HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
2.0.1 - ci-build
HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
2.0.1 - ci-build
HL7® FHIR® Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.1) 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-health-screening-nhsi"/>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:00000080-0001-0001-0004-000000000001"/>
<resource>
<Composition>
<id value="sample-composition-bundle-nhsi"/>
<meta>
<source value="http://example.com"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-health-screening-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_sample-composition-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Composition sample-composition-bundle-nhsi</b></p><a name="sample-composition-bundle-nhsi"> </a><a name="hcsample-composition-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.com">http://example.com</a></p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-Composition-my-core.html">Composition (MY Core)</a>, <a href="StructureDefinition-Composition-health-screening-my-core.html">Composition Health Screening (MY Core)</a></p></div><p><b>identifier</b>: hs-123</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 64285-0}">Medical history screening form</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org LP199484-9}">Form</span></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>date</b>: 2024-07-18 08:00:00+0800</p><p><b>author</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>title</b>: Health Screening</p><p><b>confidentiality</b>: normal</p><p><b>custodian</b>: <a href="Organization/11-05060009">Organization/11-05060009</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://loinc.org 64285-0}">Medical history screening form</span></td><td>2024-07-18 08:00:00+0800 --> (ongoing)</td></tr></table></div>
</text>
<identifier>
<value value="hs-123"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="64285-0"/>
<display value="Medical history screening form"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="LP199484-9"/>
<display value="Form"/>
</coding>
</category>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<date value="2024-07-18T08:00:00+08:00"/>
<author>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</author>
<title value="Health Screening"/>
<confidentiality value="N"/>
<custodian>
<reference value="Organization/11-05060009"/>
</custodian>
<event>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="64285-0"/>
<display value="Medical history screening form"/>
</coding>
</code>
<period>
<start value="2024-07-18T08:00:00+08:00"/>
</period>
</event>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Status</th><th>Name</th><th>Category</th><th>Onset</th><th>Abatement</th></tr><tr><td>active</td><td>Pneumonia</td><td>Encounter Diagnosis</td><td>2024-07-01</td><td>2024-07-17</td></tr><tr><td>active</td><td><div><div>Essential hypertension</div></div></td><td>Comorbidities</td><td>N/A</td><td>N/A</td></tr><tr><td>active</td><td><div><div>Type 2 diabetes mellitus</div></div></td><td>Comorbidities</td><td>N/A</td><td>N/A</td></tr></tbody></table></div>
</text>
<entry>
<reference
value="Condition/ca211a37-a7b9-42f7-a853-70cbb2f8f295"/>
</entry>
<entry>
<reference
value="Condition/3051480c-2a46-4818-b4dc-57de6159e3d8"/>
</entry>
<entry>
<reference
value="Condition/bb5460e7-cf4e-4799-8724-07f531dfa984"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8716-3"/>
<display value="Vital Signs"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Parameter</th><th>Value</th><th>Unit</th></tr><tr><td>Respiratory Rate</td><td>16</td><td>/bpm</td></tr><tr><td>Oxygen Saturation</td><td>94</td><td>%</td></tr><tr><td>Heart Rate</td><td>60</td><td>/bpm</td></tr><tr><td>Systolic Blood Pressure</td><td>80</td><td>mmHg</td></tr><tr><td>Diastolic Blood Pressure</td><td>60</td><td>mmHg</td></tr><tr><td>Temperature</td><td><div><div>31</div></div></td><td>'C</td></tr><tr><td>Pain Score</td><td>8</td></tr></tbody></table></div>
</text>
<entry>
<reference
value="Observation/urn:uuid:00000011-0001-0001-0003-000000000001"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55418-8"/>
<display value="Anthropometry"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Parameter</th><th>Value</th><th>Unit</th></tr><tr><td>Height</td><td>168</td><td>cm</td></tr><tr><td>Weight</td><td>55</td><td>kg</td></tr><tr><td>BMI</td><td>19.5</td><td><div><div>kg/m2</div></div></td></tr><tr><td>Waist Circumference</td><td>28</td><td>cm</td></tr></tbody></table></div>
</text>
<entry>
<reference
value="Observation/urn:uuid:00000011-0001-0001-0004-000000000001"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72166-2"/>
<display value="Smoking History"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><td>Smoking Status</td><td>true</td></tr><tr><td>Lifetime smoking use</td><td>15 years</td></tr><tr><td>Date quit smoking</td><td>19/7/2024</td></tr></tbody><tfoot><tr><td>Smoking device</td><td>Cigarette</td></tr><tr><td>Smoking history</td><td>Patient has been smoking for the past 15 years, have plan to quit now</td></tr></tfoot></table></div>
</text>
<entry>
<reference
value="Observation/urn:uuid:00000111-0005-0005-0005-000000000004"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74013-4"/>
<display value="Alcohol Use History"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Authored Date</b>: 19-Jul-2024</p><p><b>Author</b>: SAIFULDAULAH BIN MOHD HAFIZ NGOO</p><blockquote><b>Please select your gender</b>: male<br/><br/><b>How often do you have a drink containing alcohol?</b>: Monthly or less<br/><br/><b>How many standard drinks containing alcohol do you have on a typical day when drinking?</b>: 3 or 4<br/><br/><b>How often do you have six or more drinks on one occasion?</b>: Less than monthly<br/><br/><b>During the past year, how often have you found that you were not able to stop drinking once you had started?</b>: Less than monthly<br/><br/><b>During the past year, how often have you failed to do what was normally expected of you because of drinking?</b>: Weekly<br/><br/><b>During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?</b>: Weekly<br/><br/><b>During the past year, how often have you had a feeling of guilt or remorse after drinking?</b>: Monthly<br/><br/><b>During the past year, how often have you been unable to remember what happened the night before because you had been drinking?</b>: Monthly<br/><br/><b>Have you or someone else been injured as a result of your drinking?</b>: Yes, during the past year<br/><br/><b>Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?</b>: Yes, but not in the past year<br/><br/><b>Total score [AUDIT]</b>: 20<br/><b>Outcome Summary [AUDIT]</b>: Likelihood of alcohol dependence (moderate-severe alcohol use disorder)<br/></blockquote></div>
</text>
<entry>
<reference
value="Observation/urn:uuid:00000111-0005-0005-0005-000000000003"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display value="Lab diagnostic Report"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Performed</th><th>Test</th><th>Conclusion</th></tr><tr><td><div><div>2024-07-01T12:25:35+08:00</div></div></td><td><div><div>Hemoglobin A1c/Hemoglobin.total (HbA1c)</div></div></td><td>7.2%</td></tr></tbody></table></div>
</text>
<entry>
<reference
value="DiagnosticReport/urn:uuid:00000111-0001-0001-0003-000000000001"/>
</entry>
</section>
</Composition>
</resource>
<request>
<method value="POST"/>
<url value="Composition"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000080-0001-0001-0004-000000000002"/>
<resource>
<Patient>
<id value="sample-patient-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<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_sample-patient-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Patient sample-patient-bundle-nhsi</b></p><a name="sample-patient-bundle-nhsi"> </a><a name="hcsample-patient-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></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;">AMIR ZULKIFLI(official) Male, DoB: 1992-10-05 ( http://fhir.hie.moh.gov.my/sid/patient-mrn#PEKA-921005806671A)</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 colspan="3">false</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/my-kad-no</code>/921005806671 (use: official, )</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 01156404217(Mobile)</li><li>BANGI KAJANG 43000 MYS </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">Organization/11-05060009</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Extension to record the individual who recorded and last updated the data">ExtensionAudit (MY Core):</td><td colspan="3"><ul><li>recorder: SAIFULDAULAH BIN MOHD HAFIZ NGOO</li><li>recordedDate: 2023-05-11 07:01:51+0000</li><li>lastUpdater: SAIFULDAULAH BIN MOHD HAFIZ NGOO</li></ul></td></tr></table></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="recorder">
<valueReference>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</valueReference>
</extension>
<extension url="recordedDate">
<valueDateTime value="2023-05-11T07:01:51.252Z"/>
</extension>
<extension url="lastUpdater">
<valueReference>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</valueReference>
</extension>
</extension>
<identifier>
<use value="official"/>
<system value="http://fhir.hie.moh.gov.my/sid/my-kad-no"/>
<value value="921005806671"/>
</identifier>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/patient-mrn"/>
<value value="PEKA-921005806671A"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="AMIR ZULKIFLI"/>
<given value="AMIR ZULKIFLI"/>
</name>
<telecom>
<system value="phone"/>
<value value="01156404217"/>
<use value="mobile"/>
</telecom>
<gender value="male"/>
<birthDate value="1992-10-05"/>
<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="0310"/>
<display value="Jeli"/>
</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="BANGI"/>
<city value="KAJANG"/>
<postalCode value="43000"/>
<country value="MYS"/>
</address>
<managingOrganization>
<reference value="Organization/11-05060009"/>
</managingOrganization>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
<ifNoneExist
value="?identifier=http://fhir.hie.moh.gov.my/sid/patient-mrn|PEKA-921005806671A"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000080-0001-0001-0004-000000000003"/>
<resource>
<Encounter>
<id value="sample-encounter-bundle-nhsi"/>
<meta>
<source value="http://sample.com"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Encounter-my-core"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_sample-encounter-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Encounter sample-encounter-bundle-nhsi</b></p><a name="sample-encounter-bundle-nhsi"> </a><a name="hcsample-encounter-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://sample.com">http://sample.com</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Encounter-my-core.html">Encounter (MY Core)</a></p></div><p><b>ExtensionPoliceCase (MY Core)</b>: false</p><p><b>ExtensionVisitType (My Core)</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/visit-type-my-core 01}">New</span></p><p><b>my/StructureDefinition/internal-referral-my-core</b>: false</p><blockquote><p><b>ExtensionAudit (MY Core)</b></p><ul><li>recorder: <a href="PractitionerRole/6c80bf07-d4a0-4c20-8c79-9ddf67dd875b/_history/14">AZIELA</a></li><li>recordedDate: 2024-07-18 10:26:06+0800</li><li>lastUpdater: <a href="PractitionerRole/6c80bf07-d4a0-4c20-8c79-9ddf67dd875b/_history/14">AZIELA</a></li></ul></blockquote><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/encounter-id</code>/PEKA-ENC-12345</p><p><b>status</b>: Finished</p><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 561}">National Health Screening (NHSI)</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="Patient/ca211a37-a7b9-42f7-a853-70cbb2f8f295">Patient/ca211a37-a7b9-42f7-a853-70cbb2f8f295</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Period</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 ATND}">attender</span></td><td>2024-07-18 10:26:44+0800 --> (ongoing)</td><td>AZIELA</td></tr></table><p><b>period</b>: 2024-07-18 10:26:06+0800 --> (ongoing)</p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition/ca211a37-a7b9-42f7-a853-70cbb2f8f295">Condition/ca211a37-a7b9-42f7-a853-70cbb2f8f295</a></td><td><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core 01}">Main Diagnosis</span></td></tr></table><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>AdmitSource</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core 99}">Others (walk-in)</span></td></tr></table><p><b>serviceProvider</b>: <a href="Organization/11-05060009">Organization/11-05060009</a></p></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/police-case-my-core">
<valueBoolean value="false"/>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/visit-type-my-core">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/visit-type-my-core"/>
<code value="01"/>
<display value="New"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/internal-referral-my-core">
<valueBoolean value="false"/>
</extension>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="recorder">
<valueReference>
<reference
value="PractitionerRole/6c80bf07-d4a0-4c20-8c79-9ddf67dd875b/_history/14"/>
<display value="AZIELA"/>
</valueReference>
</extension>
<extension url="recordedDate">
<valueDateTime value="2024-07-18T10:26:06+08:00"/>
</extension>
<extension url="lastUpdater">
<valueReference>
<reference
value="PractitionerRole/6c80bf07-d4a0-4c20-8c79-9ddf67dd875b/_history/14"/>
<display value="AZIELA"/>
</valueReference>
</extension>
</extension>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/encounter-id"/>
<value value="PEKA-ENC-12345"/>
</identifier>
<status value="finished"/>
<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="561"/>
<display value="National Health Screening (NHSI)"/>
</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/ca211a37-a7b9-42f7-a853-70cbb2f8f295"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="ATND"/>
<display value="attender"/>
</coding>
</type>
<period>
<start value="2024-07-18T10:26:44+08:00"/>
</period>
<individual>
<type value="PractitionerRole"/>
<display value="AZIELA"/>
</individual>
</participant>
<period>
<start value="2024-07-18T10:26:06+08:00"/>
</period>
<diagnosis>
<condition>
<reference
value="Condition/ca211a37-a7b9-42f7-a853-70cbb2f8f295"/>
</condition>
<use>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/diagnosis-role-my-core"/>
<version value="1.0.0"/>
<code value="01"/>
<display value="Main Diagnosis"/>
</coding>
</use>
</diagnosis>
<hospitalization>
<admitSource>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/external-referral-source-type-my-core"/>
<code value="99"/>
<display value="Others (walk-in)"/>
</coding>
</admitSource>
</hospitalization>
<serviceProvider>
<reference value="Organization/11-05060009"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
<ifNoneExist
value="?identifier=http://fhir.hie.moh.gov.my/sid/encounter-id|PEKA-ENC-12345"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0001-0001-0004-000000000001"/>
<resource>
<Observation>
<id value="sample-observation-anthropometry-panel-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-anthropometry-panel-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-anthropometry-panel-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-anthropometry-panel-bundle-nhsi</b></p><a name="sample-observation-anthropometry-panel-bundle-nhsi"> </a><a name="hcsample-observation-anthropometry-panel-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-anthropometry-panel-my-core.html">Observation Anthropometry Panel (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 55418-8}">Anthropometry panel</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>hasMember</b>: </p><ul><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-bmi-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-height-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-waist-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-weight-bundle-nhsi">Bundle: type = transaction</a></li></ul></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55418-8"/>
<display value="Anthropometry panel"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<hasMember>
<reference value="Observation/sample-observation-bmi-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-height-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-waist-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-weight-bundle-nhsi"/>
</hasMember>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0004-000000000002"/>
<resource>
<Observation>
<id value="sample-observation-bmi-bundle-nhsi"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2024-07-21T20:52:25.665+08:00"/>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-bmi-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-bmi-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-bmi-bundle-nhsi</b></p><a name="sample-observation-bmi-bundle-nhsi"> </a><a name="hcsample-observation-bmi-bundle-nhsi"> </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">version: 1; Last updated: 2024-07-21 20:52:25+0800; </p><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-bmi-my-core.html">Observation Body Mass Index (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 39156-5}">BMI</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 19.5 kg/m2<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg/m2 = 'kg/m2')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="39156-5"/>
<display value="BMI"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="19.5"/>
<unit value="kg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg/m2"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0004-000000000003"/>
<resource>
<Observation>
<id value="sample-observation-height-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-height-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-height-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-height-bundle-nhsi</b></p><a name="sample-observation-height-bundle-nhsi"> </a><a name="hcsample-observation-height-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-height-my-core.html">Observation Height (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8302-2}">Height</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 168 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM codecm = 'cm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Height"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="168"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0004-000000000004"/>
<resource>
<Observation>
<id value="sample-observation-waist-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-waist-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-waist-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-waist-bundle-nhsi</b></p><a name="sample-observation-waist-bundle-nhsi"> </a><a name="hcsample-observation-waist-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-waist-my-core.html">Observation Waist (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8280-0}">Waist Circumference</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 28 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM codecm = 'cm')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8280-0"/>
<display value="Waist Circumference"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="28"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0004-000000000005"/>
<resource>
<Observation>
<id value="sample-observation-weight-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-weight-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-weight-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-weight-bundle-nhsi</b></p><a name="sample-observation-weight-bundle-nhsi"> </a><a name="hcsample-observation-weight-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-weight-my-core.html">Observation Weight (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}">Weight</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 55 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg = 'kg')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Weight"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="55"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0001-0001-0003-000000000001"/>
<resource>
<Observation>
<id value="sample-observation-vital-sign-panel-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-vital-sign-panel-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-vital-sign-panel-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-vital-sign-panel-bundle-nhsi</b></p><a name="sample-observation-vital-sign-panel-bundle-nhsi"> </a><a name="hcsample-observation-vital-sign-panel-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-vital-sign-panel-my-core.html">Observation Vital Sign Panel (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 85353-1}">Vital Sign Panel</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>hasMember</b>: </p><ul><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-heart-rate-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-respi-rate-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-oxygen-sat-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-systolic-bp-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-diastolic-bp-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-body-temp-bundle-nhsi">Bundle: type = transaction</a></li><li><a href="Bundle-example-bundle-health-screening-nhsi.html#Observation_sample-observation-pain-score-bundle-nhsi">Bundle: type = transaction</a></li></ul></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85353-1"/>
<display value="Vital Sign Panel"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<hasMember>
<reference
value="Observation/sample-observation-heart-rate-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-respi-rate-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-oxygen-sat-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-systolic-bp-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-diastolic-bp-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-body-temp-bundle-nhsi"/>
</hasMember>
<hasMember>
<reference
value="Observation/sample-observation-pain-score-bundle-nhsi"/>
</hasMember>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000002"/>
<resource>
<Observation>
<id value="sample-observation-heart-rate-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-heart-rate-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-heart-rate-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-heart-rate-bundle-nhsi</b></p><a name="sample-observation-heart-rate-bundle-nhsi"> </a><a name="hcsample-observation-heart-rate-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-heart-rate-my-core.html">Observation Heart Rate (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}">Heart Rate</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 60 /min<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8361-8}">Heart rate device</span></p><p><b>value</b>: mobile machine</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8887-2}">Body position</span></p><p><b>value</b>: sitting</p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8867-4"/>
<display value="Heart Rate"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="60"/>
<unit value="/min"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8361-8"/>
<display value="Heart rate device"/>
</coding>
</code>
<valueString value="mobile machine"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8887-2"/>
<display value="Body position"/>
</coding>
</code>
<valueString value="sitting"/>
</component>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000003"/>
<resource>
<Observation>
<id value="sample-observation-respi-rate-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-respi-rate-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-respi-rate-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-respi-rate-bundle-nhsi</b></p><a name="sample-observation-respi-rate-bundle-nhsi"> </a><a name="hcsample-observation-respi-rate-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-respi-rate-my-core.html">Observation Respiratory Rate (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 9279-1}">Respiratory Rate</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 16 /min<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="9279-1"/>
<display value="Respiratory Rate"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="16"/>
<unit value="/min"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000004"/>
<resource>
<Observation>
<id value="sample-observation-oxygen-sat-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-oxygen-sat-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-oxygen-sat-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-oxygen-sat-bundle-nhsi</b></p><a name="sample-observation-oxygen-sat-bundle-nhsi"> </a><a name="hcsample-observation-oxygen-sat-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-oxygen-sat-my-core.html">Observation Oxygen Saturation (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 59408-5}">Oxygen Saturation</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 94 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="59408-5"/>
<display value="Oxygen Saturation"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="94"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000005"/>
<resource>
<Observation>
<id value="sample-observation-systolic-bp-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-systolic-bp-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-systolic-bp-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-systolic-bp-bundle-nhsi</b></p><a name="sample-observation-systolic-bp-bundle-nhsi"> </a><a name="hcsample-observation-systolic-bp-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-systolic-bp-my-core.html">ObservationSystolicBp (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8480-6}">systolic BP</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 80 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="systolic BP"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="80"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000006"/>
<resource>
<Observation>
<id value="sample-observation-diastolic-bp-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-diastolic-bp-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-diastolic-bp-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-diastolic-bp-bundle-nhsi</b></p><a name="sample-observation-diastolic-bp-bundle-nhsi"> </a><a name="hcsample-observation-diastolic-bp-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-diastolic-bp-my-core.html">Observation Diastolic BP (My Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8462-4}">Diastolic BP</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 60 mmHg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic BP"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="60"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000007"/>
<resource>
<Observation>
<id value="sample-observation-body-temp-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-body-temp-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-body-temp-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-body-temp-bundle-nhsi</b></p><a name="sample-observation-body-temp-bundle-nhsi"> </a><a name="hcsample-observation-body-temp-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-body-temp-my-core.html">Observation Body Temperature (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8310-5}">Temperature</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 31 Cel<span style="background: LightGoldenRodYellow"> (Details: UCUM codeCel = 'Cel')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Temperature"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="31"/>
<unit value="Cel"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000011-0005-0005-0005-000000000008"/>
<resource>
<Observation>
<id value="sample-observation-pain-score-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-pain-score-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-pain-score-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-pain-score-bundle-nhsi</b></p><a name="sample-observation-pain-score-bundle-nhsi"> </a><a name="hcsample-observation-pain-score-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-pain-score-my-core.html">Observation Pain Score (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 72514-3}">Pain Score</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2024-07-01 08:00:00+0800</p><p><b>issued</b>: 2024-07-01 08:00:00+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>value</b>: 8</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72514-3"/>
<display value="Pain Score"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T08:00:00+08:00"/>
<issued value="2024-07-01T08:00:00+08:00"/>
<performer>
<type value="PractitioneRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<valueQuantity>
<value value="8"/>
</valueQuantity>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0001-0001-0003-000000000001"/>
<resource>
<DiagnosticReport>
<id value="sample-diagnostic-report-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/DiagnosticReport-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_sample-diagnostic-report-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport sample-diagnostic-report-bundle-nhsi</b></p><a name="sample-diagnostic-report-bundle-nhsi"> </a><a name="hcsample-diagnostic-report-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-DiagnosticReport-my-core.html">DiagnosticReport (MY Core)</a></p></div><h2><span title="Codes:{http://loinc.org 4548-4}">Hemoglobin A1c/Hemoglobin.total (HbA1c)</span> (<span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core 108252007}">Laboratory Procedure</span>) </h2><table class="grid"><tr><td>Subject</td><td>Unable to get Patient Details</td></tr><tr><td>When For</td><td>2024-07-01 12:25:35+0800</td></tr><tr><td>Reported</td><td>2024-07-01 12:25:35+0800</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td colspan="2"><i>The observation 'Observation/02d0e4f9-b7a0-4f9d-b68c-2d6eae4b0d03' could not be resolved</i></td></tr></table><p>7.2%</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core"/>
<code value="108252007"/>
<display value="Laboratory Procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total (HbA1c)"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2024-07-01T12:25:35+08:00"/>
<issued value="2024-07-01T12:25:35+08:00"/>
<resultsInterpreter>
<type value="PractitionerRole"/>
<display value="ADAM DANISH"/>
</resultsInterpreter>
<result>
<reference
value="Observation/02d0e4f9-b7a0-4f9d-b68c-2d6eae4b0d03"/>
</result>
<conclusion value="7.2%"/>
</DiagnosticReport>
</resource>
<request>
<method value="POST"/>
<url value="DiagnosticReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000002"/>
<resource>
<Observation>
<id value="sample-observation-lab-result-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-lab-result-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-lab-result-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-lab-result-bundle-nhsi</b></p><a name="sample-observation-lab-result-bundle-nhsi"> </a><a name="hcsample-observation-lab-result-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-lab-result-my-core.html">Observation Lab Result (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 4548-4}">Hemoglobin A1c/Hemoglobin.total (HbA1c)</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder/_history/1">Encounter/encounter-placeholder/_history/1</a></p><p><b>effective</b>: 2023-09-07 08:00:00+0800</p><p><b>issued</b>: 2023-09-07 08:00:00+0800</p><p><b>performer</b>: SAIFULDAULAH BIN MOHD HAFIZ NGOO</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 4548-4}">Hemoglobin A1c/Hemoglobin.total (HbA1c)</span></p><p><b>value</b>: 7.2 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>6.5</td></tr></table></blockquote></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total (HbA1c)"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder/_history/1"/>
</encounter>
<effectiveDateTime value="2023-09-07T08:00:00+08:00"/>
<issued value="2023-09-07T08:00:00+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="4548-4"/>
<display value="Hemoglobin A1c/Hemoglobin.total (HbA1c)"/>
</coding>
</code>
<valueQuantity>
<value value="7.2"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<referenceRange>
<high>
<value value="6.5"/>
</high>
</referenceRange>
</component>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000003"/>
<resource>
<QuestionnaireResponse>
<id value="sample-questionnaire-response-qaudit10-bundle-nhsi"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2024-07-22T11:08:09.472+08:00"/>
<source value="http://pekab40.moh.gov.my"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="QuestionnaireResponse_sample-questionnaire-response-qaudit10-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse sample-questionnaire-response-qaudit10-bundle-nhsi</b></p><a name="sample-questionnaire-response-qaudit10-bundle-nhsi"> </a><a name="hcsample-questionnaire-response-qaudit10-bundle-nhsi"> </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">version: 3; Last updated: 2024-07-22 11:08:09+0800; </p><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-QuestionnaireResponse-my-core.html">QuestionnaireResponse (MY Core)</a></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> sample-questionnaire-response-qaudit10-bundle-nhsi</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:<a href="Questionnaire-q-audit-10.html">Questionnaire AUDIT (Alcohol Use Disorders Identification Test)-10</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 00</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please select your gender</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html#administrative-gender-male">AdministrativeGender male</a>: male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 01</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often do you have a drink containing alcohol?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18933-4">LOINC LA18933-4</a>: Monthly or less</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many standard drinks containing alcohol do you have on a typical day when drinking?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18926-8">LOINC LA18926-8</a>: 3 or 4</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often do you have six or more drinks on one occasion?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18926-8">LOINC LA18926-8</a>: Less than monthly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 04</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past year, how often have you found that you were not able to stop drinking once you had started?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18933-4">LOINC LA18933-4</a>: Less than monthly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 05</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past year, how often have you failed to do what was normally expected of you because of drinking?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18891-4">LOINC LA18891-4</a>: Weekly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 06</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18891-4">LOINC LA18891-4</a>: Weekly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 07</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past year, how often have you had a feeling of guilt or remorse after drinking?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18876-5">LOINC LA18876-5</a>: Monthly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past year, how often have you been unable to remember what happened the night before because you had been drinking?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA18876-5">LOINC LA18876-5</a>: Monthly</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 09</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you or someone else been injured as a result of your drinking?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA32280-2">LOINC LA32280-2</a>: Yes, during the past year</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA32279-4">LOINC LA32279-4</a>: Yes, but not in the past year</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> 11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Total score [AUDIT]</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">20</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> 12</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Outcome Summary [AUDIT]</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="CodeSystem-code-system-outcome-audit-10-my-core.html#code-system-outcome-audit-10-my-core-a3">CodeSystemOutcomeAudit10 (MY Core) a3</a>: Likelihood of alcohol dependence (moderate-severe alcohol use disorder)</span></span></td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core">
<valueReference>🔗
<reference value="Questionnaire/q-audit-10"/>
</valueReference>
</extension>
<questionnaire
value="http://fhir.hie.moh.gov.my/Questionnaire/q-audit-10"/>
<status value="completed"/>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<authored value="2024-07-19"/>
<author>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mhd Hafiz Ngoo"/>
</author>
<item>
<linkId value="00"/>
<text value="Please select your gender"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="male"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="01"/>
<text value="How often do you have a drink containing alcohol?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18933-4"/>
<display value="Monthly or less"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="02"/>
<text
value="How many standard drinks containing alcohol do you have on a typical day when drinking?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18926-8"/>
<display value="3 or 4"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="03"/>
<text
value="How often do you have six or more drinks on one occasion?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18926-8"/>
<display value="Less than monthly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="04"/>
<text
value="During the past year, how often have you found that you were not able to stop drinking once you had started?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18933-4"/>
<display value="Less than monthly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="05"/>
<text
value="During the past year, how often have you failed to do what was normally expected of you because of drinking?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18891-4"/>
<display value="Weekly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="06"/>
<text
value="During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18891-4"/>
<display value="Weekly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="07"/>
<text
value="During the past year, how often have you had a feeling of guilt or remorse after drinking?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18876-5"/>
<display value="Monthly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="08"/>
<text
value="During the past year, how often have you been unable to remember what happened the night before because you had been drinking?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA18876-5"/>
<display value="Monthly"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="09"/>
<text
value="Have you or someone else been injured as a result of your drinking?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32280-2"/>
<display value="Yes, during the past year"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="10"/>
<text
value="Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32279-4"/>
<display value="Yes, but not in the past year"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="11"/>
<text value="Total score [AUDIT]"/>
<answer>
<valueInteger value="20"/>
</answer>
</item>
<item>
<linkId value="12"/>
<text value="Outcome Summary [AUDIT]"/>
<answer>
<valueCoding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core"/>
<code value="a3"/>
<display
value="Likelihood of alcohol dependence (moderate-severe alcohol use disorder)"/>
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
<request>
<method value="POST"/>
<url value="QuestionnaireResponse"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000004"/>
<resource>
<Observation>
<id value="sample-observation-smoking-history-bundle-nhsi"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2024-07-22T09:10:53.345+08:00"/>
<source value="http://pekab40.moh.gov.my#oXjuIz1WcN59J4KV"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Observation-smoking-history-my-core"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_sample-observation-smoking-history-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Observation sample-observation-smoking-history-bundle-nhsi</b></p><a name="sample-observation-smoking-history-bundle-nhsi"> </a><a name="hcsample-observation-smoking-history-bundle-nhsi"> </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">version: 2; Last updated: 2024-07-22 09:10:53+0800; </p><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my#oXjuIz1WcN59J4KV">http://pekab40.moh.gov.my#oXjuIz1WcN59J4KV</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-smoking-history-my-core.html">Observation Smoking History (MY Core)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}">Social History</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 72166-2}">Smoking History</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>effective</b>: 2024-07-16 14:40:57+0800</p><p><b>issued</b>: 2024-07-16 14:40:57+0800</p><p><b>performer</b>: Saifuldaulah Bin Mohd Hafiz Ngoo</p><p><b>note</b>: </p><blockquote><div><p><div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><td>Smoking Status</td><td>true</td></tr><tr><td>Lifetime smoking use</td><td>15 years</td></tr><tr><td>Date quit smoking</td><td>19/7/2024</td></tr></tbody><tfoot><tr><td>Smoking device</td><td>Cigarette</td></tr><tr><td>Smoking history</td><td> Patient has been smoking for the past 15 years, have plan to quit now</td></tr></tfoot></table><p> </p></div></p>
</div></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 72166-2}">Smoking status</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 74011-8}">Lifetime smoking use</span></p><p><b>value</b>: 15 years<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 74010-0}">Date quit smoking</span></p><p><b>value</b>: 2024-07-19</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 81228-9}">Smoking product</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 722496004}">Cigarette</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 11366-2}">Smoking History</span></p><p><b>value</b>: <div xmlns="http://www.w3.org/1999/xhtml">Patient has been smoking for the past 15 years, have plan to quit now</div></p></blockquote></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72166-2"/>
<display value="Smoking History"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<effectiveDateTime value="2024-07-16T14:40:57.067+08:00"/>
<issued value="2024-07-16T14:40:57.067+08:00"/>
<performer>
<type value="PractitionerRole"/>
<display value="Saifuldaulah Bin Mohd Hafiz Ngoo"/>
</performer>
<note>
<text
value="<div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><td>Smoking Status</td><td>true</td></tr><tr><td>Lifetime smoking use</td><td>15 years</td></tr><tr><td>Date quit smoking</td><td>19/7/2024</td></tr></tbody><tfoot><tr><td>Smoking device</td><td>Cigarette</td></tr><tr><td>Smoking history</td><td>&nbsp;Patient has been smoking for the past 15 years, have plan to quit now</td></tr></tfoot></table><p>&nbsp;</p></div>"/>
</note>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72166-2"/>
<display value="Smoking status"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74011-8"/>
<display value="Lifetime smoking use"/>
</coding>
</code>
<valueQuantity>
<value value="15"/>
<unit value="years"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74010-0"/>
<display value="Date quit smoking"/>
</coding>
</code>
<valueDateTime value="2024-07-19"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81228-9"/>
<display value="Smoking product"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="722496004"/>
<display value="Cigarette"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11366-2"/>
<display value="Smoking History"/>
</coding>
</code>
<valueString
value="<div xmlns="http://www.w3.org/1999/xhtml">Patient has been smoking for the past 15 years, have plan to quit now</div>"/>
</component>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000005"/>
<resource>
<Condition>
<id value="sample-condition-encounter-diagnosis-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Condition-my-core"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_sample-condition-encounter-diagnosis-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Condition sample-condition-encounter-diagnosis-bundle-nhsi</b></p><a name="sample-condition-encounter-diagnosis-bundle-nhsi"> </a><a name="hcsample-condition-encounter-diagnosis-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Condition-my-core.html">Condition (MY Core)</a></p></div><blockquote><p><b>ExtensionAudit (MY Core)</b></p><ul><li>lastUpdater: SAIFULDAULAH BIN MOHD HAFIZ NGOO</li></ul></blockquote><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}">resolved</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>code</b>: <span title="Codes:{http://id.who.int/icd/entity/142052508 CA40.Z}">Pneumonia</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>onset</b>: 2024-07-01 00:00:00+0800</p><p><b>abatement</b>: 2024-07-17 00:00:00+0800</p><p><b>recordedDate</b>: 2024-07-22 08:31:00+0800</p><p><b>recorder</b>: SAIFULDAULAH BIN MOHD HAFIZ NGOO</p></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="lastUpdater">
<valueReference>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</valueReference>
</extension>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
<display value="resolved"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://id.who.int/icd/entity/142052508"/>
<code value="CA40.Z"/>
<display value="Pneumonia"/>
</coding>
<text value="Pneumonia"/>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<onsetDateTime value="2024-07-01T00:00:00.000+08:00"/>
<abatementDateTime value="2024-07-17T00:00:00.000+08:00"/>
<recordedDate value="2024-07-22T08:31:00.000+08:00"/>
<recorder>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</recorder>
</Condition>
</resource>
<request>
<method value="POST"/>
<url value="Condition"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000006"/>
<resource>
<Condition>
<id value="sample-condition-comorbidities-1-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Condition-my-core"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_sample-condition-comorbidities-1-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Condition sample-condition-comorbidities-1-bundle-nhsi</b></p><a name="sample-condition-comorbidities-1-bundle-nhsi"> </a><a name="hcsample-condition-comorbidities-1-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Condition-my-core.html">Condition (MY Core)</a></p></div><blockquote><p><b>ExtensionAudit (MY Core)</b></p><ul><li>lastUpdater: SAIFULDAULAH BIN MOHD HAFIZ NGOO</li></ul></blockquote><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Comorbidities Item</span></p><p><b>code</b>: <span title="Codes:{http://id.who.int/icd/entity/761947693 BA00}">Essential hypertension</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>recordedDate</b>: 2024-07-22 08:22:00+0800</p><p><b>recorder</b>: SAIFULDAULAH BIN MOHD HAFIZ NGOO</p></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="lastUpdater">
<valueReference>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</valueReference>
</extension>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Comorbidities Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://id.who.int/icd/entity/761947693"/>
<code value="BA00"/>
<display value="Essential hypertension"/>
</coding>
<text value="Essential hypertension"/>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<recordedDate value="2024-07-22T08:22:00.000+08:00"/>
<recorder>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</recorder>
</Condition>
</resource>
<request>
<method value="POST"/>
<url value="Condition"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:00000111-0005-0005-0005-000000000007"/>
<resource>
<Condition>
<id value="sample-condition-comorbidities-2-bundle-nhsi"/>
<meta>
<source value="http://pekab40.moh.gov.my"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/Condition-my-core"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_sample-condition-comorbidities-2-bundle-nhsi"> </a><p class="res-header-id"><b>Generated Narrative: Condition sample-condition-comorbidities-2-bundle-nhsi</b></p><a name="sample-condition-comorbidities-2-bundle-nhsi"> </a><a name="hcsample-condition-comorbidities-2-bundle-nhsi"> </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"/><p style="margin-bottom: 0px">Information Source: <a href="http://pekab40.moh.gov.my">http://pekab40.moh.gov.my</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Condition-my-core.html">Condition (MY Core)</a></p></div><blockquote><p><b>ExtensionAudit (MY Core)</b></p><ul><li>lastUpdater: SAIFULDAULAH BIN MOHD HAFIZ NGOO</li></ul></blockquote><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Comorbidities Item</span></p><p><b>code</b>: <span title="Codes:{http://id.who.int/icd/entity/119724091 5A11}">Type 2 diabetes mellitus</span></p><p><b>subject</b>: <a href="Patient/patient-placeholder">Patient/patient-placeholder</a></p><p><b>encounter</b>: <a href="Encounter/encounter-placeholder">Encounter/encounter-placeholder</a></p><p><b>recordedDate</b>: 2024-07-22 08:22:00+0800</p><p><b>recorder</b>: SAIFULDAULAH BIN MOHD HAFIZ NGOO</p></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core">
<extension url="lastUpdater">
<valueReference>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</valueReference>
</extension>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Comorbidities Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://id.who.int/icd/entity/119724091"/>
<code value="5A11"/>
<display value="Type 2 diabetes mellitus"/>
</coding>
<text value="Type 2 diabetes mellitus"/>
</code>
<subject>
<reference value="Patient/patient-placeholder"/>
</subject>
<encounter>
<reference value="Encounter/encounter-placeholder"/>
</encounter>
<recordedDate value="2024-07-22T08:22:00.000+08:00"/>
<recorder>
<type value="PractitionerRole"/>
<display value="SAIFULDAULAH BIN MOHD HAFIZ NGOO"/>
</recorder>
</Condition>
</resource>
<request>
<method value="POST"/>
<url value="Condition"/>
</request>
</entry>
</Bundle>
IG © 2022+ MHNexus Sdn Bhd. Package hl7.fhir.MyCore#2.0.1 based on FHIR 4.0.1. Generated 2025-08-27
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