Generated Narrative: Composition rs-bundle-example-composition-ems Profile: RS Composition — EMS Submission status: Final type: Emergency medical services patient care report 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 date: 2025-10-31 17:15:00+0800 author: Practitioner Joel Rivera (official) title: EMS Referral to DOH Central ER
Emergency medical services patient care report
Emergency medical services response narrative
Emergency department clinical impressions
Generated Narrative: Patient rs-bundle-example-patient Profile: RS Patient Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01 Active: true Contact Detail +63-912-345-6789 123 Sampaloc Street Manila 1008 PH (home) Indigenous People false
Generated Narrative: Encounter rs-bundle-example-encounter Profile: RS Encounter identifier: Incident number/INC-2025-0102, Patient hospital visit number (observable entity)/HCN-2025-1120 status: Finished class: LOINC: LA10268-3 (ER) subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01 participant type: Response team leader name individual: Practitioner Joel Rivera (official) participant type: referrer individual: Practitioner Maria Cristina Santos (official) period: 2025-10-31 15:18:00+0800 --> 2025-10-31 16:30:00+0800 Hospitalizations - Destination * Location DOH Central ER location location: Location EDSA corner Ayala Ave location location: Location DOH Central ER serviceProvider: Organization MetroCare EMS
Patient hospital visit number (observable entity)
Generated Narrative: Location rs-bundle-example-incident-location Profile: RS Incident Location name: EDSA corner Ayala Ave address: Epifanio de los Santos Ave Makati City NCR 1223 PH (work) Positions - Longitude Latitude * 121.0225 14.5513
Generated Narrative: Observation rs-bundle-example-timeline-date-received Profile: RS Observation - Timeline Date/Time 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
Generated Narrative: Observation rs-bundle-example-timeline-time-enroute Profile: RS Observation - Timeline Date/Time 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
Generated Narrative: Observation rs-bundle-example-timeline-time-on-scene Profile: RS Observation - Timeline Date/Time 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
Time of arrival of emergency services (observable entity)
Generated Narrative: Observation rs-bundle-example-timeline-time-departed Profile: RS Observation - Timeline Date/Time 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
Responding unit left the scene with a patient [Date and time] Vehicle
Generated Narrative: Observation rs-bundle-example-timeline-time-hospital Profile: RS Observation - Timeline Date/Time 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
Time of arrival at hospital (observable entity)
Generated Narrative: Observation rs-bundle-example-timeline-time-station Profile: RS Observation - Timeline Date/Time 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
Generated Narrative: Observation rs-bundle-example-observation-respiratory-rate Profile: RS Observation - Respiratory Rate 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
Rhythm of respiration (observable entity)
Generated Narrative: Observation rs-bundle-example-observation-pulse-rate Profile: RS Observation - Pulse Rate 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
Heart rate measured at systemic artery (observable entity)
Generated Narrative: Observation rs-bundle-example-observation-blood-pressure Profile: RS Observation - Blood Pressure 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]')
Blood pressure panel with all children optional
Systolic blood pressure (observable entity)
Diastolic blood pressure (observable entity)
Generated Narrative: Observation rs-bundle-example-observation-body-temperature Profile: RS Observation - Body Temperature 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')
Generated Narrative: Observation rs-bundle-example-observation-cyanosis Profile: RS Observation - Cyanosis 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
Generated Narrative: Observation rs-bundle-example-observation-gcs Profile: RS Observation - Glasgow Coma Scale 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
Glasgow Coma Score eye opening subscore (observable entity)
Glasgow Coma Scale verbal response subscore (observable entity)
Glasgow Coma Scale motor response subscore (observable entity)
Generated Narrative: Observation rs-bundle-example-observation-reported-complaint Profile: RS Observation - Reported Complaint 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
Severe chest pain and shortness of breath after collision
Generated Narrative: Observation rs-bundle-example-observation-call-source Profile: RS Observation - Call Source 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
Bystander dialed national emergency hotline
Generated Narrative: Observation rs-bundle-example-observation-runreport-comments Profile: RS Observation - Run Report Comments 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.
Patient stabilized in transit; receiving ER alerted 15 minutes prior to arrival.
Generated Narrative: Observation rs-bundle-example-observation-clinical-remarks Profile: RS Observation - Clinical Remarks 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.
Chest discomfort resolved after oxygen and immobilization; advised repeat vitals on arrival.
Generated Narrative: DocumentReference rs-bundle-example-documentreference Profile: RS DocumentReference (Evidence) status: Current type: Document image subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01 content Attachments - ContentType Url Title * image/jpeg https://example.org/fhir/Binary/ems-crash-photo Intersection scene photo format: formatcodes: urn:ihe:pcc:dsr:2016 (urn:ihe:pcc:dsr:2016) Contexts - 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
Generated Narrative: Task rs-bundle-example-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.
Coordinated ambulance standby until ER confirmed acceptance.
Generated Narrative: ServiceRequest rs-bundle-example-service-request Profile: RS ServiceRequest status: Revoked intent: Plan code: Refusal to admit 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: Organization MetroCare EMS Practitioner Maria Cristina Santos (official)
Generated Narrative: Procedure rs-bundle-example-procedure-education 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 performed: 2025-10-31 16:12:00+0800 Performers - Actor * Practitioner Joel Rivera (official) note: Discussed signs of delayed chest trauma and when to return to ER.
Discussed signs of delayed chest trauma and when to return to ER.
Generated Narrative: Procedure rs-bundle-example-procedure-transport Profile: RS Procedure - Transport Coordination 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 performed: 2025-10-31 15:35:00+0800 note: Coordination established with ER charge nurse prior to departure.
Was Transport Coordinated with Receiving Hospital?
Coordination established with ER charge nurse prior to departure.
Generated Narrative: Claim rs-bundle-example-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 - Sequence Focal Coverage * 1 true Coverage: status = active; type = extended healthcare; period = 2025-01-01 --> 2025-12-31 Totals - Value Currency * 1500 Philippine piso[13]
Generated Narrative: Organization rs-bundle-example-organization Profile: RS Organization identifier: DohNhfrCode/MC-EMS-0001 active: true name: MetroCare EMS telecom: +63-917-555-0100 address: 123 Rescue Avenue Makati City NCR 1226 PH (work)
Generated Narrative: Location rs-bundle-example-service-location Profile: RS Service Location name: DOH Central ER type: Emergency room address: San Lazaro Compound, Rizal Avenue Manila NCR 1003 PH
Generated Narrative: Practitioner rs-bundle-example-practitioner-teamlead Profile: PH Core Practitioner name: Joel Rivera (Official) telecom: +63-917-555-0155
Generated Narrative: Practitioner rs-bundle-example-practitioner-receiver Profile: PH Core Practitioner name: Maria Cristina Santos (Official) telecom: +63-917-555-0101
Generated Narrative: Observation rs-bundle-example-observation-injury-intent Profile: RS Observation - Injury Intent 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
Generated Narrative: Observation rs-bundle-example-observation-injury-datetime Profile: RS Observation - Date/Time of Injury 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
Generated Narrative: Observation rs-bundle-example-observation-transport-accident Profile: RS Observation - Transport/Vehicular Accident 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
Generated Narrative: Observation rs-bundle-example-observation-mode-transport Profile: RS Observation - Mode of Transport to Facility 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
Generated Narrative: Coverage rs-bundle-example-coverage status: Active type: extended healthcare beneficiary: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01 period: 2025-01-01 --> 2025-12-31 payor: Organization MetroCare EMS