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
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="example-referral-summary-sr-myhix-template"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-04-25T11:01:46.170+08:00"/>
<source value="sample"/>
<profile
value="http://fhir.hie.moh.gov.my/StructureDefinition/ServiceRequest-my-core"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
</security>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest example-referral-summary-sr-myhix-template</b></p><a name="example-referral-summary-sr-myhix-template"> </a><a name="hcexample-referral-summary-sr-myhix-template"> </a><a name="example-referral-summary-sr-myhix-template-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1; Last updated: 2023-04-25 11:01:46+0800; </p><p style="margin-bottom: 0px">Information Source: sample</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ServiceRequest-my-core.html">ServiceRequest (MY Core)</a></p><p style="margin-bottom: 0px">Security Label: normal (Details: Confidentiality code N = 'normal')</p></div><blockquote><p><b>ExtensionAttester (MY Core)</b></p><ul><li>mode: professional</li><li>time: 2022-10-05 07:14:38+0800</li><li>party: Murusamy A/L Atharv (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/43217)</li></ul></blockquote><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/service-request-id</code>/HTJ-REF-2304000005</p><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core 3457005}">Patient referral</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:">Hospital Referral Summary</span></p><p><b>subject</b>: <a href="Bundle-example-bundle-encounter-summary.html#Patient_patient-sample">Bundle: type = transaction</a></p><p><b>encounter</b>: <a href="Bundle-example-bundle-encounter-summary.html#Encounter_encounter-sample">Bundle: type = transaction</a></p><p><b>authoredOn</b>: 2022-08-30 08:00:46+0800</p><p><b>requester</b>: Wong Ah Liu (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/76212)</p><p><b>performerType</b>: <span title="Codes:{http://fhir.hie.moh.gov.my/CodeSystem/schedule-type-my-core internal}">Internal</span></p><p><b>performer</b>: </p><ul><li><a href="Organization/11-05060009">Organization/11-05060009</a></li><li>Arumugan A/L Aryan (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/12345)</li></ul><p><b>reasonReference</b>: <a href="Bundle-example-bundle-encounter-summary.html#Condition_condition-sample">Bundle: type = transaction</a></p><p><b>supportingInfo</b>: Zuraidah Binti Abu</p><p><b>note</b>: <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></p></div>
</text>
<extension
url="http://fhir.hie.moh.gov.my/StructureDefinition/attester-my-core">
<extension url="mode">
<valueCode value="professional"/>
</extension>
<extension url="time">
<valueDateTime value="2022-10-05T07:14:38+08:00"/>
</extension>
<extension url="party">
<valueReference>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="43217"/>
</identifier>
<display value="Murusamy A/L Atharv"/>
</valueReference>
</extension>
</extension>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/service-request-id"/>
<value value="HTJ-REF-2304000005"/>
</identifier>
<status value="active"/>
<intent value="proposal"/>
<category>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core"/>
<code value="3457005"/>
<display value="Patient referral"/>
</coding>
</category>
<priority value="routine"/>
<code>
<coding>
<display value="Hospital Referral Summary"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-sample"/>
</subject>
<encounter>
<reference value="Encounter/encounter-sample"/>
</encounter>
<authoredOn value="2022-08-30T08:00:46.838+08:00"/>
<requester>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="76212"/>
</identifier>
<display value="Wong Ah Liu"/>
</requester>
<performerType>
<coding>
<system
value="http://fhir.hie.moh.gov.my/CodeSystem/schedule-type-my-core"/>
<code value="internal"/>
<display value="Internal"/>
</coding>
</performerType>
<performer>
<reference value="Organization/11-05060009"/>
<type value="Organization"/>
</performer>
<performer>
<type value="PractitionerRole"/>
<identifier>
<system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
<value value="12345"/>
</identifier>
<display value="Arumugan A/L Aryan"/>
</performer>
<reasonReference>
<reference value="Condition/condition-sample"/>
</reasonReference>
<supportingInfo id="Recipient">
<type value="PractitionerRole"/>
<display value="Zuraidah Binti Abu"/>
</supportingInfo>
<note>
<text
value="<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>"/>
</note>
</ServiceRequest>