Generated Narrative: Patient CF3-Patient Profile: PH Patient John Mark Apilyido (no stated gender), DoB Unknown
Generated Narrative: Organization CF3-Organization Profile: PH Organization identifier: PhilHealth Accreditation Number (PAN)/AN55555 name: Pasig General Hospital
Generated Narrative: Encounter CF3-Encounter Profile: PH Encounter status: booked class: ActCode: AMB (ambulatory) period: 2024-07-18 08:00:00+0800 --> 2024-07-18 10:00:00+0800 reasonReference: Observation Hospitalizations - DischargeDisposition * Discharged to home
Generated Narrative: Observation CF3-Observation-Physical-Examination Profile: PH Observation status: Final code: Physical examination value: Patient complains of severe headache component code: General Survey value: Patient appears weak component code: Vital Signs - BP value: 120/80 mmHg component code: Vital Signs - CR value: 78 bpm component code: Vital Signs - RR value: 18 breaths/min component code: Vital Signs - Temperature value: 36.8°C component code: Abdomen value: Soft, non-tender, no organomegaly component code: HEENT value: Pupils equal, round, reactive to light; oropharynx clear component code: GU (IE) value: Normal external genitalia; no masses or tenderness component code: Chest/Lungs value: Clear to auscultation bilaterally; no wheezes or crackles component code: Skin/Extremities value: Skin warm and dry; no rashes; peripheral pulses palpable component code: CVS value: Heart sounds normal; regular rate and rhythm; no murmurs component code: Neuro Examination value: Alert, cranial nerves II-XII intact; motor and sensory exam normal
Generated Narrative: Observation CF3-Observation-Pertinent-Laboratory Profile: PH Observation status: Final code: Pertinent Laboratory Components - Code Value[x] * CBC Normal
Generated Narrative: Observation CF3-Observation-Pregnancy-Risk-Assessment Profile: PH Observation status: Final code: Pregnancy risk assessment component code: Vital signs interpretation: Normal component code: Pregnancy Low Risk value: true component code: Menstrual History - Last Menstrual Period (LMP) value: 2026-02-10 component code: Menstrual History - Age of Menarche value: 13 component code: Obstetric History (G) value: 2 component code: Obstetric History (P) value: 1 component code: Obstetric History (P)[T] value: 1 component code: Obstetric History (P)[P] value: 0 component code: Obstetric History (P)[A] value: 0 component code: Obstetric History (P)[L] value: 1
Generated Narrative: Observation CF3-Observation-Obstetric-Risk-Factors Profile: PH Observation status: Final code: Obstetric risk factors component code: Multiple pregnancy value: false component code: Ovarian cyst value: true component code: Myoma uteri value: false component code: Placenta previa value: false component code: History of 3 miscarriages value: true component code: History of stillbirth value: false component code: History of pre-eclampsia value: true component code: History of eclampsia value: false component code: Premature contraction value: true
Generated Narrative: Observation CF3-Observation-Estimated-Delivery-Date Profile: PH Observation status: Final code: Delivery date Estimated effective: 2026-03-10
Generated Narrative: Observation CF3-Observation-Age-of-Gestation Profile: PH Observation status: Final code: Age of Gestation value: 20 weeks
Generated Narrative: Observation CF3-Observation-Weight-and-Vital-Signs Profile: PH Observation status: Final code: Vital signs panel component code: Weight value: 65 kg component code: Cardiac Rate value: 80 beats/minute component code: Respiratory Rate value: 18 breaths/minute component code: Blood Pressure value: 120/80 mmHg component code: Temperature value: 36.8 °C
Generated Narrative: Observation CF3-Observation-Pregnancy-status-panel Profile: PH Observation status: Final code: Pregnancy status panel component code: Maternal Outcome - Obstetric Index value: G2P1 (1-0-0-1) component code: Pregnancy Uterine - AOG by LMP value: 20 weeks component code: Pregnancy Uterine - Manner of Delivery value: Normal Spontaneous Vaginal Delivery component code: Pregnancy Uterine - Presentation value: Cephalic
Generated Narrative: Observation CF3-Observation-Birth-Outcome-Panel Profile: PH Observation status: Final code: Birth outcome panel component code: Birth Outcome - Fetal Outcome value: Live birth component code: Birth Outcome - Sex value: Male component code: Birth Outcome - Birth Weight (grm) value: 3200 g component code: Birth Outcome - APGAR Score value: 9
Pupils equal, round, reactive to light; oropharynx clear
Normal external genitalia; no masses or tenderness
Clear to auscultation bilaterally; no wheezes or crackles
Skin warm and dry; no rashes; peripheral pulses palpable
Heart sounds normal; regular rate and rhythm; no murmurs
Alert, cranial nerves II-XII intact; motor and sensory exam normal
Menstrual History - Last Menstrual Period (LMP)
Generated Narrative: ClinicalImpression CF3-ClinicalImpression Profile: PH ClinicalImpression status: Completed description: Patient admitted for observation and management of hypertension. During the ward stay, vital signs stabilized, medications were adjusted, and patient responded well to treatment. No complications noted. Discharged in stable condition. subject: John Mark Apilyido (no stated gender), DoB Unknown
Patient admitted for observation and management of hypertension. During the ward stay, vital signs stabilized, medications were adjusted, and patient responded well to treatment. No complications noted. Discharged in stable condition.
Generated Narrative: DiagnosticReport CF3-DiagnosticReport Profile: PH DiagnosticReport Anemia, unspecified Report Details Patient shows mild anemia with hemoglobin slightly below normal range; other CBC parameters within normal limits.
Patient shows mild anemia with hemoglobin slightly below normal range; other CBC parameters within normal limits.
Generated Narrative: Provenance CF3-Provenance Profile: PH Provenance Provenance for Claim: extension = ->Encounter; status = active; type = Institutional; use = claim; created = 2024-07-18; priority = Normal Summary Recorded 2026-02-03 09:00:00+0800 Agents who Practitioner
Generated Narrative: Questionnaire CF3-Questionnaire Profiles: PH Questionnaire, https://nhdr.gov.ph/fhir/StructureDefinition/PH_Questionnaire LinkID Text Cardinality Type Description & Constraints Questionnaire #xD; CF3-Q1 Orientation to MCP/Availment of Benefits (Yes/No) 0..1 boolean #xD; CF3-Q2 Perineal wound care 0..1 boolean #xD; CF3-Q3 Perineal wound care - Remarks 0..1 string #xD; CF3-Q4 Signs of Maternal Postpartum Complications 0..1 boolean #xD; CF3-Q5 Signs of Maternal Postpartum Complications - Remarks 0..1 string #xD; CF3-Q6 Counselling and Education (Breastfeeding and Nutrition) 0..1 boolean #xD; CF3-Q7 Counselling and Education (Breastfeeding and Nutrition) - Remarks 0..1 string #xD; CF3-Q8 Counselling and Education (Family Planning) 0..1 boolean #xD; CF3-Q9 Counselling and Education (Family Planning) - Remarks 0..1 string #xD; CF3-Q10 Provided family planning service to patient (as requested by patient) 0..1 boolean #xD; CF3-Q11 Provided family planning service to patient (as requested by patient) - Remarks 0..1 string #xD; CF3-Q12 Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) 0..1 boolean #xD; CF3-Q13 Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) - Remarks 0..1 string #xD; CF3-Q14 Schedule the next postpartum follow-up 0..1 boolean #xD; CF3-Q15 Schedule the next postpartum follow-up - Remarks 0..1 string #xD; Documentation for this format
Orientation to MCP/Availment of Benefits (Yes/No)
Signs of Maternal Postpartum Complications
Signs of Maternal Postpartum Complications - Remarks
Counselling and Education (Breastfeeding and Nutrition)
Counselling and Education (Breastfeeding and Nutrition) - Remarks
Counselling and Education (Family Planning)
Counselling and Education (Family Planning) - Remarks
Provided family planning service to patient (as requested by patient)
Provided family planning service to patient (as requested by patient) - Remarks
Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.)
Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) - Remarks
Schedule the next postpartum follow-up - Remarks
Generated Narrative: QuestionnaireResponse CF3-QuestionnaireResponse Profiles: PH QuestionnaireResponse, https://nhdr.gov.ph/fhir/StructureDefinition/PH_QuestionnaireResponse LinkID Text Definition Answer CF3-QuestionnaireResponse Questionnaire:None specified #xD; CF3-Q1 true #xD; CF3-Q2 true #xD; CF3-Q3 Patient instructed on proper perineal hygiene and wound care. #xD; CF3-Q4 true #xD; CF3-Q5 Patient advised to watch for fever, excessive bleeding, and severe abdominal pain. #xD; CF3-Q6 true #xD; CF3-Q7 Counselling provided on exclusive breastfeeding and balanced nutrition. #xD; CF3-Q8 true #xD; CF3-Q9 Discussed available family planning methods suitable for postpartum mothers. #xD; CF3-Q10 false #xD; CF3-Q11 Patient opted to decide on family planning method at next visit. #xD; CF3-Q12 false #xD; CF3-Q13 No referral requested by patient. #xD; CF3-Q14 true #xD; CF3-Q15 Next postpartum follow-up scheduled after 6 weeks. #xD; Documentation for this format
Patient instructed on proper perineal hygiene and wound care.
Patient advised to watch for fever, excessive bleeding, and severe abdominal pain.
Counselling provided on exclusive breastfeeding and balanced nutrition.
Discussed available family planning methods suitable for postpartum mothers.
Patient opted to decide on family planning method at next visit.
Next postpartum follow-up scheduled after 6 weeks.
Generated Narrative: Claim CF3-Claim Profiles: PH Claim, https://nhdr.gov.ph/fhir/StructureDefinition/PH_Claim Encounter (Extension): Encounter status: Active type: Institutional use: Claim patient: Patient created: 2024-07-18 provider: Organization priority: Normal supportingInfo sequence: 1 category: Physical Examination value: Observation supportingInfo sequence: 2 category: Laboratory value: Observation supportingInfo sequence: 3 category: Pregnancy Risk Assessment value: Observation supportingInfo sequence: 4 category: Obstetric Risk Factors value: Observation supportingInfo sequence: 5 category: Estimated Delivery Date value: Observation supportingInfo sequence: 6 category: Age of Gestation value: Observation supportingInfo sequence: 7 category: Weight and Vital Signs value: Observation supportingInfo sequence: 8 category: Pregnancy Status Panel value: Observation supportingInfo sequence: 9 category: Birth Outcome Panel value: Observation diagnosis sequence: 1 diagnosis: Condition diagnosis sequence: 2 diagnosis: Moderate persistent asthma Insurances - Sequence Focal Coverage * 1 true Coverage Items - Sequence ProductOrService Serviced[x] * 1 Maternity Care Package Service 2024-07-18