Malaysia NHSI (Deprecated)

The initial requirement has been changed to no longer require a questionnaire form of data collection thus this method has been deprecated

FHIR Artifact

Resources

The Main FHIR resources involved in this project are:

Profiles

These MY Core profiles are then used to further constrained the resources to include additional required information;

A system must declare comformance to these profile when sending a related data to HIE.

Reason

Patient resource is required as it functions as a reference to whom this QuestionnaireResponse is subjected towards which is the patient/person assessed during the health assessment.
- Patient (MY Core) profile further constrains the resource to include local information not defined in the base resource such as specific identifier (MyKad No), ethnic and religion.

Questionnaire resource is capable to group and organize multiple different variables into a structured list of question using LinkId. A method which is suitable for the scope of this project. Using this resource, the health assessment questionniare response can be reference via the linkId created in the questionnaire for ease of data exchange between system.
- No local profiling was created fro Questionnaire resource.

QuestionnaireResponse resource is employed as the main FHIR resource for data entry and exchange. Data can be collected and stored in answer format that can be mapped correctly by referencing the link Id defined in questionnaire.
- QuestionnaireResponse (MY Core) require an author who .

Resource Metadata

Each resource contains an element "meta", of type "Meta", which is a set of metadata that provides technical and workflow context to the resource. MY Core mandatories that the source and profile of the data be declared when data is sent to HIE. Further info

Metadata Item	Type	Usage
source (1..1)	uri	A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. Defined sources for this project are http://pekab40.moh.gov.my, http://mysj.moh.gov.my, http://www.perkeso.gov.my
profile (1..1)	canonical	An assertion that the content conforms to a resource profile (a StructureDefinition). Refer this project FHIR Artifact profiles on which profiles are required to be declared when sending data to HIE for this project

API

API related to this project.

Refer 'Template And Sample Data' section for JSON sample.

Patient

Operation	API	Uses
UPDATE	[base]/Patient?identifier=[facility mrn identifier]	API to create a Patient (MY Core) record in HIE. A unique Medical record number (MRN) identifier is required from each respective facility for unique reference. The MRN identifier value is defined in `Patient.identifier.value` where `Patient.identifier.system` value is http://fhir.hie.moh.gov.my/sid/patient-mrn
READ	[base]/Patient?identifier=[facility mrn identifier]	API to read existing Patient (MY Core) record in HIE by searching for its assigned unique mrn identifier
UPDATE	[base]/Patient?identifier=[facility mrn identifier]	API to update existing Patient (MY Core) record in HIE by its assigned unique mrn identifier

QuestionnaireResponse

Operation	API	Uses
CREATE	[base]/QuestionnaireResponse	API to create QuestionnaireResponse (MY Core) in HIE. A unique QuestionnaireResponse identifier (QR identifier) must be provided `QuestionnaireResponse.identifier.value` if source system intend to READ existing record sent to HIE.
READ	[base]/QuestionnaireResponse?identifier=[QR identifier]	API to read existing QuestionnaireResponse (MY Core) record. Requires a QR identifier to use API.
READ	[base]/QuestionnaireResponse?identifier=[QR identifier]&_include=QuestionnaireResponse:patient	API to request a bundle to read existing QuestionnaireResponse (MY Core) and include the patient record. Requires a QR identifier to use API.
READ	[base]/QuestionnaireResponse?service-provider=[source system ID]&authored=geYYYY-MM-DD&authored=leYYYY-MM-DD	API to request a bundle to read existing QuestionnaireResponse (MY Core) based on source system from (authored=geYYYY-MM-DD) to (authored=leYYYY-MM-DD) period.

Organization

Operation	API	Uses
READ	[base]/Organization?_id=[organization ID]	API to read existing Organization (MY Core) record in HIE by searching for its assigned organization ID based on PIK codes

Questionnaire

1 User Demographic

Link Id	Item Text	Item Type	Remark	Multiple Input
1	User Demographic	Group	No input	no
1.1	Name	String	-	no
1.2	MySejahtera ID	String	-	no
1.3	Contact Number	Phone	Must be valid phone number e.g. +601156504217	no
1.4	Type of Identification	Choice		no
1.5	IC Number/Passport	String	-	no
1.6	Gender	Choice		no
1.7	Nationality	String	-	no
1.8	Address	String	-	no
1.9	Occupation	Choice		no
1.10	Ethnicity	Choice		no
1.11	Special Category of Population	Choice		no
1.12	Industry	Choice		no
1.13	Comorbidities Present	Choice		no
1.14	Last Screening Date	Group	No input	no
1.14.1	Has the patient performed health screening before?	Boolean (Yes/No)	-	No
1.14.2	If Yes:	Date	FHIR Format YYYY-MM-DD e.g. 2022-07-31	no

2 Assessments

Link Id	Item Text	Item Type	Remark	Multiple Input
2	Assessments	Group	No input	no
2.1	Does the patient have any family history?	Boolean (Yes/No)	-	no
2.1.1	If yes:	Choice		yes
2.2	Does the patient have any medical history?	Boolean (Yes/No)	-	no
2.2.1	If yes:	Choice		yes

3 Mental Health Assessments

Link Id	Item Text	Item Type	Remark	Multiple Input
3.1	Do you want to perform Mental Health Assessment for this patient?	Boolean (Yes/No)	N/A	N/A
3.2	Please rate accordingly for the following situations: Over the past one month, have you been bothered by the following problems?	Group	No input	N/A
3.2.1	"Feeling down, depressed or hopeless? "	Boolean (Yes/No)	N/A	FALSE
3.2.2	Having little interest or pleasure in doing things?	Boolean (Yes/No)	N/A	FALSE
3.3	"Over the last 2 weeks, how often have you been bothered by any of the following problems?"	Group	No input	N/A
3.3.1	Feeling nervous, anxious, or on edge.	Choice		FALSE
3.3.2	Not being able to stop or control worrying.	Choice		FALSE
3.4	Over the last 2 weeks, how often have you been bothered by any of the following problems?	Group	No input	N/A
3.4.1	Little interest or pleasure in doing things.	Choice		FALSE
3.4.2	Feeling down, depressed or hopeless.	Choice		FALSE
3.4.3	Trouble falling asleep/ staying asleep, sleeping too much.	Choice		FALSE
3.4.4	Feeling tired or having little energy.	Choice		FALSE
3.4.5	Poor appetite or overeating.	Choice		FALSE
3.4.6	Feeling bad about yourself – or that you are a failure or have let yourself or your family down.	Choice		FALSE
3.4.7	Trouble concentrating on things, such as reading the newspaper or watching television.	Choice		FALSE
3.4.8	Moving or speaking so slowly that other people could have noticed. Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual.	Choice		FALSE
3.4.9	Thoughts that you would be better off dead or of hurting yourself in some way.	Choice		FALSE
3.5	Total Mental Health Test Score Depression:	Choice		FALSE
3.6	Over the last 2 weeks, how often have you been bothered by any of the following?	Group	No input	N/A
3.6.1	Feeling nervous, anxious, or on edge.	Choice		FALSE
3.6.2	Not being able to stop or control worrying.	Choice		FALSE
3.6.3	Worrying too much about different things.	Choice		FALSE
3.6.4	Having trouble relaxing	Choice		FALSE
3.6.5	Being so restless that it is hard to sit still.	Choice		FALSE
3.6.6	Being easily annoyed or irritable.	Choice		FALSE
3.6.7	Feeling afraid as if something awful might happen.	Choice		FALSE
3.7	Total Mental Health Test Score Anxiety:	Choice		FALSE

4 Lifestyle Health Assessment

Link Id	Item Text	Item Type	Remark	Multiple Input
4	Lifestyle Health Assessment	Group	No input	no
4.1	Alcohol consumption	Group	No input	no
4.1.1	How often do you consume alcohol?	Choice		no
4.1.2	How many alcoholic beverages do you consume in a day?	Choice		no
4.1.3	How often within the last year,	Group	No input	no
4.1.3.1	Do you consume 6 or more drink in a day?	Choice		no
4.1.3.2	Were you not able to stop drinking once started?	Choice		no
4.1.3.3	Were you not able to perform normal activities due to drinking?	Choice		no
4.1.3.4	You needed to drink first thing in the morning to get going after a heavy drinking session?	Choice		no
4.1.3.5	That you felt guilt or remorse after drinking?	Choice		no
4.1.3.6	Were you unable to remember what happened the night before due to drinking?	Choice		no
4.1.4	Have you or someone else been injured because of your drinking?	Choice		no
4.1.5	Has a relative, friend, doctor, been concerned about your drinking habits?	Choice		no
4.1.6	Total Alcohol Consumption Test Score	Choice		no
4.2	Smoking Status	Group	No input	no
4.2.1	Does the patient smoke?	Boolean (Yes/No)	-	no
4.2.2	Cigarettes per Day	Integer	Decimal number not allowed	no
4.2.3	Years of Smoking	Integer	Decimal number not allowed	no
4.2.4	Total pack-years	Quantity	Decimal number allowed	no

5 Clinical Parameters

Link Id	Item Text	Item Type	Remark	Multiple Input
5	Clinical Parameters	Group	No input	no
5.1	Anthropometry: Height	Quantity	Decimal number allowed	no
5.2	Anthropometry: Weight	Quantity	Decimal number allowed	no
5.3	Anthropometry: Waistline	Quantity	Decimal number allowed	no
5.4	BMI calculation	Quantity	Decimal number allowed	no
5.5	BMI Outcome	Choice		no
5.6	Vital Signs: Blood Pressure (systolic)	Quantity	Decimal number allowed	no
5.7	Vital Signs: Blood Pressure (diastolic)	Quantity	Decimal number allowed	no
5.8	Vital Signs: Pulse Rate	Quantity	Decimal number allowed	no
5.9	Blood Pressure Outcome	Choice		no
5.10	Point of Care Testing: Blood Glucose	Group	No input	no
5.10.1	Fasting	Quantity	Decimal number allowed	no
5.10.2	Random	Quantity	Decimal number allowed	no
5.10.3	Blood Glucose Outcome	Choice		no
5.11	Point of Care Testing: Blood Cholesterol	Group	No input	no
5.11.1	Fasting	Quantity	Decimal number allowed	no
5.11.2	Random	Quantity	Decimal number allowed	no
5.11.3	Blood Cholesterol Outcome	Choice		no

6 Advanced Health Screening (Optional)

Link Id	Item Text	Item Type	Remark	Multiple Input
6	Advanced Health Screening (Optional)	Group	No input	no
6.1	Cardiovascular	Choice		yes
6.2	Gastrointestinal	Choice		yes
6.3	Genitourinary	Choice		yes
6.4	Locomotor	Choice		yes
6.5	Neurological	Choice		yes
6.6	ENT Symptoms	Choice		yes
6.7	Dermatology	Choice		yes

7 Advanced Systemic Examination (Optional)

Link Id	Item Text	Item Type	Remark	Multiple Input
Link Id	Variables	Item Type	Remark	Multiple Input
7.1	General Appearance	Choice		FALSE
7.1.1	If Abnormal	Choice		TRUE
7.2	Hands and Arms	Choice		FALSE
7.2.1	If Abnormal	Choice		TRUE
7.3	Head	Choice		FALSE
7.3.1	If Abnormal	Choice		TRUE
7.4	Neck	Choice		FALSE
7.4.1	If Abnormal	Choice		TRUE
7.5	Face	Choice		FALSE
7.5.1	If Abnormal	Choice		TRUE
7.6	Mouth	Choice		FALSE
7.6.1	If Abnormal, Lips	Choice		TRUE
7.6.2	If Abnormal, Gums	Choice		TRUE
7.6.3	If Abnormal, Tongue	Choice		TRUE
7.7	Ears, Nose and Throat	Choice		FALSE
7.7.1	If Abnormal Ears	Choice		TRUE
7.7.2	If Abnormal Nose	Choice		TRUE
7.7.3	If Abnormal Throat	Choice		TRUE
7.8	Eyes	Choice		FALSE
7.8.1	If Abnormal, general	Choice		TRUE
7.8.2	If Abnormal, conjunctiva	Choice		TRUE
7.8.3	If Abnormal, sclera	Choice		TRUE
7.8.4	If Abnormal, cornea	Choice		TRUE
7.9	Fundoscopy	Choice		FALSE
7.9.1	If Abnormal, General	Choice		TRUE
7.9.2	If Abnormal, Optic Disc	Choice		TRUE
7.9.3	If Abnormal, Retina	Choice		TRUE
7.9.4	If Abnormal, Macula	Choice		TRUE
7.10	Ishihara chart	Choice		FALSE
7.11	Snellen Eye Chart Score	Group	No input	FALSE
7.11.1	Snellen Eye Chart Right eye With lens	Choice		FALSE
7.11.2	"Snellen Eye Chart Right eye Without lens"	Choice		FALSE
7.11.3	Snellen Eye Chart Left eye With lens	Choice		FALSE
7.11.4	"Snellen Eye Chart Left eye Without lens"	Choice		FALSE
7.12	Cardiorespiratory Examination	Choice		FALSE
7.12.1	Cardiorespiratory Examination, inspection	Choice		TRUE
7.12.2	Cardiorespiratory Examination, palpation	Choice		TRUE
7.12.3	Cardiorespiratory Examination, percussion	Choice		TRUE
7.12.4	Cardiorespiratory Examination, auscultation	Choice		TRUE
7.13	Abdominal Examination	Choice		FALSE
7.13.1	Abdominal Examination, inspection	Choice		TRUE
7.13.2	Abdominal Examination, palpation	Choice		TRUE
7.13.3	Abdominal Examination, percussion	Choice		TRUE
7.13.4	Abdominal Examination, auscultation	Choice		TRUE
7.13.4.1	Bowel Sound	Choice		FALSE
7.13.5	Abdominal Examination, other	String	No input	TRUE
7.14	Breast Examination	Choice		FALSE
7.14.1	Breast Examination, inspection	Choice		TRUE
7.14.2	Breast Examination, palpation	Group	No input	FALSE
7.14.2.1	lump	Boolean (Yes/No)	Nil	FALSE
7.14.2.1.1	to state position, size, shape, consistency, overlying skin changes and mobility	String	No input	TRUE
7.14.2.2	Breast Examination, tenderness	Boolean (Yes/No)	Nil	FALSE
7.14.3	Breast Examination, lymph node	Boolean (Yes/No)	Nil	FALSE
7.14.3.1	If yes, state location	String	No input	FALSE
7.14	Breast Examination, other	String	No input	TRUE
7.15	Genital Examination	Choice		FALSE
7.15.1	If abnormal,	Choice		TRUE
7.16	Musculoskeletal Examination	Choice		FALSE
7.16.1	If abnormal,	Choice		TRUE
7.17	Neurological Examination	Choice		FALSE
7.17.1	Neurological Examination, motor	Choice		TRUE
7.17.2	Neurological Examination, muscle tone	Choice		TRUE
7.17.3	Neurological Examination, muscle power	Choice		TRUE
7.17.4	Neurological Examination, reflexes	Choice		TRUE
7.17.5	Neurological Examination, hyperreflex/hyporeflex	Choice		TRUE
7.17.6	Neurological Examination, babinski	Choice		TRUE
7.17.7	Neurological Examination, sensation	Choice		TRUE
7.17.8	Neurological Examination, other	String	No input	TRUE

8 Further Investigations

Link Id	Item Text	Item Type	Remark	Multiple Input
8	Further Investigations	Group	No input	no
8.1	Urine dipstick	String	-	no
8.2	Urine FEME	String	-	no
8.3	ECG	String	-	no
8.4	Haemoglobin	String	-	no

9 Diagnosis

Link Id	Item Text	Item Type	Remark	Multiple Input
9	Diagnosis	Group	No input	no
9.1	Normal Healthy individual?	Choice		no
9.2	Diagnosis	Group	No input	no
9.2.1	Display	String	-	no
9.2.2	Code	String	-	no
9.2.3	Code System	String	-	no
9.3	Provisional diagnosis	Group	No input	yes
9.3.1	Display	String	-	yes
9.3.2	Code	String	-	yes
9.3.3	Code System	String	-	yes

10 Management

Link Id	Item Text	Item Type	Remark	Multiple Input
10	Management	Group	No input	no
10.1	General management	Choice		yes
10.2	Doctor’s notes	Multiline text	Allows markdown input	no
10.3	Prescription	Group	No input	no
10.3.1	Any medication prescribed?	Choice		yes

11 Verified by

Link Id	Item Text	Item Type	Remark	Multiple Input
11	Verified by	Group	No input	no
11.1	Officer incharge	String	-	no
11.2	Registration Number/ IC number	String	-	no

Item List

Link ID	1.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Type of Identification
Item type	Choice
Answer Code System	http://hl7.org/fhir/administrative-gender

Seq. No	NHSI Display	Code System Display	Code
1	Ic Numbers	N/A	01
2	Passport Number	N/A	02
3	Others	N/A	03

Link ID	1.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Gender
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Male	Male	male
2	Female	Female	female
3	Others	Other	other

Link ID	1.9
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Occupation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Manager	N/A	01
2	Professional	N/A	02
3	Technician and Associate Professional	N/A	03
4	Clerical Support Worker	N/A	04
5	Services and Sales Worker	N/A	05
6	Skilled Agricultural, Forestry, Livestock and Fishery Worker	N/A	06
7	Craft and related Trades Worker	N/A	07
8	Plant and Machine Operators and Assembler	N/A	08
9	Elementary Worker	N/A	09
10	Armed Forces Occupation	N/A	10
11	Unemployed	N/A	11

Link ID	1.10
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Ethnicity
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

|Seq. No|NHSI Display|Code System Display|Code| | |1|Malay|Melayu|01| |2|Chinese|Cina|02| |3|Indian| India|03| |4|Bumiputera Sabah|Bumiputera Sabah Lain|10| |5|Bumiputera Sarawak|Bumiputera Sarawak Lain|15| |6|Orang Asli|Orang Asli Semenanjung |04| |7|Others|Lain-lain|99|

Link ID	1.11
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Special Category of Population
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not Applicable	N/A	00
2	High Risk/ Vulnerable Individuals	N/A	01
3	Person with Disabilities	N/A	02
4	Individuals from old folks/ caretaker home	N/A	03

Link ID	1.12
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Industry
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Accomodations	N/A	01
2	Advertising & Market Research	N/A	02
3	Agriculture	N/A	03
4	Architectural and Landscape Activities	N/A	04
5	Arts, entertainment & recreation	N/A	05
6	Business services	N/A	06
7	Community, social & personal services	N/A	07
8	Contruction	N/A	08
9	Education	N/A	09
10	Electricity, gas, steam & air conditioning supply	N/A	10
11	Finance	N/A	11
12	Fishing & aquaculture	N/A	12
13	Food & beverage	N/A	13
14	Forestry & logging	N/A	14
15	Goverment services	N/A	15
16	Healthcare	N/A	16
17	Information & communication	N/A	17
18	Insurance	N/A	18
19	Legal & accounting activities manufacturing	N/A	19
20	Mining & quarrying	N/A	20
21	Owner occupied dwelling	N/A	21
22	Petroleum & natural gas extraction	N/A	22
23	Postal & courier activities	N/A	23
24	Real estate	N/A	24
25	Scientific engineering activities & technical testing/ analysis	N/A	25
26	Security & investigation activities	N/A	26
27	Social work activities	N/A	27
28	Transportation & storage	N/A	28
29	Unemployed	N/A	29
30	Utilities services	N/A	30
31	Veterinary activities	N/A	31
32	Wholesale & retail trade services	N/A	32
33	Water supply, sewerage & waste management	N/A	33

Link ID	1.13
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Comorbidities Present
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not Applicable	Not Applicable	385432009
2	Diabetes Mellitus	Diabetes mellitus	73211009
3	Hypertension	Hypertensive disorder	38341003
4	Heart Disease	Heart disease	56265001
5	Asthma	Asthma	195967001
6	Cancer	Malignant neoplastic disease	363346000
7	Chronic Lung Disease	Chronic lung disease	413839001
8	Kidney Disease	Kidney disease	90708001
9	Liver Disease	Disorder of liver	235856003
10	Stroke	Cerebrovascular accident	230690007
11	Immunocompromised	Patient immunocompromised	370388006
12	Obesity	Obesity	414916001
13	Bleeding Tendency	Blood coagulation disorder	64779008
14	History of Severe Allergic Reaction	Anaphylaxis	39579001
15	Others	Other	74964007

Link ID	2.1.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If yes:
Item type	Choice
Answer Code System	http://snomed.info/sct

Seq. No	NHSI Display	Code System Display	Code
1	Hypertension	Hypertensive disorder	38341003
2	Diabetes Mellitus	Diabetes mellitus	73211009
3	Hypercholesterolemia	Hypercholesterolemia	13644009
4	Coronary Heart Disease	Heart disease	56265001
5	Stroke	Cerebrovascular accident	230690007
6	Chronic Kidney Disease	Chronic kidney disease	709044004
7	Cancer	Malignant neoplastic disease	363346000
8	Sudden death	Sudden death	26636000
9	Mental Illness	Mental disorder	74732009

Link ID	2.2.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If yes:
Item type	Choice
Answer Code System	http://snomed.info/sct

Seq. No	NHSI Display	Code System Display	Code
1	Hypertension	Hypertensive disorder	38341003
2	Diabetes Mellitus	Diabetes mellitus	73211009
3	Hypercholesterolemia	Hypercholesterolemia	13644009
4	Coronary Heart Disease	Heart disease	56265001
5	Stroke	Cerebrovascular accident	230690007
6	Chronic Kidney Disease	Chronic kidney disease	709044004
7	Cancer	Malignant neoplastic disease	363346000
8	Asthma	Asthma	195967001

Link ID	3.3.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling nervous, anxious, or on edge.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.3.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Not being able to stop or control worrying.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Little interest or pleasure in doing things.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling down, depressed or hopeless.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.3.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Trouble falling asleep/ staying asleep, sleeping too much..
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling tired or having little energy.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Poor appetite or overeating.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling bad about yourself – or that you are a failure or have let yourself or your family down.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.7
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Trouble concentrating on things, such as reading the newspaper or watching television.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.4.8
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Moving or speaking so slowly that other people could have noticed. Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	0-4 : None-minimal depression	N/A	00
2	5-9 : Mild Depression	N/A	01
3	10-14 : Moderate Depression	N/A	02
4	15-19 :Moderate severe depression	N/A	03
5	20-27 : Severe Depression	N/A	04

Link ID	3.4.9
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Thoughts that you would be better off dead or of hurting yourself in some way.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Total Mental Health Test Score Depression
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling nervous, anxious, or on edge.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Not being able to stop or control worrying.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Worrying too much about different things.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Having trouble relaxing
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Being so restless that it is hard to sit still.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Being easily annoyed or irritable.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not At All	N/A	00
2	Several Days	N/A	01
3	> 7 days	N/A	02
4	Almost everyday	N/A	03

Link ID	3.6.7
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Feeling afraid as if something awful might happen.
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Not Difficult	N/A	00
2	Somewhat difficult	N/A	01
3	Very difficult	N/A	02
4	Extreme difficult	N/A	03

Link ID	3.7
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Total Mental Health Test Score Anxiety
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	0–4: minimal anxiety	N/A	00
2	5–9: mild anxiety	N/A	01
3	10-14 : Moderate Depression	N/A	02
4	15–21: severe anxiety	N/A	03

Link ID	4.1.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	How often do you consume alcohol?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	Once a month	N/A	01
3	2-4 times a month	N/A	02
4	2-3 times week	N/A	03
5	> 4 times a weeks	N/A	04

Link ID	4.1.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	How many alcoholic beverages do you consume in a day?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	<2	N/A	00
2	3-4	N/A	01
3	5-6	N/A	02
4	7-9	N/A	03
5	> 10	N/A	04

Link ID	4.1.3.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Do you consume 6 or more drink in a day?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	4.1.3.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Were you not able to stop drinking once started?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	3.1.3.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Were you not able to perform normal activities due to drinking?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	4.1.3.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	You needed to drink first thing in the morning to get going after a heavy drinking session?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	4.1.3.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	That you felt guilt or remorse after drinking?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	4.1.3.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Were you unable to remember what happened the night before due to drinking?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Never	N/A	00
2	< Once a month	N/A	01
3	Once a month	N/A	02
4	Weekly	N/A	03
5	Almost daily	N/A	04

Link ID	4.1.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Have you or someone else been injured because of your drinking?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	No	N/A	00
2	Yes, but not last year	N/A	01
3	Yes, during last year	N/A	02

Link ID	4.1.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Has a relative, friend, doctor, been concerned about your drinking habits?
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	No	N/A	00
2	Yes, but not last year	N/A	01
3	Yes, during last year	N/A	02

Link ID	4.1.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Total Alcohol Consumption Test Score
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	1-7 Low Risk	N/A	00
2	8-12 Moderate Risk	N/A	01
3	>13 High Risk	N/A	02

Link ID	5.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	BMI Outcome
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Underweight <18.5	N/A	00
2	Normal Weight 18.5-24.9	N/A	01
3	Overweight 25-29.9	N/A	02
4	Obese ≥30	N/A	03
5	Obese-I 30-34.9	N/A	04
6	Obese-II 35-39.9	N/A	05
7	Obese-III >40	N/A	06

Link ID	5.9
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Blood Pressure Outcome
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Low (Systolic <90,Diastolic <60)	N/A	00
2	Normal (Systolic <130,Diastolic <85)	N/A	01
3	At Risk (Systolic 130–139,Diastolic 84-89)	N/A	02
4	High (Systolic ≥140,Diastolic ≥90)	N/A	03

Link ID	5.10.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Blood Glucose Outcome
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Low (<4.0)	N/A	00
2	Normal Fasting (<5.6)	N/A	01
3	Normal Random (<7.8)	N/A	02

Link ID	5.11.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Blood Cholesterol Outcome
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Low (<3.9 mmol/L)	N/A	00
2	High (>=5.2 mmol/L)	N/A	01

Link ID	6.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiovascular
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Chest Pain	N/A	01
2	Ankle Swelling	N/A	02
3	Shortness of breath	N/A	03
4	Intermittent claudication	N/A	04
5	Orthopnoea	N/A	05
6	Cough with or without sputum	N/A	06
7	Palpitation	N/A	07
8	Nocturnal dyspnoea	N/A	08
9	Haemoptysis	N/A	09

Link ID	6.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Gastrointestinal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Abdominal pain	N/A	01
2	Nausea and/or vomiting	N/A	02
3	Bowel pattern and any changes	N/A	03
4	Dyspepsia	N/A	04
5	Degree of appetide	N/A	05
6	Cough with or without sputum	N/A	06
7	Dysphagia	N/A	07
8	Weight loss or gain	N/A	08
9	Haemoptyis	N/A	09

Link ID	6.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Genitourinary
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Haematuria	N/A	01
2	Dysuria	N/A	02
3	Menstual irregularity - women	N/A	03
4	Nocturia	N/A	04
5	Frequency	N/A	05
6	Urethral discharge - men	N/A	06

Link ID	6.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Locomotor
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Joint pain	N/A	01
2	Change in mobility	N/A	02

Link ID	6.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Seizures	N/A	01
2	Eyeseight	N/A	02
3	Transient loss of function (vision, speech, sight)	N/A	03
4	Collapses	N/A	04
5	Hearing	N/A	05
6	Paresthesia	N/A	06
7	Dizziness	N/A	07

Link ID	6.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	ENT Symptoms
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Hearing loss/tinnitus	N/A	01
2	Epistaxis	N/A	02
3	Snoring	N/A	03
4	Otalgia	N/A	04
5	Dysphonia	N/A	05
6	Trismus	N/A	06
7	Facial pain	N/A	07
8	Dysphagia	N/A	08
9	Neck swelling	N/A	09
10	Persistent nasal discharge	N/A	10

Link ID	6.7
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Dermatology
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Rashes	N/A	01
2	Skin color changes	N/A	02
3	Ulcers	N/A	03
4	Skin Lesions	N/A	04

Link ID	7.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	General Appearance
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.1.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Dysmorphic features	N/A	01
2	Cyanosed	N/A	02
3	Jaundiced	N/A	03
4	Abnormal gait	N/A	04
5	Pale	N/A	05
6	Ill-looking	N/A	06
7	Dehydrated	N/A	07
8	Cachexic	N/A	08
9	Abnormal gait	N/A	09
10	Limbs deformity	N/A	10
11	"Present of vision aid (eg:Spectacles) "	N/A	11
12	Skin lesion	N/A	12
13	Others	N/A	13

Link ID	7.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Hands and Arms:
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.2.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Finger Clubbing	N/A	01
2	Koilonychia	N/A	02
3	Leuchonychia	N/A	03
4	Palmar erythema	N/A	04
5	Dupuytren’s contracture	N/A	05
6	Cyanosis	N/A	06
7	Tremors	N/A	07
8	Bruising	N/A	08
9	Muscle wasting	N/A	09
10	Bruising	N/A	10
11	Splinter Haemorrhage,	N/A	11
12	Osler’s Node	N/A	12
13	Janeway Lesion	N/A	13
14	Onycholysis	N/A	14
15	Skin Lesions	N/A	15
16	Joint deformity	N/A	16
17	Bony deformity	N/A	17
18	Others	N/A	18

Link ID	7.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Head
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.3.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Frontal bossing	N/A	00
2	Microcephaly	N/A	01
3	Macrocephaly	N/A	02
4	Psoriatic plaque	N/A	03
5	Alopecia	N/A	04
6	Scaly patches	N/A	05
7	Bleeding	N/A	06
8	Discharges	N/A	07
9	Fleas	N/A	08
10	Others	N/A	09

Link ID	7.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neck
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.4.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Lymphadenopathy	N/A	00
2	Neck lump	N/A	01
3	Trachea deviation	N/A	02
4	Skin lesion	N/A	03
5	Others	N/A	04

Link ID	7.5
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Face
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.5.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Wide nasal bridge	N/A	01
2	Facial asymmetry	N/A	02
3	Malar rash	N/A	03
4	Maxillary hyperplasia	N/A	04
5	Moon face	N/A	05
6	Increase of facial hair	N/A	06
7	Cleft lips	N/A	07
8	Swelling	N/A	08
9	Others	N/A	09

Link ID	7.6
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Mouth
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.6.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Lips
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Angular	N/A	00
2	Stomatitis	N/A	01
3	Ulceritis	N/A	02
4	Pigmentation	N/A	03
5	Others	N/A	04

Link ID	7.6.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Gums
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Gingivitis	N/A	00
2	Hyperthropic gums	N/A	01
3	Ulcer	N/A	02
4	Others	N/A	03

Link ID	7.6.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Tongue
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Atrophic glossitis Thrush	N/A	00
2	Macroglossia	N/A	01
3	Cyanosis	N/A	02
4	Leukoplakia	N/A	03
5	Others	N/A	04

Link ID	7.7
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Ears, Nose and Throat
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.7.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Ears
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Bleeding	N/A	00
2	Discharges	N/A	01
3	Impacted earwax Perforated tympanic	N/A	02
4	membrane	N/A	03
5	Microtia	N/A	04
6	Low set ears	N/A	05
7	Foreign body	N/A	06
8	Others	N/A	07

Link ID	7.7.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Nose
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Epistaxis	N/A	00
2	Discharges	N/A	01
3	Deviated nasal septum	N/A	02
4	Turbinate hypertrophy	N/A	03
5	Foreign body	N/A	04
6	Others	N/A	05

Link ID	7.7.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Throat
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Injected tonsil	N/A	00
2	Hyperthropic tonsil	N/A	01
3	Deviated uvula	N/A	02
4	White plaque	N/A	03
5	Others	N/A	04

Link ID	7.8
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Eyes
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.8.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, General
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Discharge	N/A	00
2	Squint	N/A	01
3	Xanthelasma	N/A	02
4	Ptosis	N/A	03
5	Periorbital edema	N/A	04
6	Exopthalmos	N/A	05
7	Lump	N/A	06
8	Pterygium	N/A	07
9	Ectropion/ Entropion	N/A	08
10	Dry eyes	N/A	09
11	Foreign Bodies	N/A	10
12	Others	N/A	11

Link ID	7.8.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Conjuctiva
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Pallor	N/A	00
2	Injected Conjunctival	N/A	01
3	Hemorrhage	N/A	02
4	Others	N/A	03

Link ID	7.8.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Sclera
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Jaundice	N/A	00
2	Blue Sclera(Osteogenesis Imperfecta)	N/A	01
3	Iritis	N/A	02
4	Hemorrhage	N/A	03
5	Others	N/A	04

Link ID	7.8.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Cornea:
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Arcus	N/A	00
2	Kaiser Fleischer’s ring (Wilson Disease)	N/A	01
3	Others	N/A	02

Link ID	7.9
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Fundoscopy
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.9.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, General
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Absence of red reflex	N/A	00
2	Others	N/A	01

Link ID	7.9.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Open Disc
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Swollen	N/A	00
2	Pale	N/A	01
3	Cup-Disc Ratio > 0.5	N/A	02
4	Others	N/A	03

Link ID	7.9.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Retina
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Arteriolar narrowing	N/A	00
2	Arteriovenous nicking	N/A	01
3	Cotton-wool spots	N/A	02
4	Exudates	N/A	03
5	Hemorrhages	N/A	04
6	Others	N/A	05

Link ID	7.9.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal, Macula
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Exudates	N/A	00
2	Pigmented	N/A	01
3	Others	N/A	02

Link ID	7.10
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Ishihara chart
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.11.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Snellen Eye Chart Right eye With lens
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	6/60	N/A	00
2	6/36	N/A	01
3	6/24	N/A	02
4	6/18	N/A	03
5	6/12	N/A	04
6	6/9	N/A	05
7	6/6	N/A	06

Link ID	7.11.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Snellen Eye Chart Right eye Without lens
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	6/60	N/A	00
2	6/36	N/A	01
3	6/24	N/A	02
4	6/18	N/A	03
5	6/12	N/A	04
6	6/9	N/A	05
7	6/6	N/A	06

Link ID	7.11.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Snellen Eye Chart Left eye With lens
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	6/60	N/A	00
2	6/36	N/A	01
3	6/24	N/A	02
4	6/18	N/A	03
5	6/12	N/A	04
6	6/9	N/A	05
7	6/6	N/A	06

Link ID	7.11.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Snellen Eye Chart Left eye Without lens
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	6/60	N/A	00
2	6/36	N/A	01
3	6/24	N/A	02
4	6/18	N/A	03
5	6/12	N/A	04
6	6/9	N/A	05
7	6/6	N/A	06

Link ID	7.12
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiorespiratory Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.12.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiorespiratory Examination, inspection
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Chest deformities	N/A	00
2	Raised JVP	N/A	01
3	Peripheral edema	N/A	02
4	Scar	N/A	03
5	Spider Naevi	N/A	04

Link ID	7.12.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiorespiratory Examination, palpation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Tracheal Deviation	N/A	00
2	Displaced apex beat	N/A	01

Link ID	7.12.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiorespiratory Examination, percussion
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Chest dullness	N/A	00
2	Hyperresonance	N/A	01

Link ID	7.12.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Cardiorespiratory Examination, auscultation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Reduce air entry	N/A	00
2	Crepitations	N/A	01
3	Rhonchi	N/A	02
4	Systolic Murmur	N/A	03
5	Diastolic Murmur	N/A	04
6	Additional Heart	N/A	05
7	Sound (to specify which side for the each finding ticked)	N/A	06
8	Others	N/A	07

Link ID	7.13
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Abdominal Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.13.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Abdominal Examination, inspection
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Scars	N/A	00
2	Distension	N/A	01
3	Prominent Veins	N/A	02
4	Striae	N/A	03
5	Bruises	N/A	04
6	Pigmentation	N/A	05
7	Visible Peristalsis	N/A	06

Link ID	7.13.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Abdominal Examination, palpation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	code
1	Mass	N/A	00

Link ID	7.13.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Abdominal Examination, percussion
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Shifting dullness	N/A	00

Link ID	7.13.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Abdominal Examination, auscultation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Bowel Sound	N/A	01
2	Bruits	N/A	02

Link ID	7.13.4.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Bowel Sound
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Reduce
2	Absence
3	Hyperactive

Link ID	7.14
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Breast Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.14.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Breast Examination, inspection
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Obvious masses	N/A	00
2	Scars	N/A	01
3	Asymmetry	N/A	02
4	Erythema	N/A	03
5	Peau d’orange	N/A	04
6	Skin dimpling or retractions	N/A	05
7	Ulceration	N/A	06
8	Nipple discharge	N/A	07
9	Nipple inversion	N/A	08

Link ID	7.15
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Genital Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.15.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal:
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Skin lesion	N/A	00
2	Bleeding	N/A	01
3	Discharges	N/A	02
4	Anal fissure	N/A	03
5	Anal fistula	N/A	04
6	External hemorrhoid	N/A	05
7	Uterovaginal Prolapsed (Female)	N/A	06
8	Rectal Prolapsed	N/A	07
9	Stools	N/A	08
10	Melena	N/A	09
11	Hematochezia	N/A	10
12	Mass	N/A	11
13	Enlarged Prostate	N/A	12
14	Others	N/A	13

Link ID	7.16
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Musculoskeletal Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.16.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	If Abnormal:
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Muscle wasting	N/A	00
2	Swelling	N/A	01
3	Skin changes	N/A	02
4	Scars	N/A	03
5	Deformities	N/A	04
6	Limited range of movement	N/A	05
7	Others	N/A	06

Link ID	7.17
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Normal	N/A	00
2	Abnormal	N/A	01

Link ID	7.17.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination, motor
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Right Upper Limb	N/A	00
2	Left Upper Limb	N/A	01
3	Right Lower Limb	N/A	02
4	Left Lower Limb	N/A	03

Link ID	7.17.1.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	muscle tone
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Hypertonia	N/A	01
2	Hypotonia	N/A	02

Link ID	7.17.1.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	muscle power
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	0	N/A	00
2	1	N/A	01
3	2	N/A	02
4	3	N/A	03
5	4	N/A	04
6	5	N/A	05

Link ID	7.17.2
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination, reflexes
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Right Upper Limb	N/A	00
2	Left Upper Limb	N/A	01
3	Right Lower Limb	N/A	02
4	Left Lower Limb	N/A	03

Link ID	7.17.2.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination, hyperreflex/hyporeflex
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Hyperreflex	N/A	00
2	Hyporeflex	N/A	01

Link ID	7.17.3
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination, babinski
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Present	N/A	00
2	Absent	N/A	01

Link ID	7.17.4
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Neurological Examination, sensation
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Loss of light touchsensation	N/A	00
2	Loss of pain sensation	N/A	01
3	Loss of temperature sensation	N/A	02
4	Loss of proprioception	N/A	03

Link ID	9.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Normal Healthy individual
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Yes	N/A	00
2	No	N/A	01
3	At risk	N/A	02

Link ID	10.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	General management
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	Dietary advice	N/A	01
2	Smoking cessation	N/A	02
3	Physiotherapy	N/A	03
4	Physical activity advice	N/A	04
5	Alcohol cessation	N/A	05
6	Referral	N/A	06

Link ID	10.3.1
Item URL	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core
Item Text	Any medication prescribed
Item type	Choice
Answer Code System	http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core

Seq. No	NHSI Display	Code System Display	Code
1	T. AMLODIPINE 5MG	N/A	01
2	T. AMLODIPINE 10MG	N/A	02
3	T. FELODIPINE 5MG	N/A	03
4	T. FELODIPINE 10MG	N/A	04
5	T. PERINDOPRIL 4MG	N/A	05
6	T. METOPROLOL 50MG	N/A	06
7	T. METOPROLOL 100MG	N/A	07
8	T. LOSARTAN 50MG	N/A	08
9	T. LOSARTAN 100MG	N/A	09
10	T. ATENOLOL 50MG	N/A	10
11	T. ATENOLOL 100MG	N/A	11
12	T. LABETOLOL 100MG	N/A	12
13	T. PRAZOSIN 1MG	N/A	13
14	T. PRAZOSIN 2MG	N/A	14
15	T. PRAZOSIN 5MG	N/A	15
16	T. HYDROCHLOROTHIAZIDE 25MG	N/A	16
17	T. PROPANOLOL 40MG	N/A	17
18	T. METHYLDOPA 250MG	N/A	18
19	T. ENALAPRIL 5MG	N/A	19
20	T. ENALAPRIL 10MG	N/A	20
21	T. ENALAPRIL 20MG	N/A	21
22	T. METFORMIN 500MG	N/A	22
23	T. METFORMIN HYDROCHLORIDE EXTENDED 500MG	N/A	23
24	T. GLICAZIDE 30MG	N/A	24
25	T. GLICAZIDE 60MG	N/A	25
26	T. GLICAZIDE 80MG	N/A	26
27	T. ACETYLSALICYLIC ACID 100MG	N/A	27
28	T. ACETYLSALICYLIC ACID 300MG	N/A	28
29	T. COLCHICINE 0.5MG	N/A	29
30	T. ALLOPURINOL 300MG	N/A	30
31	T. THYROXINE 100MG	N/A	31
32	T. CARBIMAZOLE 5MG	N/A	32
33	T. FRUSEMIDE 40MG	N/A	33
34	T. POTASSIUM 600MG	N/A	34
35	T. ATROVASTATIN 20MG	N/A	35
36	T. SIMVASTATIN 10MG	N/A	36
37	T. SIMVASTATIN 40MG	N/A	37
38	T. WARFARIN 1MG	N/A	38
39	T. WARFARIN 2MG	N/A	39
40	T. WARFARIN 5MG	N/A	40
41	T. OMEPRAZOLE 20MG	N/A	41
42	T. RANITIDINE 150MG	N/A	42
43	T. BENZHEXOL 2MG	N/A	43
44	T. NEUROBION	N/A	44
45	T. ZINCOFER	N/A	45

Template And Sample Data

Download Questionnaire Template JSON

Command 'json' could not render: File was not found for example-NHSI-Q

Download QuestionnaireResponse Sample JSON

{
    "resourceType": "QuestionnaireResponse",
    "id": "MYSJ-123",
    "meta": {
        "source": "http://peka40.moh.gov.my",
        "profile":  [
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
        ]
    },
    "extension":  [
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core",
            "valueReference": {
                "reference": "Organization/PH"
            }
        }
    ],
    "identifier": {
        "value": "MYSJ-123"
    },
    "questionnaire": "https://fhir.hie.moh.gov.my/baseR4/Questionnaire/nhsi-my-core",
    "status": "completed",
    "subject": {
        "reference": "Patient/example-NHSI-patient"
    },
    "authored": "2022-11-16T04:40:46.883Z",
    "author": {
        "text": "Dr Susan"
    },
    "item":  [
        {
            "linkId": "1",
            "text": "User Demographic",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "Name",
                    "answer":  [
                        {
                            "valueString": "Test"
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "MySejahtera ID",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Contact Number",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "Type of Identification",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Ic Numbers"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "IC Number/Passport",
                    "answer":  [
                        {
                            "valueString": "92100514552"
                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Gender",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://hl7.org/fhir/administrative-gender",
                                "code": "male",
                                "display": "Male"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.7",
                    "text": "Nationality",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "1.8",
                    "text": "Address",
                    "answer":  [
                        {
                            "valueString": "LOT 1655-10B, JALAN SAUJANA KAMPUNG SUNGAI RAMAL DALAM"
                        }
                    ]
                },
                {
                    "linkId": "1.9",
                    "text": "Occupation",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Professional"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.10",
                    "text": "Ethnicity",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Malay"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.11",
                    "text": "Special Category of Population",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "00",
                                "display": "Not Applicable"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.12",
                    "text": "Industry",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Advertising & Market Research"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.13",
                    "text": "Comorbidities Present",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "73211009",
                                "display": "Diabetes Mellitus"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1.14",
                    "text": "Last Screening Date",
                    "item":  [
                        {
                            "linkId": "1.14.1",
                            "text": "Has the patient performed health screening before?",
                            "answer":  [
                                {
                                    "valueBoolean": true
                                }
                            ]
                        },
                        {
                            "linkId": "1.14.2",
                            "text": "If Yes:",
                            "answer":  [
                                {
                                    "valueDate": "2022-11-16"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "2",
            "text": "Assessments",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Does the patient have any family history?",
                    "answer":  [
                        {
                            "valueBoolean": true,
                            "item":  [
                                {
                                    "linkId": "2.1.1",
                                    "text": "If yes:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "38341003",
                                                "display": "Hypertension"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "73211009",
                                                "display": "Diabetes Mellitus"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "13644009",
                                                "display": "Hypercholesterolemia"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "2.2",
                    "text": "Does the patient have any medical history?",
                    "answer":  [
                        {
                            "valueBoolean": true,
                            "item":  [
                                {
                                    "linkId": "2.2.1",
                                    "text": "If yes:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "13644009",
                                                "display": "Hypercholesterolemia"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "73211009",
                                                "display": "Diabetes Mellitus"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "system": "http://snomed.info/sct",
                                                "code": "56265001",
                                                "display": "Coronary Heart Disease"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "3",
            "text": "Mental Health Assessments",
            "item":  [
                {
                    "linkId": "3.1",
                    "text": "In the past 2 weeks, how often does this patient:",
                    "item":  [
                        {
                            "linkId": "3.1.1",
                            "text": "Felt Down, depressed or hopeless",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "Several Days"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.2",
                            "text": "Little interest to do things",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "Several Days"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.3",
                            "text": "Trouble falling asleep/staying asleep or sleeping too much",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "> 7 days"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.4",
                            "text": "Felt tired or having little energy",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "Several Days"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.5",
                            "text": "Had poor appetite or over eating",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "00",
                                        "display": "Not At All"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.6",
                            "text": "Felt bad about himself/herself, felt like a failure or he/she has let his/her family down",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "03",
                                        "display": "Almost everyday"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.7",
                            "text": "Trouble concentrating (e.g. watching television or reading newspaper)",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "00",
                                        "display": "Not At All"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.8",
                            "text": "Moved slowly or fidgeted excessively that is noticeable by people around him/her",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "00",
                                        "display": "Not At All"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.9",
                            "text": "Had thoughts that he/she would be better dead, or hurting yourself",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "Several Days"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.1.10",
                            "text": "Total Mental Health Test Score",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "5-9 : Mild Depression"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "3.2",
                    "text": "In the last 2 weeks, indicate how difficult these problems made it for this patient",
                    "item":  [
                        {
                            "linkId": "3.2.1",
                            "text": "Do your work, take care of things at home, or get along with others",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "Very difficult"
                                    }
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "4",
            "text": "Lifestyle Health Assessment",
            "item":  [
                {
                    "linkId": "4.1",
                    "text": "Alcohol consumption",
                    "item":  [
                        {
                            "linkId": "4.1.1",
                            "text": "How often do you consume alcohol?",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "00",
                                        "display": "Never"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "4.1.2",
                            "text": "How many alcoholic beverages do you consume in a day?",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "5-6"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "4.1.3",
                            "text": "How often within the last year,",
                            "item":  [
                                {
                                    "linkId": "4.1.3.1",
                                    "text": "Do you consume 6 or more drink in a day?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Once a month"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.1.3.2",
                                    "text": "Were you not able to stop drinking once started?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Once a month"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.1.3.3",
                                    "text": "Were you not able to perform normal activities due to drinking?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "03",
                                                "display": "Weekly"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.1.3.4",
                                    "text": "You needed to drink first thing in the morning to get going after a heavy drinking session?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Once a month"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.1.3.5",
                                    "text": "That you felt guilt or remorse after drinking?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "< Once a month"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.1.3.6",
                                    "text": "Were you unable to remember what happened the night before due to drinking?",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Once a month"
                                            }
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "linkId": "4.1.4",
                            "text": "Have you or someone else been injured because of your drinking?",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "Yes, during last year"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "4.1.5",
                            "text": "Has a relative, friend, doctor, been concerned about your drinking habits?",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "00",
                                        "display": "No"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "4.1.6",
                            "text": "Total Alcohol Consumption Test Score",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "8-12 Moderate Risk"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4.2",
                    "text": "Smoking Status",
                    "item":  [
                        {
                            "linkId": "4.2.1",
                            "text": "Does the patient smoke?",
                            "answer":  [
                                {
                                    "valueBoolean": true
                                }
                            ]
                        },
                        {
                            "linkId": "4.2.2",
                            "text": "Cigarettes per Day",
                            "answer":  [
                                {
                                    "valueInteger": 1
                                }
                            ]
                        },
                        {
                            "linkId": "4.2.3",
                            "text": "Years of Smoking",
                            "answer":  [
                                {
                                    "valueInteger": 12
                                }
                            ]
                        },
                        {
                            "linkId": "4.2.4",
                            "text": "Total pack-years",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 1
                                    }
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "5",
            "text": "Clinical Parameters",
            "item":  [
                {
                    "linkId": "5.1",
                    "text": "Anthropometry: Height",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 168,
                                "unit": "cm"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.2",
                    "text": "Anthropometry: Weight",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 58,
                                "unit": "kg"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.3",
                    "text": "Anthropometry: Waistline",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 30,
                                "unit": "cm"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.4",
                    "text": "BMI calculation",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 30,
                                "unit": "kg/m2"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.5",
                    "text": "BMI Outcome",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Overweight (25-29.9)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.6",
                    "text": "Vital Signs: Blood Pressure (systolic)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 120,
                                "unit": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.7",
                    "text": "Vital Signs: Blood Pressure (diastolic)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 90,
                                "unit": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.8",
                    "text": "Vital Signs: Pulse Rate",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 80,
                                "unit": "/min"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.9",
                    "text": "Blood Pressure Outcome",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Normal (Systolic <130,Diastolic <85)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.10",
                    "text": "Point of Care Testing: Blood Glucose",
                    "item":  [
                        {
                            "linkId": "5.10.1",
                            "text": "Fasting",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 12,
                                        "unit": "mmol/L"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "5.10.2",
                            "text": "Random",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 12,
                                        "unit": "mmol/L"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "5.10.3",
                            "text": "Blood Glucose Outcome",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "Normal Fasting (<5.6)"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "5.11",
                    "text": "Point of Care Testing: Blood Cholesterol",
                    "item":  [
                        {
                            "linkId": "5.11.1",
                            "text": "Fasting",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 12,
                                        "unit": "mmol/L"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "5.11.2",
                            "text": "Random",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 12,
                                        "unit": "mmol/L"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "5.11.3",
                            "text": "Blood Cholesterol Outcome",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "High >= 5.2 mmol/L"
                                    }
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "6",
            "text": "Advanced Health Screening (Optional)",
            "item":  [
                {
                    "linkId": "6.1",
                    "text": "Cardiovascular",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Ankle Swelling"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Shortness of breath"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.2",
                    "text": "Gastrointestinal",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Nausea and/or vomiting"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Bowel pattern and any changes"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.3",
                    "text": "Genitourinary",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Dysuria"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "04",
                                "display": "Nocturia"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.4",
                    "text": "Locomotor",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Change in mobility"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Joint pain"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.5",
                    "text": "Neurological",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Seizures"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Transient loss of function (vision, speech, sight)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.6",
                    "text": "ENT Symptoms",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Snoring"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Epistaxis"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "04",
                                "display": "Otalgia"
                            }
                        }
                    ]
                },
                {
                    "linkId": "6.7",
                    "text": "Dermatology",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Skin color changes"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Rashes"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "03",
                                "display": "Ulcers"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "7",
            "text": "Advanced Systemic Examination (Optional)",
            "item":  [
                {
                    "linkId": "7430591698512",
                    "text": "General Appearance",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "9491690640065",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Cyanosed"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "9385492769029",
                    "text": "Hands and Arms",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "2706469979386",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "05",
                                                "display": "Dupuytren’s contracture"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "803255584502",
                    "text": "Head",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "2706057387357",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "03",
                                                "display": "Psoriatic plaque"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "5438686906842",
                    "text": "Neck",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "8525967233111",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Trachea Deviation"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "6320853137177",
                    "text": "Face",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "3567829538338",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "06",
                                                "display": "Increase of facial hair"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "2775452197874",
                    "text": "Mouth",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "00",
                                "display": "Normal"
                            },
                            "item":  [
                                {
                                    "linkId": "2293927557638",
                                    "text": "If Abnormal, Lips:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Stomatitis"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4080959756844",
                                    "text": "If Abnormal, Gums:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Gingvitis"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "9937565309207",
                                    "text": "If Abnormal, Tongue:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "04",
                                                "display": "Leukplakia"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "681882410657",
                    "text": "Ears, Nose, Throat",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "1009194092473",
                                    "text": "If Abnormal, Ears:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Bleeding"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "5071830545688",
                                    "text": "If Abnormal, Nose:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Epistaxis"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "1032584307566",
                                    "text": "If Abnormal, Throat:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "03",
                                                "display": "Deviated uvula"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1760871504781",
                    "text": "Eyes",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "2830264276824",
                                    "text": "If Abnormal, General:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Squint"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "9200420167241",
                                    "text": "If Abnormal, Conjunctiva:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Pallor"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "3896132461914",
                                    "text": "If Abnormal, Cornea:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Kaiser Fleischer's ring (Wilson Disease)"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4541398644599",
                    "text": "Fundoscopy",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "00",
                                "display": "Normal"
                            },
                            "item":  [
                                {
                                    "linkId": "4508425091768",
                                    "text": "If Abnormal, General:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Others"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "3275429148998",
                                    "text": "If Abnormal, Optic Disc",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Swollen"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "87716190119",
                                    "text": "If Abnormal, Retina:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Arteriovenous nicking"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "1106310017866",
                                    "text": "If Abnormal, Macula:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Exudates"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "7802596122190",
                    "text": "Ishihara Chart:",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Abnormal"
                            }
                        }
                    ]
                },
                {
                    "linkId": "1772552914755",
                    "text": "Snellen Eye Chart Score",
                    "item":  [
                        {
                            "linkId": "5634044053426",
                            "text": "Snellen Eye Chart Right eye With Lens",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "6/60"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "6868904614360",
                            "text": "Snellen Eye Chart Right eye Without Lens",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "6/36"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "9535262095025",
                            "text": "Snellen Eye Chart Left eye With Lens",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "6/36"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3784286555747",
                            "text": "Snellen Eye Chart Left eye Without Lens",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "6/36"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4357973483106",
                    "text": "Cardiorespiratory Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "3684125820499",
                                    "text": "Cardiorespiratory Examination, inspection:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "03",
                                                "display": "Peripheral edema"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "1021145880907",
                                    "text": "Cardiorespiratory Examination, palpation:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Tracheal Deviation"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "5331561684920",
                                    "text": "Cardiorespiratory Examination, percussion:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Chest dullness"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "9727586284871",
                                    "text": "Cardiorespiratory Examination, auscultation",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Crepitations"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "3445180818234",
                    "text": "Abdominal Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "1295584939146",
                                    "text": "Abdominal Examination, inspection:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "03",
                                                "display": "Prominent viens"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "6163894014798",
                                    "text": "Abdominal Examination, palpation",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Mass"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "450925187844",
                                    "text": "Abdominal Examination, percussion:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Shufting dullness"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "9695659964510",
                                    "text": "Abdominal Examination, auscultation:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Bruits"
                                            },
                                            "item":  [
                                                {
                                                    "linkId": "3097284117717",
                                                    "text": "Bowel Sound",
                                                    "answer":  [
                                                        {
                                                            "valueCoding": {
                                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                                "code": "02",
                                                                "display": "Absence"
                                                            }
                                                        }
                                                    ]
                                                }
                                            ]
                                        }
                                    ]
                                },
                                {
                                    "linkId": "896081526011",
                                    "text": "Abdominal Examination, other",
                                    "answer":  [
                                        {
                                            "valueString": "free text"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "8660013226797",
                    "text": "Breast Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "2152650190448",
                                    "text": "Breast Examination, inspection:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Scars"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "5834188726294",
                                    "text": "Breast Examination, palpation",
                                    "item":  [
                                        {
                                            "linkId": "7571418373717",
                                            "text": "Lump",
                                            "answer":  [
                                                {
                                                    "valueBoolean": true,
                                                    "item":  [
                                                        {
                                                            "linkId": "8412518064517",
                                                            "text": "To state position, size, shape, consistency, overlying skin changes and mobility",
                                                            "answer":  [
                                                                {
                                                                    "valueString": "free text"
                                                                }
                                                            ]
                                                        }
                                                    ]
                                                }
                                            ]
                                        },
                                        {
                                            "linkId": "7708835727325",
                                            "text": "Breast Examination, tenderness",
                                            "answer":  [
                                                {
                                                    "valueBoolean": true
                                                }
                                            ]
                                        }
                                    ]
                                },
                                {
                                    "linkId": "7928508760431",
                                    "text": "Breast Examination, lymph node",
                                    "answer":  [
                                        {
                                            "valueBoolean": true,
                                            "item":  [
                                                {
                                                    "linkId": "5584007098886",
                                                    "text": "If yes, state location",
                                                    "answer":  [
                                                        {
                                                            "valueString": "free text"
                                                        }
                                                    ]
                                                }
                                            ]
                                        }
                                    ]
                                },
                                {
                                    "linkId": "7966899757129",
                                    "text": "Breast Examination, other",
                                    "answer":  [
                                        {
                                            "valueString": "free text"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4960397935179",
                    "text": "Genital Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "00",
                                "display": "Normal"
                            },
                            "item":  [
                                {
                                    "linkId": "129761420416",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Skin lesion"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "6294648899702",
                    "text": "Musculoskeletal Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Abnormal"
                            },
                            "item":  [
                                {
                                    "linkId": "6506163486097",
                                    "text": "If Abnormal:",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "code": "01",
                                                "display": "Muscle wasting"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "8529069579767",
                    "text": "Neurological Examination",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "00",
                                "display": "Normal"
                            },
                            "item":  [
                                {
                                    "linkId": "2933999220096",
                                    "text": "Neurological Examination, motor",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "01",
                                                "display": "Right Upper Limb"
                                            },
                                            "item":  [
                                                {
                                                    "linkId": "5139376034252",
                                                    "text": "Neurological Examination, muscle tone",
                                                    "answer":  [
                                                        {
                                                            "valueCoding": {
                                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                                "code": "02",
                                                                "display": "Hypotonia"
                                                            }
                                                        }
                                                    ]
                                                },
                                                {
                                                    "linkId": "2810983082307",
                                                    "text": "Neurological Examination, muscle power",
                                                    "answer":  [
                                                        {
                                                            "valueCoding": {
                                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                                "code": "01",
                                                                "display": "1"
                                                            }
                                                        }
                                                    ]
                                                }
                                            ]
                                        }
                                    ]
                                },
                                {
                                    "linkId": "9525382653281",
                                    "text": "Neurological Examination, reflexes",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Left Upper Limb"
                                            },
                                            "item":  [
                                                {
                                                    "linkId": "1871500398585",
                                                    "text": "Neurological Examination, hyperreflex/hyporeflex",
                                                    "answer":  [
                                                        {
                                                            "valueCoding": {
                                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                                "code": "01",
                                                                "display": "Hyperreflex"
                                                            }
                                                        }
                                                    ]
                                                }
                                            ]
                                        }
                                    ]
                                },
                                {
                                    "linkId": "3739755767869",
                                    "text": "Neurological Examination, babinski",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Absent"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "208277417057",
                                    "text": "Neurological Examination, sensation",
                                    "answer":  [
                                        {
                                            "valueCoding": {
                                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                                "code": "02",
                                                "display": "Loss of pain sensation"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "969352104031",
                                    "text": "Neurological Examination, other",
                                    "answer":  [
                                        {
                                            "valueString": "asd"
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "8",
            "text": "Further Investigations",
            "item":  [
                {
                    "linkId": "8.1",
                    "text": "Urine dipstick",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "8.2",
                    "text": "Urine FEME",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "8.3",
                    "text": "ECG",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "8.4",
                    "text": "Haemoglobin",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "9",
            "text": "Diagnosis",
            "item":  [
                {
                    "linkId": "9.1",
                    "text": "Normal Healthy individual?",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "At risk"
                            }
                        }
                    ]
                },
                {
                    "linkId": "9.2",
                    "text": "Diagnosis",
                    "item":  [
                        {
                            "linkId": "9.2.1",
                            "text": "Display",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        },
                        {
                            "linkId": "9.2.2",
                            "text": "Code",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        },
                        {
                            "linkId": "9.2.3",
                            "text": "Code System",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "9.3",
                    "text": "Provisional diagnosis",
                    "item":  [
                        {
                            "linkId": "9.3.1",
                            "text": "Display",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        },
                        {
                            "linkId": "9.3.2",
                            "text": "Code",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        },
                        {
                            "linkId": "9.3.3",
                            "text": "Code System",
                            "answer":  [
                                {
                                    "valueString": "123"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "10",
            "text": "Management",
            "item":  [
                {
                    "linkId": "10.1",
                    "text": "General management",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "02",
                                "display": "Smoking cessation"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "01",
                                "display": "Dietary advice"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                "code": "04",
                                "display": "Physical activity advice"
                            }
                        }
                    ]
                },
                {
                    "linkId": "10.2",
                    "text": "Doctor’s notes",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "10.3",
                    "text": "Prescription",
                    "item":  [
                        {
                            "linkId": "10.3.1",
                            "text": "Any medication prescribed?",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "03",
                                        "display": "T. FELODIPINE 5MG"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "02",
                                        "display": "T. AMLODIPINE 10MG"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
                                        "code": "01",
                                        "display": "T. AMLODIPINE 5MG"
                                    }
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "11",
            "text": "Verified by",
            "item":  [
                {
                    "linkId": "11.1",
                    "text": "Officer incharge",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                },
                {
                    "linkId": "11.2",
                    "text": "Registration Number/ IC number",
                    "answer":  [
                        {
                            "valueString": "123"
                        }
                    ]
                }
            ]
        }
    ]
}

Download Patient Sample JSON

{
    "resourceType": "Patient",
    "id": "example-NHSI-patient",
    "meta": {
        "versionId": "2",
        "lastUpdated": "2023-01-11T06:13:55.147+08:00",
        "source": "http://peka40.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/Patient-my-core"
        ]
    },
    "extension":  [
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/education-level-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/education-level-my-core",
                        "code": "4",
                        "display": "tertiary"
                    }
                ]
            }
        },
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/religion-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/religion-my-core",
                        "code": "1",
                        "display": "Islam"
                    }
                ]
            }
        },
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/ethnic-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/ethnic-code-my-core",
                        "code": "01",
                        "display": "Melayu"
                    }
                ]
            }
        }
    ],
    "identifier":  [
        {
            "system": "http://fhir.hie.moh.gov.my/sid/my-kad-no",
            "value": "921005146671"
        }
    ],
    "active": true,
    "name":  [
        {
            "extension":  [
                {
                    "url": "http://fhir.hie.moh.gov.my/StructureDefinition/person-title-my-core",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/person-title-my-core",
                                "code": "L001",
                                "display": "Encik"
                            }
                        ]
                    }
                }
            ],
            "given":  [
                "NAMA"
            ]
        }
    ],
    "telecom":  [
        {
            "system": "phone",
            "value": "014454120318",
            "use": "mobile"
        },
        {
            "system": "email",
            "value": "hieperson@gmail.com",
            "use": "home"
        }
    ],
    "gender": "male",
    "birthDate": "1992-10-05",
    "deceasedBoolean": false,
    "address":  [
        {
            "extension":  [
                {
                    "url": "http://fhir.hie.moh.gov.my/StructureDefinition/address-district-my-core",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/district-my-core",
                                "code": "0505"
                            }
                        ]
                    }
                },
                {
                    "url": "http://fhir.hie.moh.gov.my/StructureDefinition/address-state-my-core",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/state-my-core",
                                "code": "05"
                            }
                        ]
                    }
                }
            ],
            "use": "home",
            "line":  [
                "No. 1, Jalan Bangsar 7/3"
            ],
            "city": "Laman Pelangi",
            "postalCode": "02196",
            "country": "MYS"
        }
    ],
    "maritalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                "code": "M",
                "display": "Married"
            }
        ]
    },
    "contact":  [
        {
            "relationship":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                            "code": "C",
                            "display": "Contact person"
                        }
                    ]
                }
            ],
            "name": {
                "use": "usual",
                "text": "Fatimah Azzahra Binti Saalam"
            },
            "telecom":  [
                {
                    "system": "phone",
                    "value": "01527893031",
                    "use": "mobile"
                }
            ]
        }
    ],
    "managingOrganization": {
        "reference": "Organization/PH"
    }
}

Download Excel Data Set Requirement

Download Organization JSON

{
    "resourceType": "Organization",
    "id": "example-Organization",
    "meta": {
        "versionId": "4",
        "lastUpdated": "2022-10-15T04:29:04.551+08:00",
        "source": "http://provider.hie.moh.gov.my#IiWczSvNeRunbwmI",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/Organization-my-core"
        ],
        "tag":  [
            {
                "system": "https://smilecdr.com/fhir/NamingSystem/tags",
                "code": "validation_failed_with_warning",
                "display": "Validation Failed with Warning"
            }
        ]
    },
    "extension":  [
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/organization-category-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/organization-category-my-core",
                        "code": "MNS",
                        "display": "Minor Specialist Hospital (Kkm)"
                    }
                ]
            }
        },
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/organization-category-public-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/organization-category-my-core",
                        "code": "STH",
                        "display": "Hospital"
                    }
                ]
            }
        },
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/cluster-facility-my-core",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/cluster-facility-my-core",
                        "code": "1",
                        "display": "Non Lead"
                    }
                ]
            }
        },
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/system-tenant-my-core",
            "valueBoolean": false
        }
    ],
    "identifier":  [
        {
            "system": "http://fhir.hie.moh.gov.my/sid/organization-id",
            "value": "11-05040012"
        }
    ],
    "active": true,
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/organization-type-my-core",
                    "code": "1",
                    "display": "Government (KKM)"
                }
            ]
        }
    ],
    "name": "Hospital Port Dickson",
    "alias":  [
        "Hosp. Port Dickson"
    ],
    "telecom":  [
        {
            "system": "phone",
            "value": "06-6626333"
        },
        {
            "system": "fax",
            "value": "06-6625003"
        },
        {
            "system": "email",
            "value": "hpd@moh.gov.my"
        }
    ],
    "address":  [
        {
            "extension":  [
                {
                    "url": "http://fhir.hie.moh.gov.my/StructureDefinition/address-state-my-core",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/state-my-core",
                                "code": "05",
                                "display": "Negeri Sembilan"
                            }
                        ]
                    }
                },
                {
                    "url": "http://fhir.hie.moh.gov.my/StructureDefinition/address-district-my-core",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://fhir.hie.moh.gov.my/CodeSystem/district-my-core",
                                "code": "0503",
                                "display": "Port Dickson"
                            }
                        ]
                    }
                }
            ],
            "use": "work",
            "type": "physical",
            "line":  [
                "KM 11, Jalan Pantai, Sirusa"
            ],
            "city": "Port Dickson",
            "district": "Port Dickson",
            "state": "Negeri Sembilan",
            "postalCode": "71050",
            "country": "MYS"
        }
    ],
    "partOf": {
        "reference": "Organization/11-05060009"
    },
    "contact":  [
        {
            "name": {
                "text": "Dr. Hjh Zuraini Bt Zainal"
            },
            "telecom":  [
                {
                    "system": "phone",
                    "value": "06-6626333"
                }
            ]
        }
    ]
}