DRAFT PH Road Safety Implementation Guide
0.2.0 - ci-build
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
Document Details
Profile: RS Bundle — ONEISS Submission
Final Document at 2025-11-01 10:00:00+0800 by Practitioner Maria Cristina Santos (official) for Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01 in 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
Document Subject
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Document Content
Entry 2 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111102
Resource Patient:
RS-Example Patient: Thomas Niccolo Filamor Reyes, male, born 1990-01-01. Address: 123 Sampaloc Street, Manila 1008, PH. Phone: +63-912-345-6789; Email: thomas.reyes@example.com
Entry 3 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111103
Resource Encounter:
Example RS Encounter for rs-example-patient covering an ER visit on 2025-10-31 following a vehicular incident.
Entry 4 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111104
Resource Condition:
Profile: RS Condition — Initial Impression
clinicalStatus: Active
verificationStatus: Provisional
category: Preliminary diagnosis
code: Injury of multiple body regions (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
onset: 2025-10-31 15:55:00+0800
note:
Polytrauma following multi-vehicle collision; hemodynamics stabilised upon arrival.
Entry 5 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111105
Resource Condition:
Profile: RS Condition — Final Diagnosis
clinicalStatus: Active
verificationStatus: Confirmed
code: Closed fracture of shaft of femur (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
recordedDate: 2025-11-01 09:00:00+0800
note:
Closed mid-shaft femur fracture confirmed via radiograph; scheduled for operative fixation.
Entry 6 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111106
Resource Observation:
Profile: RS Observation - Other Risk Factors
status: Final
code: Risk factor (observable entity)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:56:00+0800
value: Alcohol/liquor
Entry 7 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111107
Resource Observation:
status: Final
code: Blood ethanol measurement (procedure)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:28:00+0800
value: 0.06 g/dL (Details: UCUM codeg/dL = 'g/dL')
Entry 8 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111108
Resource Observation:
status: Final
code: Patient status determination (procedure)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:58:00+0800
value: Stable
Entry 9 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111109
Resource Observation:
Profile: RS Observation - Status on Arrival
status: Final
code: Patient status finding (finding)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:04:00+0800
value: Alive
Entry 10 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111110
Resource Observation:
Profile: RS Observation - Outcome at Release
status: Final
code: Patient condition finding (finding)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:34:00+0800
value: Improved
Entry 11 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111111
Resource Observation:
status: Final
code: Transferred from another acute care facility [NTDS]
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:30:00+0800
value: true
Entry 12 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111112
Resource Observation:
status: Final
code: Referral by establishment (procedure)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:32:00+0800
value: true
Entry 13 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111113
Resource Observation:
Profile: RS Observation - Multiple Injuries?
status: Final
code: Multiple injuries (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:30:00+0800
value: true
Entry 14 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111114
Resource Observation:
Profile: RS Observation - Abrasion
status: Final
code: Abrasion (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:32:00+0800
value: true
note:
Superficial abrasion on left forearm
bodySite: Arm
Entry 15 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111115
Resource Observation:
Profile: RS Observation - Avulsion
status: Final
code: Avulsion - injury (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:34:00+0800
value: true
note:
Partial nail avulsion on right index finger
bodySite: Hand structure
Entry 16 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111116
Resource Observation:
status: Final
code: Burn (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:36:00+0800
value: 1st Degree Burn
note:
Mild burn on right forearm
Entry 17 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111117
Resource Observation:
Profile: RS Observation - Concussion
status: Final
code: Concussion injury of brain (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:38:00+0800
value: true
note:
Brief loss of consciousness reported
bodySite: Head structure
Entry 18 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111118
Resource Observation:
Profile: RS Observation - Contusion
status: Final
code: Contusion (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:40:00+0800
value: true
note:
Bruising on left thigh
bodySite: Thigh structure
Entry 19 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111119
Resource Observation:
Profile: RS Observation - Fracture
status: Final
code: Fracture of bone (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:42:00+0800
value: Closed fracture
note:
Closed fracture of left radius
bodySite: Radius bone structure
Entry 20 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111120
Resource Observation:
Profile: RS Observation - Open Wound
status: Final
code: Open wound (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:44:00+0800
value: Laceration from glass
bodySite: Forearm structure
Entry 21 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111121
Resource Observation:
status: Final
code: Traumatic amputation (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:46:00+0800
value: false
note:
No amputation observed
Entry 22 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111122
Resource Observation:
status: Final
code: Traumatic or non-traumatic injury (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:48:00+0800
value: Soft tissue swelling on ankle
bodySite: Ankle structure
Entry 23 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111123
Resource Observation:
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
effective: 2025-10-31 17:14:00+0800
value: 2025-10-31 15:20:00+0800
Entry 24 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111124
Resource Observation:
Profile: RS Observation - Injury Intent
status: Final
code: Injury intent
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 15:45:00+0800
value: Unintentional/Accidental
Entry 25 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111125
Resource Observation:
status: Final
code: Transport accident (event)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:26:00+0800
value: true
Entry 26 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111126
Resource Observation:
status: Final
code: Transport mode to hospital [NTDS]
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:06:00+0800
value: Ambulance
Entry 27 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111127
Resource Observation:
status: Final
code: FOR TRANSPORT/VEHICULAR ACCIDENT ONLY (Collision; Non-Collision)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:16:00+0800
value: Collision
Entry 28 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111128
Resource Observation:
Profile: RS Observation - Patient's Vehicle
status: Final
code: Vehicles Involved: Patient's Vehicle
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:18:00+0800
value: Car
Entry 29 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111129
Resource Observation:
status: Final
code: Other Vehicle/Object Involved (for COLLISION accident ONLY)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:20:00+0800
value: Motorcycle
Entry 30 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111130
Resource Observation:
Profile: RS Observation - Position of Patient
status: Final
code: Position of Patient
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:22:00+0800
value: Pedestrian
Entry 31 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111131
Resource Observation:
status: Final
code: Vehicles Involved: Patient's Vehicle
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:12:00+0800
value: 3
Entry 32 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111132
Resource Observation:
Profile: RS Observation - Place of Occurrence
status: Final
code: Place of occurrence
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:24:00+0800
value: Home
note:
Incident occurred along residential frontage
Entry 33 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111133
Resource Observation:
status: Final
code: Injury associated activity
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:26:00+0800
value: Sports
Entry 34 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111134
Resource Observation:
Profile: RS Observation - Safety Accessories
status: Final
code: Safety precautions (procedure)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:58:00+0800
value: Seatbelt
Entry 35 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111135
Resource Observation:
Profile: RS Observation - Triage Priority
status: Final
code: Triage index (assessment scale)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:00:00+0800
value: Yellow
Entry 36 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111136
Resource Observation:
status: Final
code: Priority (attribute)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 17:02:00+0800
value: Priority 2
Entry 37 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111138
Resource Observation:
status: Final
code: Injury caused by animal (disorder)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 15:50:00+0800
value: true
note:
Bite from stray dog at roadside
Entry 38 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111139
Resource Observation:
status: Final
code: Burning due to contact with hot substance (event)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 15:55:00+0800
value: Fire
note:
Burns caused by kitchen grease fire
Entry 39 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111140
Resource Observation:
status: Final
code: Exposure to potentially hazardous substance (event)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:00:00+0800
value: true
note:
Exposure to industrial bleach
Entry 40 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111141
Resource Observation:
status: Final
code: Struck by sharp object
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:05:00+0800
value: true
note:
Laceration from broken windshield glass
Entry 41 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111142
Resource Observation:
status: Final
code: Drowning (event)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:10:00+0800
value: River
note:
Vehicle submerged in flooded underpass
Entry 42 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111143
Resource Observation:
status: Final
code: Environmental event
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:12:00+0800
value: true
Entry 43 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111144
Resource Observation:
status: Final
code: Fall (event)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:14:00+0800
value: true
note:
Slipped on oil at crash site
Entry 44 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111145
Resource Observation:
status: Final
code: Accident caused by fireworks
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:16:00+0800
value: true
note:
Improvised piccolo firecracker
Entry 45 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111146
Resource Observation:
status: Final
code: Struck by firearm discharge
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:18:00+0800
value: true
note:
Handgun involved in altercation
Entry 46 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111147
Resource Observation:
status: Final
code: Asphyxia by strangulation
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:20:00+0800
value: true
Entry 47 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111148
Resource Observation:
status: Final
code: Assault
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:22:00+0800
value: true
Entry 48 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111149
Resource Observation:
status: Final
code: Sexual assault
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:24:00+0800
value: true
Entry 49 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111150
Resource Observation:
status: Final
code: Traumatic event
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
effective: 2025-10-31 16:28:00+0800
value: true
note:
Falling debris from construction site
Entry 50 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111151
Resource DocumentReference:
Crash scene photograph associated with rs-example-encounter for patient rs-example-patient.
Entry 51 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111152
Resource ServiceRequest:
ServiceRequest documenting refusal to admit for rs-example-patient with supporting organization and practitioner contacts.
Entry 52 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111153
Resource Procedure:
Profile: RS Procedure
status: Completed
code: Patient education (procedure)
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
Performers
Actor Practitioner Joel Rivera (official) note:
Discussed signs of delayed chest trauma and when to return to ER.
Entry 53 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111154
Resource Procedure:
status: Completed
code: Was Transport Coordinated with Receiving Hospital?
subject: Thomas Niccolo Filamor Reyes (official) Male, DoB: 1990-01-01
note:
Coordination established with ER charge nurse prior to departure.
Entry 54 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111155
Resource Organization:
Profile: RS Organization
identifier: DohNhfrCode/MC-EMS-0001
active: true
name: MetroCare EMS
Contacts
Telecom Address +63-917-555-0100 123 Rescue Avenue Makati City NCR 1226 PH (work)
Entry 55 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111156
Resource Practitioner:
Profile: PH Core Practitioner
name: Maria Cristina Santos (Official)
telecom: +63-917-555-0101
Entry 56 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111157
Resource Practitioner:
Profile: PH Core Practitioner
name: Joel Rivera (Official)
telecom: +63-917-555-0155
Entry 57 - fullUrl = urn:uuid:11111111-1111-1111-1111-111111111159
Resource Location:
Profile: RS Service Location
name: DOH Central ER
type: Emergency room
address: San Lazaro Compound, Rizal Avenue Manila NCR 1003 PH