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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

SearchParameter AllergyIntolerance Encounter MyCore

Encounter where the AllergyIntolerance was recorded

SearchParameter AllergyIntolerance Name MyCore

Name of the AllergyIntolerance

SearchParameter Appointment Created MyCore

Appointment created date

SearchParameter Appointment Performer

The performers in an Appointment

SearchParameter Appointment Primary Performer MyCore

The primary performer during the Appointment

SearchParameter Appointment Service MyCore

The HealthcareService involved in the Appointment

SearchParameter Appointment Simple Register Identifier MyCore

Identifier of the person who made the appointment booking

SearchParameter Appointment Simple Register Name MyCore

Name of the person who made the appointment booking

SearchParameter Bundle Composition Subject MyCore

Bundle composition subject

SearchParameter Bundle Composition Type MyCore

Bundle composition identifier

SearchParameter Care Team Managing Organization MyCore

Organization responsible for the care team

SearchParameter CarePlan Author MyCore

Who is the designated responsible party

SearchParameter CarePlan Outcome Reference MyCore

CarePlan outcome Reference

SearchParameter CarePlan Supporting Info Reference MyCore

CarePlan supporting info Reference

SearchParameter ChargeItem Status MyCore

ChargeItem status

SearchParameter ChargeItemDefinition Applicability MyCore

ChargeItemDefinition Applicability

SearchParameter ChargeItemDefinition Base Amount MyCore

ChargeItemDefinition base amount

SearchParameter ChargeItemDefinition Code MyCore

ChargeItemDefinition Code

SearchParameter ChargeItemDefinition Context Reference MyCore

A use context reference assigned to the ChargeItemDefinition

SearchParameter ChargeItemDefinition Instance MyCore

Instances this ChargeItemDefinition applies to

SearchParameter ChargeItemDefinition NPRA Reg MyCore

ChargeItemDefinition NPRA Reg

SearchParameter ChargeItemDefinition Organization Reference MyCore

ChargeItemDefinition Organization Reference

SearchParameter ChargeItemDefinition Reference MyCore

ChargeItemDefinition Reference

SearchParameter Claim Invoice Reference MyCore

Claim Invoice Reference

SearchParameter Communication Payload Reference MyCore

Communication payload reference

SearchParameter Communication Topic MyCore

Communication topic

SearchParameter Composition Custodian MyCore

Composition custodian

SearchParameter Composition Entry MedicationRequest MyCore

Composition entries that are MedicationRequests

SearchParameter Condition Code Value MyCore

A Condition code by string

SearchParameter Condition Recorder MyCore

Person who records this condition

SearchParameter Contract Applies MyCore

Time period this contract applies

SearchParameter Contract SupportingInfo MyCore

Contract supporting info

SearchParameter Contract Type MyCore

Contract type

SearchParameter DiagnosticReport ImagingStudy MyCore

ImagingStudy reference

SearchParameter Encounter Admit Source MyCore

Admit source for the Encounter

SearchParameter Encounter Date Start MyCore

Encounter date/time start

SearchParameter Encounter Identifier Value MyCore

Search Encounter identifier value by string

SearchParameter Encounter NCD Combine MyCore

Encounter NCD combination diagnosis

SearchParameter Encounter NCD Diagnosis MyCore

Encounter NCD diagnosis

SearchParameter Encounter Outcome MyCore

Outcome of the Encounter

SearchParameter Encounter Outcome Reason MyCore

Encounter outcome reason

SearchParameter Encounter Primary Participant MyCore

Primary participant in the Encounter

SearchParameter Encounter Priority MyCore

Priority for the Encounter

SearchParameter Encounter Rating MyCore

Encounter rating

SearchParameter Encounter Secondary Participant MyCore

Secondary participant in the Encounter

SearchParameter Encounter Service Type MyCore

Specific type of service for the Encounter

SearchParameter Encounter Visit Type MyCore

Specific type of visit for the encounter

SearchParameter Endpoint Address MyCore

Endpoint url

SearchParameter FamilyMemberHistory Condition Note Author MyCore

Author of the FamilyMemberHistory note

SearchParameter FamilyMemberHistory Recorder MyCore

Person who records this FamilyMemberHistory

SearchParameter Flag Category MyCore

Category of the Flag

SearchParameter Flag Status MyCore

Status of the Flag

SearchParameter Foreigner Type MyCore

Foreigner type

SearchParameter HealthcareService Additional Info MyCore

Additional info for HealthcareService

SearchParameter HealthcareService Appointment Required MyCore

If an Appointment is required for access to this HealthcareService

SearchParameter HealthcareService Public Booking MyCore

If a Schedule for this HealthcareService is open to public booking

SearchParameter Immunization Booster MyCore

Whether the Immunization was a booster

SearchParameter Immunization Encounter MyCore

Encounter where the Immunization was administered

SearchParameter ImmunizationRecommendation Booster MyCore

Whether the ImmunizationRecommendation was for a booster

SearchParameter Invoice ChargeItem MyCore

ChargeItem reference for Invoice line items

SearchParameter Location Longitude MyCore

Location longitude

SearchParameter Location Physical Type MyCore

Physical form of the Location

SearchParameter Media PartOf MyCore

Reference to the resource which the Media is part of

SearchParameter Medication Code Display MyCore

Medication code display

SearchParameter Medication MedicationKnowledge MyCore

MedicationKnowledge reference for this Medication

SearchParameter Medication Service Provider MyCore

Orgranization who provides this medication

SearchParameter MedicationKnowledge Product Type MyCore

MedicationKnowledge product type

SearchParameter MedicationRequest Group Identifier MyCore

Prescription medication identifier

SearchParameter MedicationRequest Recorder MyCore

Person who recorded this MedicationRequest

SearchParameter MedicationRequest Recorder Note MyCore

Person who records a note entry in MedicationRequest

SearchParameter Nationality MyCore

Nationality of the Patient

SearchParameter New Order MyCore

Search parameter to find Tasks that are marked as being a new test order.

SearchParameter New Result MyCore

Search parameter to find Tasks that are marked as having new pathology results.

SearchParameter Observation Performer Type MyCore

The uri for the performer type of an Observation.

SearchParameter Organization Alias MyCore

A list of alternate names that the Organization is known as, or was known as in the past

SearchParameter Organization Altitude MyCore

Organization altitude

SearchParameter Organization Category MyCore

A code for the category of an Organization

SearchParameter Organization Cluster MyCore

A code for the role of an Organization within the cluster

SearchParameter Organization District MyCore

A code for the district of an Organization

SearchParameter Organization Latitude MyCore

Organization latitude

SearchParameter Organization Logo MyCore

Organization logo

SearchParameter Organization Longitude MyCore

Organization longitude

SearchParameter Organization PKD MyCore

A code to identify the District Health Office/PKD (Pejabat Kesihatan Daerah) of the Organization

SearchParameter Organization State MyCore

A code for the state of Organization

SearchParameter OrganizationAffiliation Transit Centre MyCore

OrganizationAffiliation transit centre info

SearchParameter Patient Citizenship MyCore

Patient citizenship

SearchParameter Patient Citizenship Status MyCore

Patient citizenship status

SearchParameter Patient Education Level MyCore

Patient's highest education level

SearchParameter Patient Ethnic Group MyCore

Patient's ethnic group

SearchParameter Patient Identifier Value MyCore

A patient's identifier value by string

SearchParameter PaymentReconciliation ChargeItem Reference MyCore

PaymentReconciliation ChargeItem reference

SearchParameter PaymentReconciliation Detail Request MyCore

PaymentReconciliation detail request

SearchParameter PaymentReconciliation Detail Type MyCore

PaymentReconciliation detail type

SearchParameter PaymentReconciliation Type MyCore

PaymentReconciliation type

SearchParameter PractitionerRole Drug Classification MyCore

PractitionerRole allowed orderable based on drug classification

SearchParameter PractitionerRole Scheduling MyCore

Scheduling information for a PractitionerRole

SearchParameter Procedure Recorded Date MyCore

Procedure recorded date

SearchParameter Procedure Recorder MyCore

Procedure recorder

SearchParameter Procedure Report MyCore

Any report resulting from the Procedure

SearchParameter Questionnaire Reference MyCore

Questionnaire Reference

SearchParameter QuestionnaireResponse Answer Code MyCore

QuestionnaireResponse answer code

SearchParameter QuestionnaireResponse Answer Quantity MyCore

QuestionnaireResponse answer quantity

SearchParameter QuestionnaireResponse Answer Reference MyCore

QuestionnaireResponse answer reference

SearchParameter QuestionnaireResponse Service Provider MyCore

Organization who provided this QuestionnaireResponse

SearchParameter RelatedPerson Identifier Value MyCore

A RelatedPerson identifier value by string

SearchParameter Schedule District MyCore

A code for the district of the Schedule

SearchParameter Schedule Intent MyCore

Schedule intent

SearchParameter Schedule Service Provider MyCore

Organization that is the service provider for the Schedule

SearchParameter Schedule State MyCore

A code for the state where the service in the Schedule is provided

SearchParameter Schedule Type MyCore

A code for the type of Schedule

SearchParameter ServiceRequest Author MyCore

ServiceRequest author reference

SearchParameter ServiceRequest Code Display MyCore

ServiceRequest code display

SearchParameter ServiceRequest Identifier Value MyCore

Search ServiceRequest identifier value by string

SearchParameter ServiceRequest Location MyCore

ServiceRequest location

SearchParameter ServiceRequest Performer Facility MyCore

ServiceRequest performer facility

SearchParameter ServiceRequest Reason Reference MyCore

ServiceRequest reason reference

SearchParameter ServiceRequest Requester Facility MyCore

ServiceRequest requester facility

SearchParameter ServiceRequest Supporting Info MyCore

ServiceRequest supporting info

SearchParameter ServiceRequest Transit Centre MyCore

ServiceRequest transit centre

SearchParameter Slot End MyCore

Appointment end date/time.

SearchParameter Specimen Request MyCore

Specimen request

SearchParameter SubType MyCore

Contract sub type

SearchParameter System Rating MyCore

System rating

SearchParameter Task Execution Date End MyCore

Task execution date end

SearchParameter Task Flag MyCore

Flag for a Task

SearchParameter Task Input CodeableConcept MyCore

Task input CodeableConcept

SearchParameter Task Input Reference MyCore

Task input reference

SearchParameter Task Location MyCore

Task location code

SearchParameter Task Output Reference MyCore

Task output reference

Structures: Questionnaires

These define forms used by systems conforming to this implementation guide to capture or expose data to end users.

Dengue Assessment Checklist

Questionnaire for thorough assessment of a patient with dengue fever.

Questionnaire AUDIT (Alcohol Use Disorders Identification Test)-10

The AUDIT-10 has 10 questions and the range of possible scores is from 0 to 40 where 0 indicates an abstainer who has never had any problems from alcohol, 1 to 7 suggests low risk consumption, 8 to 14 suggest harmful alcohol consumption and ≥15 Likelihood of alcohol dependence (moderate-severe alcohol use disorder)

Questionnaire Additional Medical Exam for Child

Questionnaire for recording additional child medical examination by a Medical Officer.

Questionnaire Alcohol Use Disorder Identification Test - Consumption (AUDIT-C)

The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the person's drinking is affecting his/her health and safety.

Questionnaire Borang Saringan Awal

Questionnaire for prerequisite screening before the pre-hajj medical examination.

Questionnaire Butir Peribadi Bakal Haji

Questionnaire to document personal details of hajj pilgrims.

Questionnaire Carta Perkembangan Si Comel Anda

Questionnaire for parent charting of child growth milestones via Patient Portal.

Questionnaire Death Certificate

Questionnaire for filling the Death Certificate form.

Questionnaire Depression Anxiety and Stress Scale 21 (DASS-21)

The DASS-21 (Depression Anxiety and Stress Scale 21) is used to measure the emotional states of depression, anxiety and stress. Please read each statement and choose the answer that indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement

Questionnaire Diabetic Audit

Questionnaire for Diabetic Audit data collection.

Questionnaire Diabetic Registry

Questionnaire for Diabetic Registry data collection.

Questionnaire Diagnosa Bakal Haji

Questionnaire to document any diagnoses detected in the pre-hajj medical examination.

Questionnaire Dietetic Care Notes Follow Up

Questionnaire for recording Dietetic Care notes at a follow-up session.

Questionnaire Dietetic Care Notes New

Questionnaire for recording Dietetic Care notes for a new case.

Questionnaire Elderly Cognitive Assessment Questionnaire (ECAQ) untuk Bakal Haji

Questionnaire to document Elderly Cognitive Assessment Questionnaire (ECAQ) in the pre-hajj evaluation.

Questionnaire General CVD Risk Prediction

Framingham Risk Score is used to estimate the 10-year cardiovascular risk of an individual

Questionnaire Hypertension Audit

Questionnaire for Hypertension Audit data collection.

Questionnaire Hypertension Clerking Note

Hypertension Clerking Note

Questionnaire Hypertension Registry

Questionnaire for Hypertension Registry data collection.

Questionnaire Informasi Panduan Dan Pendidikan Kesihatan

Questionnaire for recording distribution of postnatal guides and health education materials.

Questionnaire Initial Guarantee Letter

Questionnaire for requesting a Guarantee Letter.

Questionnaire Jadual Suntikan Thromboprophylaxis Untuk Ibu Postnatal ((SUBCUTANEOUS UNFRACTIONATED HEPARIN/ LOW MOLECULAR WEIGHT HEPARIN) - Jika Berkaitan

Questionnaire for recording thromboprophylaxis medication given during postnatal visits.

Questionnaire Kemasukan Hospital

Questionnaire for recording details of a hospital admission during antenatal checkups.

Questionnaire Keputusan Akhir Jawatankuasa Penilaian Khas Pemeriksaan Kesihatan

Questionnaire to document conclusion of the Special Committee for Pre-hajj Medical Examination review.

Questionnaire Keputusan Pemeriksaan Kesihatan Bakal Haji

Questionnaire to document conclusion of the pre-hajj medical examination.

Questionnaire Keputusan Pemeriksaan Kesihatan Bakal Haji Bagi Kes Rujukan Pakar

Questionnaire to document conclusion of pre-hajj medical examination for pilgrims requiring specialist referral.

Questionnaire Keputusan Pemeriksaan Ultrasound Ibu Mengandung

Questionnaire to record ultrasound findings during antenatal checkups.

Questionnaire Keputusan Ujian OGTT (Oral Glucose Tolerance Test) Ibu Mengandung

Questionnaire for recording OGTT (Oral Glucose Tolerance Test) results during antenatal checkups.

Questionnaire Lawatan Umur 1 Bulan

Questionnaire for recording child health visits at 1 month old.

Questionnaire Lawatan Umur 10 Bulan (Sarawak)

Questionnaire for recording child health visits (in Sarawak) at 10 months old.

Questionnaire Lawatan Umur 12 & 15 Bulan

Questionnaire for recording child health visits at 12 & 15 months old.

Questionnaire Lawatan Umur 18 & 21 Bulan

Questionnaire for recording child health visits at 18 & 21 months old.

Questionnaire Lawatan Umur 2 Bulan

Questionnaire for recording child health visits at 2 months old.

Questionnaire Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan

Questionnaire for recording child health visits at 2-3 years old.

Questionnaire Lawatan Umur 3 & 4 Bulan

Questionnaire for recording child health visits at 3-4 months old.

Questionnaire Lawatan Umur 4 Tahun

Questionnaire for recording child health visits at 4 years old.

Questionnaire Lawatan Umur 5 & 6 Bulan

Questionnaire for recording child health visits at 5 & 6 months old.

Questionnaire Lawatan Umur 5 & 6 Tahun

Questionnaire for recording child health visits at 5 & 6 years old.

Questionnaire Lawatan Umur 9 Bulan

Questionnaire for recording child health visits at 9 months old.

Questionnaire Maklumat Adik Beradik

Questionnaire for recording details of a child's siblings during child health visits.

Questionnaire Masalah Dikesan Semasa Postnatal, Pengendalian dan Rawatan

Questionnaire for recording issues detected during postnatal visits, and action taken.

Questionnaire NHSI (National Health Screening Initiative)

Questionnaire for conducting the NHSI (National Health Screening Initiative).

Questionnaire PHQ-9 (Patient Health Questionnaire 9) quick depression assessment panel

The Patient Health Questionnaire 9 (PHQ-9) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day).

Questionnaire Pemantauan Paras Gula Dalam Darah Bagi Ibu Mengandung

Questionnaire to record details of glucose monitoring during antenatal checkups.

Questionnaire Pemantauan Peningkatan Berat Badan Ibu Antenatal

Questionnaire to record weight gain monitoring in pregnancy.

Questionnaire Pemantauan Profil Pre-Eclampsia Ibu Mengandung

Questionnaire to record details of pre-eclampsia monitoring during antenatal checkups.

Questionnaire Pemantauan Tekanan Darah Ibu Mengandung

Questionnaire to record details of blood pressure monitoring during antenatal checkups.

Questionnaire Pemeriksaan Ibu Mengandung oleh Pegawai Perubatan dan Pegawai Pergigian

Questionnaire for recording Routine Medical Examinations by Medical Officers and Dental Officers during antenatal checkups.

Questionnaire Pemeriksaan Ibu Postnatal (1 Bulan) di Klinik

Questionnaire for postnatal review at the clinic at 1 month postpartum.

Questionnaire Pemeriksaan Kandungan Semasa

Questionnaire for recording of routine examination during antenatal checkups.

Questionnaire Pemeriksaan Kesihatan Bakal Haji

Questionnaire for pre-hajj medical examination.

Questionnaire Pemeriksaan Mata

Questionnaire for recording child eye screening.

Questionnaire Pemeriksaan Pergigian Tambahan

Questionnaire for recording additional child dental screenings.

Questionnaire Pemeriksaan Pergigian Umur 0-9 Bulan

Questionnaire for recording child dental screening at 0-9 months old.

Questionnaire Pemeriksaan Pergigian Umur 10-23 Bulan

Questionnaire for recording child dental screening at 10-23 months old.

Questionnaire Pemeriksaan Pergigian Umur 2-4 Tahun

Questionnaire for recording child dental screening at 2-4 years old.

Questionnaire Pemeriksaan Tambahan Lawatan Klinik

Questionnaire for recording additional child health clinic visits.

Questionnaire Pengakuan Kesihatan Bakal Haji

Questionnaire for pre-hajj self declaration of health condition.

Questionnaire Pengakuan Khas Bakal Haji Wanita

Questionnaire for female reproductive health screening in the pre-hajj evaluation.

Questionnaire Penyakit/status yang disaring

Questionnaire for blood group/infectious disease screening during initial antenatal assessment.

Questionnaire Perawatan Postnatal Dirumah

Questionnaire for evaluation of the mother during postnatal home visits.

Questionnaire Perihal Kandungan Lalu

Questionnaire for recording obstetric history during initial antenatal assessment.

Questionnaire Perihal Kelahiran (Diisi oleh Penyambut Kelahiran)

Questionnaire for recording details of a birth event.

Questionnaire Pertumbuhan Gigi Si Comel Anda

Questionnaire for parent recording of child dental milestones via Patient Portal.

Questionnaire Rawatan Neonatal

Questionnaire for recording child health visits during the neonatal period.

Questionnaire Rekod 1 Bulan (RME 1)

Questionnaire for recording child Routine Medical Examination (RME) by a Medical Officer at 1 month old.

Questionnaire Rekod 18 Bulan (RME 2)

Questionnaire for recording child Routine Medical Examination (RME) by a Medical Officer at 18 months old.

Questionnaire Rekod 4 Tahun (RME 3)

Questionnaire for recording child Routine Medical Examination (RME) by a Medical Officer at 4 years old.

Questionnaire Rekod Antenatal Ibu

Questionnaire for recording maternal health details during a child health visit.

Questionnaire Rekod Baru Lahir

Questionnaire for recording newborn details.

Questionnaire Rekod Kelahiran

Questionnaire for recording birth details at child health visits.

Questionnaire Rekod Kesihatan Ibu

Questionnaire for recording current pregnancy details during initial antenatal assessment.

Questionnaire Rekod Pemberian Pendidikan Kesihatan

Questionnaire for recording postnatal health education.

Questionnaire Riwayat Kesihatan Ibu Dan Keluarga

Questionnaire for recording maternal health and family history details during initial antenatal assessment.

Questionnaire Saringan Modified Barthel Index (MBI) Bakal Haji

Questionnaire for Modified Barthel Index (MBI) screening in the pre-hajj evaluation.

Questionnaire Saringan Status Kesihatan Mental 20 (SSKM 20) Bakal Haji

Questionnaire for pre-hajj SSKM 20 (Saringan Status Kesihatan Mental 20) mental health screening.

Questionnaire Senarai Masalah

Questionnaire for recording problem list at child health visits.

Questionnaire Senarai Semak Keberkesanan Penyusuan Susu Ibu Semasa Lawatan Postnatal

Questionnaire for the breastfeeding assessment checklist during postnatal visits.

Questionnaire Senarai Semak Kriteria Untuk Ujian Saringan OGTT (Oral Glucose Tolerance Test) Ibu Mengandung

Questionnaire for checklist to determine need for screening OGTT (Oral Glucose Tolerance Test) during antenatal checkups.

Questionnaire Senarai Semak Penjagaan Postnatal Mengikut Kod Warna

Questionnaire recording the risk factors detected during postnatal visits, which will determine the colour code assigned and action taken.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 1 & 2 Bulan

Questionnaire for parent recording of child health via Patient Portal at 1 & 2 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 12 Bulan

Questionnaire for parent recording of child health via Patient Portal at 12 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 15 Bulan

Questionnaire for parent recording of child health via Patient Portal at 15 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 18 Bulan

Questionnaire for parent recording of child health via Patient Portal at 18 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 2 & 2 Tahun 6 Bulan

Questionnaire for parent recording of child health via Patient Portal at 2 years & 2 years 6 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 21 Bulan

Questionnaire for parent recording of child health via Patient Portal at 21 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 3 & 3 Tahun 6 Bulan

Questionnaire for parent recording of child health via Patient Portal at 3 years & 3 years 6 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 3 & 4 Bulan

Questionnaire for parent recording of child health via Patient Portal at 3 & 4 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 4 Tahun

Questionnaire for parent recording of child health via Patient Portal at 4 years old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 5 & 6 Bulan

Questionnaire for parent recording of child health via Patient Portal at 5 & 6 months old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 5 & 6 Tahun

Questionnaire for parent recording of child health via Patient Portal at 5 & 6 years old.

Questionnaire Senarai Semak Rekod Saya Ibu Bapa Lawatan 9 & 10 Bulan

Questionnaire for parent recording of child health via Patient Portal at 9 & 10 months old.

Questionnaire Senarai Semak Risiko VTE (Venous Thromboembolism) Semasa Hamil dan Puerperium

Questionnaire for VTE (Venous Thromboembolism) risk during pregnancy and puerperium. Reference: Prevention & Treatment of Thromboembolism in Pregnancy and Puerperium, 2018.

Questionnaire Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal

Questionnaire recording the risk factors detected during antenatal checkups, which will determine the colour code assigned and action taken.

Questionnaire Status Keupayaan Bakal Haji

Questionnaire to document any disabilities in the pre-hajj evaluation.

Questionnaire TB Clerking Template

Questionnaire to guide tuberculosis clerking and documentation.

Questionnaire Ujian saringan M-CHAT 18 bulan dan 3 tahun

Questionnaire for recording child M-CHAT screening at 18 months and 3 years old.

Questionnaire Whooley Questions

A no response to both questions (negative test) essentially rules out depression, and a yes response to one or both questions (positive test) identifies virtually all persons who may benefit from further evaluation.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

AdverseEvent (MY Core)

Actual or potential/near-miss event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.

AllergyIntolerance (MY Core)

Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.

AllergyIntolerance Negation (MY Core)

To differentiate between whether allergy assessment has been completed but no allergy found, or that allergy assessment was not done and status is unknown.

Appointment (MY Core)

A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s). For the Malaysian context, please refer to Scheduling & Appointment for scheduling integration guide.

CarePlan (MY Core)

Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.

ChargeItem (MY Core)

Describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.

ChargeItemDefinition (MY Core)

Provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.

Composition (MY Core)

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. In the Malaysian context, this resource is also used to create sub-records for Maternal and Child Health, the Hajj medical screening program, and an International Patient Summary.

Composition Health Screening (MY Core)

This profile is derived from the Composition (MY Core) profile, to delineate the contents of a general health screening. It was developed as a response to the Malaysian Ministry of Health's (MOH) National Health Screening Initiative (NHSI) to better manage non-communicable diseases (NCDs) through early detection and intervention.

Condition (MY Core)

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. In the Malaysian context, the code system of the Condition is not specified as it may be ICD-10 (International Classification of Diseases), ICD-11 or other local or international code systems. Currently the aim is to allow Continuity Of Care (COC) between facilities as one of the main priorities regardless of the code system used.

Consent (MY Core)

A record of a healthcare consumer's choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time. In the Malaysian context, the consent for information exchange between Ministry of Health facilities is obtained through an opt-out approach. Consent for decision-making in procedures, referrals and the creation of an International Patient Summary with QR sharing is obtained separately.

DiagnosticReport (MY Core)

The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. This profile constrains the resource to represent diagnostic tests and procedure reports in a patient summary.

DocumentManifest (MY Core)

A collection of documents compiled for a purpose together with metadata that applies to the collection. In the Malaysian context, this resource is used to manage collections such as maternal health records (Ministry of Health pink book), child health records (Ministry of Health blue book), and pre-hajj medical screening records.

Encounter (MY Core)

An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

FamilyMemberHistory (MY Core)

Significant health conditions for a person related to the patient relevant in the context of care for the patient. This includes health conditions of people closely related to the Patient, regardless of whether they are genetically related, especially in the context of infectious diseases. Previous experience of a condition in a close relation may also affect the patient's current experience and decision-making process, and should be explored.

Flag (MY Core)

Prospective warnings of potential issues when providing care to the patient.

HealthcareService (MY Core)

Used to describe a single healthcare service or a category of services provided by an organization at a location. The location of the services could be virtual, as with telemedicine services.

ImagingStudy (MY Core)

Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

Immunization (MY Core)

Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party.

ImmunizationRecommendation (MY Core)

A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.

Invoice (MY Core)

Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purposes.

List (MY Core)

A list is a curated collection of resources that is flat, possibly ordered. List resources can be used in many places, including allergies, medications, alerts, family history, medical history, etc.

Location (MY Core)

Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

Medication (MY Core)

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. In the Malaysian context, coding for medication is adopted from the Ministry of Health Pharmacy Information System (PhIS) database to standardize usage across the country.

MedicationDispense (MY Core)

Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.

MedicationKnowledge (MY Core)

Supports creation of and querying for drug information including attributes such as drug classifications, images of medications, drug costs and/or coverages, etc. This resource can be used to return drug information as part of a formulary or a catalogue. In the Malaysian context, coding for medication is adopted from and constrained to the Malaysian Ministry of Health Pharmacy Information System (PhIS) master catalogue to standardize usage across the country.

MedicationRequest (MY Core)

An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. In the Malaysian context, coding for medication is adopted from the Ministry of Health Pharmacy Information System (PhIS) database to standardize usage across the country.

MedicationStatement (MY Core)

A record of a medication that is being consumed by a patient. May indicate that the patient is taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. In the Malaysian context, coding for medication is adopted from the Ministry of Health Pharmacy Information System (PhIS) database to standardize usage across the country.

Observation Anthropometry Panel (MY Core)

This profile is derived from the Observation Panel (MY Core) resource.

Observation Body Mass Index (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Body Temperature (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Chest Circumference (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Dental Alert (MY Core)

This profile is derived from the base FHIR® Observation resource, constrained especially to document alerts in the setting of a dental service.

Observation Dental Chart (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Developmental Milestones (MY Core)

This profile is derived from the base FHIR® Observation resource, and has been constrained specifically to record developmental milestones in children.

Observation Diastolic BP (My Core)

This profile is derived from the base FHIR® Observation resource.

Observation Fasting Glucose (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Foetal Kick (MY Core)

This profile is derived from the base FHIR® Observation resource, and has been constrained specifically for foetal kick charting in pregnancy.

Observation Head Circumference (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Heart Rate (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Height (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Lab Result (MY Core)

This profile is derived from the base FHIR® Observation resource, and constrained especially to record laboratory results.

Observation Obstetric Haemoglobin (MY Core)

This profile is derived from the base FHIR® Observation resource constrained especially to record haemoglobin levels in pregnancy. In the Malaysian context, this facilitates consolidation of haemoglobin levels monitored during pregnancy in the Maternal Health Records (Ministry of Health pink book).

Observation Obstetric Ultrasound (MY Core)

This profile is derived from the base FHIR® Observation resource, constrained especially to record findings in an obstetrical ultrasound.

Observation Oxygen Saturation (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Pain Score (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Panel (MY Core)

This profile is derived from the base FHIR® Observation resource, to define the different observation panel codes for the HIE in Malaysian Ministry of Health facilities.

Observation Random Glucose (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Respiratory Rate (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Smoking History (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Social History (MY Core)

This profile is derived from the base FHIR® Observation resource, constrained especially to record social history details.

Observation Vital Sign Panel (MY Core)

This profile is derived from the Observation Panel (MY Core) profile, constrained to suit recording of a panel vital sign readings.

Observation Waist (MY Core)

This profile is derived from the base FHIR® Observation resource.

Observation Weight (MY Core)

This profile is derived from the base FHIR® Observation resource.

ObservationSystolicBp (MY Core)

This profile is derived from the base FHIR® Observation resource.

Organization (MY Core)

A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. In the Malaysian context, the clusterName and clusterFacility extensions allow further detailing of Ministry of Health facilities that are grouped into clusters for better facility management.

OrganizationAffiliation (MY Core)

Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship. In the Malaysian context, this is used primarily to define the relationship between facilities that send and receive ServiceRequests, e.g. laboratory and imaging investigations, referrals and appointments.

Patient (MY Core)

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

PaymentReconciliation (MY Core)

This resource provides the details including amount of a payment and allocates the payment items being paid.

Practitioner (MY Core)

A person who is directly or indirectly involved in the provisioning of healthcare.

PractitionerRole (MY Core)

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. In the Malaysian context, resources often reference the PractitionerRole rather than Practitioner to highlight the Practitioner's role within that specific Organization.

Procedure (MY Core)

An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.

QuestionnaireResponse (MY Core)

A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.

RelatedPerson (MY Core)

Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

Schedule (MY Core)

A container for slots of time that may be available for booking appointments. For the Malaysian context, please refer to Scheduling & Appointment for the scheduling integration guide.

ServiceRequest (MY Core)

A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

Slot (MY Core)

A slot of time on a schedule that may be available for booking appointments. For the Malaysian context, please refer to Scheduling & Appointment for the scheduling integration guide.

Specimen (MY Core)

A sample to be used for analysis. The resource contains specimen attributes usable for the laboratory results section and entry of a patient summary.

SpecimenDefinition (MY Core)

A kind of specimen with associated set of requirements.

Task (MY Core)

Describes an activity that can be performed and tracks the state of completion of that activity. It is a representation that an activity should be or has been initiated, and eventually, represents the successful or unsuccessful completion of that activity.

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

Address (MY Core)

A data type expressed using postal conventions (as opposed to GPS or other location definition formats), customised to suit Malaysian purposes.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

ExtensionAdditionalInfo (MY Core)

Extension to reference additional relevant resources pertaining to the HealthcareService.

ExtensionAddressDistrict (MY Core)

Extension to store district information in the form of a Codeable Concept.

ExtensionAddressDivision (MY Core)

Extension to store division information (For Sabah and Sarawak) value.

ExtensionAddressState (MY Core)

Extension to store state information in a Codeable Concept.

ExtensionAddressSubDivision (MY Core)

Extension to store sub division information (for Sabah and Sarawak) value.

ExtensionAmendment (MY Core)

Extension to add amended information of this clinical documentation.

ExtensionAttachmentBoolean (MY Core)

Extension to determine whether this DiagnosticReport provides any external attachment.

ExtensionAttester (MY Core)

Extension to add information related to the party who attested to this ServiceRequest.

ExtensionAudit (MY Core)

Extension to record the individual who recorded and last updated the data

ExtensionBooster (MY Core)

Extension to determine if the vaccine is a booster dose.

ExtensionChargeItemCIDReference (MY Core)

Extension for a ChargeItem to reference a ChargeItemDefinition.

ExtensionChildIdentification (MY Core)

Extension to store newborn details.

ExtensionCitizenship (MY Core)

Extension to define the citizenship status of an individual.

ExtensionClaimInvoice (MY Core)

Extension to refer to Invoice within Claim resource.

ExtensionClusterFacility (MY Core)

Extension to determine position of the facility in the cluster of organizations as with Malaysian Ministry of Health facilities.

ExtensionClusterName (MY Core)

Extension to declare which cluster this organization belongs to.

ExtensionCompositionSectionDate (MY Core)

Extension to define the date this section was created on.

ExtensionDisability (MY Core)

Extension to clarify details about a disability.

ExtensionDrugCautionary (My Core)

Extension about the cautionary element of a drug.

ExtensionDrugForm (MY Core)

Extension to document the drug form as per the Pharmacy Information System catalogue.

ExtensionEducationLevel (MY Core)

Extension about the general category of an individual's education level.

ExtensionEncounterOutcome (MY Core)

Extension about the outcome of an encounter.

ExtensionEncounterRating (MY Core)

Extension about the rating of an encounter.

ExtensionEthnic (MY Core)

Extension to classify the ethnicity of an individual.

ExtensionForeignerType (MY Core)

Extension about an individidual foreigner category, e.g. undocumented migrant.

ExtensionFormRequired (MY Core)

Extension to determine if this ServiceRequest requires a form attached to the request.

ExtensionFormTemplate (MY Core)

Extension to assign the set of form templates used by the Organization.

ExtensionFormType (MY Core)

Extension to define the type of form this ServiceRequest uses when requesting this service.

ExtensionFormularyBoolean (MY Core)

Extension to state whether this Resource is based on a coded concept or is a non coded Resource.

ExtensionInternalReferral (MY Core)

Extension to classify whether this Encounter is from an internal or external referral.

ExtensionInvoiceDueDate (MY Core)

Extension to document the due date for a supplier Invoice.

ExtensionListOperationStatus (MY Core)

Extension about the operational status of this List Resource.

ExtensionListPeriod (MY Core)

Extension about the active period of this List Resource.

ExtensionLocationEncounter (MY Core)

Extension to reference a currently active Encounter at the Location.

ExtensionLocationRecorded (MY Core)

Extension to define where the Composition was recorded (Location Resource).

ExtensionMIC (MY Core)

Extension to include Minimum inhibitory concentration (MIC) details in lab culture reports.

ExtensionMediaReference (MY Core)

Extension to refer to the Organization Logo.

ExtensionMedicationKnowledge (MY Core)

Extension to reference the MedicationKnowledge (Master Drug/Medication List) Resource.

ExtensionMedicationKnowledgeCustomBoolean (MY Core)

Extension to state whether this MedicationKnowledge resource is custom added and not part of the PhIS database.

ExtensionMedicationKnowledgeSetting (MY Core)

Extension to define the settings of a particular Master Drug/Medication.

ExtensionMedicationManufacturer (MY Core)

Extension to define the manufacturer of this medication.

ExtensionMedicationPackDescription (MY Core)

Extension to define the pack description template of this medication.

ExtensionMedicationRecommended (MY Core)

Extension to define the default property of a facility medication list template.

ExtensionMiscRequest (MY Core)

Extension to define this medication is ordered out of the default properties specified by the master Drug/Medication list.

ExtensionMnemonic (MY Core)

Extension to define the mnemonic for a facility/organization.

ExtensionMonthlyHouseholdIncome (MY Core)

Extension to define the individual monthly household income category.

ExtensionNationality (MY Core)

Extension to define the nationality of a particular individual.

ExtensionNcdVcDx (MY Core)

Extension to define the outcome diagnosis of a Virtual Consultation (for analytics).

ExtensionOaHsDetails (MY Core)

Extension to further detail an OrganizationAffiliation outsource agreement.

ExtensionOaMaxDaily (MY Core)

Extension to define the maxium allowed outsource request in a day for an agreed outsource arrangement.

ExtensionOaRegionQuota (MY Core)

Extension to define the maximum quota of a agree outsource arrangement for a particular body/category region.

ExtensionObservationContainer (MY Core)

Extension to reference a SpecimenDefinition Resource.

ExtensionOccupationSector (MY Core)

Extension to categorize an individuals occupational sector

ExtensionOrganizationCategory (MY Core)

Extension to categorize the type of organization/facility category.

ExtensionOrganizationPkd (MY Core)

Extension to store which Pejabat Kesihatan Daerah (PKD) this facility/organization is under.

ExtensionOrganizationPosition (MY Core)

Extension to store the Global Positional System (GPS) properties of the facility.

ExtensionPRDrugClassification (MY Core)

Extension to define what classification of medication is allowed for a particular PractitionerRole.

ExtensionPRPrint (MY Core)

Extension to define whether this PaymentReconciliation has been printed at least once.

ExtensionPRType (MY Core)

Extension about the type of PaymentReconciliation.

ExtensionPatientContactIdentifier (MY Core)

Extension to store patient contact identifier.

ExtensionPersonCategoryArmy (MY Core)

Extension to categorise the patient according to status in relation to the Malaysian Armed Forces.

ExtensionPersonTitle (MY Core)

Extension to define the title of an individual.

ExtensionPoliceCase (MY Core)

Extension to declare whether this Encounter is directly created as part of a police case investigation.

ExtensionPriceComponent (MY Core)

Extension about the details of a line item in ChargeItem.

ExtensionPrintedDate (MY Core)

Extension to document the date that the DiagnosticReport is printed.

ExtensionProcedurePrimaryDiscipline (MY Core)

Extension about the main discipline that is performing the procedure.

ExtensionProcedureRecorded (MY Core)

Extension about the date the procedure was recorded.

ExtensionProcedureSessionType (MY Core)

Extension about the type of procedure session.

ExtensionPublicBooking (MY Core)

Extension to determine if this HealthcareService is allowed to be booked publicly (through patients/customer).

ExtensionQuestionnaireReference (MY Core)

Extension to create reference to Questionnaire within the QuestionnaireResponse.

ExtensionRelatedPersonPatientReferenceMyCore

Extension to reference the Patient resource of the RelatedPerson if exists.

ExtensionRelatesTo (MY Core)

Extension that allows ServiceRequest to be able to reference Resources that led up to this record creation.

ExtensionReligion (MY Core)

Extension about the individual's religious affiliation.

ExtensionRequireApproval (MY Core)

Extension to document whether an appointment booked under this Schedule requires approval from the provider side prior to booking.

ExtensionSchedulePosition (MY Core)

Extension about the Global Positioning System (GPS) position for the service offered in a Schedule.

ExtensionScheduleType (MY Core)

Extension about the type of schedule.

ExtensionScheduling (MY Core)

Extension to clarify whether a Schedule is allowed to be created for this Practitioner Role.

ExtensionServiceProvider (MY Core)

Extension to reference the custodian of this Resource.

ExtensionSimpleRegister (MY Core)

Extension used in appointment for simple registration without having to creating a patient resource.

ExtensionSlotQuota (MY Core)

Extension to set the maximum quota allocated for a slot.

ExtensionSpecimenCombineSample (MY Core)

Extension to determine whether the lab test allows combining the same sample with another lab test.

ExtensionSystemRating (MY Core)

Extension for patient/customer to rate an Encounter.

ExtensionSystemTenant (MY Core)

Extension to define the system tenant.

ExtensionTransitCentre (MY Core)

Extension to reference an affiliation transit centre.

ExtensionUseContext (MY Core)

Extension to determine the use context of a charge item.

ExtensionVisitType (My Core)

Extension to determine the visit type.

ExtensionVrStatus (My Core)

Extension about the current status of the virtual consultation session.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

ValueSetActiveIngredient (MY Core)

Active ingredient in a drug

ValueSetAdministrativeGender (MY Core)

Administrative gender in Malaysia

ValueSetAdverseEventEvent (MY Core)

AdverseEvent event codes

ValueSetAllergyActiveIngredient (MY Core)

Active ingredient in drug involved in allergy

ValueSetAllergyCode (MY Core)

Coding for specific allergy

ValueSetAllergyEnvironment (MY Core)

Active ingredient in environment involved in allergy

ValueSetAllergyManifestation (MY Core)

Type of manifestation in an allergic reaction

ValueSetAllergyNegation (MY Core)

Allergy negation statement

ValueSetAudiologyAssessment(MY Core)

Components of audiology assessment

ValueSetAudiologyAuralRehabilitation(MY Core)

Components for assessment in aural rehabilitation

ValueSetAudiologyCochlearImplantAssessment(MY Core)

Components in cochlear implant assessment

ValueSetAudiologyHearingAidAssessment(MY Core)

Components in hearing aid assessment

ValueSetAudiologyNeonatalHearingScreening(MY Core)

Components in neonatal hearing screening

ValueSetBacterialSusceptibilityMIC (MY Core)

Bacterial susceptibility by Minimum Inhibitory Concentration (MIC)

ValueSetBillingType (MY Core)

Billing type

ValueSetCIDUseContextType (My Core)

ChargeItemDefinition usage context type

ValueSetCancelationReason (MY Core)

Appointment cancellation reason

ValueSetChildIdentificationType (MY Core)

Child identification type

ValueSetCity (MY Core)

Malaysia city list

ValueSetClinicPhysiotherapy (MY Core)

Clinic physiotherapy services

ValueSetClusterFacility (MY Core)

Position of facility within cluster of facilities

ValueSetCompositionCategory (MY Core)

Composition category

ValueSetCompositionClass (MY Core)

Composition class

ValueSetCompositionEvent (MY Core)

Composition event

ValueSetCompositionFormType (MY Core)

Composition form type

ValueSetCompositionSection (MY Core)

Composition section

ValueSetCompositionType (MY Core)

Composition type

ValueSetConditionCategory (MY Core)

Condition category

ValueSetConsentCategory (MY Core)

Consent category

ValueSetContractMembershipStatus (MY Core)

Contract membership status

ValueSetContractMembershipType (MY Core)

Contract membership type

ValueSetCookingDemonstation (MY Core)

Cooking demonstration type

ValueSetDataType (MY Core)

Data type

ValueSetDeathCertificate (MY Core)

PIK Death Certificate diagnosis code

ValueSetDentalAlertCode (MY Core)

Dental alert code

ValueSetDentalCode (MY Core)

Dental code

ValueSetDentalHistoryAlert (MY Core)

Dental history alert

ValueSetDentalProcedure (MY Core)

Dental procedure

ValueSetDentitian (MY Core)

Dentition

ValueSetDevMilestoneFineMotor (MY Core)

Age group for fine motor assessment

ValueSetDevMilestoneGrossMotor (MY Core)

Age group for gross motor assessment

ValueSetDevMilestoneSocial (MY Core)

Age group for social development assessment

ValueSetDevMilestoneSpeech (MY Core)

Age group for speech development assessment

ValueSetDevelopmentalMilestone (MY Core)

Developmental milestone

ValueSetDeviceType (MY Core)

Device type

ValueSetDiagnosisRole (MY Core)

Extension to FHIR® base DiagnosisRole ValueSet to include additional codes specific to MY Core

ValueSetDiagnosticProcedure (MY Core)

Diagnostic procedures

ValueSetDischargeDisposition (MY Core)

Discharge disposition

ValueSetDispenseType (MY Core)

MedicationDispense Type

ValueSetDistrict (MY Core)

Malaysia district list

ValueSetDrug (MY Core)

Drug list

ValueSetDrugAllergy (MY Core)

Drug allergy

ValueSetDrugCategory (MY Core)

Drug category

ValueSetDrugCautionary (MY Core)

Drug cautionary

ValueSetDrugDoseForm (MY Core)

Drug dose form

ValueSetDrugSchedule (MY Core)

Drug schedule

ValueSetDrugSpecialInstruction (MY Core)

Special instruction list

ValueSetDrugSubGroup (MY Core)

Drug sub group

ValueSetDrugTradeName (MY Core)

Drug trade names

ValueSetDrugType (MY Core)

Drug type

ValueSetEducationLevel (MY Core)

Education level in Malaysia

ValueSetEncounterCategory (MY Core)

Encounter category

ValueSetEncounterClass (MY Core)

Additional class related to PIK code to extend the base FHIR® CodeSystem Encounter Class

ValueSetEncounterClassFront (MY Core)

Front end value set for encounter class

ValueSetEncounterOutcome( MY Core)

Encounter outcome

ValueSetEncounterOutcomeReason( MY Core)

Encounter outcome reason

ValueSetEncounterPriority (MY Core)

Encounter priority

ValueSetEncounterRating (MY Core)

Encounter rating

ValueSetEthnic (MY Core)

Common ethnic groups in Malaysia

ValueSetExternalReferralSourceType (MY Core)

External referral source type

ValueSetFatAnalysis (MY Core)

Components of Fat Analysis Panel using bioelectrical impedance analysis

ValueSetFlagCategory (MY Core)

Flag category

ValueSetForeignerType (MY Core)

Foreigner type

ValueSetFormTemplate (MY Core)

Form template

ValueSetGlucoseLevel(MY Core)

Interpreting glucose level

ValueSetHealthProgramPhysiotherapy (MY Core)

Malaysian Physiotherapy Health Programs

ValueSetHospitalPhysiotherapy (MY Core)

Hospital-based physiotherapy services

ValueSetHsCharacteristic (MY Core)

HealthcareService characteristics

ValueSetImaging (MY Core)

Malaysia imaging PIK code

ValueSetImagingModality (MY Core)

Malaysia imaging modality PIK code

ValueSetImagingRegion (MY Core)

Malaysia imaging region PIK code

ValueSetImmunizationRecommendationStatus (MY Core)

Status of ImmunizationRecommendation

ValueSetInjectionProcedure (MY Core)

Injection procedures

ValueSetInternalReferralSourceType (MY Core)

Internal referral source type

ValueSetInvoiceStatus (MY Core)

Invoice status

ValueSetLab (MY Core)

Malaysia lab PIK code

ValueSetLabComponent (MY Core)

Malaysia lab component PIK code

ValueSetLabMethod (MY Core)

Malaysia lab method

ValueSetLabSubGroup (MY Core)

Lab sub group

ValueSetLocationType (MY Core)

Location type

ValueSetLocationTypeFront (MY Core)

Location type front end

ValueSetLoinc (MY Core)

LOINC codes

ValueSetMicroorganism (MY Core)

Microorganisms/infectious agents

ValueSetMinorProcedure (MY Core)

Minor procedure list

ValueSetMonthlyHouseholdIncome (MY Core)

Monthly household income categories

ValueSetNationality (MY Core)

Nationality

ValueSetNcdVcDx (MY Core)

NCD VC report diagnoses

ValueSetNutritionScienceOfficerConsultation (MY Core)

Nutrition Science Officer consultation reason

ValueSetNutritionistConsultation (MY Core)

Nutritionist consultation reason

ValueSetObservationAnthropometry (MY Core)

Anthropometry panel using LOINC code - 55418-8 Weight and Height tracking panel

ValueSetObservationCategory (MY Core)

Observation category for HIE

ValueSetObservationGlucose (MY Core)

Bedside glucose measurement

ValueSetObservationInterpretation (MY Core)

Observation result interpretation

ValueSetObservationObstetricUs (MY Core)

Components for obstetric ultrasound observation

ValueSetObservationPanel (MY Core)

Observation panel codes for HIE

ValueSetObservationSocialComponent (MY Core)

Components for social history

ValueSetObservationSocialHistory (MY Core)

Social history codes from Snomed CT

ValueSetObservationVSCBP (MY Core)

Components for blood pressure measurement panel under LOINC 85353-1

ValueSetObservationVSCHR (MY Core)

Components for heart rate measurement panel under LOINC 85353-1

ValueSetObservationVSCSO2 (MY Core)

Components for SpO2 measurement under LOINC 85353-1

ValueSetObservationVSCT (MY Core)

Components for temperature measurement under LOINC 85353-1

ValueSetObservationVitalSigns (MY Core)

Components for vital signs observation panel LOINC 85353-1

ValueSetOccupationSector (MY Core)

Malaysia occupation sector list

ValueSetOperationStatus (MY Core)

Operation status

ValueSetOphthalmicProcedure (MY Core)

Ophthalmic procedure list

ValueSetOrganizationCategory (MY Core)

Category of healthcare facility in Malaysian context

ValueSetOrganizationCategoryPublicMyCore

Categorization of organization for public viewing

ValueSetOrganizationType (MY Core)

Malaysian healthcare service organization type

ValueSetOutsourceCategory (MY Core)

Outsource category code

ValueSetOutsourceFacility (MYCore)

Outsource facility code

ValueSetPainPattern (MY Core)

Quantifying frequency of pain

ValueSetPainQuality (MY Core)

Categorizing quality of pain

ValueSetPaymentType (MY Core)

Payment type

ValueSetPersonCategory (MY Core)

Categorization of individual based on military category

ValueSetPersonTitle (MY Core)

Common title/prefix in Malaysia

ValueSetPhisFrequency (MY Core)

PhIS medication frequency

ValueSetPhisRoute (MY Core)

PhIS medication route

ValueSetPhisUom (MY Core)

PhIS medication unit of measure

ValueSetPhlebotomy (MY Core)

Phlebotomist procedure

ValueSetPostCode (MY Core)

Malaysia postcode list

ValueSetPractitionerRole (MY Core)

Practitioner Role My Core

ValueSetPriority (MY Core)

Priority of request

ValueSetProcedureCategory (MY Core)

Procedure category

ValueSetProcedureCode (MY Core)

Procedure code

ValueSetProcedureComplication (MY Core)

Procedure complication

ValueSetProcedurePerformerRole (MY Core)

PIK procedure performer role

ValueSetProcedureSessionType (MY Core)

Procedure session type

ValueSetReasonCode (MY Core)

Reason encounter occurred

ValueSetReferralForm (MY Core)

Form required

ValueSetRelatedPersonRelationship (MY Core)

Relationship of patient with related person

ValueSetRelationship (MY Core)

PIK code for relationship

ValueSetReligion (MY Core)

Common religions in Malaysia

ValueSetRevenueCode (MY Core)

Revenue code

ValueSetScheduleType (MY Core)

Schedule type

ValueSetServiceRequestCategory( MY Core)

ServiceRequest category

ValueSetServiceRequestTypeMyCore

ServiceRequest type

ValueSetServiceType (MY Core)

HealthcareService type

ValueSetSide (MY Core)

Side of body

ValueSetSite (MY Core)

Site of body

ValueSetSourceSystem (MY Core)

Source system

ValueSetSpecialty (MYCore)

Specialty code

ValueSetSpecimenContainerType (MY Core)

Malaysia specimen container type

ValueSetSpecimenType (MY Core)

Malaysia specimen type

ValueSetState (MY Core)

Malaysian state list

ValueSetSubRecordType (MY Core)

Sub record type

ValueSetSubjectStatus (MY Core)

Subject status in relation to the Encounter progress

ValueSetSurface (MY Core)

Surface codes

ValueSetSurfaceCode (MY Core)

Surface code

ValueSetTPAPanel (MY Core)

TPA Panel List

ValueSetTaskBusinessStatus (MY Core)

Codes indicating the type of action that is expected to be performed

ValueSetTaskCode (MY Core)

Type of task

ValueSetTaskInputType (MY Core)

Task input type

ValueSetTaskNursingInput (MY Core)

Task nursing input

ValueSetTaskOutputType (MY Core)

Task output type

ValueSetTaskStatusLab (MY Core)

Lab business status

ValueSetTdmRecommendedType (MY Core)

Therapeutic Drug Monitoring recommendation

ValueSetTdmSampleType (MY Core)

TDM sample type

ValueSetTreatmentProcedure (MY Core)

Treatment procedure list

ValueSetVaccineChildCode (MY Core)

Malaysia childhood vaccine code system

ValueSetVaccineCode (MY Core)

Malaysia vaccine code system

ValueSetVisitType (MY Core)

Encounter visit type PIK code

ValueSetWardCategory (MY Core)

Ward category

ValueSetWardClass (MY Core)

Ward class

ValueSetWardSpecialty (MY Core)

Ward specialty

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CodeSystemActiveIngredient (MY Core)

Active ingredient

CodeSystemAllergyCode (MY Core)

Drug allergy codes

CodeSystemAllergyEnvironment (MY Core)

Active ingredient in environmental allergies

CodeSystemAudiologyAssessment (MY Core)

Audiology assessment

CodeSystemAudiologyAuralRehabilitation(MY Core)

Components for aural rehabilitation

CodeSystemAudiologyCochlearImplantAssessment(MY Core)

Components for cochlear implant assessment

CodeSystemAudiologyElectrophysiologyTest(MY Core)

Components for audiologic electrophysiology test

CodeSystemAudiologyHearingAidAssessment (MY Core)

Audiology hearing aid assessment

CodeSystemAudiologyNeonatalHearingScreening (MY Core)

Audiology neonatal hearing screening

CodeSystemBillingType (MY Core)

Billing type

CodeSystemCancelationReason (MY Core)

Appointment cancellation reason

CodeSystemCity (MY Core)

Malaysian cities list

CodeSystemClinicPhysiotherapy (MY Core)

Clinic physiotherapy services

CodeSystemClusterFacility (MY Core)

Position of facility in cluster

CodeSystemCompositionCategory (MYCore)

Composition category

CodeSystemCompositionClass (MYCore)

Composition class

CodeSystemCompositionEvent (MYCore)

The specific clinical service or event being documented

CodeSystemCompositionType (MY Core)

Composition type

CodeSystemConditionCategory (MY Core)

Condition category in Malaysia

CodeSystemConsentCategory (MY Core)

Consent category

CodeSystemContractMembershipType (MY Core)

Contract membership type

CodeSystemCookingDemonstration (MY Core)

Cooking demonstration category

CodeSystemDataType (MY Core)

Data type

CodeSystemDentalAlertCode (MY Core)

Dental alert code

CodeSystemDentalCode (MY Core)

Dental code

CodeSystemDentalHistoryAlert (MY Core)

Dental history alert

CodeSystemDentalProcedure (MY Core)

Dental procedure

CodeSystemDentitian (MY Core)

Dentitian

CodeSystemDevMilestoneFineMotor (MY Core)

Developmental milestone for fine motor

CodeSystemDevMilestoneGrossMotor (MY Core)

Developmental milestone for gross motor

CodeSystemDevMilestoneSocial (MY Core)

Developmental milestone for social development

CodeSystemDevMilestoneSpeech (MY Core)

Developmental milestone for speech

CodeSystemDevelopmentalMilestone (MY Core)

Developmental milestone category

CodeSystemDeviceType (MY Core)

Device type

CodeSystemDiagnosisRole (MY Core)

SMRP Diagnosis Code

CodeSystemDiagnosticProcedure (MY Core)

Diagnostic procedure

CodeSystemDischargeDisposition (MY Core)

Discharge disposition

CodeSystemDispenseType (MY Core)

MedicationDispense Type

CodeSystemDistrict (My Core)

Malaysia district list

CodeSystemDrug (MY Core)

Drug list

CodeSystemDrugAllergy (MY Core)

Specific drug allergy

CodeSystemDrugCategory (MY Core)

Drug category

CodeSystemDrugCautionary (MY Core)

Drug cautionary

CodeSystemDrugDoseForm (MY Core)

Drug dose form

CodeSystemDrugSchedule (MY Core)

Drug schedule

CodeSystemDrugSpecialInstruction (MY Core)

Drug special instruction list

CodeSystemDrugSubGroup (MY Core)

Drug sub group

CodeSystemDrugTradeName (MY Core)

Drug trade name

CodeSystemDrugType (MY Core)

Drug type

CodeSystemEducationLevel (MY Core)

Education level for Malaysia

CodeSystemEncounterCategory (MY Core)

Encounter category

CodeSystemEncounterClass (MY Core)

Encounter class list

CodeSystemEncounterOutcome (MY Core)

Encounter outcome

CodeSystemEncounterOutcomeReason (MY Core)

Encounter outcome reason

CodeSystemEncounterRating (MY Core)

Encounter rating

CodeSystemEthnic (MY Core)

Ethnic group

CodeSystemExternalReferralSourceType (MY Core)

External referral source type

CodeSystemFatAnalysis (MY Core)

Fat Analysis using bioelectrical impedance analysis

CodeSystemFlagCategory (MY Core)

Flag category

CodeSystemForeignerType (MY Core)

Foreigner type - documented/illegal

CodeSystemFormTemplate (MY Core)

Form template

CodeSystemHealthProgramPhysiotherapy (MY Core)

Malaysia Physiotherapy Health Program list

CodeSystemHospitalPhysiotherapy (MY Core)

Malaysia hospital-based physiotherapy services

CodeSystemHsCharacteristic (MY Core)

HealthService characteristics

CodeSystemImaging (MY Core)

Malaysia imaging code system

CodeSystemImagingModality (MY Core)

PIK imaging modality code

CodeSystemImagingRegion (MY Core)

Malaysia imaging region code system

CodeSystemImmunizationRecommendationStatus (MY Core)

Status of ImmunizationRecommendation

CodeSystemInjectionProcedure (MY Core)

Injection procedure

CodeSystemInternalReferralSourceType (MY Core)

Internal referral source type

CodeSystemInvoiceType (MY Core)

Invoice type to differentiate between patient and supplier invoices.

CodeSystemLab (MY Core)

Malaysia PIK lab code system

CodeSystemLabComponent (MY Core)

Malaysia PIK lab component codes

CodeSystemLabMethod (MY Core)

Malaysia lab method

CodeSystemLabSubGroup (MY Core)

Malaysia lab sub group

CodeSystemLocationType (MY Core)

Location type

CodeSystemMPSNWorkflowSetting (MY Core)

Workflow setting

CodeSystemMinorProcedure (MY Core)

Minor procedure

CodeSystemMonthlyHouseholdIncome (MY Core)

Monthly household income

CodeSystemNationality (My Core)

Nationality

CodeSystemNcdVcDx (MY Core)

NCD VC report diagnoses

CodeSystemNonDrugAllergyCode (MY Core)

Non-drug allergy code

CodeSystemNutritionScienceOfficer (MY Core)

Nutrition Science Officer consultation reason

CodeSystemNutritionistConsultation (MY Core)

Nutritionist consultation reason

CodeSystemObservationCategory (MY Core)

Observation category

CodeSystemObservationPanel (MY Core)

Additonal Observation panel code

CodeSystemOccupationSector (MY Core)

Occupation sector

CodeSystemOperationStatus (MY Core)

Operation status

CodeSystemOphthalmicProcedure (MY Core)

Ophthalmic procedure

CodeSystemOrganizationCategory (MY Core)

Category of healthcare organization in Malaysia

CodeSystemOrganizationType (MY Core)

Type of healthcare organization in Malaysia

CodeSystemOutcomeAnxietyDass21 (MY Core)

Depression and Anxiety Stress Scale questionnaire anxiety scoring

CodeSystemOutcomeAudit10 (MY Core)

Audit-10 questionnaire outcome

CodeSystemOutcomeAuditC (MY Core)

Audit-C questionnaire outcome

CodeSystemOutcomeDepressionDass21 (MY Core)

Depression and Anxiety Stress Scale questionnaire depression scoring

CodeSystemOutcomeGenCvs (MY Core)

General CVD risk questionnaire prediction

CodeSystemOutcomePhq9 (MY Core)

PHQ 9 questionnaire outcome

CodeSystemOutcomeStressDass21 (MY Core)

Depression and Anxiety Stress Scale questionnaire stress scoring

CodeSystemOutcomeWhooley (MY Core)

Whooley questionnaire outcome

CodeSystemOutsourceFacility (MY Core)

Outsource facility

CodeSystemPaymentType (MY Core)

Payment type

CodeSystemPersonCategory (My Core)

Categorization of individual based on military category

CodeSystemPersonTitle (MY Core)

Common titles/prefixes in Malaysia

CodeSystemPhisFrequency (MY Core)

PhIS medication frequency

CodeSystemPhisRoute (MY Core)

PhIS medication route

CodeSystemPhisUom (MY Core)

PhIS medication unit of measure

CodeSystemPhlebotomy (MY Core)

Phlebotomist service

CodeSystemPikProcedure (MY Core)

PIK procedure codes

CodeSystemPostCode (MY Core)

Malaysia postcode

CodeSystemPractitionerRoleCode (MY Core)

List of PractitionerRoles

CodeSystemPriceComponentDefinition (MY Core)

Price component definition

CodeSystemPrimaryCareType (MY Core)

Primary care type

CodeSystemProblemList (MY Core)

NCD problem list

CodeSystemProcedure (MY Core)

PIK procedure codes

CodeSystemProcedureCategory (MY Core)

Procedure Category

CodeSystemProcedureComplication (MY Core)

Procedure complication

CodeSystemProcedurePerformerRole (My Core)

PIK procedure performer role

CodeSystemProcedureSessionType (MY Core)

Procedure session type

CodeSystemReasonCode (MY Core)

Reason for encounter codes in Malaysia

CodeSystemReferralForm (MY Core)

Form type

CodeSystemReferralType (MY Core)

Referral type

CodeSystemRelationship (MY Core)

PIK codes for relationship

CodeSystemReligion (MY Core)

Malaysia common religions

CodeSystemRevenueCode (MY Core)

Revenue code

CodeSystemScheduleType (MYCore)

Schedule type

CodeSystemSecondaryCareType (MY Core)

Secondary care type of healthcare service

CodeSystemService (MY Core)

Codes for services

CodeSystemServiceOutsourceCategory (MY Core)

Outsource category

CodeSystemServiceRequestCategory (MY Core)

ServiceRequest category

CodeSystemServiceType (MY Core)

Service type

CodeSystemSourceSystemMyCore (MY Core)

Source system code

CodeSystemSpecialty (MY Core)

Specialty

CodeSystemSpecimenContainerType (MY Core)

Malaysia specimen container type

CodeSystemSpecimenType (MY Core)

Specimen type

CodeSystemState (MY Core)

List of states in Malaysia

CodeSystemSubRecordType (MY Core)

Sub-record type

CodeSystemSubjectStatus (MY Core)

Subject status in relation to the Encounter progress

CodeSystemSurface (MY Core)

Dentition surface

CodeSystemSurfaceCode (MY Core)

Dental surface description code

CodeSystemTPAPanel (MY Core)

TPA Panel List

CodeSystemTaskBusinessStatusCode (MY Core)

BusinessStatus codes indicating the type of action that is expected to be performed

CodeSystemTaskCode (MY Core)

Type of task

CodeSystemTaskInputType (MY Core)

Task input type

CodeSystemTaskOutputType (MY Core)

Task output type

CodeSystemTdmRecommendedType (MY Core)

TDM recommendation

CodeSystemTdmSampleType (MY Core)

TDM sample type

CodeSystemTertiaryCareType (MY Core)

Tertiary care healthcare service type in Malaysia

CodeSystemTreatmentProcedure (MY Core)

Treatment procedure

CodeSystemVaccineCode (MY Core)

Malaysia vaccine codes

CodeSystemVisitType (MY Core)

Encounter visit type PIK code

CodeSystemWardCategory (MY Core)

Ward category

CodeSystemWardClass (MY Core)

Ward class

CodeSystemWardSpecialty (MY Core)

Appointment cancellation reason

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example Adverse Event

This is an example of an Adverse Event resource in the context of a blood transfusion reaction. It includes details such as the patient, the event, and the outcome of the adverse event.

Example AllergyIntolerance

This is an example of an AllergyIntolerance resource that represents a patient's allergy to Paracetamol + Codeine. It includes details such as the patient's clinical status, verification status, and the recorded date.

Example AllergyIntolerance Mandatory

This is an example of an AllergyIntolerance resource that includes only the mandatory elements. It represents a patient's allergy to Paracetamol + Codeine.

Example Appointment

This is an example of an Appointment resource.

Example Appointment 2

This is another example of an Appointment resource with different sample data.

Example Bundle Encounter Summary Amendment

This Bundle contains an example of a Composition resource with amendments, along with related Patient and Encounter resources. It demonstrates the use of the 'amended' status for a discharge summary note and includes addendum notes.

Example Bundle Encounter Summary No ID

This Bundle contains an example of a Composition resource with no ID, along with related Patient and Encounter resources. It demonstrates the use of inline instances for resources that are part of the bundle without explicit IDs.

Example Bundle Health Screening NHSI

This Bundle contains an example of a health screening process for the National Health Screening Initiative (NHSI) in Malaysia. It includes a Composition resource summarizing the health screening, along with related Patient, Encounter, and Observation resources. The Bundle demonstrates the use of various FHIR® resources to capture health screening data, including anthropometry, vital signs, and lab results.

Example Bundle Imaging Order

This Bundle contains an example of an imaging order process. It includes a ServiceRequest for an imaging study and the corresponding ImagingStudy resource.

Example Bundle Imaging Order No ID

This Bundle contains an example of an imaging order process without specific resource IDs. It includes a ServiceRequest for an imaging study and the corresponding ImagingStudy resource.

Example Bundle Lab Order

This Bundle contains an example of a laboratory order process. It includes a ServiceRequest for a laboratory test and the corresponding Specimen resource.

Example Bundle Lab Order No ID

This Bundle contains an example of a laboratory order process without using IDs for the resources. It includes a ServiceRequest for a laboratory test and the corresponding Specimen resource.

Example Bundle Lab Report

This Bundle contains an example of a laboratory report process. It includes a DiagnosticReport and the corresponding Observation resources.

Example Bundle Observation Anthropometry

This Bundle contains an example of an anthropometry record. It includes a Panel Observation and the corresponding individual Observations for weight, height, BMI, and waist circumference.

Example Bundle Observation Maternal Health Record

This Bundle contains an example of a maternal health record used by the Ministry of Health. It includes a List and the corresponding Observation resources.

Example Bundle Observation Panel Child Anthropometry

This Bundle contains an example of a child anthropometry record. It includes a Panel Observation and the corresponding individual Observations for weight, height, BMI, and waist circumference.

Example Bundle Observation Panel Dental Chart

This Bundle contains an example of a dental chart record. It includes a Panel Observation and the corresponding individual Observations for dental teeth numbers 16 and 22.

Example Bundle Observation Panel Glucose

This Bundle contains an example of a glucose panel record. It includes a Panel Observation and the corresponding individual Observations for fasting and random glucose measurements.

Example Bundle Observation Panel Vital Sign

This Bundle contains an example of a vital signs panel record. It includes a Panel Observation and the corresponding individual Observations for heart rate, respiratory rate, oxygen saturation, systolic and diastolic blood pressure, body temperature, and pain score.

Example Bundle Observation Panel Vital Sign Peka B40

This Bundle contains an example of a vital signs panel record for the government Peka B40 program. It includes a Panel Observation and the corresponding individual Observations for heart rate, respiratory rate, oxygen saturation, systolic and diastolic blood pressure, body temperature, and pain score.

Example Bundle Observation Self Vital Sign

This Bundle contains an example of a self-reported vital signs panel record. It includes a Panel Observation and the corresponding individual Observations for heart rate, respiratory rate, oxygen saturation, systolic and diastolic blood pressure, body temperature, and pain score.

Example Bundle Patient Conditional Create

This Bundle contains an example of a patient conditional create operation. It includes a Patient resource with the necessary identifiers and extensions for recording the patient's information.

Example Bundle QuestionnaireResponse Maternal Health Record

This Bundle contains an example of a QuestionnaireResponse for for Ministry of Health maternal health records (pink book). It includes a List resource that references the QuestionnaireResponse and a Patient resource.

Example Bundle Referral Summary

This Bundle contains an example of a Patient resource, an Encounter resource, a ServiceRequest resource, a Condition resource, an AllergyIntolerance resource, and several Observation resources related to a referral summary. It includes inline Observation resources for heart rate, respiratory rate, oxygen saturation, systolic and diastolic blood pressure, body temperature, and pain score.

Example Bundle Referral Summary No ID

This Bundle contains an example of a Patient resource, an Encounter resource, a ServiceRequest resource, a Condition resource, an AllergyIntolerance resource, and several Observation resources related to a referral summary. It includes inline Observation resources for heart rate, respiratory rate, oxygen saturation, systolic and diastolic blood pressure, body temperature, and pain score.

Example Bundle Scheduling

This Bundle contains an example of a Schedule resource and a Slot resource for scheduling Appointments. It includes inline resources for the Schedule and Slot, with specific extensions and identifiers relevant to the scheduling context.

Example Bundle Scheduling No ID

This is an example Bundle for scheduling without IDs.

Example Bundle Vital Sign Panel NHI

This is an example Bundle for vital sign Observations in the NHSI (National Health Screening Initiative) project.

Example Bundle for Appointment Booking

This is an example of a Bundle resource containing an Appointment and a Slot resource for booking purposes.

Example Bundle for BMI Observations

This is an example of a Bundle resource containing multiple Observation resources related to BMI measurements.

Example Bundle for BMI Observations NHSI

This is an example of a Bundle resource containing multiple Observation resources related to BMI measurements for NHSI.

Example Bundle for Complete Discharge Summary

This is an example of a Bundle resource containing a complete discharge summary with various resources including Patient, Encounter, Composition, Condition, AllergyIntolerance, Observation, DiagnosticReport, MedicationRequest, and Observation Vital Signs Panel.

Example Bundle for Complete Discharge Summary No ID

This is an example of a Bundle resource containing a complete discharge summary with various resources including Patient, Encounter, Composition, Condition, AllergyIntolerance, Observation, DiagnosticReport, MedicationRequest, and Observation Vital Signs Panel without specific IDs.

Example Bundle for DiagnosticReport Transaction

This is an example of a Bundle resource containing a DiagnosticReport and an Observation resource for a laboratory result.

Example Bundle for Encounter Conditional Create

This is an example of a Bundle resource for creating an Encounter resource conditionally, using the 'ifNoneExist' parameter.

Example Bundle for Encounter Summary

This is an example of a Bundle resource containing multiple resource types for an Encounter Summary.

Example Bundle for Lab Report without ID

This is an example of a laboratory report process using a Bundle containing a DiagnosticReport and an Observation without IDs.

Example Bundle for Maternal Health Record Composition

This is an example of a Bundle resource containing a maternal health record composition with various resources including List, QuestionnaireResponse, and Composition.

Example CarePlan

This is an example Care Plan for a patient.

Example Composition NHSI health screening

This is an example of a Composition resource that represents a health screening record with relevant resources referenced.

Example Composition discharge summary amendment

This is an example of a Composition resource that represents an amended discharge summary with relevant resources referenced.

Example Composition discharge summary deletion

This is an example of a Composition resource that represents a deleted discharge summary with relevant resources referenced.

Example Composition discharge summary for MyHix

This is an example of a Composition resource that represents a discharge summary with a single section for MyHix.

Example Composition discharge summary template MyHix

This is a template for a Composition resource that represents a discharge summary with a single section for the MyHix project.

Example Composition discharge summary with multiple sections MyHix

This is a template for a Composition resource that represents a discharge summary with multiple sections for the MyHix project.

Example Composition progress note

This is an example of a Composition resource that represents a progress note. It includes sections for problem lists and notes, with references to Conditions and Practitioners involved in the care of the patient.

Example Condition Death Diagnosis

This is an example of a Condition resource representing a death diagnosis, specifically for a post COVID-19 condition.

Example Condition Dental Alert 1

This is an example of a Condition resource representing a dental alert, specifically for a patient with a history of endodontics.

Example Condition Dental Alert 2

This is an example of a Condition resource representing a dental alert for a patient, indicating that the patient's mother has congenital cavities.

Example Condition Encounter Diagnosis

This is an example of a Condition resource representing an encounter diagnosis, specifically for a patient with yellow fever.

Example Condition MyCore

This is a template for a Condition resource as a primary diagnosis.

Example Condition Problem List

This is an example of a Condition resource representing a problem list item for a patient with Type 2 diabetes mellitus.

Example Consent for Scheduling

This is an example of a Consent resource for a patient to allow scheduling of Appointments and sharing of their health information.

Example Diagnostic Report Lab 1

This is an example of a Diagnostic Report for a laboratory test, specifically a Full Blood Count (FBC).

Example Diagnostic Report Lab 2

This is an example of a Diagnostic Report for a Full Blood Count (FBC) test.

Example DiagnosticReport Imaging

This is an example of a DiagnosticReport for Imaging, demonstrating the use of various extensions and identifiers.

Example Encounter

This is an example of an Encounter resource that demonstrates the use of various extensions and profiles defined in MyCore.

Example Encounter Mandatory

This is an example of an Encounter resource with only the mandatory elements.

Example Encounter Peka B40

This is an example of an Encounter resource for the government Peka B40 project.

Example Encounter VCE

This is an example of a Virtual Consultation Encounter (VCE) resource.

Example Encounter VCI

This is an example of an Individual Virtual Consultation (VCI) Encounter resource.

Example Encounter with Diagnosis

This is an example of an Encounter resource with a diagnosis.

Example FamilyMemberHistory

This is an example of a FamilyMemberHistory resource.

Example Flag

This is an example of a Flag resource.

Example HealthcareService

This is an example of a HealthcareService resource representing a primary oral health care service.

Example Immunization

This is an example of an Immunization resource with details about the vaccine administered, the patient, and the administration event.

Example Immunization Sample

This is an example of an Immunization resource representing a COVID-19 vaccination for a Patient.

Example ImmunizationRecommendation Sample

This is an example of an ImmunizationRecommendation resource with details such as patient information, vaccine codes, and recommendation criteria.

Example List Maternal Health Record

This is an example of a List resource representing a Ministry of Health Maternal Health Record (pink book) entry.

Example Location

This is an example of a Location resource representing a hospital ward.

Example Medication

This is an example of a Medication resource representing a drug available at the referenced Organization.

Example MedicationDispense

This is an example of a MedicationDispense resource representing the physical dispensing of a drug to a Patient with the MedicationRequest referenced.

Example MedicationKnowledge

This is an example of a MedicationKnowledge resource with MyCore extensions.

Example MedicationRequest

This is an example of an outpatient MedicationRequest resource.

Example MedicationRequest for PhIS

This is an example of a MedicationRequest resource for PhIS (Pharmacy Information System), demonstrating the use of various extensions and codes specific to the Malaysian healthcare context.

Example Observation Foetal Kick

This is an example of an Observation resource for foetal kick charting in pregnancy.

Example Observation Lab Result - Inpatient

This is an example of a lab result Observation in an inpatient setting with critically abnormal values.

Example Observation Obstetric Haemoglobin

This is an example of an Observation resource for haemoglobin measurement in the Ministry of Health Maternal Health Record (pink book).

Example Observation Obstetric Ultrasound

This is an example of an Observation resource for obstetric ultrasound in the Ministry of Health Maternal Health Record (pink book).

Example Observation Smoking History

This is an example of an Observation resource representing a patient's smoking history, including details such as smoking status, lifetime smoking use, and the type of smoking device used.

Example Observation for Antibody Rh

This is an example of an Observation resource for the Rh antibody test.

Example Observation for Antibody Screen

This is an example of an Observation resource for blood group antibody screening.

Example Observation for Child Developmental Milestone

This is an example of an Observation resource for child developmental milestones.

Example Observation for Systolic Blood Pressure Measurement

This is an example of a single systolic blood pressure measurement observation for the Peka B40 project.

Example Organization

This is an example of an Organization resource in the Malaysian Health Information Exchange (HIE) system, demonstrating the use of extensions as per government requirements.

Example OrganizationAffiliation

This is an example of an OrganizationAffiliation resource in the Malaysian healthcare context, demonstrating the affiliation of a healthcare provider with a specific organization and their associated services.

Example Patient 1

This is an example Patient resource that demonstrates the use of various extensions and identifiers as per the MyCore profile.

Example Patient 2

This is another example of a Patient resource with various extensions and identifiers as per the MyCore profile.

Example Patient Mandatory

This is an example of a Patient resource with only mandatory elements.

Example Patient NHSI

This is an example of a Patient resource for the NHSI (National Health Screening Initiative) project.

Example Patient Newborn Sample

This is an example of a Patient resource for a newborn with specific extensions.

Example Patient Passport Sample

This is an example of a Patient resource using passport as an identifier.

Example Patient Unknown

This is an example instance of a Patient resource with unknown personal identifiers.

Example Practitioner

This is an example of a Practitioner resource for a medical doctor with the MMC (Malaysian Medical Council) Reg No. as an identifier.

Example PractitionerRole

This is an example of a PractitionerRole resource for an IT officer in a specific Organization.

Example Procedure

An example of a Procedure resource documenting a chest tube insertion.

Example QuestionnaireResponse

This is an example of a QuestionnaireResponse resource in response to a health screening Questionnaire.

Example QuestionnaireResponse for AUDIT-10

This is an example QuestionnaireResponse for the AUDIT-10 Questionnaire, which assesses alcohol use and related behaviors.

Example QuestionnaireResponse for NHSI

This is an example of a QuestionnaireResponse for the government [NHSI (National Health Screening Initiative) project Questionnaire] (https://my-core.ig.mhnexus.com/Questionnaire-q-nhsi-my-core.html).

Example RelatedPerson

This is an example of a RelatedPerson resource representing a family member of a Patient.

Example Schedule

This is an example of a Schedule resource for an outpatient HealthcareService.

Example Service Request

This is an example of a ServiceRequest for a Patient referral within the same Organization.

Example ServiceRequest External Referral

This is an example of a ServiceRequest resource for a Patient referral to an affiliated external Organization.

Example ServiceRequestMyHix Referral Summary Sample

This is an example of a ServiceRequest for MyHix Patient referral.

Example ServiceRequestMyHix Referral Summary Template

This is another example of a ServiceRequest for a MyHix Referral Summary.

Example Slot

This is an example of a Slot resource with extensions showing quota system.

Example Specimen

This is an example of a Specimen resource for a blood sample collected for transfusion purposes.

Example VCE Appointment

This is an example of a Virtual Consultation Education (VCE) Appointment resource with sample data.

Example VCE Schedule

This is an example of a Schedule resource for a Virtual Consultation Education (VCE) HealthcareService.

Example VCE Slot

This is an example of a Slot resource for Virtual Consultation Education (VCE) with extensions showing quota system.

Example VCI Appointment

This is an example of a Virtual Consultation Individual (VCI) Appointment resource with sample data.

Example VCI Schedule

This is an example of a Schedule resource for an Individual Virtual Consultation (VCI) HealthcareService.

Example VCI Slot

This is an example of a Slot resource for Individual Virtual Consultation (VCI) with extensions showing quota system.