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
Active as of 2024-04-28 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="code-system-composition-event-my-core"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h2>CodeSystemCompositionEvent (MYCore)</h2><tt>http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core</tt><p>The specific clinical service or event being documented</p></div>
</text>
<url
value="http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core"/>
<identifier>
<value value="code-system-composition-event-my-core"/>
</identifier>
<version value="0.0.1"/>
<name value="CodeSystemCompositionEventMYCore"/>
<title value="CodeSystemCompositionEvent (MYCore)"/>
<status value="active"/>
<date value="2024-04-28T23:30:28.824077+00:00"/>
<publisher value="Malaysia Healthcare Nexus (MHN)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.mhn.asia/"/>
</telecom>
</contact>
<description
value="The specific clinical service or event being documented"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<compositional value="false"/>
<content value="complete"/>
<count value="67"/>
<concept>
<code value="simple-entry"/>
<display value="Simple Entry"/>
<definition value="Simple Entry"/>
</concept>
<concept>
<code value="q-diabetic-audit"/>
<display value="Diabetic Audit"/>
<definition value="Diabetic Audit"/>
</concept>
<concept>
<code value="q-diabetic-checklist"/>
<display value="Diabetic Checklist"/>
<definition value="Diabetic Checklist"/>
</concept>
<concept>
<code value="q-hajj-prerequisite-form"/>
<display value="Borang Saringan Awal Hajj"/>
<definition value="Borang Saringan Awal Hajj"/>
</concept>
<concept>
<code value="pre-hajj"/>
<display value="Pre Hajj Medical Notes"/>
<definition value="Pre Hajj Medical Notes"/>
</concept>
<concept>
<code value="sp-pre-hajj"/>
<display value="Specialist Pre Hajj Medical Notes"/>
<definition value="Specialist Pre Hajj Medical Notes"/>
</concept>
<concept>
<code value="hajj"/>
<display value="Hajj Medical Notes"/>
<definition value="Hajj Medical Notes"/>
</concept>
<concept>
<code value="85213-7"/>
<display value="Outreach Note"/>
<definition value="Outreach Note"/>
</concept>
<concept>
<code value="q-dengue-checklist"/>
<display value="Dengue Checklist"/>
<definition value="Dengue Checklist"/>
</concept>
<concept>
<code value="q-dengue-checklist-a"/>
<display value="Dengue Checklist-a"/>
<definition value="Detailed Dengue Checklist"/>
</concept>
<concept>
<code value="q-tb-note"/>
<display value="Tuberculosis Clerking Note"/>
<definition value="Tuberculosis Clerking Note"/>
</concept>
<concept>
<code value="q-hpt-note"/>
<display value="Hypertension Clerking Note"/>
<definition value="Hypertension Clerking Note"/>
</concept>
<concept>
<code value="74207-2"/>
<display value="Prehospital Medical Note"/>
<definition value="Prehospital Medical Note"/>
</concept>
<concept>
<code value="maternal-postmx"/>
<display value="Postnatal issues, management & treatment"/>
<definition value="Postnatal issues, management & treatment"/>
</concept>
<concept>
<code value="maternal-lk"/>
<display value="Pemerikasaan Kandungan Semasa (Lawatan Klinik)"/>
<definition value="Pemerikasaan Kandungan Semasa (Lawatan Klinik)"/>
</concept>
<concept>
<code value="maternal-lr"/>
<display value="Pemerikasaan Kandungan Semasa (Lawatan Rumah)"/>
<definition value="Pemerikasaan Kandungan Semasa (Lawatan Rumah)"/>
</concept>
<concept>
<code value="maternal-rme-1"/>
<display value="Routine Medical Exam 1 (RME 1)"/>
<definition value="Routine Medical Exam 1 (RME 1)"/>
</concept>
<concept>
<code value="maternal-rme-2"/>
<display value="Routine Medical Exam 2 (RME 2)"/>
<definition value="Routine Medical Exam 2 (RME 2)"/>
</concept>
<concept>
<code value="maternal-rme-add"/>
<display value="Additional Medical Exam"/>
<definition value="Additional Medical Exam"/>
</concept>
<concept>
<code value="maternal-rme-dental"/>
<display value="Dental Routine Medical Exam"/>
<definition value="Dental Routine Medical Exam"/>
</concept>
<concept>
<code value="maternal-pks"/>
<display value="Pemeriksaan Kandungan Semasa"/>
<definition value="Pemeriksaan Kandungan Semasa"/>
</concept>
<concept>
<code value="34109-9"/>
<display value="Note"/>
<definition value="Note"/>
</concept>
<concept>
<code value="75476-2"/>
<display value="Physician Note"/>
<definition value="Physician Note"/>
</concept>
<concept>
<code value="34746-8"/>
<display value="Nurse Note"/>
<definition value="Nurse Note"/>
</concept>
<concept>
<code value="85443-0"/>
<display value="Hematology Note"/>
<definition value="Hematology Note"/>
</concept>
<concept>
<code value="0001-0001"/>
<display value="Transfusion Adverse Reaction Note"/>
<definition value="Transfusion Adverse Reaction Note"/>
</concept>
<concept>
<code value="0001-0002"/>
<display value="Incorrect Blood Component Transfused"/>
<definition value="Incorrect Blood Component Transfused"/>
</concept>
<concept>
<code value="68608-9"/>
<display value="Summary Note"/>
<definition value="Summary Note"/>
</concept>
<concept>
<code value="18842-5"/>
<display value="Discharge Summary Note"/>
<definition value="Discharge Summary Note"/>
</concept>
<concept>
<code value="28618-7"/>
<display value="Dentistry Note"/>
<definition value="Dentistry Note"/>
</concept>
<concept>
<code value="34821-9"/>
<display value="Pharmacology Note"/>
<definition value="Pharmacology Note"/>
</concept>
<concept>
<code value="0002-0001"/>
<display value="MTAC (Medication therapy adherance clinic)"/>
<definition value="MTAC (Medication therapy adherance clinic)"/>
</concept>
<concept>
<code value="0002-0002"/>
<display value="MC (Medication Counselling)"/>
<definition value="MC (Medication Counselling)"/>
</concept>
<concept>
<code value="0002-0003"/>
<display value="ADR (Adverse Drug Event)"/>
<definition value="ADR (Adverse Drug Event)"/>
</concept>
<concept>
<code value="57133-1"/>
<display value="Referral Note"/>
<definition value="Referral Note"/>
</concept>
<concept>
<code value="28570-0"/>
<display value="Procedure note"/>
<definition value="Procedure note"/>
</concept>
<concept>
<code value="55107-7"/>
<display value="Addendum Note"/>
<definition value="Addendum Note"/>
</concept>
<concept>
<code value="0003-0001"/>
<display value="Allied Health Note"/>
<definition value="Allied Health Note"/>
</concept>
<concept>
<code value="child-born"/>
<display value="Rekod Baru Lahir"/>
<definition value="Rekod Baru Lahir"/>
</concept>
<concept>
<code value="child-md1m"/>
<display value="Rekod Bawah 1 Bulan"/>
<definition value="Rekod Bawah 1 Bulan"/>
</concept>
<concept>
<code value="child-md"/>
<display value="Rekod 18 Bulan (RME 2)"/>
<definition value="Rekod 18 Bulan (RME 2)"/>
</concept>
<concept>
<code value="child-md4y"/>
<display value="Rekod Atas 4 Tahun"/>
<definition value="Rekod Atas 4 Tahun"/>
</concept>
<concept>
<code value="child-madd"/>
<display value="Rekod Pemeriksaan Umum"/>
<definition value="Rekod Pemeriksaan Umum"/>
</concept>
<concept>
<code value="child-ds-0-9m"/>
<display value="Pemeriksaan Pergigian (Umur 0-9 Bulan)"/>
<definition value="Pemeriksaan Pergigian (Umur 0-9 Bulan)"/>
</concept>
<concept>
<code value="child-ds-10-23m"/>
<display value="Pemeriksaan Pergigian (Umur 10-23 Bulan)"/>
<definition value="Pemeriksaan Pergigian (Umur 10-23 Bulan)"/>
</concept>
<concept>
<code value="child-ds-2-4y"/>
<display value="Pemeriksaan Pergigian (Umur 2-4 Tahun)"/>
<definition value="Pemeriksaan Pergigian (Umur 2-4 Tahun)"/>
</concept>
<concept>
<code value="child-ds-add"/>
<display value="Pemeriksaan Pergigian Tambahan Kanak-Kanak"/>
<definition value="Pemeriksaan Pergigian Tambahan Kanak-Kanak"/>
</concept>
<concept>
<code value="child-1m"/>
<display value="Lawatan Umur 1 Bulan"/>
<definition value="Lawatan Umur 1 Bulan"/>
</concept>
<concept>
<code value="child-2m"/>
<display value="Lawatan Umur 2 Bulan"/>
<definition value="Lawatan Umur 2 Bulan"/>
</concept>
<concept>
<code value="child-3-4m"/>
<display value="Lawatan Umur 3 & 4 Bulan"/>
<definition value="Lawatan Umur 3 & 4 Bulan"/>
</concept>
<concept>
<code value="child-5-6m"/>
<display value="Lawatan Umur 5 & 6 Bulan"/>
<definition value="Lawatan Umur 5 & 6 Bulan"/>
</concept>
<concept>
<code value="child-9m"/>
<display value="Lawatan Umur 9 Bulan"/>
<definition value="Lawatan Umur 9 Bulan"/>
</concept>
<concept>
<code value="child-10m"/>
<display value="Lawatan Umur 10 Bulan (Sarawak)"/>
<definition value="Lawatan Umur 10 Bulan (Sarawak)"/>
</concept>
<concept>
<code value="child-12-15m"/>
<display value="Lawatan Umur 12 & 15 Bulan"/>
<definition value="Lawatan Umur 12 & 15 Bulan"/>
</concept>
<concept>
<code value="child-18-21m"/>
<display value="Lawatan Umur 18 & 21 Bulan"/>
<definition value="Lawatan Umur 18 & 21 Bulan"/>
</concept>
<concept>
<code value="child-2-3y"/>
<display
value="Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan"/>
<definition
value="Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan"/>
</concept>
<concept>
<code value="child-4y"/>
<display value="Lawatan Umur 4 Tahun"/>
<definition value="Lawatan Umur 4 Tahun"/>
</concept>
<concept>
<code value="child-5-6y"/>
<display value="Lawatan Umur 5 & 6 Tahun"/>
<definition value="Lawatan Umur 5 & 6 Tahun"/>
</concept>
<concept>
<code value="child-add"/>
<display value="Pemeriksaan Tambahan Lawatan Klinik"/>
<definition value="Pemeriksaan Tambahan Lawatan Klinik"/>
</concept>
<concept>
<code value="185284002"/>
<display value="Dietitian"/>
<definition value="Dietitian"/>
</concept>
<concept>
<code value="308035000"/>
<display value="Physiotherapy"/>
<definition value="Physiotherapy"/>
</concept>
<concept>
<code value="305852001"/>
<display value="Occupational Therapy"/>
<definition value="Occupational Therapy"/>
</concept>
<concept>
<code value="305862008"/>
<display value="Speech Therapy"/>
<definition value="Speech Therapy"/>
</concept>
<concept>
<code value="305769005"/>
<display value="Audiology"/>
<definition value="Audiology"/>
</concept>
<concept>
<code value="773452005"/>
<display value="Psychology"/>
<definition value="Psychology"/>
</concept>
<concept>
<code value="410260003"/>
<display value="Medical Social Worker"/>
<definition value="Medical Social Worker"/>
</concept>
<concept>
<code value="LP416877-1"/>
<display value="Report"/>
<definition value="Report"/>
</concept>
<concept>
<code value="72225-6"/>
<display value="Physiotherapy Progress Notes"/>
<definition value="Physiotherapy Progress Notes"/>
</concept>
<concept>
<code value="q-dietetic-care-notes-new"/>
<display value="Dietetic Care Notes"/>
<definition value="Dietetic Care Notes"/>
</concept>
<concept>
<code value="q-dietetic-care-notes-fup"/>
<display value="Dietetic Care Notes Follow Up"/>
<definition value="Dietetic Care Notes Follow Up"/>
</concept>
</CodeSystem>