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ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build

ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

CodeSystem: CodeSystemDrugSpecialInstruction (MY Core)

Official URL: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core Version: 0.0.1
Active as of 2024-02-12 Responsible: Malaysia Healthcare Nexus (MHN) Realm: International flag Computable Name: CodeSystemDrugSpecialInstructionMyCore

Drug Special Instruction

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem code-system-drug-special-instruction-my-core

This code system http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core defines the following codes:

CodeDisplayDefinition
10 Administer 15-30 minutes before _______________ Administer 15-30 minutes before _______________
20 Administer at the same time everyday Administer at the same time everyday
30 Administer within 15-30 mins before meal Administer within 15-30 mins before meal
40 Administer within 5-15 minutes before meal Administer within 5-15 minutes before meal
50 Apply 6-8 hours then wash. Only 1 application is necessary Apply 6-8 hours then wash. Only 1 application is necessary
60 Apply liberally to lesion with suitable applicator Apply liberally to lesion with suitable applicator
70 Apply sparingly. For external use only. Apply sparingly. For external use only.
80 Apply to affected area. Leave to dry Apply to affected area. Leave to dry
90 Apply to hair-free area of skin on chest or inner side arm Apply to hair-free area of skin on chest or inner side arm
100 Apply to lesion for not more than 5 hour then wash off Apply to lesion for not more than 5 hour then wash off
110 Apply to wet hair leave for 15min rinse. Apply to wet hair leave for 15min rinse.
114 Avoid abrupt withdrawal, use as directed by doctor/pharmacist Avoid abrupt withdrawal, use as directed by doctor/pharmacist
120 Careful handwashing after use is recommended Careful handwashing after use is recommended
130 Chew or dissolve with water Chew or dissolve with water
140 Chew thoroughly before swallowing Chew thoroughly before swallowing
150 Cleanse area with water only allow to dry prior application Cleanse area with water only allow to dry prior application
160 Contact doctor if allergic reaction occurs Contact doctor if allergic reaction occurs
170 Day 4-7: Take 1 white tablet (0.5mg) 2 times a day Day 4-7: Take 1 white tablet (0.5mg) 2 times a day
180 Dilute up to 3 times its volume with warm water Dilute up to 3 times its volume with warm water
190 Dilute with 1 glass of water before drink Dilute with 1 glass of water before drink
200 Dilute with glass of water/juice/milk and drink Dilute with glass of water/juice/milk and drink
210 Discard after 1 month of opening. EXP DATE: Discard after 1 month of opening. EXP DATE:
214 Dilute well with water before taking Dilute well with water before taking
220 Dissolve in 1 glass water and drink Dissolve in 1 glass water and drink
222 Do not apply to open wounds or burnt Do not apply to open wounds or burnt
230 Do not eat/drink for 10minutes after taking this drug Do not eat/drink for 10minutes after taking this drug
234 Do not dilute with Saline Solution (Sodium Chloride) Do not dilute with Saline Solution (Sodium Chloride)
236 Do not stop medicine without doctor's advice Do not stop medicine without doctor's advice
238 Do not take more than 8 tablets a day Do not take more than 8 tablets a day
240 Drink plenty of warm water Drink plenty of warm water
250 Drink plenty of water Drink plenty of water
260 Followed by another 240ml of water. Followed by another 240ml of water.
270 For external use only For external use only
280 For Intravenous Infusion Only For Intravenous Infusion Only
290 For topical use For topical use
300 Further dilute with ______ Dext 5%. Inf ____ hr Further dilute with ______ Dext 5%. Inf ____ hr
310 Further dilute with ______ NS. Inf ____ hr Further dilute with ______ NS. Inf ____ hr
320 If rash, fever, sore throat or eye irritation occurs, If rash, fever, sore throat or eye irritation occurs,
330 Keep away from direct sunlight Keep away from direct sunlight
340 Leave for 10 minutes. Then rinse thoroughly Leave for 10 minutes. Then rinse thoroughly
350 Leave for 24 hours then wash off. Leave for 24 hours then wash off.
360 Leave for 4 minutes. Rinse thoroughly with warm water Leave for 4 minutes. Rinse thoroughly with warm water
370 Leave for 8-12 hours. Wash thoroughly with warm water Leave for 8-12 hours. Wash thoroughly with warm water
380 Leave in the mouth as long as possible Leave in the mouth as long as possible
384 May cause drowsiness, dizziness and dry mouth. Take as directed May cause drowsiness, dizziness and dry mouth. Take as directed
390 May cause drowsiness. Take as directed May cause drowsiness. Take as directed
400 No food atleast 2 hr before at least 1hr after dose No food atleast 2 hr before at least 1hr after dose
404 Not for IV use Not for IV use
410 Place tab on tongue. Let it dissolve before swallowing Place tab on tongue. Let it dissolve before swallowing
420 Protect this medicine from light Protect this medicine from light
430 Protect this medicine from moisture and light Protect this medicine from moisture and light
440 Recons with Manufacturer Supplied Diluent Recons with Manufacturer Supplied Diluent
450 Recons with Normal Saline Recons with Normal Saline
454 Recons with Normal Saline/ WFI Recons with Normal Saline/ WFI
460 Recons with Water for Inj (WFI) Recons with Water for Inj (WFI)
470 Rinse mouth after inhalation Rinse mouth after inhalation
474 Shake 3-5 times before using Shake 3-5 times before using
480 Shake well before use Shake well before use
490 Shake well before use. For external use only. Shake well before use. For external use only.
500 Soak/wash the affected part for 5-10 minute Soak/wash the affected part for 5-10 minute
510 Stand/sit upright at least 30min. Do not lie down Stand/sit upright at least 30min. Do not lie down
514 Store between 2-°C, do not freeze Store between 2-°C, do not freeze
516 Store unopened between 2-8°C, do not freeze Store unopened between 2-8°C, do not freeze
520 Swallow whole tablet/ capsule with a full glass of water. Swallow whole tablet/ capsule with a full glass of water.
530 Swallow whole tablet/ Dissolve in a little water Swallow whole tablet/ Dissolve in a little water
540 Swallow with full glass of water while standing upright Swallow with full glass of water while standing upright
550 Take 15-30 minute before meal Take 15-30 minute before meal
560 Take 30 minute before food or 2 hours after food Take 30 minute before food or 2 hours after food
564 Take 30 mins before meal Take 30 mins before meal
570 Take at regular intervals Take at regular intervals
580 Take consistently at the same time everyday Take consistently at the same time everyday
590 Take every 5 min if pain.See Dr if pain persist Take every 5 min if pain.See Dr if pain persist
600 Take medicine as directed by pharmacist Take medicine as directed by pharmacist
610 Take medicine at 6pm everyday Take medicine at 6pm everyday
620 Take medicine preferably at bedtime Take medicine preferably at bedtime
624 Take medicine preferably at bedtime, but not immediately before going to bed Take medicine preferably at bedtime, but not immediately before going to bed
630 Take medicine regularly. Avoid abrupt discontinuation Take medicine regularly. Avoid abrupt discontinuation
640 Take regularly and complete the whole course as directed. Take regularly and complete the whole course as directed.
650 Take with a full glass of water or juice Take with a full glass of water or juice
660 Take with fatty meals regularly complete the course Take with fatty meals regularly complete the course
670 Take with food or milky drinks Take with food or milky drinks
680 Take with full glass of water Take with full glass of water
690 Take with full glass of water Stand/sit upright atleast 1hr Take with full glass of water Stand/sit upright atleast 1hr
700 This drug may cause drowsiness This drug may cause drowsiness
710 Tip of crystal moistened by dipping in water before applying Tip of crystal moistened by dipping in water before applying
714 To be chewed or sucked To be chewed or sucked
720 To be swallowed whole, not chewed/crush To be swallowed whole, not chewed/crush
730 Use as directed by pharmacist Use as directed by pharmacist
740 Use as directed. Shake well before use Use as directed. Shake well before use
750 Use undiluted Use undiluted
760 Wash hand before and after applying. Wash hand before and after applying.
770 Wash hands before after handling med/bottle contain pills Wash hands before after handling med/bottle contain pills
780 Wash hands before applying. Do not touch application's tip Wash hands before applying. Do not touch application's tip
790 Wash hands before applying.Dont let applicator tip touch eye Wash hands before applying.Dont let applicator tip touch eye
800 Wash hands before applying/ using Wash hands before applying/ using
810 Wet hair. Massage 5-15ml to wet hair and rinse thorougly Wet hair. Massage 5-15ml to wet hair and rinse thorougly
820 Administer within 15 minutes before meal Administer within 15 minutes before meal
830 Administer within 30 mins before meal Administer within 30 mins before meal
840 Apply at bedtime and leave on skin for 6-10 hours Apply at bedtime and leave on skin for 6-10 hours
850 Apply on scalp at bedtime. Wash off the next morning Apply on scalp at bedtime. Wash off the next morning
860 Can be mixed with food or drink Can be mixed with food or drink
870 Day 1: Take 125 mg cap/tab once a day Day 1: Take 125 mg cap/tab once a day
880 Dilute 1 part with 1 part warm water before use Dilute 1 part with 1 part warm water before use
890 Dilute/Dissolve with __glass / __ml of water before drink Dilute/Dissolve with __glass / __ml of water before drink
900 Dilute with 1 glass / 250ml of water before drink Dilute with 1 glass / 250ml of water before drink
910 Dilute with 1 glass / 250ml of water/juice/milk and drink Dilute with 1 glass / 250ml of water/juice/milk and drink
920 Discard 7 days after opening. EXP DATE: Discard 7 days after opening. EXP DATE:
930 Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour
940 Dissolve in 1 glass / 250ml water and drink Dissolve in 1 glass / 250ml water and drink
950 Dissolve in 1 L of water before use Dissolve in 1 L of water before use
960 Dissolve ____ pack in ______ ML water Dissolve ____ pack in ______ ML water
970 Dissolve ____ TABLET in ______ ML water Dissolve ____ TABLET in ______ ML water
980 Do not eat/drink for 1 hour after use Do not eat/drink for 1 hour after use
990 Keep in refrigerator -temp 2-8 C Keep in refrigerator -temp 2-8 C
1000 Leave for 10-15 mins and rinse thoroughly Leave for 10-15 mins and rinse thoroughly
1010 Leave overnight (8-14 hours) Wash thoroughly with warm water Leave overnight (8-14 hours) Wash thoroughly with warm water
1020 Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour
1030 Shake well before use. Shake well before use.
1040 Take after meals to avoid gastric discomfort Take after meals to avoid gastric discomfort
1050 Take for 4 weeks, rest or 2 weeks Take for 4 weeks, rest or 2 weeks
1060 Take medicine as directed by doctor/pharmacist Take medicine as directed by doctor/pharmacist
1070 Take with a full glass / 250ml of water or juice Take with a full glass / 250ml of water or juice
1080 Use as directed by doctor/ pharmacist Use as directed by doctor/ pharmacist
1090 Use as directed. Shake well before use Use as directed. Shake well before use