Patient Record

Patient demographics and other administrative information about a patient is store as

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record.

Sample Data and API

Click MY Core postman API link to view common API used in HIE.

[base] = address url e.g. "https://fhir.hie.moh.gov.my/baseR4/"
[type] = resource type e.g. "Patient | Encounter | Composition"
@patientId = unique patient id defined from source system e.g "patient-sample"
@patientIdentifier = patient identifier such as mykad number or MRN e.g "HIE-00000003"

Sample Description Sample Body API Method API
Create/Update patient record

1.MyKad identifier,

2.Newborn identifier,

3.Passport identifier,

4.Unknown identifier

 PUT [base]/Patient/@patientId
Retrive patient record with id - GET [base]/Patient/@patientId
Retrive patient record with identifier - GET [base]/Patient?identifier=@patientIdentifier

Identifier Type

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support certain type of identifier, however each record must at least have a facility mrn Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/patient-mrn').value.

  • MyKad or MyKid is store as Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/my-kad-no').value.
  • Army identifier is store as Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/army-no').value.
  • Police identifier is stored as Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/police-no').value.
  • Newborn identifier format according to SMRP standard is [MotherIdentifier] E/[Child No]. Example "921105146670 E/1".
    • It is stored as Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/newborn-no').value.
    • However, it is not mandatory for a source system to send in this format.
  • Other type of identifier is store as Patient.identifier.where (system ='http://fhir.hie.moh.gov.my/sid/others-no').value.
    • This includes unknown patient where HIE format is [facility mnemonic]-UNK-[last 2 year digit][6 digit running number]. Example, "HTJ-UKN-23000006".
    • However, it is not mandatory for a source system to send in this format.

Golden Record

Due to the scope of integration, a single individual is expected to have multiple patient record from various source system in HIE. These records are linked together under one golden record using a function known as Master Data Management (MDM) developed by smileCDR.

Diagram below showing an example of records from various source system linked by a golden record in HIE.

EID

The server will link multiple patient record to a single golden record based on these 4 element values:

  • Name Patient.name.give,
  • Birth Date Patient.birthDate,
  • Any Identifier Patient.identifier.value,
  • Gender Patient.gender.

For each patient record created in the HIE server, the server will check if a golden record with above details match with any golden record existed in the server, if match it will link the golden record. If no match exist, a new golden record will be created linked to the created patient record.