Introduction:
According to Malaysia National Health and Morbidity Survey (NHMS), one out of five adults or 3.9 million people aged 18 and above in Malaysia suffer from diabetes; three out of 10 or 6.4 million people have high blood pressure; and four out of 10 people or eight million people suffer from high cholesterol.
Background:
The National Health Screening Initiative (NHSI) is one of many initiative employed by Malaysia's Ministry of Health (MOH) to detect, prevent and alleviate the rising cases of non-communicable diseases (NCD). Health screening is considered to be an effective public health awareness program as the ministry acknowledge behavioural science to be one of best strategy employed that helped mitigate the pandemic Covid-19 outbreak crisis.
Scope:
The project aims for nationwide rollout involving both peninsula and east Malaysia with KKM collaborating with PHCorp, MH Nexus, MySejahtera and PERKESO via usage of healthcare system such as MySejahtera, BP Health and Health Information Exchange (HIE) to exchanging information. This is made available by utilising and harnessing the built in international FHIR standard inside HIE system. The FHIR standard will be the bridge that allows exchange and sharing information collected by each respective system possible, ensuring a more holistic outcome benifitting both stakeholders and the public as a whole in Malaysia.
Goals:
NHSI aims to provide 1.5 million people above the age of 40 who never had health screenings with free health screenings, including faecal occult blood stool testing (FOCB) for colorectal cancer and breast cancer screening at public and private clinics.
| Project | Version |
|---|---|
| National Health Screening Initiative (NHSI) | 2.1.0 |
FHIR Artifact
Resources
Resources will be based on stages of requirement from NHSI.
Profiles
Profiles will be based on stages of requirement from NHSI.
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 |
Integration Stages
These are the agreed integration record for this use case requirement.
| No | Resource | Stage |
|---|---|---|
| 1 | Patient | 1 |
| 2 | Encounter | 1 |
| 3 | Vital Sign Panel | 1 |
| 4 | Anthropometry Sign Panel | 1 |
| 5 | Glucose Panel | 1 |
API
API related to this project. The API will be divided into sending data and retrieving data to HIE.
API breakdown explanation:
E.g. https://hl7.org/FHIR/Patient/12345
- [base]=https://hl7.org/FHIR
- [type]=Patient
- id=12345
For bundle Method, refer FHIR Bundle for detailed explanation.
Sending Data
| No | Context | Method | API |
|---|---|---|---|
| 1 | For single record creation | CREATE | [base]/[type] |
| 2 | For single record update | UPDATE | [base]/[type]/id |
| 3 | For bundle | CREATE | [base] |
Retrieving Data
| No | Context | Method | API |
|---|---|---|---|
| 1 | For single record retrieval | READ | [base]/[type]/id |
| 2 | For MYSJ specific bundle retrieval | READ | [base]/Encounter?subject.identifier=@patientIdentifier&_source=@sourceSystem& _revinclude=Observation:encounter&_include=Encounter:subject&_sort=date |
Sample Data
Refer specific profiles for each respective sample data.
Subject Matter Expert
| Name | Role |
|---|---|
| Person A | Role A |
| Person B | Role B |
Collaboration