MENGKAJI, MEREKA BENTUK, MEMBANGUN, MEMBEKAL, MENGHANTAR, MEMASANG, MENGKONFIGURASI, MENGUJI, MENTAULIAH DAN MELAKSANAKAN SISTEM HEALTH INFORMATION EXHANGE (HIE) UNTUK HOSPITAL DAN KLINIK KESIHATAN DI NEGERI SEMBILAN, KEMENTERIAN KESIHATAN MALAYSIA

TO STUDY, DESIGN, DEVELOP, SUPPLY, DELIVER, INSTALL, CONFIGURE, TEST, COMMISSION AND IMPLEMENT THE HEALTH INFORMATION EXHANGE (HIE) SYSTEM FOR HOSPITALS AND HEALTH CLINICS IN NEGERI SEMBILAN, MINISTRY OF HEALTH MALAYSIA

Background

Health Information Exchange (HIE) is a platform to enable transmission of health-related data among medical facilities, providers, and patients electronically. HIE system enables health care professional such as specialist, doctors, practitioners, nurses, pharmacists, therapist, nutritionist etc to properly securely access and share critical medical information digitally.

The HIE project was inspired by the Ministry of Health to consolidate and standardize medical information (LHR, Lifetime Health Record) from all public hospital systems to improve continuity and quality of care, to upgrade the health population data that enables better healthcare decision making, increasing the rakyat’s satisfaction, and improving the quality of care. The development of HIE systems is based on Cloud Application Development (CAD 2.0) architecture which supports multi-tenancy that enables fast deployment. The following figure describe the conceptual map for health information exchange.

HL7 FHIR is an international standard for digital data exchange in healthcare. FHIR stands for Fast Healthcare Interoperability Resources. The base FHIR specification describes a set of base resources, frameworks and APIs that are used in many different contexts in healthcare. HIE will be developed using Smile CDR FHIR, an Enterprise FHIR built around the visionary HL7 FHIR Release 4 standard and powered by HAPI, the most proven FHIR implementation in the world.

Scope

For the implementation of this project, the FHIR standard will be introduced to standardize the exchange and sharing of healthcare information and subsequently publish the MOH FHIR HIE Profile for common use by health institutions in the health system in Malaysia.

MOH's FHIR HIE Profile will be the Base (National) Profile. While the Derivative Profile is a profile that has been customized by certain organizations when it is found that there are constraints in the Base Profile (National) that cannot meet their specific needs. For Derivative Profiles, additions and adjustments made to the Base Profile (National) shall retain all the basic features of the Base Profile (National).

The MOH's FHIR HIE profile will be the main reference source for the exchange and sharing of information in the MOH. The MOH FHIR HIE Implementation Guidelines are proposed to be published on the MOH website or/and the FHIR HL7 website as a reference document for implementation by other digital healthcare software involved.

The setup of the guidelines will be based on the 80:20 rule. The 20% refers to the specific extensions that is required by an organization. For example, in FHIR, under the field of ophthalmology, the 80% settings do not require to identify the eye colour of the patient. However, this is required by local ophthalmology organization. Hence, this can be added in as an Extension.

Objective

The following are the objectives of this document

  • Providing the profile development for Malaysia FHIR standard
  • Providing the Implementation Guide for Malaysia FHIR standard

Authors

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Role Name
Primary Author Saifuldaulah Bin Mohd Hafiz Ngoo
Secondary Author Nur Rufaidah Binti Omar