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Official URL: https://veinscdr.mhnexus.com/baseR4/ImplementationGuide/fhir.example Version: 0.1.0
Draft as of 2024-12-26 Computable Name: MHNSushi

Logo HIE KEMENTERIAN KESIHATAN MALAYSIA (1)

Background: Malaysia's Drive for Standardized Healthcare Data Exchange

Health Information Exchange (HIE) in Malaysia is a national initiative driven by the Ministry of Health (MOH) to establish a secure platform for electronic exchange of health-related data among medical facilities, providers, and patients. This initiative aims to focus on:

  • Enabling Continuity of Care for healthcare professionals nationwide to access and share critical medical information (Lifetime Health Record - LHR) digitally.

  • Streamlining Care Coordination to reduce the burden of integrating disparate systems, allowing for smoother workflows and information exchange between healthcare providers. This fosters a more coordinated care environment for patients, ensuring continuity across different providers.

  • Empowering Person Engagement by promoting secure access to their medical records. This encourages patients to actively participate in their healthcare decisions, potentially improving the health of the nation.

HL7 FHIR: The Foundation for Interoperability

The global standard for digital healthcare data exchange, HL7 FHIR (Fast Healthcare Interoperability Resources), has been chosen as the integration exchange standard. This selection ensures seamless communication between disparate healthcare IT systems. The specific implementation will utilize Smile CDR FHIR engine, an enterprise solution built on the advanced HL7 FHIR Release 4 standard and powered by HAPI, a widely adopted FHIR server framework.

Scope: Establishing a National Standard with Flexibility

This project focuses on introducing the HL7 FHIR standard for standardized healthcare information exchange across Malaysia's health system. A key deliverable is the creation of the Malaysia Core (MY Core) Profile, which will serve as the national baseline for data exchange specification.

Future implementation guides and specifications in Malaysia can be further derived from MY Core to address specific needs beyond the current national specification. These derived profiles must conform to the specifications defined in the MY Core Profile to ensure national interoperability adherence.

Following the 80/20 rule, the base HL7 FHIR specifications focuses on the 20% of requirements that satisfy 80% of the interoperability needs. MY Core will attempt to fill in the local context gap not addressed by the base HL7 FHIR specification.

Objective: A Clear Roadmap for Malaysia HL7 FHIR Implementation

This implementation guide has two primary objectives:

  • Offer a comprehensive Implementation Guide for the Malaysia FHIR standard known as the Malaysia Core (MY Core) to equip developers & implementors with the necessary knowledge and tools to seamlessly integrate the standard into their healthcare software solutions.
  • Delineate the profile development process for the Malaysia FHIR standard to ensure a well-defined and nationally recognized approach to data exchange.

Author & Contributors

Role Name Organization Contact
Primary Author Dr. Saifuldaulah Bin Mohd Hafiz Ngoo Malaysia Healthcare Nexus (MHN) saifuldaulah@mhnexus.com
Primary Author Dr. Teh Ee Von Malaysia Healthcare Nexus (MHN) teh@mhnexus.com
Supporting Author Ahmad Aiman Haziq bin Ahmad Tarmidzi Malaysia Healthcare Nexus (MHN) haziq@mhnexus.com
Contributor Dr. Muhamad Azrin Bin Zubir Malaysia Healthcare Nexus (MHN) azrinmd@mhnexus.com
Contributor Soo Kong Mooi (Billy) Malaysia Healthcare Nexus (MHN) billykmsoo@mhnexus.com

​For list of Subject Matter Expert involved in the project refer SME involved.