1. Data submission to NRR is a requirement by Private Healthcare Facility Act 1998.
  2. Notice of forms received will be sent to email of the centre, manager and coordinator.
  3. This will be a proof of participation of centre for the assessment year.
  4. Update new patients and reporting patient's outcome. Please DO NOT wait until year end. To facilitate VERIFICATION OF INFORMATION, your checking of your centre's patient list OF RESPECTIVE CENTRE(S) are available and ACCESSIBLE on-line FOR EVERY registered eMOSS users at https://www.macr.org.my/emoss/main.jsp?PAGEID=RRU_ReportIndex

Haemodialysis Forms


# Forms Color Version Black & White Version
  Borang hantaran bila-bila masa dalam tahun tafsiran:    
01. Dialysis Patient Notification ( Blue )
Dialysis Patient Notification (biru) – untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat.
Download Download
02. Dialysis Outcome Notification ( Red )
Dialysis Patient Outcome Notification (merah) –untuk melaporkan 'Outcome' pesakit.
Download Download
  Borang hantaran bagi setiap pesakit pada akhir tahun tafsiran:    
03. Haemodialysis Annual Return ( Purple ) Download Download
04. Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients Download

Peritoneal Dialysis Forms


# Forms Color Version Black & White Version
  Borang hantaran bila-bila masa dalam tahun tafsiran:    
01. Dialysis Patient Notification ( Blue ) – untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat. Download Download
02. Dialysis Outcome Notification ( Red ) –untuk melaporkan 'Outcome' pesakit. Download Download
03. Peritoneal Dialysis Infection Event Reporting ( Gray ) – untuk laporkan jangkitan rawatan PD Download Download
  Borang hantaran bila-bila masa dalam tahun tafsiran:     
04. Peritoneal Dialysis Annual Return ( Orange ) Download Download
05. Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients Download

Renal Transplant Forms


# Forms Color Version Black & White Version
 

Borang hantaran bila-bila masa dalam tahun tafsiran:

   
01. Renal Transplant Notification ( Green ) - untuk pendaftaran pesakit baru atau pesakit yang kembali ke pusat. Download Download
02. Renal Transplant Outcome Notification ( Brown ) - untuk melaporkan 'Outcome' pesakit. Download Download
  Borang hantaran bagi setiap pesakit pada akhir tahun tafsiran:    
03. Renal Transplant Annual Return ( Torques ) Download Download
04. Work-Related Rehabilitation and Quality of Life Assessment of Dialysis and Transplant Patients Download

Centre Registration


Please return the completed forms together with a copy of CKAP license

# Forms PDF
01. Centre Information & Consent to Participate in NRR Download
02. IS User Agreement Download
03. eMOSS Authorization Download