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

: CodeSystemDrugSpecialInstruction (MY Core) - JSON Representation

Active as of 2024-02-12

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{
  "resourceType" : "CodeSystem",
  "id" : "code-system-drug-special-instruction-my-core",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>CodeSystemDrugSpecialInstruction (MY Core)</h2><tt>http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core</tt><p>Drug Special Instruction</p></div>"
  },
  "url" : "http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core",
  "version" : "0.0.1",
  "name" : "CodeSystemDrugSpecialInstructionMyCore",
  "title" : "CodeSystemDrugSpecialInstruction (MY Core)",
  "status" : "active",
  "date" : "2024-02-12T04:04:09.5621857+00:00",
  "publisher" : "Malaysia Healthcare Nexus (MHN)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.mhn.asia/"
        }
      ]
    }
  ],
  "description" : "Drug Special Instruction",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "compositional" : false,
  "content" : "complete",
  "count" : 124,
  "concept" : [
    {
      "code" : "10",
      "display" : "Administer 15-30 minutes before _______________",
      "definition" : "Administer 15-30 minutes before _______________"
    },
    {
      "code" : "20",
      "display" : "Administer at the same time everyday",
      "definition" : "Administer at the same time everyday"
    },
    {
      "code" : "30",
      "display" : "Administer within 15-30 mins before meal",
      "definition" : "Administer within 15-30 mins before meal"
    },
    {
      "code" : "40",
      "display" : "Administer within 5-15 minutes before meal",
      "definition" : "Administer within 5-15 minutes before meal"
    },
    {
      "code" : "50",
      "display" : "Apply 6-8 hours then wash. Only 1 application is necessary",
      "definition" : "Apply 6-8 hours then wash. Only 1 application is necessary"
    },
    {
      "code" : "60",
      "display" : "Apply liberally to lesion with suitable applicator",
      "definition" : "Apply liberally to lesion with suitable applicator"
    },
    {
      "code" : "70",
      "display" : "Apply sparingly. For external use only.",
      "definition" : "Apply sparingly. For external use only."
    },
    {
      "code" : "80",
      "display" : "Apply to affected area. Leave to dry",
      "definition" : "Apply to affected area. Leave to dry"
    },
    {
      "code" : "90",
      "display" : "Apply to hair-free area of skin on chest or inner side arm",
      "definition" : "Apply to hair-free area of skin on chest or inner side arm"
    },
    {
      "code" : "100",
      "display" : "Apply to lesion for not more than 5 hour then wash off",
      "definition" : "Apply to lesion for not more than 5 hour then wash off"
    },
    {
      "code" : "110",
      "display" : "Apply to wet hair leave for 15min rinse.",
      "definition" : "Apply to wet hair leave for 15min rinse."
    },
    {
      "code" : "114",
      "display" : "Avoid abrupt withdrawal, use as directed by doctor/pharmacist",
      "definition" : "Avoid abrupt withdrawal, use as directed by doctor/pharmacist"
    },
    {
      "code" : "120",
      "display" : "Careful handwashing after use is recommended",
      "definition" : "Careful handwashing after use is recommended"
    },
    {
      "code" : "130",
      "display" : "Chew or dissolve with water",
      "definition" : "Chew or dissolve with water"
    },
    {
      "code" : "140",
      "display" : "Chew thoroughly before swallowing",
      "definition" : "Chew thoroughly before swallowing"
    },
    {
      "code" : "150",
      "display" : "Cleanse area with water only allow to dry prior application",
      "definition" : "Cleanse area with water only allow to dry prior application"
    },
    {
      "code" : "160",
      "display" : "Contact doctor if allergic reaction occurs",
      "definition" : "Contact doctor if allergic reaction occurs"
    },
    {
      "code" : "170",
      "display" : "Day 4-7: Take 1 white tablet (0.5mg) 2 times a day",
      "definition" : "Day 4-7: Take 1 white tablet (0.5mg) 2 times a day"
    },
    {
      "code" : "180",
      "display" : "Dilute up to 3 times its volume with warm water",
      "definition" : "Dilute up to 3 times its volume with warm water"
    },
    {
      "code" : "190",
      "display" : "Dilute with 1 glass of water before drink",
      "definition" : "Dilute with 1 glass of water before drink"
    },
    {
      "code" : "200",
      "display" : "Dilute with glass of water/juice/milk and drink",
      "definition" : "Dilute with glass of water/juice/milk and drink"
    },
    {
      "code" : "210",
      "display" : "Discard after 1 month of opening. EXP DATE:",
      "definition" : "Discard after 1 month of opening. EXP DATE:"
    },
    {
      "code" : "214",
      "display" : "Dilute well with water before taking",
      "definition" : "Dilute well with water before taking"
    },
    {
      "code" : "220",
      "display" : "Dissolve in 1 glass water and drink",
      "definition" : "Dissolve in 1 glass water and drink"
    },
    {
      "code" : "222",
      "display" : "Do not apply to open wounds or burnt",
      "definition" : "Do not apply to open wounds or burnt"
    },
    {
      "code" : "230",
      "display" : "Do not eat/drink for 10minutes after taking this drug",
      "definition" : "Do not eat/drink for 10minutes after taking this drug"
    },
    {
      "code" : "234",
      "display" : "Do not dilute with Saline Solution (Sodium Chloride)",
      "definition" : "Do not dilute with Saline Solution (Sodium Chloride)"
    },
    {
      "code" : "236",
      "display" : "Do not stop medicine without doctor's advice",
      "definition" : "Do not stop medicine without doctor's advice"
    },
    {
      "code" : "238",
      "display" : "Do not take more than 8 tablets a day",
      "definition" : "Do not take more than 8 tablets a day"
    },
    {
      "code" : "240",
      "display" : "Drink plenty of warm water",
      "definition" : "Drink plenty of warm water"
    },
    {
      "code" : "250",
      "display" : "Drink plenty of water",
      "definition" : "Drink plenty of water"
    },
    {
      "code" : "260",
      "display" : "Followed by another 240ml of water.",
      "definition" : "Followed by another 240ml of water."
    },
    {
      "code" : "270",
      "display" : "For external use only",
      "definition" : "For external use only"
    },
    {
      "code" : "280",
      "display" : "For Intravenous Infusion Only",
      "definition" : "For Intravenous Infusion Only"
    },
    {
      "code" : "290",
      "display" : "For topical use",
      "definition" : "For topical use"
    },
    {
      "code" : "300",
      "display" : "Further dilute with ______ Dext 5%. Inf ____ hr",
      "definition" : "Further dilute with ______ Dext 5%. Inf ____ hr"
    },
    {
      "code" : "310",
      "display" : "Further dilute with ______ NS. Inf ____ hr",
      "definition" : "Further dilute with ______ NS. Inf ____ hr"
    },
    {
      "code" : "320",
      "display" : "If rash, fever, sore throat or eye irritation occurs,",
      "definition" : "If rash, fever, sore throat or eye irritation occurs,"
    },
    {
      "code" : "330",
      "display" : "Keep away from direct sunlight",
      "definition" : "Keep away from direct sunlight"
    },
    {
      "code" : "340",
      "display" : "Leave for 10 minutes. Then rinse thoroughly",
      "definition" : "Leave for 10 minutes. Then rinse thoroughly"
    },
    {
      "code" : "350",
      "display" : "Leave for 24 hours then wash off.",
      "definition" : "Leave for 24 hours then wash off."
    },
    {
      "code" : "360",
      "display" : "Leave for 4 minutes. Rinse thoroughly with warm water",
      "definition" : "Leave for 4 minutes. Rinse thoroughly with warm water"
    },
    {
      "code" : "370",
      "display" : "Leave for 8-12 hours. Wash thoroughly with warm water",
      "definition" : "Leave for 8-12 hours. Wash thoroughly with warm water"
    },
    {
      "code" : "380",
      "display" : "Leave in the mouth as long as possible",
      "definition" : "Leave in the mouth as long as possible"
    },
    {
      "code" : "384",
      "display" : "May cause drowsiness, dizziness and dry mouth. Take as directed",
      "definition" : "May cause drowsiness, dizziness and dry mouth. Take as directed"
    },
    {
      "code" : "390",
      "display" : "May cause drowsiness. Take as directed",
      "definition" : "May cause drowsiness. Take as directed"
    },
    {
      "code" : "400",
      "display" : "No food atleast 2 hr before at least 1hr after dose",
      "definition" : "No food atleast 2 hr before at least 1hr after dose"
    },
    {
      "code" : "404",
      "display" : "Not for IV use",
      "definition" : "Not for IV use"
    },
    {
      "code" : "410",
      "display" : "Place tab on tongue. Let it dissolve before swallowing",
      "definition" : "Place tab on tongue. Let it dissolve before swallowing"
    },
    {
      "code" : "420",
      "display" : "Protect this medicine from light",
      "definition" : "Protect this medicine from light"
    },
    {
      "code" : "430",
      "display" : "Protect this medicine from moisture and light",
      "definition" : "Protect this medicine from moisture and light"
    },
    {
      "code" : "440",
      "display" : "Recons with Manufacturer Supplied Diluent",
      "definition" : "Recons with Manufacturer Supplied Diluent"
    },
    {
      "code" : "450",
      "display" : "Recons with Normal Saline",
      "definition" : "Recons with Normal Saline"
    },
    {
      "code" : "454",
      "display" : "Recons with Normal Saline/ WFI",
      "definition" : "Recons with Normal Saline/ WFI"
    },
    {
      "code" : "460",
      "display" : "Recons with Water for Inj (WFI)",
      "definition" : "Recons with Water for Inj (WFI)"
    },
    {
      "code" : "470",
      "display" : "Rinse mouth after inhalation",
      "definition" : "Rinse mouth after inhalation"
    },
    {
      "code" : "474",
      "display" : "Shake 3-5 times before using",
      "definition" : "Shake 3-5 times before using"
    },
    {
      "code" : "480",
      "display" : "Shake well before use",
      "definition" : "Shake well before use"
    },
    {
      "code" : "490",
      "display" : "Shake well before use. For external use only.",
      "definition" : "Shake well before use. For external use only."
    },
    {
      "code" : "500",
      "display" : "Soak/wash the affected part for 5-10 minute",
      "definition" : "Soak/wash the affected part for 5-10 minute"
    },
    {
      "code" : "510",
      "display" : "Stand/sit upright at least 30min. Do not lie down",
      "definition" : "Stand/sit upright at least 30min. Do not lie down"
    },
    {
      "code" : "514",
      "display" : "Store between 2-°C, do not freeze",
      "definition" : "Store between 2-°C, do not freeze"
    },
    {
      "code" : "516",
      "display" : "Store unopened between 2-8°C, do not freeze",
      "definition" : "Store unopened between 2-8°C, do not freeze"
    },
    {
      "code" : "520",
      "display" : "Swallow whole tablet/ capsule with a full glass of water.",
      "definition" : "Swallow whole tablet/ capsule with a full glass of water."
    },
    {
      "code" : "530",
      "display" : "Swallow whole tablet/ Dissolve in a little water",
      "definition" : "Swallow whole tablet/ Dissolve in a little water"
    },
    {
      "code" : "540",
      "display" : "Swallow with full glass of water while standing upright",
      "definition" : "Swallow with full glass of water while standing upright"
    },
    {
      "code" : "550",
      "display" : "Take 15-30 minute before meal",
      "definition" : "Take 15-30 minute before meal"
    },
    {
      "code" : "560",
      "display" : "Take 30 minute before food or 2 hours after food",
      "definition" : "Take 30 minute before food or 2 hours after food"
    },
    {
      "code" : "564",
      "display" : "Take 30 mins before meal",
      "definition" : "Take 30 mins before meal"
    },
    {
      "code" : "570",
      "display" : "Take at regular intervals",
      "definition" : "Take at regular intervals"
    },
    {
      "code" : "580",
      "display" : "Take consistently at the same time everyday",
      "definition" : "Take consistently at the same time everyday"
    },
    {
      "code" : "590",
      "display" : "Take every 5 min if pain.See Dr if pain persist",
      "definition" : "Take every 5 min if pain.See Dr if pain persist"
    },
    {
      "code" : "600",
      "display" : "Take medicine as directed by pharmacist",
      "definition" : "Take medicine as directed by pharmacist"
    },
    {
      "code" : "610",
      "display" : "Take medicine at 6pm everyday",
      "definition" : "Take medicine at 6pm everyday"
    },
    {
      "code" : "620",
      "display" : "Take medicine preferably at bedtime",
      "definition" : "Take medicine preferably at bedtime"
    },
    {
      "code" : "624",
      "display" : "Take medicine preferably at bedtime, but not immediately before going to bed",
      "definition" : "Take medicine preferably at bedtime, but not immediately before going to bed"
    },
    {
      "code" : "630",
      "display" : "Take medicine regularly. Avoid abrupt discontinuation",
      "definition" : "Take medicine regularly. Avoid abrupt discontinuation"
    },
    {
      "code" : "640",
      "display" : "Take regularly and complete the whole course as directed.",
      "definition" : "Take regularly and complete the whole course as directed."
    },
    {
      "code" : "650",
      "display" : "Take with a full glass of water or juice",
      "definition" : "Take with a full glass of water or juice"
    },
    {
      "code" : "660",
      "display" : "Take with fatty meals regularly complete the course",
      "definition" : "Take with fatty meals regularly complete the course"
    },
    {
      "code" : "670",
      "display" : "Take with food or milky drinks",
      "definition" : "Take with food or milky drinks"
    },
    {
      "code" : "680",
      "display" : "Take with full glass of water",
      "definition" : "Take with full glass of water"
    },
    {
      "code" : "690",
      "display" : "Take with full glass of water Stand/sit upright atleast 1hr",
      "definition" : "Take with full glass of water Stand/sit upright atleast 1hr"
    },
    {
      "code" : "700",
      "display" : "This drug may cause drowsiness",
      "definition" : "This drug may cause drowsiness"
    },
    {
      "code" : "710",
      "display" : "Tip of crystal moistened by dipping in water before applying",
      "definition" : "Tip of crystal moistened by dipping in water before applying"
    },
    {
      "code" : "714",
      "display" : "To be chewed or sucked",
      "definition" : "To be chewed or sucked"
    },
    {
      "code" : "720",
      "display" : "To be swallowed whole, not chewed/crush",
      "definition" : "To be swallowed whole, not chewed/crush"
    },
    {
      "code" : "730",
      "display" : "Use as directed by pharmacist",
      "definition" : "Use as directed by pharmacist"
    },
    {
      "code" : "740",
      "display" : "Use as directed. Shake well before use",
      "definition" : "Use as directed. Shake well before use"
    },
    {
      "code" : "750",
      "display" : "Use undiluted",
      "definition" : "Use undiluted"
    },
    {
      "code" : "760",
      "display" : "Wash hand before and after applying.",
      "definition" : "Wash hand before and after applying."
    },
    {
      "code" : "770",
      "display" : "Wash hands before after handling med/bottle contain pills",
      "definition" : "Wash hands before after handling med/bottle contain pills"
    },
    {
      "code" : "780",
      "display" : "Wash hands before applying. Do not touch application's tip",
      "definition" : "Wash hands before applying. Do not touch application's tip"
    },
    {
      "code" : "790",
      "display" : "Wash hands before applying.Dont let applicator tip touch eye",
      "definition" : "Wash hands before applying.Dont let applicator tip touch eye"
    },
    {
      "code" : "800",
      "display" : "Wash hands before applying/ using",
      "definition" : "Wash hands before applying/ using"
    },
    {
      "code" : "810",
      "display" : "Wet hair. Massage 5-15ml to wet hair and rinse thorougly",
      "definition" : "Wet hair. Massage 5-15ml to wet hair and rinse thorougly"
    },
    {
      "code" : "820",
      "display" : "Administer within 15 minutes before meal",
      "definition" : "Administer within 15 minutes before meal"
    },
    {
      "code" : "830",
      "display" : "Administer within 30 mins before meal",
      "definition" : "Administer within 30 mins before meal"
    },
    {
      "code" : "840",
      "display" : "Apply at bedtime and leave on skin for 6-10 hours",
      "definition" : "Apply at bedtime and leave on skin for 6-10 hours"
    },
    {
      "code" : "850",
      "display" : "Apply on scalp at bedtime. Wash off the next morning",
      "definition" : "Apply on scalp at bedtime. Wash off the next morning"
    },
    {
      "code" : "860",
      "display" : "Can be mixed with food or drink",
      "definition" : "Can be mixed with food or drink"
    },
    {
      "code" : "870",
      "display" : "Day 1: Take 125 mg cap/tab once a day",
      "definition" : "Day 1: Take 125 mg cap/tab once a day"
    },
    {
      "code" : "880",
      "display" : "Dilute 1 part with 1 part warm water before use",
      "definition" : "Dilute 1 part with 1 part warm water before use"
    },
    {
      "code" : "890",
      "display" : "Dilute/Dissolve with __glass / __ml of water before drink",
      "definition" : "Dilute/Dissolve with __glass / __ml of water before drink"
    },
    {
      "code" : "900",
      "display" : "Dilute with 1 glass / 250ml of water before drink",
      "definition" : "Dilute with 1 glass / 250ml of water before drink"
    },
    {
      "code" : "910",
      "display" : "Dilute with 1 glass / 250ml of water/juice/milk and drink",
      "definition" : "Dilute with 1 glass / 250ml of water/juice/milk and drink"
    },
    {
      "code" : "920",
      "display" : "Discard 7 days after opening. EXP DATE:",
      "definition" : "Discard 7 days after opening. EXP DATE:"
    },
    {
      "code" : "930",
      "display" : "Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour",
      "definition" : "Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour"
    },
    {
      "code" : "940",
      "display" : "Dissolve in 1 glass / 250ml water and drink",
      "definition" : "Dissolve in 1 glass / 250ml water and drink"
    },
    {
      "code" : "950",
      "display" : "Dissolve in 1 L of water before use",
      "definition" : "Dissolve in 1 L of water before use"
    },
    {
      "code" : "960",
      "display" : "Dissolve ____ pack in ______ ML water",
      "definition" : "Dissolve ____ pack in ______ ML water"
    },
    {
      "code" : "970",
      "display" : "Dissolve ____ TABLET in ______ ML water",
      "definition" : "Dissolve ____ TABLET in ______ ML water"
    },
    {
      "code" : "980",
      "display" : "Do not eat/drink for 1 hour after use",
      "definition" : "Do not eat/drink for 1 hour after use"
    },
    {
      "code" : "990",
      "display" : "Keep in refrigerator -temp 2-8 C",
      "definition" : "Keep in refrigerator -temp 2-8 C"
    },
    {
      "code" : "1000",
      "display" : "Leave for 10-15 mins and rinse thoroughly",
      "definition" : "Leave for 10-15 mins and rinse thoroughly"
    },
    {
      "code" : "1010",
      "display" : "Leave overnight (8-14 hours) Wash thoroughly with warm water",
      "definition" : "Leave overnight (8-14 hours) Wash thoroughly with warm water"
    },
    {
      "code" : "1020",
      "display" : "Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour",
      "definition" : "Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour"
    },
    {
      "code" : "1030",
      "display" : "Shake well before use.",
      "definition" : "Shake well before use."
    },
    {
      "code" : "1040",
      "display" : "Take after meals to avoid gastric discomfort",
      "definition" : "Take after meals to avoid gastric discomfort"
    },
    {
      "code" : "1050",
      "display" : "Take for 4 weeks, rest or 2 weeks",
      "definition" : "Take for 4 weeks, rest or 2 weeks"
    },
    {
      "code" : "1060",
      "display" : "Take medicine as directed by doctor/pharmacist",
      "definition" : "Take medicine as directed by doctor/pharmacist"
    },
    {
      "code" : "1070",
      "display" : "Take with a full glass / 250ml of water or juice",
      "definition" : "Take with a full glass / 250ml of water or juice"
    },
    {
      "code" : "1080",
      "display" : "Use as directed by doctor/ pharmacist",
      "definition" : "Use as directed by doctor/ pharmacist"
    },
    {
      "code" : "1090",
      "display" : "Use as directed. Shake well before use",
      "definition" : "Use as directed. Shake well before use"
    }
  ]
}