Immunization Record
Patient Immunization history is recorded using Immunization (MY Core) record.
If a Immunization is planned and shared with HIE, it will be stored as ImmunizationRecommendation (MY Core)
Click MY Core postman API link to view common API used in HIE.
[base] = address url e.g. "https://fhir.hie.moh.gov.my/baseR4/" [type] = resource type e.g. "Patient | Encounter | Compostion" @recordId = unique record id defined from source system e.g. "immunization-sample" | "immunizationrecommendation-sample" @patientIdentifier = patient identifier such as mykad number or MRN e.g "HIE-00000003"
| Sample Description | Sample Body | API Method | API |
|---|---|---|---|
| Create/Update Immunization record |
1.Immunization, |
PUT | [base]/Immunization/@patientId |
| Retrieve record with id | - | GET | [base]/[type]/@recordId |
| Retrieve Immunization record with patient identifier | - | GET | [base]/Immunization?patient.identifier=@patientIdentifier |
| Retrieve ImmunizationRecommendation record with patient identifier | - | GET | [base]/ImmunizationRecommendati?patient.identifier=@patientIdentifier |
Vaccine terminology
Vaccine code can be access at ValueSetVaccineCode (MY Core).
- The CodeSystem is adopted from PhIS drug master list.
ImmunizationRecommendation & Immunization Relationship
Immunization record can exist independantly without an ImmunizationRecommendation.
If a planned vaccine has been administered which was initially stored as ImmunizationRecommendation. The Immunization record must be referenced in the ImmunizationRecommendation record as ImmunizationRecommendation.supportingImmunization.reference.
Immunization must be referenced by a matching ImmunizationRecommended based on the Vaccine code under Immunization.vaccineCode.coding.code for Immunization and ImmunizationRecommendation.recommendedation.vaccineCode.coding.code for ImmunizationRecommendation
Although it is possible for a single ImmunizationRecommendation to have multiple vaccine recommended in the base FHIR. HIE current design flow is only able to recommend one vaccine per ImmunizationRecommendation when a user records an entry using RekodPesakit in view of implementation complexity.