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

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: CodeSystemDevMilestoneFineMotor (MY Core) - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="code-system-dev-milestone-fine-motor-my-core"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>CodeSystemDevMilestoneFineMotor (MY Core)</h2><tt>http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-Fine-motor-my-core</tt><p>Developmental MIlestone Fine Motor</p></div>
  </text>
  <url
       value="http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core"/>
  <version value="0.0.1"/>
  <name value="CodeSystemDevMilestoneFineMotorMyCore"/>
  <title value="CodeSystemDevMilestoneFineMotor (MY Core)"/>
  <status value="active"/>
  <date value="2024-02-12T04:04:09.5621857+00:00"/>
  <publisher value="Malaysia Healthcare Nexus (MHN)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.mhn.asia/"/>
    </telecom>
  </contact>
  <description value="Developmental Milestone Fine Motor"/>
  <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="12"/>
  <concept>
    <code value="f6w"/>
    <display value="Up to 6 weeks of age"/>
    <definition
                value="Fixates on objects. 
In supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks"/>
  </concept>
  <concept>
    <code value="f3m"/>
    <display value="Up to 3 months of age"/>
    <definition
                value="Hand regard. 
Follows dangling toy from side to side (180°) Hands loosely open. 
Holds rattle placed in hand momentarily"/>
  </concept>
  <concept>
    <code value="f6m"/>
    <display value="Up to 6 months of age"/>
    <definition
                value="Palmar grasp of cube. 
Drops one cube when another is given at 6 mths, retains one cube at hand when another is offered at 7 mths. 
Transfers object from one hand to another at 7 mths. 
Eyes move together (any squint is abnormal). 
Follows activities across room with alertness."/>
  </concept>
  <concept>
    <code value="f9m"/>
    <display value="Up to 9 months of age"/>
    <definition
                value="Pokes at small object &amp; begins to point at distant object with index finger. 
Inferior pincer grasp. 
Release toy by dropping or pressing against firm surface. 
Looks in correct direction for fallen toys. 
Grasp string to pull toy (causal understanding)."/>
  </concept>
  <concept>
    <code value="f12m"/>
    <display value="Up to 12 months of age"/>
    <definition
                value="Neat pincer grasp. 
Bangs 2 cubes. 
Points with index finger at object of interest."/>
  </concept>
  <concept>
    <code value="f15m"/>
    <display value="Up to 15 months of age"/>
    <definition
                value="Tower of 2 cubes. 
Hold 2 cubes in one hand. 
To and fro scribble with palmar grasp"/>
  </concept>
  <concept>
    <code value="f18m"/>
    <display value="Up to 18 months of age"/>
    <definition
                value="Tower of 3 cubes. 
Enjoys putting small objects in and out of containers. 
Scribbles spontaneously. 
Enjoys picture books, turns few pages at a time. 
Hand preference."/>
  </concept>
  <concept>
    <code value="f2y"/>
    <display value="Up to 2 years of age"/>
    <definition
                value="Tower of 6 - 7 cubes. 
Imitates train of cubes, without adding chimney. 
Circular scribbles. 
Imitates vertical line. 
Enjoys picture books and turns pages singly"/>
  </concept>
  <concept>
    <code value="f2.5y"/>
    <display value="Up to 2.5 years of age"/>
    <definition
                value="Tower of 7- 8 cubes. 
Imitates train, adding chimney. 
Recognizes minute details in picture books. 
Imitates horizontal and vertical line."/>
  </concept>
  <concept>
    <code value="f3y"/>
    <display value="Up to 3 years of age"/>
    <definition
                value="Tower of 9 - 10 cubes. 
Imitates bridge with 3 cubes. 
Copies a circle. 
Imitates a cross. 
Draw a man on request (3 - 10y). 
Cuts with scissors"/>
  </concept>
  <concept>
    <code value="f4y"/>
    <display value="Up to 4 years of age"/>
    <definition
                value="Builds 3 steps with 6 cubes after demonstration. 
Holds pencil with good control. 
Copies cross. 
Draws a person with head, legs and trunks. 
Matches 4 primary colours."/>
  </concept>
  <concept>
    <code value="f5y"/>
    <display value="Up to 5 years of age"/>
    <definition
                value="Copies square at 5 years and a triangle at 5 ½ years. 
Colours neatly, staying within outlines. 
Draws a man with head, trunk, legs, arms and features. 
Can cut a strip of paper neatly"/>
  </concept>
</CodeSystem>