HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Observation Profile Overview
The following Observation profiles have been defined and constrained for this implementation guide.
Due to the variety of use cases for the Observation resource, this resource requires a separate page and a more in-depth description to categorize and explain the Observation profiling in the MY Core IG.
Clinical Entry
| Resource | Profile |
|---|---|
| Social History | Social History (MY Core) |
| Foetal Kick | Foetal Kick (MY Core) |
| Obstetric Ultrasound | Obstetric Us (MY Core) |
| Obstetric Haemoglobin | Obstetric Hb (MY Core) |
| Developmental Milestone | Developmental Milestone (MY Core) |
| Dental Chart | Dental Chart (MY Core) |
Diagnostic
| Resource | Profile |
|---|---|
| Laboratory Results | Lab Results (MY Core) |
| Respiratory Rate | Respi Rate (MY Core) |
| Oxygen Saturation | Oxygen Sat (MY Core) |
| Heart Rate | Heart Rate (MY Core) |
| Body Temperature | Body Temp (MY Core) |
| Systolic Blood Pressure | Systolic BP (MY Core) |
| Diastolic Blood Pressure | Diastolic BP (MY Core) |
| Pain Score | Pain Score (MY Core) |
| Weight | Weight (MY Core) |
| Height | Height (MY Core) |
| Waist | Waist (MY Core) |
| Head Circumference | Head Circumference (MY Core) |
| Chest Circumference | Chest Circumference (MY Core) |
| BMI | BMI (MY Core) |
| Random Glucose | Random Glucose (MY Core) |
| Fasting Glucose | Fasting Glucose (MY Core) |
Panel Charting
This MY Core IG uses a similar concept used in FHIR Observation Vital Sign profile where an Observation resource is used to store specific bedside measurements and subjective point-in-time assessment parameters. By having a base panel to anchor each related Observation parameter, each Observation record will then by itself be an individual record that is independent yet still have reference to each of their respective point-in-time record via a single panel.
Below is an overview diagram for the Vital Sign Panel:
For further details, refer Observation Panel (MY Core).
Vital Sign Panel
Vital Sign Panel code Observation.code.coding.code=85353-1 (from CodeSystem http://loinc.org).
| Component | Profile | Code | CodeSystem |
|---|---|---|---|
| Respiratory Rate | Respi Rate (MY Core) | 9279-1 | http://loinc.org |
| Oxygen Saturation | Oxygen Sat (MY Core) | 59408-5 | http://loinc.org |
| Heart Rate | Heart Rate (MY Core) | 8867-4 | http://loinc.org |
| Body Temperature | Body Temp (MY Core) | 8310-5 | http://loinc.org |
| Systolic Blood Pressure | Systolic BP (MY Core) | 8480-6 | http://loinc.org |
| Diastolic Blood Pressure | Diastolic BP (MY Core) | 8462-4 | http://loinc.org |
| Pain Score | Pain Score (MY Core) | 72514-3 | http://loinc.org |
Vital Sign Panel Sample Data
{ "resourceType": "Bundle", "id": "example-observation-vs-panel", "type": "transaction", "entry": [ { "fullUrl": "urn:uuid:00000011-0001-0001-0003-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-panel-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "85353-1", "display": "Vital Sign Panel" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "hasMember": [ { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000002" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000003" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000004" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000005" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000006" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000007" }, { "reference": "Observation/urn:uuid:00000011-0005-0005-0005-000000000008" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000002", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-heart-rate-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8867-4", "display": "Heart Rate" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 60, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8361-8", "display": "Heart rate device" } ] }, "valueString": "mobile machine" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8887-2", "display": "Body position" } ] }, "valueString": "sitting" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000003", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-respi-rate-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "9279-1", "display": "Respiratory Rate" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 16, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "3151-8", "display": "Inhaled oxygen flow rate" } ] }, "valueString": "under NP 3L/min" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000004", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-oxygen-sat-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "59408-5", "display": "Oxygen Saturation" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 94, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "3151-8", "display": "Inhaled oxygen flow rate" } ] }, "valueString": "under NP 3L/min" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000005", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-systolic-bp-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8480-6", "display": "systolic BP" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 80, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8357-6", "display": "Blood pressure method" } ] }, "valueString": "standing" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "41904-4", "display": "Measurement site" } ] }, "valueString": "Left arm" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8358-4", "display": "Device cuff size" } ] }, "valueString": "medium" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "41901-0", "display": "Type of device" } ] }, "valueString": "mobile machine" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000006", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-diastolic-bp-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic BP" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 60, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8357-6", "display": "Blood pressure method" } ] }, "valueString": "standing" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "41904-4", "display": "Measurement site" } ] }, "valueString": "Left arm" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8358-4", "display": "Device cuff size" } ] }, "valueString": "medium" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "41901-0", "display": "Type of device" } ] }, "valueString": "mobile machine" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000007", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-body-temp-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8310-5", "display": "Temperature" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 31, "unit": "Cel", "system": "http://unitsofmeasure.org", "code": "Cel" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8327-9", "display": "Body measurement site" } ] }, "valueString": "Below tounge" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8326-1", "display": "Device" } ] }, "valueString": "Thermometer" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8352-7", "display": "Clothing worn" } ] }, "valueString": "cotton" } ] } }, { "fullUrl": "urn:uuid:00000011-0005-0005-0005-000000000008", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-pain-score-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "72514-3", "display": "Pain Score" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2022-01-29T08:00:00+08:00", "issued": "2022-01-29T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 8 } } } ] }
Vital Sign Self Entry Panel Sample Data
{ "resourceType": "Bundle", "type": "transaction", "entry": [ { "fullUrl": "urn:uuid:00000001-0001-0001-0001-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-panel-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "85353-1", "display": "Vital Signs" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "note": [ { "text": "vitalSign" } ], "hasMember": [ { "reference": "Observation/urn:uuid:0000001-0001-0001-0002-000000000001" }, { "reference": "Observation/urn:uuid:0000001-0001-0001-0003-000000000001" }, { "reference": "Observation/urn:uuid:0000001-0001-0001-0004-000000000001" }, { "reference": "Observation/urn:uuid:0000001-0001-0001-0005-000000000001" }, { "reference": "Observation/urn:uuid:0000001-0001-0001-0006-000000000001" }, { "reference": "Observation/urn:uuid:0000001-0001-0001-0007-000000000001" } ] } }, { "fullUrl": "urn:uuid:00000001-0001-0001-0002-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-respi-rate-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "9279-1", "display": "Respiratory Rate" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 22, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" }, "note": [ { "text": "Respiratory Rate" } ] } }, { "fullUrl": "urn:uuid:0000001-0001-0001-0003-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-heart-rate-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8867-4", "display": "Heart Rate" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 90, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" }, "note": [ { "text": "Heart Rate" } ] } }, { "fullUrl": "urn:uuid:0000001-0001-0001-0004-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-oxygen-sat-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "59408-5", "display": "Oxygen Saturation" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 98, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" }, "note": [ { "text": "Oxygen Saturation" } ] } }, { "fullUrl": "urn:uuid:0000001-0001-0001-0005-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-body-temp-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8310-5", "display": "Body temperature" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 37, "unit": "Cel", "system": "http://unitsofmeasure.org", "code": "Cel" }, "note": [ { "text": "Body Temperature" } ] } }, { "fullUrl": "urn:uuid:0000001-0001-0001-0006-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-systolic-bp-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic blood pressure" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 120, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "note": [ { "text": "Systolic Pressure" } ] } }, { "fullUrl": "urn:uuid:0000001-0001-0001-0007-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://person.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-diastolic-bp-my-core" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic blood pressure" } ] }, "subject": { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" }, "effectiveDateTime": "2023-09-13T03:39:01.418Z", "issued": "2023-09-13T03:39:13.475Z", "performer": [ { "reference": "Patient/9b5742e0-bdec-4c1c-94bc-746875264d59" } ], "valueQuantity": { "value": 90, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "note": [ { "text": "Diastolic Blood Pressure" } ] } } ] }
Anthropometry Panel
Anthropometry Panel code Observation.code.coding.code=55418-8 (from CodeSystem http://loinc.org).
| Component | Profile | Code | CodeSystem |
|---|---|---|---|
| Weight | Weight (MY Core) | 29463-7 | http://loinc.org |
| Height | Height (MY Core) | 8302-2 | http://loinc.org |
| Waist | Waist (MY Core) | 8280-0 | http://loinc.org |
| Head Circumference | Head Circumference (MY Core) | 9843-4 | http://loinc.org |
| Chest Circumference | Chest Circumference (MY Core) | 8279-2 | http://loinc.org |
| BMI | BMI (MY Core) | 39156-5 | http://loinc.org |
Anthropometry Panel Sample Data
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{ "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 168, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000004", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-bmi-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "39156-5", "display": "BMI" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 19.5, "unit": "kg/m2", "system": "http://unitsofmeasure.org", "code": "kg/m2" } } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000005", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-waist-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "8280-0", "display": "Waist Circumference" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 28, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } } } ] }
Child Anthropometry Panel
Child Anthropometry Panel code Observation.code.coding.code=0001 (from CodeSystem http://fhir.hie.moh.gov.my/CodeSystem/observation-panel-my-core).
| Component | Profile | Code | CodeSystem |
|---|---|---|---|
| Weight | Weight (MY Core) | 29463-7 | http://loinc.org |
| Height | Height (MY Core) | 8302-2 | http://loinc.org |
| Waist | Waist (MY Core) | 8280-0 | http://loinc.org |
| Head Circumference | Head Circumference (MY Core) | 9843-4 | http://loinc.org |
| Chest Circumference | Chest Circumference (MY Core) | 8279-2 | http://loinc.org |
| BMI | BMI (MY Core) | 39156-5 | http://loinc.org |
Anthropometry Child Panel Sample Data
{ "resourceType": "Bundle", "type": "transaction", "entry": [ { "fullUrl": "urn:uuid:00000001-0001-0001-0001-000000000004", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-panel-my-core" ], "source": "http://pekab40.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/observation-panel-my-core", "code": "0001", "display": "Child Anthropometry panel" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "hasMember": [ { "reference": "Observation/urn:uuid:00000012-0005-0005-0005-000000000002" }, { "reference": "Observation/urn:uuid:00000012-0005-0005-0005-000000000003" }, { "reference": "Observation/urn:uuid:00000012-0005-0005-0005-000000000004" }, { "reference": "Observation/urn:uuid:00000012-0005-0005-0005-000000000005" } ] } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000002", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-weight-my-core" ], "source": "http://pekab40.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "29463-7", "display": "Weight" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 55, "unit": "kg", "system": "http://unitsofmeasure.org", "code": "kg" } } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000003", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-height-my-core" ], "source": "http://pekab40.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "8302-2", "display": "Height" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 168, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000004", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-bmi-my-core" ], "source": "http://pekab40.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "39156-5", "display": "BMI" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 19.5, "unit": "kg/m2", "system": "http://unitsofmeasure.org", "code": "kg/m2" } } }, { "fullUrl": "urn:uuid:00000012-0005-0005-0005-000000000005", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-waist-my-core" ], "source": "http://pekab40.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "8280-0", "display": "Waist Circumference" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-20T08:00:00+08:00", "issued": "2023-01-20T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 28, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } } } ] }
Glucose Panel
Glucose Panel code Observation.code.coding.code=41653-7 (from CodeSystem http://loinc.org).
| Component | Profile | Code | CodeSystem |
|---|---|---|---|
| Random Glucose | Random Glucose (MY Core) | 271061004 | http://snomed.info/sct |
| Fasting Glucose | Fasting Glucose (MY Core) | 271062006 | http://snomed.info/sct |
Glucose Panel Sample Data
{ "resourceType": "Bundle", "type": "transaction", "id": "example-glucose-panel", "entry": [ { "fullUrl": "urn:uuid:00000013-0001-0001-0001-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-panel-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "41653-7", "display": "Glucose panel" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-01T08:00:00+08:00", "issued": "2023-01-01T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "hasMember": [ { "reference": "Observation/urn:uuid:00000013-0005-0005-0005-000000000002" }, { "reference": "Observation/urn:uuid:00000013-0005-0005-0005-000000000003" } ] } }, { "fullUrl": "urn:uuid:00000013-0005-0005-0005-000000000002", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-fasting-glucose-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "271062006", "display": "Fasting blood glucose" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-01T08:00:00+08:00", "issued": "2023-01-01T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueQuantity": { "value": 6, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" } } }, { "fullUrl": "urn:uuid:00000013-0005-0005-0005-000000000003", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-random-glucose-my-core" ], "source": "http://provider.hie.moh.gov.my" }, "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "271061004", "display": "Random blood glucose" } ] }, "subject": { "reference": "Patient/urn:uuid:00000001-0001-0001-0001-000000000001" }, "encounter": { "reference": "Encounter/urn:uuid:00000001-0001-0001-0002-000000000001" }, "effectiveDateTime": "2023-01-01T08:00:00+08:00", "issued": "2023-01-01T08:00:00+08:00", "performer": [ { "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/mmc-no", "value": "81751" }, "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } ], "valueCodeableConcept": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "166891009", "display": "Low" } ] } ] } } ] }
Dental Chart
Dental Chart code Observation.code.coding.code=32885-6 (from CodeSystem http://loinc.org).
| Component | Profile | Code | CodeSystem |
|---|---|---|---|
| Dentitian | Dental Chart (MY Core) | Code based on CodeSystemDentitian (MY Core) | http://fhir.hie.moh.gov.my/CodeSystem/dentitian-my-core |
Dental Chart Sample Data
{ "resourceType": "Bundle", "type": "transaction", "id": "example-dental-chart", "entry": [ { "fullUrl": "urn:uuid:00000013-0001-0001-0001-000000000001", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-panel-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "32885-6", "display": "Dental Chart" } ] }, "subject": { "reference": "Patient/9beb7510-4d2a-46b5-a656-02d5bee01783" }, "encounter": { "reference": "Encounter/37c6a82a-143d-4d5e-9e52-2b96fb696d24" }, "effectiveDateTime": "2023-09-25T08:46:25.231+08:00", "issued": "2023-09-25T08:46:25.231+08:00", "performer": [ { "type": "PractitionerRole", "display": "Al-amin" } ], "hasMember": [ { "reference": "Observation/urn:uuid:00000013-0005-0005-0005-000000000002" }, { "reference": "Observation/urn:uuid:00000013-0005-0005-0005-000000000003" } ] } }, { "fullUrl": "urn:uuid:00000013-0005-0005-0005-000000000002", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-dental-chart-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/dentitian-my-core", "code": "16", "display": "16" } ] }, "subject": { "reference": "Patient/9beb7510-4d2a-46b5-a656-02d5bee01783" }, "encounter": { "reference": "Encounter/37c6a82a-143d-4d5e-9e52-2b96fb696d24" }, "issued": "2023-09-25T08:46:25.231+08:00", "performer": [ { "reference": "PractitionerRole/2482f854-3bfd-4ecc-8147-f4afdda7bf3f/_history/8" } ], "interpretation": [ { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/dental-code-my-core", "code": "4a", "display": "For extraction for reasons otner than caries (Xa/xa)" } ] } ], "component": [ { "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/surface-my-core", "code": "F", "display": "Labial" } ] } }, { "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/surface-my-core", "code": "I", "display": "Incisal" } ] } }, { "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/surface-my-core", "code": "M", "display": "Mesial" } ] } } ] } }, { "fullUrl": "urn:uuid:00000013-0005-0005-0005-000000000003", "request": { "method": "POST" }, "resource": { "resourceType": "Observation", "id": "7bd7d6e2-4d80-4e47-bca5-48ef3b80c9c6", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-dental-chart-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/dentitian-my-core", "code": "22", "display": "22" } ] }, "subject": { "reference": "Patient/9beb7510-4d2a-46b5-a656-02d5bee01783" }, "encounter": { "reference": "Encounter/37c6a82a-143d-4d5e-9e52-2b96fb696d24" }, "issued": "2023-09-25T08:46:25.231+08:00", "performer": [ { "reference": "PractitionerRole/2482f854-3bfd-4ecc-8147-f4afdda7bf3f/_history/8" } ], "valueCodeableConcept": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/surface-code-my-core", "code": "8", "display": "Redo filling" } ] }, "interpretation": [ { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/dental-code-my-core", "code": "1", "display": "Caries (D/d)" } ] } ], "component": [ { "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/surface-my-core", "code": "P", "display": "Palatal" } ] } } ] } } ] }