HL7 FHIR Malaysia Core (MY Core) Implementation Guide
2.0.0 - ci-build

HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ServiceRequest: example-referral-summary-sr-myhix-template

Generated Narrative: ServiceRequest example-referral-summary-sr-myhix-template

version: 1; Last updated: 2023-04-25 11:01:46+0800;

Information Source: sample

Profile: ServiceRequest (MY Core)

Security Label: normal (Details: Confidentiality code N = 'normal')

ExtensionAttester (MY Core)

  • mode: professional
  • time: 2022-10-05 07:14:38+0800
  • party: Murusamy A/L Atharv (Identifier: http://fhir.hie.moh.gov.my/sid/mmc-no/43217)

identifier: http://fhir.hie.moh.gov.my/sid/service-request-id/HTJ-REF-2304000005

status: Active

intent: Proposal

category: Patient referral

priority: Routine

code: Hospital Referral Summary

subject: Bundle: type = transaction

encounter: Bundle: type = transaction

authoredOn: 2022-08-30 08:00:46+0800

requester: Wong Ah Liu (Identifier: http://fhir.hie.moh.gov.my/sid/mmc-no/76212)

performerType: Internal

performer:

reasonReference: Bundle: type = transaction

supportingInfo: Zuraidah Binti Abu

note: <div xmlns="http://www.w3.org/1999/xhtml"><h2><strong>Document Set</strong></h2><ul><li><strong>Document unique id: </strong>entry goes here</li><li><strong>Document repository unique id:</strong>&nbsp;entry goes here</li><li><strong>Document title:</strong>&nbsp;entry goes here</li><li><strong>Document confidentiality:</strong>&nbsp;entry goes here</li><li><strong>Document creation time:</strong>&nbsp;entry goes here</li><li><strong>Parent document id:</strong>&nbsp;entry goes here</li><li><strong>Parent document relationship:</strong>&nbsp;entry goes here</li></ul><h2><strong>Custodian</strong></h2><ul><li><strong>OID:</strong>&nbsp;entry goes here</li><li><strong>Name:</strong>&nbsp;entry goes here</li><li><strong>Address:</strong>&nbsp;entry goes here</li></ul><h2><strong>Patient</strong></h2><ul><li><strong>Name:</strong>&nbsp;entry goes here</li><li><strong>Gender:</strong>&nbsp;entry goes here</li><li><strong>DOB:</strong>&nbsp;entry goes here</li><li><strong>Race:</strong>&nbsp;entry goes here</li><li><strong>MRN:</strong>&nbsp;entry goes here</li><li><strong>Address:</strong>&nbsp;entry goes here</li><li><strong>Phone home:</strong>&nbsp;entry goes here</li><li><strong>Phone office:</strong>&nbsp;entry goes here</li><li><strong>Fax:</strong>&nbsp;entry goes here</li><li><strong>Email address:</strong>&nbsp;entry goes here</li><li><strong>National id:</strong>&nbsp;entry goes here</li></ul><h2><strong>Author</strong></h2><ul><li><strong>Name:</strong>&nbsp;entry goes here</li><li><strong>MMC:</strong>&nbsp;entry goes here</li><li><strong>Facility OID:</strong>&nbsp;entry goes here</li><li><strong>Facility name:</strong>&nbsp;entry goes here</li><li><strong>Time:</strong>&nbsp;entry goes here</li></ul><h2><strong>Consultant</strong></h2><ul><li><strong>Name:</strong>&nbsp;entry goes here</li><li><strong>MMC:</strong>&nbsp;entry goes here</li><li><strong>NSR:</strong>&nbsp;entry goes here</li><li><strong>Facility OID:</strong>&nbsp;entry goes here</li><li><strong>Facility name:</strong>&nbsp;entry goes here</li><li><strong>Time:</strong>&nbsp;entry goes here</li></ul><h2><strong>Visit / EncounterAdmission date</strong></h2><ul><li><strong>Discharge date:</strong>&nbsp;entry goes here</li><li><strong>Visit id:</strong>&nbsp;entry goes here</li><li><strong>Time:</strong>&nbsp;entry goes here</li><li><strong>Assign doctor name:</strong>&nbsp;entry goes here</li><li><strong>Assign doctor:</strong>&nbsp;entry goes here</li><li><strong>MMC:</strong>&nbsp;entry goes here</li><li><strong>Assign doctor facility OID:</strong>&nbsp;entry goes here</li><li><strong>Assign doctor facility name:&nbsp;</strong>entry goes here</li><li><strong>Service id:&nbsp;</strong>entry goes here</li><li><strong>Service name:&nbsp;</strong>entry goes here</li></ul><h2><strong>Allergies</strong></h2><ul><li><strong>Allergies and Other Adverse Reactions:</strong>&nbsp;entry goes here</li></ul><h2><strong>Reason for Care</strong></h2><ul><li><strong>Hospital Admission Diagnosis:</strong>&nbsp;entry goes here</li></ul><h2><strong>Other Condition Histories</strong></h2><ul><li><strong>Active Problems:</strong>&nbsp;entry goes here</li><li><strong>Discharge Diagnosis:</strong>&nbsp;entry goes here</li><li><strong>Resolved Problems:</strong>&nbsp;entry goes here</li><li><strong>List of Surgeries:</strong>&nbsp;entry goes here</li></ul><h2><strong>Medication</strong></h2><ul><li><strong>Medications:&nbsp;entry goes here</strong></li></ul><h2><strong>Relevant Studies</strong></h2><ul><li><strong>Results:</strong>&nbsp;entry goes here</li><li><strong>Hospital Discharge:</strong>&nbsp;entry goes here</li><li><strong>Studies Summary:</strong>&nbsp;entry goes here</li></ul><h2><strong>Plans of Care</strong></h2><ul><li><strong>Care Plan:&nbsp;</strong>entry goes here</li></ul><h2><strong>Correspondence Facility</strong></h2><ul><li><strong>OID:</strong>&nbsp;entry goes here</li><li><strong>NameAddress:</strong>&nbsp;entry goes here</li></ul></div>