"StructureDefinition-ereferral-patient.html\">ERefPatient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><a href=\"https://build.fhir.org/ig/UPM-NTHC/ph-core/NamingSystem-PhilSysIDNS.html\" title=\"The National ID Number issued to all Filipino citizens and resident aliens in the Philippines, as part of the Philippine Identification System (PhilSys) program.\">PhilSysID</a>/7731-0812-4491-0326</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+63-919-876-5432\">+63-919-876-5432</a></li><li>Area 4, Barangay Mabuhay 5600 PH (home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Husband\">Husband:</td><td colspan=\"3\"><ul><li>Roberto Reyes (Official)</li></ul></td></tr></table></div>"
},
"identifier": [
{
"system": "http://philhealth.gov.ph/fhir/Identifier/philhealth-id",
"value": "78-658064775-3"
},
{
"system": "http://philsys.gov.ph/fhir/Identifier/philsys-id",
"value": "7731-0812-4491-0326"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Reyes",
"given": [
"Ana",
"Luisa"
]
}
],
"telecom": [
{
"system": "phone",
"value": "+63-919-876-5432",
"use": "mobile"
}
],
"gender": "female",
"birthDate": "1988-03-12",
"address": [
{
"extension": [
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/region",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600000000",
"display": "Region VI (Western Visayas)"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/province",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600400000",
"display": "Aklan"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/city-municipality",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407000",
"display": "Kalibo"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/barangay",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407013",
"display": "Poblacion"
}
}
],
"use": "home",
"line": [
"Area 4, Barangay Mabuhay"
],
"postalCode": "5600",
"country": "PH"
}
],
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HUSB",
"display": "Husband"
}
]
}
],
"name": {
"use": "official",
"family": "Reyes",
"given": [
"Roberto"
]
}
}
]
},
"request": {
"method": "PUT",
"url": "Patient?identifier=http://philsys.gov.ph/fhir/Identifier/philsys-id|7731-0812-4491-0326"
}
},
{
"fullUrl": "urn:uuid:309021d0-7abe-4b54-b2e9-23a056851d0e",
"resource": {
"resourceType": "Practitioner",
"id": "ExampleERefPractitionerSubmission",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-practitioner"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ExampleERefPractitionerSubmission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ExampleERefPractitionerSubmission</b></p><a name=\"ExampleERefPractitionerSubmission\"> </a><a name=\"hcExampleERefPractitionerSubmission\"> </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/UPM-NTHC/ph-core/StructureDefinition-ph-core-practitioner.html\">PH Core Practitioner</a></p></div><p><b>identifier</b>: <code>https://prc.gov.ph/</code>/5466863</p><p><b>name</b>: Maria Villanueva (Official)</p></div>"
},
"identifier": [
{
"system": "https://prc.gov.ph/",
"value": "5466863"
}
],
"name": [
{
"use": "official",
"family": "Villanueva",
"given": [
"Maria"
],
"prefix": [
"Dr."
]
}
]
},
"request": {
"method": "PUT",
"url": "Practitioner?identifier=https://prc.gov.ph/|5466863"
}
},
{
"fullUrl": "urn:uuid:4f8b2c1d-9a3e-4b7c-8d1f-2e6a5b3c0d9e",
"resource": {
"resourceType": "Practitioner",
"id": "ExampleERefPractitionerReceiving",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-practitioner"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ExampleERefPractitionerReceiving\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ExampleERefPractitionerReceiving</b></p><a name=\"ExampleERefPractitionerReceiving\"> </a><a name=\"hcExampleERefPractitionerReceiving\"> </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/UPM-NTHC/ph-core/StructureDefinition-ph-core-practitioner.html\">PH Core Practitioner</a></p></div><p><b>identifier</b>: <code>https://prc.gov.ph/</code>/7890123</p><p><b>name</b>: Carlos Lim (Official)</p></div>"
},
"identifier": [
{
"system": "https://prc.gov.ph/",
"value": "7890123"
}
],
"name": [
{
"use": "official",
"family": "Lim",
"given": [
"Carlos"
],
"prefix": [
"Dr."
]
}
]
},
"request": {
"method": "PUT",
"url": "Practitioner?identifier=https://prc.gov.ph/|7890123"
}
},
{
"fullUrl": "urn:uuid:a038f451-6557-4b01-b05c-aa4ff967545b",
"resource": {
"resourceType": "Organization",
"id": "ExampleERefOrganizationKaliboHC",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleERefOrganizationKaliboHC\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleERefOrganizationKaliboHC</b></p><a name=\"ExampleERefOrganizationKaliboHC\"> </a><a name=\"hcExampleERefOrganizationKaliboHC\"> </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/UPM-NTHC/ph-core/StructureDefinition-ph-core-organization.html\">PH Core Organization</a></p></div><p><b>identifier</b>: <a href=\"https://build.fhir.org/ig/UPM-NTHC/ph-core/NamingSystem-DOHNHFRCodeNS.html\" title=\"Health Facility Code (HFC) from the National Health Facility Registry.\">DOHNHFRCode</a>/3056, <a href=\"https://build.fhir.org/ig/UPM-NTHC/ph-core/NamingSystem-HCPNCodeNS.html\" title=\"Health Care Provider Network (HCPN) code uniquely identifying an organization within its Health Care Provider Network in the Philippines.\">HCPNCode</a>/Aklan HCPN</p><p><b>name</b>: Kalibo Health Center</p><p><b>telecom</b>: ph: (043) 756-2233(Work)</p><p><b>address</b>: Mabini Street 5600 PH (work)</p></div>"
},
"identifier": [
{
"system": "https://fhir.doh.gov.ph/phcore/Identifier/doh-nhfr-code",
"value": "3056"
},
{
"system": "https://fhir.doh.gov.ph/phcore/Identifier/hcpn-code",
"value": "Aklan HCPN"
}
],
"name": "Kalibo Health Center",
"telecom": [
{
"system": "phone",
"value": "(043) 756-2233",
"use": "work"
}
],
"address": [
{
"extension": [
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/region",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600000000",
"display": "Region VI (Western Visayas)"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/province",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600400000",
"display": "Aklan"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/city-municipality",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407000",
"display": "Kalibo"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/barangay",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407013",
"display": "Poblacion"
}
}
],
"use": "work",
"line": [
"Mabini Street"
],
"postalCode": "5600",
"country": "PH"
}
]
},
"request": {
"method": "PUT",
"url": "Organization?identifier=https://fhir.doh.gov.ph/phcore/Identifier/doh-nhfr-code|3056"
}
},
{
"fullUrl": "urn:uuid:8c97c63e-4dbf-45d5-894e-f671e385a126",
"resource": {
"resourceType": "Organization",
"id": "ExampleERefOrganizationDRSTMH",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ExampleERefOrganizationDRSTMH\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ExampleERefOrganizationDRSTMH</b></p><a name=\"ExampleERefOrganizationDRSTMH\"> </a><a name=\"hcExampleERefOrganizationDRSTMH\"> </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/UPM-NTHC/ph-core/StructureDefinition-ph-core-organization.html\">PH Core Organization</a></p></div><p><b>identifier</b>: <a href=\"https://build.fhir.org/ig/UPM-NTHC/ph-core/NamingSystem-DOHNHFRCodeNS.html\" title=\"Health Facility Code (HFC) from the National Health Facility Registry.\">DOHNHFRCode</a>/513, <a href=\"https://build.fhir.org/ig/UPM-NTHC/ph-core/NamingSystem-HCPNCodeNS.html\" title=\"Health Care Provider Network (HCPN) code uniquely identifying an organization within its Health Care Provider Network in the Philippines.\">HCPNCode</a>/Aklan HCPN</p><p><b>name</b>: Dr. Rafael S. Tumbokon Memorial Hospital</p><p><b>telecom</b>: ph: (043) 756-3124(Work)</p><p><b>address</b>: National Highway 5600 PH (work)</p></div>"
},
"identifier": [
{
"system": "https://fhir.doh.gov.ph/phcore/Identifier/doh-nhfr-code",
"value": "513"
},
{
"system": "https://fhir.doh.gov.ph/phcore/Identifier/hcpn-code",
"value": "Aklan HCPN"
}
],
"name": "Dr. Rafael S. Tumbokon Memorial Hospital",
"telecom": [
{
"system": "phone",
"value": "(043) 756-3124",
"use": "work"
}
],
"address": [
{
"extension": [
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/region",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600000000",
"display": "Region VI (Western Visayas)"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/province",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600400000",
"display": "Aklan"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/city-municipality",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407000",
"display": "Kalibo"
}
},
{
"url": "https://fhir.doh.gov.ph/phcore/StructureDefinition/barangay",
"valueCoding": {
"system": "https://psa.gov.ph/classification/psgc",
"code": "0600407013",
"display": "Poblacion"
}
}
],
"use": "work",
"line": [
"National Highway"
],
"postalCode": "5600",
"country": "PH"
}
]
},
"request": {
"method": "PUT",
"url": "Organization?identifier=https://fhir.doh.gov.ph/phcore/Identifier/doh-nhfr-code|513"
}
},
{
"fullUrl": "urn:uuid:06924c91-7363-40ab-932b-6f64d0a102b9",
"resource": {
"resourceType": "PractitionerRole",
"id": "ExampleERefPractitionerRoleSubmission",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-practitioner-role"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_ExampleERefPractitionerRoleSubmission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole ExampleERefPractitionerRoleSubmission</b></p><a name=\"ExampleERefPractitionerRoleSubmission\"> </a><a name=\"hcExampleERefPractitionerRoleSubmission\"> </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=\"StructureDefinition-ereferral-practitioner-role.html\">PH eReferral PractitionerRole</a></p></div><p><b>identifier</b>: <code>https://prc.gov.ph/</code>/5466863</p><p><b>practitioner</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-309021d0-7abe-4b54-b2e9-23a056851d0e\">Practitioner Maria Villanueva (official)</a></p><p><b>organization</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a038f451-6557-4b01-b05c-aa4ff967545b\">Organization Kalibo Health Center</a></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 158965000}\">Medical practitioner</span></p></div>"
},
"identifier": [
{
"system": "https://prc.gov.ph/",
"value": "5466863"
}
],
"practitioner": {
"reference": "urn:uuid:309021d0-7abe-4b54-b2e9-23a056851d0e"
},
"organization": {
"reference": "urn:uuid:a038f451-6557-4b01-b05c-aa4ff967545b"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "158965000",
"display": "Medical practitioner"
}
]
}
]
},
"request": {
"method": "PUT",
"url": "PractitionerRole?identifier=https://prc.gov.ph/|5466863"
}
},
{
"fullUrl": "urn:uuid:6ce0a17b-7fb3-4075-a524-3afd390731de",
"resource": {
"resourceType": "PractitionerRole",
"id": "ExampleERefPractitionerRoleReceiving",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-practitioner-role"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_ExampleERefPractitionerRoleReceiving\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole ExampleERefPractitionerRoleReceiving</b></p><a name=\"ExampleERefPractitionerRoleReceiving\"> </a><a name=\"hcExampleERefPractitionerRoleReceiving\"> </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=\"StructureDefinition-ereferral-practitioner-role.html\">PH eReferral PractitionerRole</a></p></div><p><b>identifier</b>: <code>https://prc.gov.ph/</code>/7890123</p><p><b>practitioner</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-4f8b2c1d-9a3e-4b7c-8d1f-2e6a5b3c0d9e\">Practitioner Carlos Lim (official)</a></p><p><b>organization</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-8c97c63e-4dbf-45d5-894e-f671e385a126\">Organization Dr. Rafael S. Tumbokon Memorial Hospital</a></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 158965000}\">Medical practitioner</span></p></div>"
},
"identifier": [
{
"system": "https://prc.gov.ph/",
"value": "7890123"
}
],
"practitioner": {
"reference": "urn:uuid:4f8b2c1d-9a3e-4b7c-8d1f-2e6a5b3c0d9e"
},
"organization": {
"reference": "urn:uuid:8c97c63e-4dbf-45d5-894e-f671e385a126"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "158965000",
"display": "Medical practitioner"
}
]
}
]
},
"request": {
"method": "PUT",
"url": "PractitionerRole?identifier=https://prc.gov.ph/|7890123"
}
},
{
"fullUrl": "urn:uuid:2da5e918-42d1-4d2c-b5dd-570b0b172759",
"resource": {
"resourceType": "ServiceRequest",
"id": "ExampleERefServiceRequest",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-service-request"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ExampleERefServiceRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ExampleERefServiceRequest</b></p><a name=\"ExampleERefServiceRequest\"> </a><a name=\"hcExampleERefServiceRequest\"> </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=\"StructureDefinition-ereferral-service-request.html\">EReferral ServiceRequest</a></p></div><p><b>requisition</b>: <code>urn:oid:1.2.840.113619.21.1.2</code>/REF-2026-001234</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 73770003}\">Emergency</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>occurrence</b>: 2026-06-18 08:30:00+0800</p><p><b>authoredOn</b>: 2026-06-18 08:30:00+0800</p><p><b>requester</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-06924c91-7363-40ab-932b-6f64d0a102b9\">PractitionerRole Medical practitioner</a></p><p><b>performer</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-6ce0a17b-7fb3-4075-a524-3afd390731de\">PractitionerRole Medical practitioner</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 71388002}\">Severe pre-eclampsia requiring IV antihypertensive, seizure prophylaxis, and maternal-fetal monitoring</span></p><p><b>reasonReference</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-7166d722-982f-4d35-841d-c63d4d5ec772\">Condition Pre-eclampsia</a></p><p><b>note</b>: </p><blockquote><div><p>Ana Reyes, 38-year-old G2P1, 32 weeks AOG. BP 180/110 mmHg with severe headache, dizziness, and blurring of vision. Proteinuria 3+. Referred for urgent management of severe pre-eclampsia.</p>\n</div></blockquote></div>"
},
"requisition": {
"system": "urn:oid:1.2.840.113619.21.1.2",
"value": "REF-2026-001234"
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "73770003",
"display": "Hospital-based outpatient emergency care center"
}
],
"text": "Emergency"
}
],
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"occurrenceDateTime": "2026-06-18T08:30:00+08:00",
"authoredOn": "2026-06-18T08:30:00+08:00",
"requester": {
"reference": "urn:uuid:06924c91-7363-40ab-932b-6f64d0a102b9"
},
"performer": [
{
"reference": "urn:uuid:6ce0a17b-7fb3-4075-a524-3afd390731de"
}
],
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "71388002",
"display": "Procedure"
}
],
"text": "Severe pre-eclampsia requiring IV antihypertensive, seizure prophylaxis, and maternal-fetal monitoring"
}
],
"reasonReference": [
{
"reference": "urn:uuid:7166d722-982f-4d35-841d-c63d4d5ec772"
}
],
"note": [
{
"text": "Ana Reyes, 38-year-old G2P1, 32 weeks AOG. BP 180/110 mmHg with severe headache, dizziness, and blurring of vision. Proteinuria 3+. Referred for urgent management of severe pre-eclampsia."
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce",
"resource": {
"resourceType": "Encounter",
"id": "ExampleERefSubmissionEncounter",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_ExampleERefSubmissionEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter ExampleERefSubmissionEncounter</b></p><a name=\"ExampleERefSubmissionEncounter\"> </a><a name=\"hcExampleERefSubmissionEncounter\"> </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=\"StructureDefinition-ereferral-encounter.html\">ERefEncounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:99a80644-e928-4fbd-b07f-8ac5fb5675b1",
"resource": {
"resourceType": "Condition",
"id": "ExampleERefConditionChiefComplaint",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ExampleERefConditionChiefComplaint\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ExampleERefConditionChiefComplaint</b></p><a name=\"ExampleERefConditionChiefComplaint\"> </a><a name=\"hcExampleERefConditionChiefComplaint\"> </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=\"StructureDefinition-ereferral-condition.html\">EReferral Condition</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 25064002}\">Severe headache, dizziness, blurring of vision and epigastric pain for 2 days</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>note</b>: </p><blockquote><div><p>Chief complaint: severe headache, dizziness, blurring of vision and epigastric pain for 2 days. G2P1, 32 weeks AOG.</p>\n</div></blockquote></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "25064002",
"display": "Headache"
}
],
"text": "Severe headache, dizziness, blurring of vision and epigastric pain for 2 days"
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"note": [
{
"text": "Chief complaint: severe headache, dizziness, blurring of vision and epigastric pain for 2 days. G2P1, 32 weeks AOG."
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:7166d722-982f-4d35-841d-c63d4d5ec772",
"resource": {
"resourceType": "Condition",
"id": "ExampleERefCondition",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ExampleERefCondition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ExampleERefCondition</b></p><a name=\"ExampleERefCondition\"> </a><a name=\"hcExampleERefCondition\"> </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=\"StructureDefinition-ereferral-condition.html\">EReferral Condition</a></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>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398254007}\">Severe pre-eclampsia, 32 weeks AOG, G2P1</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>note</b>: </p><blockquote><div><p>G2P1, 32 weeks AOG. EDD: Aug 20 2026. LMP: Nov 13 2025.</p>\n</div></blockquote></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "provisional",
"display": "Provisional"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "398254007",
"display": "Pre-eclampsia"
}
],
"text": "Severe pre-eclampsia, 32 weeks AOG, G2P1"
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"note": [
{
"text": "G2P1, 32 weeks AOG. EDD: Aug 20 2026. LMP: Nov 13 2025."
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:27ea0c24-b2e3-4f4e-ba6f-d40b4653232e",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationBP",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationBP\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationBP</b></p><a name=\"ExampleERefObservationBP\"> </a><a name=\"hcExampleERefObservationBP\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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}, {http://snomed.info/sct 75367002}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}, {http://snomed.info/sct 271649006}\">Systolic blood pressure</span></p><p><b>value</b>: 180 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}, {http://snomed.info/sct 271650006}\">Diastolic blood pressure</span></p><p><b>value</b>: 110 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
},
{
"system": "http://snomed.info/sct",
"code": "75367002",
"display": "Blood pressure"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
},
{
"system": "http://snomed.info/sct",
"code": "271649006",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 180,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
},
{
"system": "http://snomed.info/sct",
"code": "271650006",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 110,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:75b09e76-3c93-4a69-af02-71a6d9713558",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationHR",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationHR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationHR</b></p><a name=\"ExampleERefObservationHR\"> </a><a name=\"hcExampleERefObservationHR\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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}, {http://snomed.info/sct 78564009}\">Heart rate</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><p><b>value</b>: 112 beats/minute<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/min = '/min')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
},
{
"system": "http://snomed.info/sct",
"code": "78564009",
"display": "Pulse rate"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"valueQuantity": {
"value": 112,
"unit": "beats/minute",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:0bd2221b-dac4-44ec-811b-a10683f301c9",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationRR",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationRR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationRR</b></p><a name=\"ExampleERefObservationRR\"> </a><a name=\"hcExampleERefObservationRR\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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}, {http://snomed.info/sct 86290005}\">Respiratory rate</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><p><b>value</b>: 24 breaths/minute<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/min = '/min')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
},
{
"system": "http://snomed.info/sct",
"code": "86290005",
"display": "Respiratory rate"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"valueQuantity": {
"value": 24,
"unit": "breaths/minute",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:080d6fb5-aed8-4dc0-b7dd-51d38f903819",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationSpO2",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationSpO2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationSpO2</b></p><a name=\"ExampleERefObservationSpO2\"> </a><a name=\"hcExampleERefObservationSpO2\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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 2708-6}, {http://snomed.info/sct 103228002}\">Oxygen saturation in Arterial blood</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><p><b>value</b>: 96 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "2708-6",
"display": "Oxygen saturation in Arterial blood"
},
{
"system": "http://snomed.info/sct",
"code": "103228002",
"display": "Hemoglobin saturation with oxygen"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"valueQuantity": {
"value": 96,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:3f56fb3e-b0ea-4ab0-a7a5-2adac78d5c9b",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationTemp",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationTemp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationTemp</b></p><a name=\"ExampleERefObservationTemp\"> </a><a name=\"hcExampleERefObservationTemp\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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}, {http://snomed.info/sct 386725007}\">Body temperature</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><p><b>value</b>: 36.8 Celsius<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeCel = 'Cel')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
},
{
"system": "http://snomed.info/sct",
"code": "386725007",
"display": "Body temperature"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"valueQuantity": {
"value": 36.8,
"unit": "Celsius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:d70026e6-2a52-4f4e-99d3-b73dbf52cfc3",
"resource": {
"resourceType": "Observation",
"id": "ExampleERefObservationWeight",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ExampleERefObservationWeight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleERefObservationWeight</b></p><a name=\"ExampleERefObservationWeight\"> </a><a name=\"hcExampleERefObservationWeight\"> </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=\"StructureDefinition-ereferral-observation.html\">EReferral Observation</a></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}, {http://snomed.info/sct 27113001}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>effective</b>: 2026-06-18 08:15:00+0800</p><p><b>value</b>: 72 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body weight"
},
{
"system": "http://snomed.info/sct",
"code": "27113001",
"display": "Body weight"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"effectiveDateTime": "2026-06-18T08:15:00+08:00",
"valueQuantity": {
"value": 72,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:873a6d29-a842-43e7-a267-c3df56193f7f",
"resource": {
"resourceType": "Procedure",
"id": "ExampleERefProcedureTreatment",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_ExampleERefProcedureTreatment\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure ExampleERefProcedureTreatment</b></p><a name=\"ExampleERefProcedureTreatment\"> </a><a name=\"hcExampleERefProcedureTreatment\"> </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=\"StructureDefinition-ereferral-procedure.html\">EReferral Procedure</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416608005}\">Drug therapy</span></p><p><b>subject</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>encounter</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a86d5b74-f8b5-42c2-b27a-5faff8d84cce\">Encounter: status = finished; class = ambulatory (ActCode#AMB)</a></p><p><b>note</b>: </p><blockquote><div><p>Pre-referral treatment given: Methyldopa 250mg BID, Folic Acid 5mg OD, FeSO4 300mg OD, CaCO3 500mg TID.</p>\n</div></blockquote></div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416608005",
"display": "Drug therapy"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"note": [
{
"text": "Pre-referral treatment given: Methyldopa 250mg BID, Folic Acid 5mg OD, FeSO4 300mg OD, CaCO3 500mg TID."
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:1e517f0b-6324-47f1-a626-8ddb5b617c59",
"resource": {
"resourceType": "DiagnosticReport",
"id": "ExampleERefDiagnosticReport",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_ExampleERefDiagnosticReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport ExampleERefDiagnosticReport</b></p><a name=\"ExampleERefDiagnosticReport\"> </a><a name=\"hcExampleERefDiagnosticReport\"> </a><h2><span title=\"Codes:{http://loinc.org 24356-8}\">Urinalysis complete panel - Urine</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</td></tr><tr><td>Presented Form</td><td> </td></tr></table><p><b>Report Details</b></p><p>Proteinuria 3+. Findings consistent with severe pre-eclampsia.</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24356-8",
"display": "Urinalysis complete panel - Urine"
}
]
},
"subject": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"encounter": {
"reference": "urn:uuid:a86d5b74-f8b5-42c2-b27a-5faff8d84cce"
},
"conclusion": "Proteinuria 3+. Findings consistent with severe pre-eclampsia.",
"presentedForm": [
{
"title": "Urinalysis Results — Kalibo Health Center"
}
]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:05fe9d1b-3653-4a4e-8aa6-9dbb51acb4d4",
"resource": {
"resourceType": "Task",
"id": "ExampleERefTaskRequested",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-task"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_ExampleERefTaskRequested\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task ExampleERefTaskRequested</b></p><a name=\"ExampleERefTaskRequested\"> </a><a name=\"hcExampleERefTaskRequested\"> </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=\"StructureDefinition-ereferral-task.html\">EReferral Task</a></p></div><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 3457005}\">eReferral for severe pre-eclampsia management</span></p><p><b>focus</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-2da5e918-42d1-4d2c-b5dd-570b0b172759\">ServiceRequest: requisition = urn:oid:1.2.840.113619.21.1.2#REF-2026-001234; status = active; intent = order; category = Hospital-based outpatient emergency care center; occurrence[x] = 2026-06-18 08:30:00+0800; authoredOn = 2026-06-18 08:30:00+0800; reasonCode = Procedure; note = Ana Reyes, 38-year-old G2P1, 32 weeks AOG. BP 180/110 mmHg with severe headache, dizziness, and blurring of vision. Proteinuria 3+. Referred for urgent management of severe pre-eclampsia.</a></p><p><b>for</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-d7e33c3b-e90b-464e-a5eb-a92f60c71542\">Ana Luisa Reyes (official) Female, DoB: 1988-03-12 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#78-658064775-3)</a></p><p><b>authoredOn</b>: 2026-06-18 08:30:00+0800</p><p><b>lastModified</b>: 2026-06-18 08:30:00+0800</p><p><b>requester</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-06924c91-7363-40ab-932b-6f64d0a102b9\">PractitionerRole Medical practitioner</a></p><p><b>owner</b>: <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-6ce0a17b-7fb3-4075-a524-3afd390731de\">PractitionerRole Medical practitioner</a></p><p><b>note</b>: </p><blockquote><div><p>New referral for Ana Reyes with severe pre-eclampsia. Awaiting DRSTMH response.</p>\n</div></blockquote></div>"
},
"status": "requested",
"intent": "order",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Patient referral"
}
],
"text": "eReferral for severe pre-eclampsia management"
},
"focus": {
"reference": "urn:uuid:2da5e918-42d1-4d2c-b5dd-570b0b172759"
},
"for": {
"reference": "urn:uuid:d7e33c3b-e90b-464e-a5eb-a92f60c71542"
},
"authoredOn": "2026-06-18T08:30:00+08:00",
"lastModified": "2026-06-18T08:30:00+08:00",
"requester": {
"reference": "urn:uuid:06924c91-7363-40ab-932b-6f64d0a102b9"
},
"owner": {
"reference": "urn:uuid:6ce0a17b-7fb3-4075-a524-3afd390731de"
},
"note": [
{
"text": "New referral for Ana Reyes with severe pre-eclampsia. Awaiting DRSTMH response."
}
]
},
"request": {
"method": "POST",
"url": "Task"
}
},
{
"fullUrl": "urn:uuid:6760bfb4-3596-4568-b8ff-b487736a70f5",
"resource": {
"resourceType": "Provenance",
"id": "ExampleERefProvenanceSubmission",
"meta": {
"profile": [
"https://fhir.doh.gov.ph/pheref/StructureDefinition/ereferral-provenance"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_ExampleERefProvenanceSubmission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance ExampleERefProvenanceSubmission</b></p><a name=\"ExampleERefProvenanceSubmission\"> </a><a name=\"hcExampleERefProvenanceSubmission\"> </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=\"StructureDefinition-ereferral-provenance.html\">EReferral Provenance</a></p></div><p>Provenance for <a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-2da5e918-42d1-4d2c-b5dd-570b0b172759\">ServiceRequest: requisition = urn:oid:1.2.840.113619.21.1.2#REF-2026-001234; status = active; intent = order; category = Hospital-based outpatient emergency care center; occurrence[x] = 2026-06-18 08:30:00+0800; authoredOn = 2026-06-18 08:30:00+0800; reasonCode = Procedure; note = Ana Reyes, 38-year-old G2P1, 32 weeks AOG. BP 180/110 mmHg with severe headache, dizziness, and blurring of vision. Proteinuria 3+. Referred for urgent management of severe pre-eclampsia.</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-06-18 08:30:00+0800</td></tr><tr><td>Activity</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">create</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td><td><b>On Behalf Of</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-06924c91-7363-40ab-932b-6f64d0a102b9\">PractitionerRole Medical practitioner</a></td><td><a href=\"Bundle-ExampleERefSubmissionBundle.html#urn-uuid-a038f451-6557-4b01-b05c-aa4ff967545b\">Organization Kalibo Health Center</a></td></tr></table></div>"
},
"target": [
{
"reference": "urn:uuid:2da5e918-42d1-4d2c-b5dd-570b0b172759"
}
],
"recorded": "2026-06-18T08:30:00+08:00",
"activity": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code": "CREATE",
"display": "create"
}
]
},
"agent": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
},
"who": {
"reference": "urn:uuid:06924c91-7363-40ab-932b-6f64d0a102b9"
},
"onBehalfOf": {
"reference": "urn:uuid:a038f451-6557-4b01-b05c-aa4ff967545b"
}
}
],
"signature": [
{
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.5",
"display": "Verification Signature"
}
],
"when": "2026-06-18T08:30:00+08:00",
"who": {
"reference": "urn:uuid:06924c91-7363-40ab-932b-6f64d0a102b9"
},
"data": "dGVzdHNpZ25hdHVyZWJhc2U2NA=="
}
]
},
"request": {
"method": "POST",
"url": "Provenance"
}
}
]
}