FREQUENTLY ASKED QUESTIONS END-USERS

General

Which types of data are
available in Malaffi?

At present the following data can be viewed in Malaffi:
- Patient demographic
- Laboratory results
- Procedures
- Vital signs
- Encounters
- Radiology reports
- Problems and diagnosis
- Immunisations
- Allergies
- Medications
- Diagnostic tests
- Clinical Documents
- Radiology images
- Appointments

Are all healthcare facilities in Abu Dhabi connected to Malaffi?

Yes, all in-scope healthcare facilities in Abu Dhabi are now connected to Malaffi. Data sets are captured in phases, with ongoing expansion each year. Please note that not all data sets may be immediately available due to this phased approach. Currently available data sets include Demographics, Allergies, Problems & Diagnoses, Encounters, Procedures, Medications & Immunisations, Laboratory Results, Radiology reports & Images, Vital Signs, Appointments, Clinical Documents, Diagnostic tests (ECGs, Spirometry), Genomics Data (Emirate Genome Program participant notification tag), and integration with Riayati – the National Unified Health Record.

The new data sets planned for this year include Family & Social History, additional diagnostics (Ophthalmology, Otolaryngology, Neurology and Mental Health), Inpatient Notes and Inpatient Medications Administration.

Will patient data from all UAE facilities be available in Malaffi?

Malaffi is commissioned with connecting healthcare facilities in the Emirate of Abu Dhabi. Meanwhile, Riayati serves as the HIE for the Northern Emirates, and Nabidh fulfills this role for facilities in Dubai. At the federal level, the Ministry of Health and Prevention has facilitated the exchange of healthcare information across the UAE through Riayati, the National Unified Health Record. This integration allows Malaffi users access to patient information recorded during visits to healthcare facilities in Northern Emirates. Future plans include extending integration to Nabidh.

Are Radiology Images available in Malaffi?

Yes, both radiology reports and images are available in Malaffi. All in scope healthcare facilities are now sharing their radiology images with Malaffi and available through the associated radiology reports. This functionality is available to Primary Provider (L1) users.

What is the Risk Profile View and how is it calculated?

The Patient Risk View uses AI and machine learning algorithms to build predictive risk models. The functionality predicts the risk of a patient developing specific chronic conditions or events, based on medical data available in Malaffi, including Acute and Chronic diagnoses, Encounters, Demographics, Laboratory results and Medications. This functionality is available to Primary Provider (Level 1) Users.

Can information in Malaffi be downloaded as a PDF?

Yes, clinical documents, diagnostics, laboratory and radiology reports can be downloaded and printed from Malaffi. If you encounter issues printing from your facility, please raise this with your technical team.

How can a patient's file be accessed in Malaffi for the first time?

To access a patient’s file in Malaffi for the first time, several steps need to be completed. The patient must initially visit your facility in person and be registered in your Electronic Medical Record (EMR) system. After registration, a notification message is sent to Malaffi to inform the system of the new record. Malaffi will then attempt to match the patient’s EMR record with their Malaffi record. If the records match successfully, the patient’s Malaffi file can be accessed through a link embedded in the EMR system. Ensuring that all demographic details are accurately entered in the EMR is crucial, as incorrect information can hinder record matching and lead to incomplete data access. Efforts are ongoing, in collaboration with the Department of Health (DOH) and providers, to improve the quality of data sent to Malaffi.

Why am I not able to see any or some data for my patients?

If you're unable to see some or all of your patient’s data, it may be due to one of the following reasons:

The specific facility you are querying may not yet be contributing the type of data with Malaffi. For example, if you are looking for discharge summaries from a particular facility, they may not currently be sending clinical documents to Malaffi and could still be in the process of connecting that data type.
The facility’s EMR system might not be configured to share that specific dataset with Malaffi.
Incorrectly entered demographic details in your EMR or any other EMR, could prevent proper matching of the EMR record with the patient’s Malaffi record, resulting in incomplete data access.

In collaboration with the Department of Health (DOH), we are working with providers to address these issues and improve the quality of the data sent to Malaffi.

For any other issues listed above, please contact the IT support of your facility who will investigate why the patient record is not available to you. You may need to note the patient MRN to support the investigation.

What should I do if I experience a technical issue with Malaffi?

If you encounter a technical issue with Malaffi, first contact your organisation’s IT department. They will investigate whether the problem is related to your facility’s IT infrastructure before escalating the issue to the Malaffi IT support desk. This step ensures that any local technical issues are addressed internally before seeking further assistance from Malaffi. If the problem pertains to a specific patient record, be sure to note the patient’s MRN, as it may be needed by the IT support team for troubleshooting.

How do I receive training on Malaffi?

Under DOH policy, all authorised users are required to complete training and refresher courses annually. To schedule your training, please contact your organisation's training coordinator. For additional resources, you can find the Malaffi training materials through the provided links. Malaffi also offers periodic awareness sessions to help users navigate the system more effectively and stay updated with the latest features. These sessions can be arranged by reaching out to your training coordinator or by contacting engagement@malaffi.ae

How does Malaffi protect patient confidentiality?

Protecting patient information is a top priority for both the Department of Health and Malaffi. We adhere to Abu Dhabi Healthcare Information and Cyber Security (ADHICS) standards to ensure privacy and security. Access to patient information in Malaffi is governed by role-based permissions and organisational security protocols set by your IT team, ensuring that users have appropriate access based on their job functions and roles. Only Level 1 users have the authority to 'Break the Privacy Seal' and access all patient data, including sensitive information. Additionally, all user access is continuously monitored and logged.

Do patients have access to Malaffi?

Yes, patients can view their healthcare information through the Malaffi Health Portal. This access is designed to empower patients to take a more active role in managing their health. Plans are underway to replace the current portal with a new DOH app, which will not only maintain the existing information but also introduce new features and details. We will keep the public informed about this transition and provide updates once the new app is launched.

Your feedback, comments, and suggestions are crucial for us to remain a leading HIE globally. We welcome any input you have, as well as any questions, at engagement@malaffi.ae. Stay informed about our latest updates by following us on social media and subscribing to our mailing list

Access & Navigate Malaffi

I can’t see the Malaffi icon or the Malaffi tab in my EMR?

Please speak with your technical support team or reach out to a Malaffi Super User as each EMR is different and the way you access Malaffi is unique to your organisation.

I have clicked on the Malaffi icon/tab and I can see a long document (End User Licence Agreement) and I don’t know what to do. I cannot see my patient information in Malaffi.

If you are authorised to access Malaffi and you agree to the terms of use, please scroll all the way down and select the ‘Accept’ button. You will then be directed to your patient record in Malaffi.

Why do I see ‘No Results Found’ in Malaffi?

If there is no data available to populate any columns in a windowlet from any of the source EMR’s connected to Malaffi, it will display ‘No Results Found’. If you believe the patient is missing some data, remember to check the patient summary tab. Here you will see patient information from your own facility. If you still believe data is missing for the patient, please record the MRN and raise a ticket with your technical support services

What is ‘Delta View’?

The ‘Delta View’ gives you a view of the patient record removing all information recorded at your own organisation as you already have this information in your EMR. To see the full view of your patient record, select the ‘Patient Summary’ Tab.

Remember a full view of Allergies can always be seen in the Patient Banner – Allergies Alert field.

Demographics

How can I be sure that the patient I am seeing in Malaffi is the same patient in my EMR?

Malaffi is utilising a market-leading patient matching system which ensures the right patient is accurately matched to the right record.

If you are concerned that the patient you are viewing in Malaffi is not the same as the patient in your EMR, please take note of the MRN and raise a ticket with your technical support services. They will then raise this with Malaffi Support.

Why is my patients’ name spelt differently in Malaffi to in my EMR?

Demographics in Malaffi are updated regularly from the source EMR’s connected to Malaffi. The information that you see in the Malaffi patient record is the last updated information which may be from an organisation other than your own where they may have recorded the patients name slightly differently in their EMR.

If you are concerned that the patient in Malaffi is not the same as the patient in your EMR, please record the MRN and raise a ticket with your technical support services. They will then raise this with Malaffi Support.

Why is my patients’ Date of Birth different in Malaffi to in my EMR?

Sensitive Information

How is information classified as sensitive in Malaffi?

All sensitive patient information that can be coded - for example, Problems, Diagnosis, and Laboratory and Procedure codes – are flagged as sensitive in Malaffi and view of this information is restricted depending on your role in your EMR.

No Allergies or Medication information will be restricted

For Primary Providers only: I can’t see the Sensitive information, even though I have broken the seal.

The best way to view sensitive information is to maximise each windowlet so you can see the expanded view of 100 lines of information.

The sensitive information will be highlighted by an unlocked padlock symbol in the first column of the windowlet.

For any information in the clinical document tree, click on the eye icon to group the results by sensitive data. Choose sensitive in the ‘group by’ dropdown and click the ‘Apply’ button.

Allergies

How are Allergies in Malaffi ordered?

Allergies are ordered by severity first, then the date recorded in the source EMR.

Why am I seeing duplicate Allergies?

Malaffi is displaying information directly from the source EMR. For Allergies, we will display free text as well as coded allergies. This will mean that you may see duplicate Allergies from the same source as well as duplicate Allergies from different sources.

If the Allergies are coded, Allergies sharing the same code will be rolled up under the red magnifying glass

What does the red magnifying glass in the Allergies windowlet show?

Clicking on the red magnifying glass will show all common Allergies sharing the same code that were recorded for this patient and the organisation where they were recorded.

I can see ‘No Known Allergies’ for one organisation and ‘Allergies’ recorded at another organisation. Is this a mistake in Malaffi?

This is not a mistake in Malaffi. Remember Malaffi is displaying information directly from each source EMR. This represents an opportunity to confirm your patient’s allergy status with them and update your EMR if required.

Encounter History

How are Encounters in Malaffi ordered?

Encounters are ordered by most recent date.

What does the red magnifying glass in the Encounters windowlet show?

Clicking on the red magnifying glass will show all Diagnosis’ that were recorded for this encounter.

Problems

What are Problems in Malaffi?

Problems are chronic issues for the patient that are recorded in the source EMR.

All Problems are coded, Malaffi does not display free text Problems

NOTE: Not all organisations record Problems in their EMR.

What does the red magnifying glass in the Problems windowlet show?

Clicking on the red magnifying glass will show all common Problems sharing the same code that were recorded for this patient and the organisation where they were recorded.

Procedures

Why can’t I see all the Procedures that are recorded for my patient in my EMR?

Malaffi is only displaying surgical and minor procedures recorded for the patient.

What does the red magnifying glass in the Procedures windowlet show?

Clicking on the red magnifying glass will show all Procedures that occurred on the same date and time for this patient and the organisation where they occurred.

Data quality

What do I do when I see the wrong information recorded for a patient in Malaffi?

Remember Malaffi is displaying information directly from each source EMR. It is important that if you feel patient information needs updating, this is done directly at the source EMR.

It is up to clinicians to verify information directly with the patient and ensure their own EMR is up to date and correct.

Clinical Documents

Why can’t I see Clinical documents?

Clinical documents are available for viewing by both Malaffi Primary and Secondary provider roles. However, clinical documents containing sensitive data are only accessible to primary provider roles after breaking the seal on the patient’s profile.

What Clinical documents are available in Malaffi right now?

Malaffi are currently working with all connected facilities in a phased approach to receive Clinical Documents. At present Malaffi only receive Discharge Summaries, Procedure Reports, Referral Notes and Outpatient Clinic Notes.

Medications

Why can’t I see all Medications administered to my patient?

Remember in Delta view, all patient information from your organisation will be filtered out, including Medication data from your EMR. If you believe the patient is missing some data, remember to check the Patient Summary tab. Here you will see patient information from your own facility as well. If you still believe data is missing for the patient, please record the MRN and raise a ticket with your technical support services

The default view for Medications is the last 1 year, and Prescribed Medication only. Choose from the dropdown to see other Medication Event Types.

Malaffi only receives take home only (Prescribed and Dispensed) medication for Outpatient, Emergency and Inpatient encounters. All Administered medication is received for Outpatient and Emergency encounters only (for Inpatient encounters we will not receive any Administration information).

For Administered Medication, where is the information associated with administration?

Click on the Medication row to see further information including Administration Notes, Drug Code and other details.

Immunisations

For Immunisations, where can I find the Lot number and Expiration date of the vaccine given?

Click on the Immunisation row to see further information including Lot Number, Expiration Date and other details

Laboratory & Radiology Results

Why can’t I see any Laboratory or Radiology results for my patient?

Remember in Delta view, all patient information from your organisation will be filtered out, including Laboratory and Radiology data from your EMR. If you believe the patient is missing some data, remember to check the Patient Summary tab. Here you will see patient information from your own facility as well. If you still believe data is missing for the patient, please record the MRN and raise a ticket with your technical support services.

Why are the laboratory results from different facilities not appearing side by side in the cumulative view?

Currently EMR’s are sending different coding systems for their Lab tests and Lab results which means they cannot be compared side by side and impacts the ability to graph results across organisations.
When EMR’s standardise the coding systems, this will improve the view in Malaffi.

Can I print my patients’ Laboratory or Radiology results?

Yes, you can use the print link on the far right of the individual test result.

Vital Signs

My patient has had many vital signs performed, at which point in the Encounter are Malaffi receiving Vital Signs?

Malaffi receives vital signs information when your patient is admitted to an Outpatient, Emergency or Inpatient encounter and then again on Discharge from an Emergency and Inpatient Encounter.

Patient Risk View

Who can see the Patient Risk View?

Only Level 1 users will be able to see the Patient Risk View in the Malaffi Provider Portal.

What is the risk calculated on?

The Patient Risk View uses AI and machine learning algorithms to build predictive models. The functionality predicts the risk of a patient developing specific chronic conditions or events, based on medical data available in Malaffi including Acute and chronic diagnoses, Encounters, Demographics, Laboratory results and Medications.

What is the View Risk Trend?

This shows the last ten times the patients’ data has been re-calculated and the level of that risk on that date. This will show you if the patients’ risk has changed over time.

What is the View Risk Features?

This shows the clinical elements that contribute to the patient developing the risk description and the odds ratio given to that element.

Appointments

Why can’t I see all my patient’s appointments?

Remember in Delta view, all patient information from your organisation will be filtered out, including Appointment data from your EMR. If you believe the patient is missing appointments, remember to check the Patient Summary tab. Here you will see patient appointments from your own facility as well. If you still believe data is missing for the patient, please record the MRN and raise a ticket with your technical support services.

How can I see more details about the appointment?

By clicking on the appointment row, a pop-up window will appear which will display more details about the appointment.

I am unable to see appointments in the past

By default, the landing page will display all the future or ‘Booked’ appointments. To view past appointments, select either ‘Complete’ or ‘No Show’ from the Status filter drop-down.

Who can access Appointments?

The following roles have access to the Appointments functionality: Primary Provider, Secondary Provider and Clerk (Level 1, 2 and 4 respectively).

Malaffi Image Viewer

Who has access to view radiology images in the Malaffi Provider Portal?

Access to view radiology images in Malaffi is restricted to Level 1 users (Primary Providers). Level 2 users (Secondary Providers) can access radiology reports, however, will not be able to view the associated image.

Why can’t I access an image for a report that is available in Malaffi?

The Malaffi Image Viewer is only accessible for reports that have associated images available. Therefore, the View Image link will only be visible when an image is available for view. Please note, historical radiology reports currently available in Malaffi will not have images available for view.

In addition, as the onboarding of Radiology Images is undertaken using a phased approach, the patient images you are looking for may not be available because the facility is not connected to Malaffi for this data set. To find out who is connected to Malaffi, and which data sets they are contributing, please check this page on our website.

The Radiology Image is too large and I cannot use the functionality in the Image Viewer.

If you are using a laptop and extending your screen, please ensure that the Malaffi Provider Portal is displayed on the larger screen rather than your laptop. Using the larger screen presents a better resolution and allows you to access all tools available in the Image Viewer.

Why can’t I compare studies from other facilities?

Currently, physicians only have access to compare studies from the same facility. Future enhancements will allow you to compare multi-facility studies.

Why is 3D Image rendition not appearing for the image I am viewing?

Image rendition is only available for CT and MRI Studies.

Encounter Centric View

What is the Encounter Centric View?

The Encounter Centric View (ECV) displays a consolidated record of the patient’s encounter related data, in a single view. This allows providers seamless access to vital patient information, requiring less navigation and allowing more flexibility to filter by dates, encounter type and facility, to support care delivery. For more information on how to access the ECV, please click here to access the Quick Resource guide.

What information is available on the ECV?

The ECV contains the following data:
- Health timeline
- Encounter Summary
- Diagnosis
- Problems
- Allergies
- Medication History
- Immunisations
- Procedures
- Vital Signs
- Laboratory and Radiology Results

Who can access the ECV?

ِThe Encounter Centric View is available to both Level 1 (Primary Providers) and Level 2 Users (Secondary Providers).

Why can’t I see all Laboratory and Radiology Results when I select a specific Encounter?

When a specific encounter is selected from the filter, laboratory and radiology results that are not associated with the encounter will not display in the view. Typically, laboratory and radiology investigations undertaken at standalone diagnostic centres, are not associated with an encounter and will not be visible when an encounter filter is selected. Users can access these results from the Laboratory and/or Radiology folder in the CDV on the Patient Summary or Delta View page.

Diagnostics

What results qualify as Diagnostics in Malaffi?

A new clinical data domain has been added to the Provider Portal called ‘Diagnostics’. This domain contains several clinical diagnostic tests categorised by specialty type and includes:

Cardiology Diagnostics – Includes Electrocardiograms (ECGs)
Mental Health Diagnostics – Includes PHQ-9 Questionnaires
(Note: These are Sensitive documents and only available after ‘Break the Seal’)
Neurology Diagnostics – Includes Nerve conduction studies & Electroencephalography (EEG) results
Ophthalmology Diagnostics – Includes Optical Coherence tests, Colour vision Panel & Visual Acuity Measurements
Otolaryngology Diagnostics – Include Audiometry test results
Respiratory Diagnostics – Include Spirometry test results

For more information on how to access diagnostic results, please click here to view the Quick Resource Guides.

What diagnostic results are available in Malaffi?

Malaffi is currently working with all connected facilities in a phased approach to receive diagnostics.

Riayati Record

What is the Riayati Record?

The Riayati record is a consolidated summary of the patient’s medical record from facilities they’ve attended in the Northern Emirates. By selecting the Riayati Record tab, providers will be able to access the latest clinical data shared to Riayati, which will help support their clinical decision making. For more information on how to access the Riayati Record, please click here to access the Quick Resource guide.

What data is available in the Riayati Record?

The Riayati Record comprises of the On Demand Document which is a dynamic document updated each time the Riayati Record is accessed, and functions as a Continuity of Care record. It includes the following data elements:
- Demographics
- Allergies
- Social & Family history
- Vital Signs
- Problems & Diagnoses
- Procedures
- Lab & Radiology results
- Medications & Immunisations
- Plan of Care

Is sensitive data available in the Riayati Record?

ِCurrently sensitive data is not available in the Riayati Record due to privacy restrictions, however, will be considered in future.

Who can access the Riayati Record?

Access to the Riayati Record is restricted to Level 1 (Primary Providers) and Level 2 (Secondary Provider) Users.

Can I print the Patient’s Riayati Record?

The Riayati Record is view only and cannot be printed or saved.

What does it mean if no record is returned?

‘No record found’ means that your patient does not have any records available in Riayati to view.

What do I do if data is missing from the record or if I receive an error message?

If you believe the patient’s Riayati Record is missing some clinical information, or if you receive an error message, please record the MRN and raise a ticket with your technical support services, who will raise the concern with Malaffi Support for further investigation.