HL7 FHIR Malaysia Core (MY Core) Implementation Guide
2.0.0 - ci-build
HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="example-bundle-encounter-summary-amend"/>
<type value="transaction"/>
<entry>
<fullUrl
value="https://fhir.hie.moh.gov.my/baseR4/Composition/hie-dc-comp-12347-140423"/>
<resource>
<Composition>
<id value="hie-dc-comp-12347-140423"/>
<meta>
<lastUpdated value="2023-04-06T22:58:30.149+08:00"/>
<source value="sample"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
</security>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_hie-dc-comp-12347-140423"> </a><p class="res-header-id"><b>Generated Narrative: Composition hie-dc-comp-12347-140423</b></p><a name="hie-dc-comp-12347-140423"> </a><a name="hchie-dc-comp-12347-140423"> </a><a name="hie-dc-comp-12347-140423-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2023-04-06 22:58:30+0800; </p><p style="margin-bottom: 0px">Information Source: sample</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Composition-my-core.html">Composition (MY Core)</a></p><p style="margin-bottom: 0px">Security Label: normal (Details: Confidentiality code N = 'normal')</p></div><p><b>ExtensionLocationRecorded (MY Core)</b>: Ward A</p><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/composition-id</code>/HTJ-CMP-2304000003</p><p><b>status</b>: Amended</p><p><b>type</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core 18842-5}">Discharge Summary Note</span></p><p><b>category</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core LP72467-1}">Discharge Summary Note</span></p><p><b>encounter</b>: <a href="Bundle-example-bundle-encounter-summary.html#Encounter_encounter-sample">Bundle: type = transaction</a></p><p><b>date</b>: 2023-04-07 06:58:00+0800</p><p><b>author</b>: Saw Lee Chin (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/64325)</p><p><b>title</b>: Note</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Professional</td><td>2023-04-07 06:58:00+0800</td><td>Kamal Bin Arifin (Identifier: <code>http://fhir.hie.moh.gov.my/sid/nsr-no</code>/23312)</td></tr></table><p><b>custodian</b>: <a href="Organization/11-05060009">HOSPITAL TUANKU JA'AFAR, SEREMBAN</a></p><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core 18842-5}">Discharge Summary Note</span></td><td>2023-04-07 06:57:00+0800 --> (ongoing)</td></tr></table></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/location-recorded-my-core">
<valueReference>
<display value="Ward A"/>
</valueReference>
</extension>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/composition-id"/>
<value value="HTJ-CMP-2304000003"/>
</identifier>
<status value="amended"/>
<type>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core"/>
<code value="18842-5"/>
<display value="Discharge Summary Note"/>
</coding>
</type>
<category>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core"/>
<code value="LP72467-1"/>
<display value="Discharge Summary Note"/>
</coding>
</category>
<subject>
<reference value="Patient/patient-sample"/>
</subject>
<encounter>
<reference value="Encounter/encounter-sample"/>
</encounter>
<date value="2023-04-07T06:58:00.000+08:00"/>
<author>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="64325"/>
</identifier>
<display value="Saw Lee Chin"/>
</author>
<title value="Note"/>
<attester>
<mode value="professional"/>
<time value="2023-04-07T06:58:00.000+08:00"/>
<party>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/nsr-no"/>
<value value="23312"/>
</identifier>
<display value="Kamal Bin Arifin"/>
</party>
</attester>
<custodian>
<reference value="Organization/11-05060009"/>
<display value="HOSPITAL TUANKU JA'AFAR, SEREMBAN"/>
</custodian>
<event>
<code>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core"/>
<code value="18842-5"/>
<display value="Discharge Summary Note"/>
</coding>
</code>
<period>
<start value="2023-04-07T06:57:00.000+08:00"/>
</period>
</event>
<section>
<title value="Clinical Information"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55752-0"/>
<display value="Clinical Information"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>
</text>
</section>
<section>
<title value="Care plan"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of Care"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>
</text>
</section>
<section>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core">
<valueDateTime value="2023-04-07T06:57:00.000+08:00"/>
</extension>
<title value="Addendum Note 1"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55107-7"/>
<display value="Addendum Note"/>
</coding>
</code>
<author>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="64325"/>
</identifier>
<display value="Saw Lee Chin"/>
</author>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Addendum%20entry</div>
</text>
</section>
<section>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core">
<valueDateTime value="2023-04-07T06:57:00.000+08:00"/>
</extension>
<title value="Addendum Note 2"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55107-7"/>
<display value="Addendum Note"/>
</coding>
</code>
<author>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="64325"/>
</identifier>
<display value="Saw Lee Chin"/>
</author>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Addendum%20entry</div>
</text>
</section>
</Composition>
</resource>
<request>
<method value="PUT"/>
<url value="Composition/hie-dc-comp-12347-140423"/>
</request>
</entry>
<entry>
<fullUrl
value="https://fhir.hie.moh.gov.my/baseR4/Patient/patient-sample"/>
<resource>
<Patient>
<id value="patient-sample-12347-140423"/>
<meta>
<lastUpdated value="2023-04-10T07:46:20.943+08:00"/>
<source value="sample"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Patient-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-sample-12347-140423"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-sample-12347-140423</b></p><a name="patient-sample-12347-140423"> </a><a name="hcpatient-sample-12347-140423"> </a><a name="patient-sample-12347-140423-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2023-04-10 07:46:20+0800; </p><p style="margin-bottom: 0px">Information Source: sample</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Patient-my-core.html">Patient (MY Core)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">NURUL BINTI SALLEH Female, DoB: 1991-05-03 ( http://fhir.hie.moh.gov.my/sid/my-kad-no#910503145678)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td>false</td></tr><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}">Never Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3"><code>http://fhir.hie.moh.gov.my/sid/patient-mrn</code>/HIE-00000003</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0102313431(Mobile)</li><li><a href="mailto:nurulsalleh@gmail.com">nurulsalleh@gmail.com</a></li><li>ALAM SARI KAJANG 43000 MYS </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Father">Father:</td><td colspan="3"><ul><li>SALLEH BIN ABU</li><li>ALAM SARI KAJANG 43000 MYS </li><li>ph: 01156404200(Mobile)</li><li><a href="mailto:duniakusegitiga@gmail.com">duniakusegitiga@gmail.com</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>Managing Organization: <a href="Organization/11-05060009">HOSPITAL TUANKU JA'AFAR</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Extension to classify the ethnicity of an individual."><a href="StructureDefinition-ethnic-my-core.html">ExtensionEthnic (MY Core)</a></td><td colspan="3"><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/ethnic-my-core 01}">Melayu</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension about the general category of an individual's education level."><a href="StructureDefinition-education-level-my-core.html">ExtensionEducationLevel (MY Core)</a></td><td colspan="3"><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/education-level-my-core 4}">Tertiary</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension to define the individual monthly household income category."><a href="StructureDefinition-monthly-household-income-my-core.html">ExtensionMonthlyHouseholdIncome (MY Core)</a></td><td colspan="3"><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/monthly-household-income-my-core 02}">< RM 500</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension of the individual who recorded and updated the date">ExtensionAudit (MY Core):</td><td colspan="3"><ul><li>recorder: AMIN</li><li>recordedDate: 2022-10-05 07:14:38+0800</li><li>lastUpdater: ASYIQ</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Extension about the individual's religious affiliation."><a href="StructureDefinition-religion-my-core.html">ExtensionReligion (MY Core)</a></td><td colspan="3"><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/religion-my-core 1}">Islam</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension to define the nationality of a particular individual."><a href="StructureDefinition-nationality-my-core.html">ExtensionNationality (MY Core)</a></td><td colspan="3"><span title="Codes:{urn:iso:std:iso:3166 MYS}">Malaysia</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension to categorize an individuals occupational sector"><a href="StructureDefinition-occupation-sector-my-core.html">ExtensionOccupationSector (MY Core)</a></td><td colspan="3"><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/occupation-sector-my-core 2}">JURU SENI</span></td></tr></table></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/religion-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/religion-my-core"/>
<code value="1"/>
<display value="Islam"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/ethnic-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/ethnic-my-core"/>
<code value="01"/>
<display value="Melayu"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/education-level-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/education-level-my-core"/>
<code value="4"/>
<display value="Tertiary"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/nationality-my-core">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="MYS"/>
<display value="Malaysia"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/monthly-household-income-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/monthly-household-income-my-core"/>
<code value="02"/>
<display value="< RM 500"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/occupation-sector-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/occupation-sector-my-core"/>
<code value="2"/>
<display value="Art and Talent"/>
</coding>
<text value="JURU SENI"/>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="recorder">
<valueReference>
<type value="PractitionerRole"/>
<display value="AMIN"/>
</valueReference>
</extension>
<extension url="recordedDate">
<valueDateTime value="2022-10-05T07:14:38+08:00"/>
</extension>
<extension url="lastUpdater">
<valueReference>
<type value="PractitionerRole"/>
<display value="ASYIQ"/>
</valueReference>
</extension>
</extension>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/my-kad-no"/>
<value value="910503145678"/>
</identifier>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/patient-mrn"/>
<value value="HIE-00000003"/>
</identifier>
<active value="true"/>
<name>
<text value="NURUL BINTI SALLEH"/>
<given value="NURUL BINTI SALLEH"/>
</name>
<telecom>
<system value="phone"/>
<value value="0102313431"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="nurulsalleh@gmail.com"/>
<use value="mobile"/>
</telecom>
<gender value="female"/>
<birthDate value="1991-05-03"/>
<deceasedBoolean value="false"/>
<address>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/address-district-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/district-my-core"/>
<code value="1008"/>
<display value="Ulu Langat"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/address-state-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/state-my-core"/>
<code value="10"/>
<display value="Selangor"/>
</coding>
</valueCodeableConcept>
</extension>
<line value="ALAM SARI"/>
<city value="KAJANG"/>
<postalCode value="43000"/>
<country value="MYS"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/relationship-my-core"/>
<code value="04"/>
<display value="Father"/>
</coding>
</relationship>
<name>
<text value="SALLEH BIN ABU"/>
<given value="SALLEH BIN ABU"/>
</name>
<telecom>
<system value="phone"/>
<value value="01156404200"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="duniakusegitiga@gmail.com"/>
<use value="mobile"/>
</telecom>
<address>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/address-district-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/district-my-core"/>
<code value="1008"/>
<display value="Ulu Langat"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/address-state-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/state-my-core"/>
<code value="10"/>
<display value="Selangor"/>
</coding>
</valueCodeableConcept>
</extension>
<line value="ALAM SARI"/>
<city value="KAJANG"/>
<postalCode value="43000"/>
<country value="MYS"/>
</address>
</contact>
<managingOrganization>
<reference value="Organization/11-05060009"/>
<display value="HOSPITAL TUANKU JA'AFAR"/>
</managingOrganization>
</Patient>
</resource>
<request>
<method value="PUT"/>
<url value="Patient/patient-sample"/>
</request>
</entry>
<entry>
<fullUrl
value="https://fhir.hie.moh.gov.my/baseR4/Encounter/encounter-sample"/>
<resource>
<Encounter>
<id value="encounter-sample-12347-140423"/>
<meta>
<lastUpdated value="2023-04-08T23:51:31.232+08:00"/>
<source value="sample"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Encounter-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-sample-12347-140423"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter-sample-12347-140423</b></p><a name="encounter-sample-12347-140423"> </a><a name="hcencounter-sample-12347-140423"> </a><a name="encounter-sample-12347-140423-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2023-04-08 23:51:31+0800; </p><p style="margin-bottom: 0px">Information Source: sample</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Encounter-my-core.html">Encounter (MY Core)</a></p></div><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/encounter-id</code>/HTJ-ENC-2211000036</p><p><b>status</b>: Finished</p><blockquote><p><b>statusHistory</b></p><p><b>status</b>: Planned</p><p><b>period</b>: 2023-04-26 08:00:00+0800 --> 2023-04-26 09:00:00+0800</p></blockquote><blockquote><p><b>statusHistory</b></p><p><b>status</b>: Arrived</p><p><b>period</b>: 2023-04-26 08:00:00+0800 --> 2023-04-26 08:15:00+0800</p></blockquote><blockquote><p><b>statusHistory</b></p><p><b>status</b>: In Progress</p><p><b>period</b>: 2023-04-26 08:15:00+0800 --> 2023-04-26 09:00:00+0800</p></blockquote><p><b>class</b>: <a href="CodeSystem-code-system-encounter-class-my-core.html#code-system-encounter-class-my-core-AMB">CodeSystemEncounterClass (MY Core) AMB</a>: Outpatient</p><p><b>type</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core 555}">General Health screening</span></p><p><b>serviceType</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/service-type-my-core 03}">Outpatient</span></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActPriority R}">Routine</span></p><p><b>subject</b>: <a href="Bundle-example-bundle-encounter-summary.html#Patient_patient-sample">Bundle: type = transaction</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}">primary performer</span></td><td>Saifuldaulah Bin Mohd Hafiz Ngoo (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/81751)</td></tr></table><p><b>period</b>: 2023-01-20 08:00:00+0800 --> 2023-01-20 12:00:00+0800</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Bundle-example-bundle-encounter-summary.html#Condition_condition-sample">Dengue NOS</a></p><p><b>use</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}">Admission diagnosis</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Bundle-example-bundle-encounter-summary.html#Condition_condition-sample">Dengue NOS</a></p><p><b>use</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role DD}">Discharge diagnosis</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Bundle-example-bundle-encounter-summary.html#Condition_condition-sample">Dengue NOS</a></p><p><b>use</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core 01}">Main Diagnosis</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Bundle-example-bundle-encounter-summary.html#Condition_condition-sample">Dengue NOS</a></p><p><b>use</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core 08}">Other Diagnosis</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Bundle-example-bundle-encounter-summary.html#Procedure_procedure-sample">Cranioplasty</a></p><p><b>use</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core 08}">Other Diagnosis</span></p></blockquote><p><b>serviceProvider</b>: <a href="Organization/11-05060009">Hospital Tuanku Ja'afar, Seremban</a></p></div>
</text>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/encounter-id"/>
<value value="HTJ-ENC-2211000036"/>
</identifier>
<status value="finished"/>
<statusHistory>
<status value="planned"/>
<period>
<start value="2023-04-26T08:00:00+08:00"/>
<end value="2023-04-26T09:00:00+08:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="arrived"/>
<period>
<start value="2023-04-26T08:00:00+08:00"/>
<end value="2023-04-26T08:15:00+08:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="in-progress"/>
<period>
<start value="2023-04-26T08:15:00+08:00"/>
<end value="2023-04-26T09:00:00+08:00"/>
</period>
</statusHistory>
<class>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/encounter-class-my-core"/>
<code value="AMB"/>
<display value="Outpatient"/>
</class>
<type>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/specialty-my-core"/>
<code value="555"/>
<display value="General Health screening"/>
</coding>
</type>
<serviceType>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/service-type-my-core"/>
<code value="03"/>
<display value="Outpatient"/>
</coding>
</serviceType>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"/>
<code value="R"/>
<display value="Routine"/>
</coding>
</priority>
<subject>
<reference value="Patient/patient-sample"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="PPRF"/>
<display value="primary performer"/>
</coding>
</type>
<individual>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="81751"/>
</identifier>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</individual>
</participant>
<period>
<start value="2023-01-20T08:00:00+08:00"/>
<end value="2023-01-20T12:00:00+08:00"/>
</period>
<diagnosis>
<condition>
<reference value="Condition/condition-sample"/>
<type value="Condition"/>
<display value="Dengue NOS"/>
</condition>
<use>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="AD"/>
<display value="Admission diagnosis"/>
</coding>
</use>
</diagnosis>
<diagnosis>
<condition>
<reference value="Condition/condition-sample"/>
<type value="Condition"/>
<display value="Dengue NOS"/>
</condition>
<use>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="DD"/>
<display value="Discharge diagnosis"/>
</coding>
</use>
</diagnosis>
<diagnosis>
<condition>
<reference value="Condition/condition-sample"/>
<type value="Condition"/>
<display value="Dengue NOS"/>
</condition>
<use>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core"/>
<code value="01"/>
<display value="Main Diagnosis"/>
</coding>
</use>
</diagnosis>
<diagnosis>
<condition>
<reference value="Condition/condition-sample"/>
<type value="Condition"/>
<display value="Dengue NOS"/>
</condition>
<use>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core"/>
<code value="08"/>
<display value="Other Diagnosis"/>
</coding>
</use>
</diagnosis>
<diagnosis>
<condition>
<reference value="Procedure/procedure-sample"/>
<type value="Procedure"/>
<display value="Cranioplasty"/>
</condition>
<use>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core"/>
<code value="08"/>
<display value="Other Diagnosis"/>
</coding>
</use>
</diagnosis>
<serviceProvider>
<reference value="Organization/11-05060009"/>
<display value="Hospital Tuanku Ja'afar, Seremban"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="PUT"/>
<url value="Encounter/encounter-sample"/>
</request>
</entry>
</Bundle>