Rekod perubatan itu menyatakan diagnosis dan rawatan.

In Malay, demonstratives like ini (this) and itu (that) normally come after the noun phrase, not before it.

So:

• rekod perubatan itu = that medical record / the medical record
• not itu rekod perubatan in normal noun-phrase order

A useful pattern is:

• noun + modifier + itu/ini

Examples:

• buku itu = that book / the book
• rumah besar itu = that big house

In your sentence, itu refers to the whole phrase rekod perubatan, not just perubatan.

It can often function like either one, depending on context.

Literally, itu means that, but in natural English translation it is often rendered as the when the noun is already specific or known.

So:

• rekod perubatan itu can mean that medical record
• but it may also be translated more naturally as the medical record

This is very common in Malay. The language does not have articles exactly like English a/an/the, so words like itu often help show definiteness or specificity.

Malay usually puts the head noun first and the modifier after it.

So:

• rekod perubatan = record medical = medical record

This is a very common pattern in Malay:

• kereta polis = police car
• bilik tidur = bedroom
• kad pengenalan = identity card

Here, rekod is the main noun, and perubatan modifies it.

Not exactly in the same way as English medical.

Perubatan is a noun related to medicine/medical care, but Malay often uses nouns to modify other nouns. So it behaves like an English adjective in translation, even if its word class is not identical to an English adjective.

So:

• rekod perubatan literally resembles record of medicine/medical record
• natural English: medical record

This is normal Malay structure, so you do not need a separate adjective form for medical here.

Menyatakan is an active transitive verb. It means something like:

• state
• mention
• declare
• specify

The meN- prefix is very common in Malay verbs and often marks an active verb where the subject performs the action.

So in this sentence:

• rekod perubatan itu = the subject
• menyatakan = the verb
• diagnosis dan rawatan = the object

Basic structure:

• Subject + Verb + Object

Not specifically. Malay verbs usually do not change form for tense the way English verbs do.

So menyatakan can mean:

• states
• stated
• will state

The actual time is usually understood from context or shown with time words such as:

• semalam = yesterday
• sekarang = now
• esok = tomorrow
• telah = already / has
• akan = will

In your sentence, without any time marker, English often translates it as a simple present: states.

Malay often leaves nouns bare without articles.

So:

• diagnosis
• rawatan

can mean:

• a diagnosis
• the diagnosis
• diagnosis
• treatment
• the treatment

The exact interpretation depends on context.

In this sentence, English may naturally supply the:

• the diagnosis and treatment

But Malay does not need to mark that explicitly.

Yes. In this sentence, both are nouns and together they form the object of menyatakan.

• diagnosis = diagnosis
• rawatan = treatment

So:

• menyatakan diagnosis dan rawatan = states the diagnosis and treatment

They are linked by dan = and.

Rawatan comes from the root rawat, which relates to caring for or treating someone medically.

A very useful pattern in Malay is:

• root + -an → often a noun related to the action or result

So:

• rawat = treat / care for
• rawatan = treatment

This is a common word-building pattern in Malay, and recognizing it can help you learn vocabulary faster.

No, it is a borrowed word, ultimately from international medical vocabulary, and it is used in Malay with a very similar form: diagnosis.

Malay contains many loanwords, especially in formal, scientific, medical, and technical contexts.

So in this sentence you have:

• rekod — also a loanword
• diagnosis — loanword
• rawatan — native Malay formation

This mix is very normal in modern Malay.

Yes. You could say:

• Rekod perubatan menyatakan diagnosis dan rawatan.

But omitting itu usually makes the noun phrase less specifically anchored. With itu, the speaker is referring to a particular medical record already known in the conversation.

Very roughly:

• rekod perubatan = a medical record / medical records / medical record in general, depending on context
• rekod perubatan itu = that medical record / the medical record

So itu adds specificity.

Yes. Malay often uses di- for passive forms.

A passive version could be something like:

• Diagnosis dan rawatan dinyatakan dalam rekod perubatan itu.

This means:

• The diagnosis and treatment are stated in that medical record.

Compare the two:

• Rekod perubatan itu menyatakan diagnosis dan rawatan.
  The medical record states the diagnosis and treatment.

• Diagnosis dan rawatan dinyatakan dalam rekod perubatan itu.
  The diagnosis and treatment are stated in the medical record.

Both are natural, but they focus on different things.