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ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build

ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

CodeSystem: CodeSystemCompositionEvent (MYCore)

Official URL: http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core Version: 0.0.1
Active as of 2024-04-28 Responsible: Malaysia Healthcare Nexus (MHN) Realm: International flag Computable Name: CodeSystemCompositionEventMYCore
Other Identifiers: code-system-composition-event-my-core

The specific clinical service or event being documented

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem code-system-composition-event-my-core

This code system http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core defines the following codes:

CodeDisplayDefinition
simple-entry Simple Entry Simple Entry
q-diabetic-audit Diabetic Audit Diabetic Audit
q-diabetic-checklist Diabetic Checklist Diabetic Checklist
q-hajj-prerequisite-form Borang Saringan Awal Hajj Borang Saringan Awal Hajj
pre-hajj Pre Hajj Medical Notes Pre Hajj Medical Notes
sp-pre-hajj Specialist Pre Hajj Medical Notes Specialist Pre Hajj Medical Notes
hajj Hajj Medical Notes Hajj Medical Notes
85213-7 Outreach Note Outreach Note
q-dengue-checklist Dengue Checklist Dengue Checklist
q-dengue-checklist-a Dengue Checklist-a Detailed Dengue Checklist
q-tb-note Tuberculosis Clerking Note Tuberculosis Clerking Note
q-hpt-note Hypertension Clerking Note Hypertension Clerking Note
74207-2 Prehospital Medical Note Prehospital Medical Note
maternal-postmx Postnatal issues, management & treatment Postnatal issues, management & treatment
maternal-lk Pemerikasaan Kandungan Semasa (Lawatan Klinik) Pemerikasaan Kandungan Semasa (Lawatan Klinik)
maternal-lr Pemerikasaan Kandungan Semasa (Lawatan Rumah) Pemerikasaan Kandungan Semasa (Lawatan Rumah)
maternal-rme-1 Routine Medical Exam 1 (RME 1) Routine Medical Exam 1 (RME 1)
maternal-rme-2 Routine Medical Exam 2 (RME 2) Routine Medical Exam 2 (RME 2)
maternal-rme-add Additional Medical Exam Additional Medical Exam
maternal-rme-dental Dental Routine Medical Exam Dental Routine Medical Exam
maternal-pks Pemeriksaan Kandungan Semasa Pemeriksaan Kandungan Semasa
34109-9 Note Note
75476-2 Physician Note Physician Note
34746-8 Nurse Note Nurse Note
85443-0 Hematology Note Hematology Note
0001-0001 Transfusion Adverse Reaction Note Transfusion Adverse Reaction Note
0001-0002 Incorrect Blood Component Transfused Incorrect Blood Component Transfused
68608-9 Summary Note Summary Note
18842-5 Discharge Summary Note Discharge Summary Note
28618-7 Dentistry Note Dentistry Note
34821-9 Pharmacology Note Pharmacology Note
0002-0001 MTAC (Medication therapy adherance clinic) MTAC (Medication therapy adherance clinic)
0002-0002 MC (Medication Counselling) MC (Medication Counselling)
0002-0003 ADR (Adverse Drug Event) ADR (Adverse Drug Event)
57133-1 Referral Note Referral Note
28570-0 Procedure note Procedure note
55107-7 Addendum Note Addendum Note
0003-0001 Allied Health Note Allied Health Note
child-born Rekod Baru Lahir Rekod Baru Lahir
child-md1m Rekod Bawah 1 Bulan Rekod Bawah 1 Bulan
child-md Rekod 18 Bulan (RME 2) Rekod 18 Bulan (RME 2)
child-md4y Rekod Atas 4 Tahun Rekod Atas 4 Tahun
child-madd Rekod Pemeriksaan Umum Rekod Pemeriksaan Umum
child-ds-0-9m Pemeriksaan Pergigian (Umur 0-9 Bulan) Pemeriksaan Pergigian (Umur 0-9 Bulan)
child-ds-10-23m Pemeriksaan Pergigian (Umur 10-23 Bulan) Pemeriksaan Pergigian (Umur 10-23 Bulan)
child-ds-2-4y Pemeriksaan Pergigian (Umur 2-4 Tahun) Pemeriksaan Pergigian (Umur 2-4 Tahun)
child-ds-add Pemeriksaan Pergigian Tambahan Kanak-Kanak Pemeriksaan Pergigian Tambahan Kanak-Kanak
child-1m Lawatan Umur 1 Bulan Lawatan Umur 1 Bulan
child-2m Lawatan Umur 2 Bulan Lawatan Umur 2 Bulan
child-3-4m Lawatan Umur 3 & 4 Bulan Lawatan Umur 3 & 4 Bulan
child-5-6m Lawatan Umur 5 & 6 Bulan Lawatan Umur 5 & 6 Bulan
child-9m Lawatan Umur 9 Bulan Lawatan Umur 9 Bulan
child-10m Lawatan Umur 10 Bulan (Sarawak) Lawatan Umur 10 Bulan (Sarawak)
child-12-15m Lawatan Umur 12 & 15 Bulan Lawatan Umur 12 & 15 Bulan
child-18-21m Lawatan Umur 18 & 21 Bulan Lawatan Umur 18 & 21 Bulan
child-2-3y Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan
child-4y Lawatan Umur 4 Tahun Lawatan Umur 4 Tahun
child-5-6y Lawatan Umur 5 & 6 Tahun Lawatan Umur 5 & 6 Tahun
child-add Pemeriksaan Tambahan Lawatan Klinik Pemeriksaan Tambahan Lawatan Klinik
185284002 Dietitian Dietitian
308035000 Physiotherapy Physiotherapy
305852001 Occupational Therapy Occupational Therapy
305862008 Speech Therapy Speech Therapy
305769005 Audiology Audiology
773452005 Psychology Psychology
410260003 Medical Social Worker Medical Social Worker
LP416877-1 Report Report
72225-6 Physiotherapy Progress Notes Physiotherapy Progress Notes
q-dietetic-care-notes-new Dietetic Care Notes Dietetic Care Notes
q-dietetic-care-notes-fup Dietetic Care Notes Follow Up Dietetic Care Notes Follow Up