The Ministry of Health Malaysia (MOH) is the national authority overseeing healthcare service delivery across public hospitals, health clinics, and digital infrastructure. The HIE initiative is part of MOH’s broader digital health transformation strategy, aiming to unify patient data across facilities, improve continuity of care, and support analytics-driven healthcare delivery.

Overview:
MHNexus was awarded the contract to design, develop, deploy, and operate a FHIR-based Health Information Exchange (HIE) platform for public hospitals and clinics in Negeri Sembilan, with extensibility for nationwide rollout. The HIE connects diverse health information systems through secure APIs and interoperable data models, enabling real-time exchange of clinical and administrative records.

Problem:
Prior to HIE, Malaysia’s public healthcare facilities operated in silos, with no real-time visibility of patient history across institutions. This fragmented data environment impeded care continuity, referrals, and longitudinal analytics, leading to inefficiencies, patient safety risks, and suboptimal treatment decisions.

Solution:
MHNexus implemented a modular, FHIR-based HIE ecosystem, aligned with HL7 and MyHDW standards, featuring:

• HIE Core Platform: A secure, cloud-native data fabric network based on Smile CDR with FHIR APIs and clustered deployment on MAMPU Cloud.
• Provider Portal: Used by clinicians for patient data access, referral handling, and clinical documentation.
• Patient Portal with Mobile App: Enables patients to request services, view their records, manage appointments, and track treatment outcomes.
• Management Portal: Dashboards and analytics for public health administrators and policymakers.
• API Gateway & Integration Services: Standardized connectivity to EMR systems (PHiS-Pharmacy Information System, BBISv2-Blood Bank Information System, TPC-OCHIS-Tele Primary Care, Oral Care Information System, RIS-Radiology Information System, GEPACS-General Electric Picture Archiving and Communication System, LIS-Laboratory Information System & SMRP-Patient Record Information System), and integration with Malaysian Health Data Warehouse (MyHDW) for national-level health data warehousing.

Use cases include:

• Discharge summaries, referral handling, order/result sharing
• Real-time care coordination across facilities
• Patient consent and safety/legal document exchange
• Mobile access to personal health summaries
• Cross-border data portability using International Patient Summary (IPS) guidelines

Outcome:

• Successfully deployed for multi-facility integration in Negeri Sembilan, with real-time FHIR-based data exchange across hospitals and clinics.
• Enabled continuity of care, seamless care coordination, and enhanced patient engagement.
• Positioned MOH for cross-border healthcare interoperability using IPS (International Patient Summary).

Integrated with key national systems such as PhIS-Pharmacy Information System, BBISv2-Blood Bank Information System and MPIS-Medical Program Information System.