DRAFT PH Road Safety Implementation Guide
0.2.0 - ci-build Philippines flag

DRAFT PH Road Safety Implementation Guide, published by UP Manila - National Institutes of Health - National Telehealth Center. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UPM-NTHC/PH-RoadSafetyIG/ and changes regularly. See the Directory of published versions

Example Bundle: EMS Referral Bundle – Reyes


Document Subject

Profile: RS Patient

Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01


Active:true
Contact Detail
Indigenous Peoplefalse

Document Content

Workflow / Timeline

Incident

Vital signs

Clinical / Assessment

Documents / Evidence

Procedures and Workflow Items


Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:b09b54f6-5c21-46c9-9d03-35bb941a9eef

Resource Patient:

Profile: RS Patient

Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01


Active:true
Contact Detail
Indigenous Peoplefalse

Entry 3 - fullUrl = urn:uuid:c4e1aa15-b495-46f3-8c9c-7f1d9c3bb6f1

Resource Encounter:

Profile: RS Encounter

identifier: Incident number/INC-2025-0102, Patient hospital visit number (observable entity)/HCN-2025-1120

status: completed

class: ER

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

serviceProvider: Organization MetroCare EMS

participant

type: Response team leader name

participant

type: referrer

location

location: Location EDSA corner Ayala Ave

location

location: Location DOH Central ER


Entry 4 - fullUrl = urn:uuid:6a6a58ed-1a83-4d30-a9a4-4aa97d708c03

Resource Location:

name: EDSA corner Ayala Ave

address: Epifanio de los Santos Ave Makati City NCR 1223 PH (work)

Positions

-LongitudeLatitude
*121.022514.5513

Entry 5 - fullUrl = urn:uuid:c5d713cf-8f6a-4e54-9f19-611998c2e8c4

Resource Observation:

status: Final

code: Date received Form

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:02:00+0800

value: 2025-10-31 15:02:00+0800


Entry 6 - fullUrl = urn:uuid:d76f6795-22fa-4a6b-bd38-6b21c41a9282

Resource Observation:

status: Final

code: Unit responded [Date and time] Vehicle

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:07:00+0800

value: 2025-10-31 15:07:00+0800


Entry 7 - fullUrl = urn:uuid:5d7f30dd-4c13-477f-b7ce-19b2dcaf53c3

Resource Observation:

status: Final

code: Time of arrival of emergency services (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:18:00+0800

value: 2025-10-31 15:18:00+0800


Entry 8 - fullUrl = urn:uuid:4a4ca5bf-6b1f-478e-9d95-6022139b9392

Resource Observation:

status: Final

code: Responding unit left the scene with a patient [Date and time] Vehicle

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:42:00+0800

value: 2025-10-31 15:42:00+0800


Entry 9 - fullUrl = urn:uuid:0aa8d46d-45b2-40fa-9a27-76f0b5ce0d8f

Resource Observation:

status: Final

code: Time of arrival at hospital (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:10:00+0800

value: 2025-10-31 16:10:00+0800


Entry 10 - fullUrl = urn:uuid:1b7da0ae-0d87-4a77-9b22-0b6d4c1f8c4d

Resource Observation:

status: Final

code: Arrival time documented

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:55:00+0800

value: 2025-10-31 16:55:00+0800


Entry 11 - fullUrl = urn:uuid:6f8a4a51-6f31-4d6f-9b45-4cb41ffac7aa

Resource Observation:

status: Final

code: Respiratory rate (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:55:00+0800

value: 18 breaths/minute (Details: UCUM code/min = '/min')

component

code: Rhythm of respiration (observable entity)

value: Regular

component

code: Respiratory sounds (observable entity)

value: Clear


Entry 12 - fullUrl = urn:uuid:0f30446d-ac8e-4e0b-8fd9-158f2f6c3c36

Resource Observation:

status: Final

code: Heart rate measured at systemic artery (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:56:00+0800

value: 82 beats/minute (Details: UCUM code/min = '/min')

component

code: Pulse rhythm (observable entity)

value: Regular

component

code: Heart rate measured at systemic artery (observable entity)

value: Normal


Entry 13 - fullUrl = urn:uuid:1d4a7752-8285-4c31-ae11-6d8fb1b9a19a

Resource Observation:

status: Final

code: Blood pressure panel with all children optional

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:58:00+0800

component

code: Systolic blood pressure (observable entity)

value: 118 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure (observable entity)

value: 76 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')


Entry 14 - fullUrl = urn:uuid:6ba8cb59-ec66-4357-9d98-f1a540d7ad6f

Resource Observation:

status: Final

code: Body temperature (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:08:00+0800

value: 37.2 degC (Details: UCUM codeCel = 'Cel')


Entry 15 - fullUrl = urn:uuid:7df8e891-4e9f-40a1-968d-71da4bc22e03

Resource Observation:

status: Final

code: Cyanosis (finding)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:00:00+0800

value: Negative


Entry 16 - fullUrl = urn:uuid:c0a6ff6b-6aef-4faf-8564-0f7b5c95c791

Resource Observation:

status: Final

code: Glasgow coma score (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:05:00+0800

value: 15

component

code: Glasgow Coma Score eye opening subscore (observable entity)

value: 4 Spontaneous

component

code: Glasgow Coma Scale verbal response subscore (observable entity)

value: 5 Oriented

component

code: Glasgow Coma Scale motor response subscore (observable entity)

value: 6 To command


Entry 17 - fullUrl = urn:uuid:f7db9e5d-5342-4cb4-b6f5-6c29ed7a1c97

Resource Observation:

status: Final

code: Chief complaint (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:03:00+0800

value: Severe chest pain and shortness of breath after collision


Entry 18 - fullUrl = urn:uuid:9ed7a1b8-e6f4-4f8f-824c-7f24d2f51a5b

Resource Observation:

status: Final

code: Referral source (finding)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:02:30+0800

value: Bystander dialed national emergency hotline


Entry 19 - fullUrl = urn:uuid:ed5e8a6c-12d1-4f4a-a3aa-9f81f42dbb6c

Resource Observation:

status: Final

code: Case notification comment

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:40:00+0800

value: Patient stabilized in transit; receiving ER alerted 15 minutes prior to arrival.


Entry 20 - fullUrl = urn:uuid:c7c9728e-3a43-4b77-8ad5-3ec7fd3b0dae

Resource Observation:

status: Final

code: Run Report Form Remarks

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 16:20:00+0800

note:

Chest discomfort resolved after oxygen and immobilization; advised repeat vitals on arrival.


Entry 21 - fullUrl = urn:uuid:2df6a37d-8935-4f5c-a5f4-d0a6623e2c83

Resource DocumentReference:

status: Current

type: Document image

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

context

Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

content

Attachments

-ContentTypeUrlTitle
*image/jpeghttps://example.org/fhir/Binary/ems-crash-photoIntersection scene photo

Entry 22 - fullUrl = urn:uuid:1f3977bc-5227-4cf4-9b2f-0f66d0d5d9f2

Resource Task:

Profile: RS Task

status: In Progress

intent: Plan

focus: ServiceRequest

for: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

executionPeriod: 2025-10-31 15:48:00+0800 --> 2025-10-31 16:15:00+0800

owner: Practitioner Joel Rivera (official)

note:

Coordinated ambulance standby until ER confirmed acceptance.


Entry 23 - fullUrl = urn:uuid:6f4dfd82-70f5-4b0d-9af6-2fc626c88e50

Resource ServiceRequest:

status: Revoked

intent: Plan

code: No display for ServiceRequest.code (concept: )

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

occurrence: 2025-10-31 15:50:00+0800

supportingInfo:

  • No display for ServiceRequest.supportingInfo (reference: ->Organization MetroCare EMS)
  • No display for ServiceRequest.supportingInfo (reference: ->Practitioner Maria Cristina Santos (official))

Entry 24 - fullUrl = urn:uuid:eaaf0f0d-f9e7-4f6f-8121-583a75f1aa3a

Resource Procedure:

Profile: RS Procedure

status: Completed

code: Patient education (procedure)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

Performers

-Actor
*Practitioner Joel Rivera (official)

note:

Discussed signs of delayed chest trauma and when to return to ER.


Entry 25 - fullUrl = urn:uuid:49e2f35c-2ae1-4a2b-a5fa-1bb409775888

Resource Procedure:

status: Completed

code: Was Transport Coordinated with Receiving Hospital?

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

note:

Coordination established with ER charge nurse prior to departure.


Entry 26 - fullUrl = urn:uuid:5b8f8b0a-7ae1-4fd3-a57f-32ec4f353c6d

Resource Claim:

Profile: RS Claim

status: Active

type: Institutional

use: Claim

patient: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

created: 2025-11-01

provider: Organization MetroCare EMS

priority: Normal

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; type = extended healthcare; period = 2025-01-01 --> 2025-12-31

Totals

-ValueCurrency
*1500PHP

Entry 27 - fullUrl = urn:uuid:8a9de1d2-1df6-4ac6-9c5f-424c3c2de2d3

Resource Organization:

identifier: DohNhfrCode/MC-EMS-0001

active: true

name: MetroCare EMS

Contacts

-TelecomAddress
*+63-917-555-0100123 Rescue Avenue Makati City NCR 1226 PH (work)

Entry 28 - fullUrl = urn:uuid:aa255a9c-0e1a-4d44-8167-915736b2c0d2

Resource Location:

name: DOH Central ER

type: Emergency room

address: San Lazaro Compound, Rizal Avenue Manila NCR 1003 PH


Entry 29 - fullUrl = urn:uuid:0ce99d5d-5f77-469c-af50-7edfb0ec61fb

Resource Practitioner:

name: Joel Rivera (Official)

telecom: +63-917-555-0155


Entry 30 - fullUrl = urn:uuid:0b2244ac-9ee1-470d-857a-d27b83175f6f

Resource Practitioner:

name: Maria Cristina Santos (Official)

telecom: +63-917-555-0101


Entry 31 - fullUrl = urn:uuid:0d4b77fa-4517-40f9-8b6f-3449b8ce1e74

Resource Observation:

status: Final

code: Injury intent

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:20:00+0800

value: Unintentional/Accidental


Entry 32 - fullUrl = urn:uuid:1a0a1cf3-613a-4553-a5c5-2d4691a19fcd

Resource Observation:

status: Final

code: Date of event (observable entity)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:18:00+0800

value: 2025-10-31 15:05:00+0800


Entry 33 - fullUrl = urn:uuid:2d7a9f05-1c31-421a-87fb-e919a962f84a

Resource Observation:

status: Final

code: Transport accident (event)

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:22:00+0800

value: true


Entry 34 - fullUrl = urn:uuid:43ec94f2-1ebb-4b46-9252-127a5c5d9c40

Resource Observation:

status: Final

code: Transport mode to hospital [NTDS]

subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

encounter: Encounter: identifier = Incident number: INC-2025-0102,Patient hospital visit number (observable entity): HCN-2025-1120; status = finished; class = ER (LOINC#LA10268-3); period = 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800

effective: 2025-10-31 15:24:00+0800

value: Ambulance


Entry 35 - fullUrl = urn:uuid:6cc6c44d-b57b-4cc2-b6ff-07bc5d01d6ab

Resource Coverage:

status: Active

type: extended healthcare

beneficiary: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01

period: 2025-01-01 --> 2025-12-31