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

ValueSet: http://fhir.hie.moh.gov.my/ValueSet/dev-milestone-fine-motor-my-core

Official URL: http://fhir.hie.moh.gov.my/ValueSet/dev-milestone-fine-motor-my-core Version: 0.0.1
Active as of 2024-02-12 Responsible: Malaysia Healthcare Nexus (MHN) Realm: International flag Computable Name: ValueSetDevMilestoneFineMotorMyCore

Dev Milestone

References

Logical Definition (CLD)

Generated Narrative: ValueSet value-set-dev-milestone-fine-motor-my-core

  • Include these codes as defined in http://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-core
    CodeDisplayDefinition
    f6wUp to 6 weeks of ageFixates on objects. In supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks
    f3mUp to 3 months of ageHand regard. Follows dangling toy from side to side (180°) Hands loosely open. Holds rattle placed in hand momentarily
    f6mUp to 6 months of agePalmar 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.
    f9mUp to 9 months of agePokes at small object & 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).
    f12mUp to 12 months of ageNeat pincer grasp. Bangs 2 cubes. Points with index finger at object of interest.
    f15mUp to 15 months of ageTower of 2 cubes. Hold 2 cubes in one hand. To and fro scribble with palmar grasp
    f18mUp to 18 months of ageTower 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.
    f2yUp to 2 years of ageTower of 6 - 7 cubes. Imitates train of cubes, without adding chimney. Circular scribbles. Imitates vertical line. Enjoys picture books and turns pages singly
    f2.5yUp to 2.5 years of ageTower of 7- 8 cubes. Imitates train, adding chimney. Recognizes minute details in picture books. Imitates horizontal and vertical line.
    f3yUp to 3 years of ageTower 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
    f4yUp to 4 years of ageBuilds 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.
    f5yUp to 5 years of ageCopies 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

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem CodeSystemDevMilestoneFineMotor (MY Core) v0.0.1 (CodeSystem)

This value set contains 12 concepts

CodeSystemDisplayDefinition
  f6whttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 6 weeks of age

Fixates on objects. In supine, follows object from side to midline (90o) Defensive blink by 6-8 weeks

  f3mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 3 months of age

Hand regard. Follows dangling toy from side to side (180°) Hands loosely open. Holds rattle placed in hand momentarily

  f6mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 6 months of age

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.

  f9mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 9 months of age

Pokes at small object & 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).

  f12mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 12 months of age

Neat pincer grasp. Bangs 2 cubes. Points with index finger at object of interest.

  f15mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 15 months of age

Tower of 2 cubes. Hold 2 cubes in one hand. To and fro scribble with palmar grasp

  f18mhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 18 months of age

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.

  f2yhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 2 years of age

Tower of 6 - 7 cubes. Imitates train of cubes, without adding chimney. Circular scribbles. Imitates vertical line. Enjoys picture books and turns pages singly

  f2.5yhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 2.5 years of age

Tower of 7- 8 cubes. Imitates train, adding chimney. Recognizes minute details in picture books. Imitates horizontal and vertical line.

  f3yhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 3 years of age

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

  f4yhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 4 years of age

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.

  f5yhttp://fhir.hie.moh.gov.my/CodeSystem/dev-milestone-fine-motor-my-coreUp to 5 years of age

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


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code