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) - XML Representation

Active as of 2024-02-12

Raw xml | Download


<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="code-system-drug-special-instruction-my-core"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core"/>
  <version value="0.0.1"/>
  <name value="CodeSystemDrugSpecialInstructionMyCore"/>
  <title value="CodeSystemDrugSpecialInstruction (MY Core)"/>
  <status value="active"/>
  <date value="2024-02-12T04:04:09.5621857+00:00"/>
  <publisher value="Malaysia Healthcare Nexus (MHN)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.mhn.asia/"/>
    </telecom>
  </contact>
  <description value="Drug Special Instruction"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <compositional value="false"/>
  <content value="complete"/>
  <count value="124"/>
  <concept>
    <code value="10"/>
    <display value="Administer 15-30 minutes before _______________"/>
    <definition value="Administer 15-30 minutes before _______________"/>
  </concept>
  <concept>
    <code value="20"/>
    <display value="Administer at the same time everyday"/>
    <definition value="Administer at the same time everyday"/>
  </concept>
  <concept>
    <code value="30"/>
    <display value="Administer within 15-30 mins before meal"/>
    <definition value="Administer within 15-30 mins before meal"/>
  </concept>
  <concept>
    <code value="40"/>
    <display value="Administer within 5-15 minutes before meal"/>
    <definition value="Administer within 5-15 minutes before meal"/>
  </concept>
  <concept>
    <code value="50"/>
    <display
             value="Apply 6-8 hours then wash. Only 1 application is necessary"/>
    <definition
                value="Apply 6-8 hours then wash. Only 1 application is necessary"/>
  </concept>
  <concept>
    <code value="60"/>
    <display value="Apply liberally to lesion with suitable applicator"/>
    <definition value="Apply liberally to lesion with suitable applicator"/>
  </concept>
  <concept>
    <code value="70"/>
    <display value="Apply sparingly. For external use only."/>
    <definition value="Apply sparingly. For external use only."/>
  </concept>
  <concept>
    <code value="80"/>
    <display value="Apply to affected area. Leave to dry"/>
    <definition value="Apply to affected area. Leave to dry"/>
  </concept>
  <concept>
    <code value="90"/>
    <display
             value="Apply to hair-free area of skin on chest or inner side arm"/>
    <definition
                value="Apply to hair-free area of skin on chest or inner side arm"/>
  </concept>
  <concept>
    <code value="100"/>
    <display value="Apply to lesion for not more than 5 hour then wash off"/>
    <definition
                value="Apply to lesion for not more than 5 hour then wash off"/>
  </concept>
  <concept>
    <code value="110"/>
    <display value="Apply to wet hair leave for 15min rinse."/>
    <definition value="Apply to wet hair leave for 15min rinse."/>
  </concept>
  <concept>
    <code value="114"/>
    <display
             value="Avoid abrupt withdrawal, use as directed by doctor/pharmacist"/>
    <definition
                value="Avoid abrupt withdrawal, use as directed by doctor/pharmacist"/>
  </concept>
  <concept>
    <code value="120"/>
    <display value="Careful handwashing after use is recommended"/>
    <definition value="Careful handwashing after use is recommended"/>
  </concept>
  <concept>
    <code value="130"/>
    <display value="Chew or dissolve with water"/>
    <definition value="Chew or dissolve with water"/>
  </concept>
  <concept>
    <code value="140"/>
    <display value="Chew thoroughly before swallowing"/>
    <definition value="Chew thoroughly before swallowing"/>
  </concept>
  <concept>
    <code value="150"/>
    <display
             value="Cleanse area with water only allow to dry prior application"/>
    <definition
                value="Cleanse area with water only allow to dry prior application"/>
  </concept>
  <concept>
    <code value="160"/>
    <display value="Contact doctor if allergic reaction occurs"/>
    <definition value="Contact doctor if allergic reaction occurs"/>
  </concept>
  <concept>
    <code value="170"/>
    <display value="Day 4-7: Take 1 white tablet (0.5mg) 2 times a day"/>
    <definition value="Day 4-7: Take 1 white tablet (0.5mg) 2 times a day"/>
  </concept>
  <concept>
    <code value="180"/>
    <display value="Dilute up to 3 times its volume with warm water"/>
    <definition value="Dilute up to 3 times its volume with warm water"/>
  </concept>
  <concept>
    <code value="190"/>
    <display value="Dilute with 1 glass of water before drink"/>
    <definition value="Dilute with 1 glass of water before drink"/>
  </concept>
  <concept>
    <code value="200"/>
    <display value="Dilute with glass of water/juice/milk and drink"/>
    <definition value="Dilute with glass of water/juice/milk and drink"/>
  </concept>
  <concept>
    <code value="210"/>
    <display value="Discard after 1 month of opening. EXP DATE:"/>
    <definition value="Discard after 1 month of opening. EXP DATE:"/>
  </concept>
  <concept>
    <code value="214"/>
    <display value="Dilute well with water before taking"/>
    <definition value="Dilute well with water before taking"/>
  </concept>
  <concept>
    <code value="220"/>
    <display value="Dissolve in 1 glass water and drink"/>
    <definition value="Dissolve in 1 glass water and drink"/>
  </concept>
  <concept>
    <code value="222"/>
    <display value="Do not apply to open wounds or burnt"/>
    <definition value="Do not apply to open wounds or burnt"/>
  </concept>
  <concept>
    <code value="230"/>
    <display value="Do not eat/drink for 10minutes after taking this drug"/>
    <definition
                value="Do not eat/drink for 10minutes after taking this drug"/>
  </concept>
  <concept>
    <code value="234"/>
    <display value="Do not dilute with Saline Solution (Sodium Chloride)"/>
    <definition value="Do not dilute with Saline Solution (Sodium Chloride)"/>
  </concept>
  <concept>
    <code value="236"/>
    <display value="Do not stop medicine without doctor's advice"/>
    <definition value="Do not stop medicine without doctor's advice"/>
  </concept>
  <concept>
    <code value="238"/>
    <display value="Do not take more than 8 tablets a day"/>
    <definition value="Do not take more than 8 tablets a day"/>
  </concept>
  <concept>
    <code value="240"/>
    <display value="Drink plenty of warm water"/>
    <definition value="Drink plenty of warm water"/>
  </concept>
  <concept>
    <code value="250"/>
    <display value="Drink plenty of water"/>
    <definition value="Drink plenty of water"/>
  </concept>
  <concept>
    <code value="260"/>
    <display value="Followed by another 240ml of water."/>
    <definition value="Followed by another 240ml of water."/>
  </concept>
  <concept>
    <code value="270"/>
    <display value="For external use only"/>
    <definition value="For external use only"/>
  </concept>
  <concept>
    <code value="280"/>
    <display value="For Intravenous Infusion Only"/>
    <definition value="For Intravenous Infusion Only"/>
  </concept>
  <concept>
    <code value="290"/>
    <display value="For topical use"/>
    <definition value="For topical use"/>
  </concept>
  <concept>
    <code value="300"/>
    <display value="Further dilute with ______ Dext 5%. Inf ____ hr"/>
    <definition value="Further dilute with ______ Dext 5%. Inf ____ hr"/>
  </concept>
  <concept>
    <code value="310"/>
    <display value="Further dilute with ______ NS. Inf ____ hr"/>
    <definition value="Further dilute with ______ NS. Inf ____ hr"/>
  </concept>
  <concept>
    <code value="320"/>
    <display value="If rash, fever, sore throat or eye irritation occurs,"/>
    <definition
                value="If rash, fever, sore throat or eye irritation occurs,"/>
  </concept>
  <concept>
    <code value="330"/>
    <display value="Keep away from direct sunlight"/>
    <definition value="Keep away from direct sunlight"/>
  </concept>
  <concept>
    <code value="340"/>
    <display value="Leave for 10 minutes. Then rinse thoroughly"/>
    <definition value="Leave for 10 minutes. Then rinse thoroughly"/>
  </concept>
  <concept>
    <code value="350"/>
    <display value="Leave for 24 hours then wash off."/>
    <definition value="Leave for 24 hours then wash off."/>
  </concept>
  <concept>
    <code value="360"/>
    <display value="Leave for 4 minutes. Rinse thoroughly with warm water"/>
    <definition
                value="Leave for 4 minutes. Rinse thoroughly with warm water"/>
  </concept>
  <concept>
    <code value="370"/>
    <display value="Leave for 8-12 hours. Wash thoroughly with warm water"/>
    <definition
                value="Leave for 8-12 hours. Wash thoroughly with warm water"/>
  </concept>
  <concept>
    <code value="380"/>
    <display value="Leave in the mouth as long as possible"/>
    <definition value="Leave in the mouth as long as possible"/>
  </concept>
  <concept>
    <code value="384"/>
    <display
             value="May cause drowsiness, dizziness and dry mouth. Take as directed"/>
    <definition
                value="May cause drowsiness, dizziness and dry mouth. Take as directed"/>
  </concept>
  <concept>
    <code value="390"/>
    <display value="May cause drowsiness. Take as directed"/>
    <definition value="May cause drowsiness. Take as directed"/>
  </concept>
  <concept>
    <code value="400"/>
    <display value="No food atleast 2 hr before at least 1hr after dose"/>
    <definition value="No food atleast 2 hr before at least 1hr after dose"/>
  </concept>
  <concept>
    <code value="404"/>
    <display value="Not for IV use"/>
    <definition value="Not for IV use"/>
  </concept>
  <concept>
    <code value="410"/>
    <display value="Place tab on tongue. Let it dissolve before swallowing"/>
    <definition
                value="Place tab on tongue. Let it dissolve before swallowing"/>
  </concept>
  <concept>
    <code value="420"/>
    <display value="Protect this medicine from light"/>
    <definition value="Protect this medicine from light"/>
  </concept>
  <concept>
    <code value="430"/>
    <display value="Protect this medicine from moisture and light"/>
    <definition value="Protect this medicine from moisture and light"/>
  </concept>
  <concept>
    <code value="440"/>
    <display value="Recons with Manufacturer Supplied Diluent"/>
    <definition value="Recons with Manufacturer Supplied Diluent"/>
  </concept>
  <concept>
    <code value="450"/>
    <display value="Recons with Normal Saline"/>
    <definition value="Recons with Normal Saline"/>
  </concept>
  <concept>
    <code value="454"/>
    <display value="Recons with Normal Saline/ WFI"/>
    <definition value="Recons with Normal Saline/ WFI"/>
  </concept>
  <concept>
    <code value="460"/>
    <display value="Recons with Water for Inj (WFI)"/>
    <definition value="Recons with Water for Inj (WFI)"/>
  </concept>
  <concept>
    <code value="470"/>
    <display value="Rinse mouth after inhalation"/>
    <definition value="Rinse mouth after inhalation"/>
  </concept>
  <concept>
    <code value="474"/>
    <display value="Shake 3-5 times before using"/>
    <definition value="Shake 3-5 times before using"/>
  </concept>
  <concept>
    <code value="480"/>
    <display value="Shake well before use"/>
    <definition value="Shake well before use"/>
  </concept>
  <concept>
    <code value="490"/>
    <display value="Shake well before use. For external use only."/>
    <definition value="Shake well before use. For external use only."/>
  </concept>
  <concept>
    <code value="500"/>
    <display value="Soak/wash the affected part for 5-10 minute"/>
    <definition value="Soak/wash the affected part for 5-10 minute"/>
  </concept>
  <concept>
    <code value="510"/>
    <display value="Stand/sit upright at least 30min. Do not lie down"/>
    <definition value="Stand/sit upright at least 30min. Do not lie down"/>
  </concept>
  <concept>
    <code value="514"/>
    <display value="Store between 2-°C, do not freeze"/>
    <definition value="Store between 2-°C, do not freeze"/>
  </concept>
  <concept>
    <code value="516"/>
    <display value="Store unopened between 2-8°C, do not freeze"/>
    <definition value="Store unopened between 2-8°C, do not freeze"/>
  </concept>
  <concept>
    <code value="520"/>
    <display
             value="Swallow whole tablet/ capsule with a full glass of water."/>
    <definition
                value="Swallow whole tablet/ capsule with a full glass of water."/>
  </concept>
  <concept>
    <code value="530"/>
    <display value="Swallow whole tablet/ Dissolve in a little water"/>
    <definition value="Swallow whole tablet/ Dissolve in a little water"/>
  </concept>
  <concept>
    <code value="540"/>
    <display value="Swallow with full glass of water while standing upright"/>
    <definition
                value="Swallow with full glass of water while standing upright"/>
  </concept>
  <concept>
    <code value="550"/>
    <display value="Take 15-30 minute before meal"/>
    <definition value="Take 15-30 minute before meal"/>
  </concept>
  <concept>
    <code value="560"/>
    <display value="Take 30 minute before food or 2 hours after food"/>
    <definition value="Take 30 minute before food or 2 hours after food"/>
  </concept>
  <concept>
    <code value="564"/>
    <display value="Take 30 mins before meal"/>
    <definition value="Take 30 mins before meal"/>
  </concept>
  <concept>
    <code value="570"/>
    <display value="Take at regular intervals"/>
    <definition value="Take at regular intervals"/>
  </concept>
  <concept>
    <code value="580"/>
    <display value="Take consistently at the same time everyday"/>
    <definition value="Take consistently at the same time everyday"/>
  </concept>
  <concept>
    <code value="590"/>
    <display value="Take every 5 min if pain.See Dr if pain persist"/>
    <definition value="Take every 5 min if pain.See Dr if pain persist"/>
  </concept>
  <concept>
    <code value="600"/>
    <display value="Take medicine as directed by pharmacist"/>
    <definition value="Take medicine as directed by pharmacist"/>
  </concept>
  <concept>
    <code value="610"/>
    <display value="Take medicine at 6pm everyday"/>
    <definition value="Take medicine at 6pm everyday"/>
  </concept>
  <concept>
    <code value="620"/>
    <display value="Take medicine preferably at bedtime"/>
    <definition value="Take medicine preferably at bedtime"/>
  </concept>
  <concept>
    <code value="624"/>
    <display
             value="Take medicine preferably at bedtime, but not immediately before going to bed"/>
    <definition
                value="Take medicine preferably at bedtime, but not immediately before going to bed"/>
  </concept>
  <concept>
    <code value="630"/>
    <display value="Take medicine regularly. Avoid abrupt discontinuation"/>
    <definition
                value="Take medicine regularly. Avoid abrupt discontinuation"/>
  </concept>
  <concept>
    <code value="640"/>
    <display
             value="Take regularly and complete the whole course as directed."/>
    <definition
                value="Take regularly and complete the whole course as directed."/>
  </concept>
  <concept>
    <code value="650"/>
    <display value="Take with a full glass of water or juice"/>
    <definition value="Take with a full glass of water or juice"/>
  </concept>
  <concept>
    <code value="660"/>
    <display value="Take with fatty meals regularly complete the course"/>
    <definition value="Take with fatty meals regularly complete the course"/>
  </concept>
  <concept>
    <code value="670"/>
    <display value="Take with food or milky drinks"/>
    <definition value="Take with food or milky drinks"/>
  </concept>
  <concept>
    <code value="680"/>
    <display value="Take with full glass of water"/>
    <definition value="Take with full glass of water"/>
  </concept>
  <concept>
    <code value="690"/>
    <display
             value="Take with full glass of water Stand/sit upright atleast 1hr"/>
    <definition
                value="Take with full glass of water Stand/sit upright atleast 1hr"/>
  </concept>
  <concept>
    <code value="700"/>
    <display value="This drug may cause drowsiness"/>
    <definition value="This drug may cause drowsiness"/>
  </concept>
  <concept>
    <code value="710"/>
    <display
             value="Tip of crystal moistened by dipping in water before applying"/>
    <definition
                value="Tip of crystal moistened by dipping in water before applying"/>
  </concept>
  <concept>
    <code value="714"/>
    <display value="To be chewed or sucked"/>
    <definition value="To be chewed or sucked"/>
  </concept>
  <concept>
    <code value="720"/>
    <display value="To be swallowed whole, not chewed/crush"/>
    <definition value="To be swallowed whole, not chewed/crush"/>
  </concept>
  <concept>
    <code value="730"/>
    <display value="Use as directed by pharmacist"/>
    <definition value="Use as directed by pharmacist"/>
  </concept>
  <concept>
    <code value="740"/>
    <display value="Use as directed. Shake well before use"/>
    <definition value="Use as directed. Shake well before use"/>
  </concept>
  <concept>
    <code value="750"/>
    <display value="Use undiluted"/>
    <definition value="Use undiluted"/>
  </concept>
  <concept>
    <code value="760"/>
    <display value="Wash hand before and after applying."/>
    <definition value="Wash hand before and after applying."/>
  </concept>
  <concept>
    <code value="770"/>
    <display
             value="Wash hands before after handling med/bottle contain pills"/>
    <definition
                value="Wash hands before after handling med/bottle contain pills"/>
  </concept>
  <concept>
    <code value="780"/>
    <display
             value="Wash hands before applying. Do not touch application's tip"/>
    <definition
                value="Wash hands before applying. Do not touch application's tip"/>
  </concept>
  <concept>
    <code value="790"/>
    <display
             value="Wash hands before applying.Dont let applicator tip touch eye"/>
    <definition
                value="Wash hands before applying.Dont let applicator tip touch eye"/>
  </concept>
  <concept>
    <code value="800"/>
    <display value="Wash hands before applying/ using"/>
    <definition value="Wash hands before applying/ using"/>
  </concept>
  <concept>
    <code value="810"/>
    <display
             value="Wet hair. Massage 5-15ml to wet hair and rinse thorougly"/>
    <definition
                value="Wet hair. Massage 5-15ml to wet hair and rinse thorougly"/>
  </concept>
  <concept>
    <code value="820"/>
    <display value="Administer within 15 minutes before meal"/>
    <definition value="Administer within 15 minutes before meal"/>
  </concept>
  <concept>
    <code value="830"/>
    <display value="Administer within 30 mins before meal"/>
    <definition value="Administer within 30 mins before meal"/>
  </concept>
  <concept>
    <code value="840"/>
    <display value="Apply at bedtime and leave on skin for 6-10 hours"/>
    <definition value="Apply at bedtime and leave on skin for 6-10 hours"/>
  </concept>
  <concept>
    <code value="850"/>
    <display value="Apply on scalp at bedtime. Wash off the next morning"/>
    <definition value="Apply on scalp at bedtime. Wash off the next morning"/>
  </concept>
  <concept>
    <code value="860"/>
    <display value="Can be mixed with food or drink"/>
    <definition value="Can be mixed with food or drink"/>
  </concept>
  <concept>
    <code value="870"/>
    <display value="Day 1: Take 125 mg cap/tab once a day"/>
    <definition value="Day 1: Take 125 mg cap/tab once a day"/>
  </concept>
  <concept>
    <code value="880"/>
    <display value="Dilute 1 part with 1 part warm water before use"/>
    <definition value="Dilute 1 part with 1 part warm water before use"/>
  </concept>
  <concept>
    <code value="890"/>
    <display
             value="Dilute/Dissolve with __glass / __ml of water before drink"/>
    <definition
                value="Dilute/Dissolve with __glass / __ml of water before drink"/>
  </concept>
  <concept>
    <code value="900"/>
    <display value="Dilute with 1 glass / 250ml of water before drink"/>
    <definition value="Dilute with 1 glass / 250ml of water before drink"/>
  </concept>
  <concept>
    <code value="910"/>
    <display
             value="Dilute with 1 glass / 250ml of water/juice/milk and drink"/>
    <definition
                value="Dilute with 1 glass / 250ml of water/juice/milk and drink"/>
  </concept>
  <concept>
    <code value="920"/>
    <display value="Discard 7 days after opening. EXP DATE:"/>
    <definition value="Discard 7 days after opening. EXP DATE:"/>
  </concept>
  <concept>
    <code value="930"/>
    <display
             value="Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour"/>
    <definition
                value="Dissolve 3 or 4 crystal in 500ml hot water. Inhale vapour"/>
  </concept>
  <concept>
    <code value="940"/>
    <display value="Dissolve in 1 glass / 250ml water and drink"/>
    <definition value="Dissolve in 1 glass / 250ml water and drink"/>
  </concept>
  <concept>
    <code value="950"/>
    <display value="Dissolve in 1 L of water before use"/>
    <definition value="Dissolve in 1 L of water before use"/>
  </concept>
  <concept>
    <code value="960"/>
    <display value="Dissolve ____ pack in ______ ML water"/>
    <definition value="Dissolve ____ pack in ______ ML water"/>
  </concept>
  <concept>
    <code value="970"/>
    <display value="Dissolve ____ TABLET in ______ ML water"/>
    <definition value="Dissolve ____ TABLET in ______ ML water"/>
  </concept>
  <concept>
    <code value="980"/>
    <display value="Do not eat/drink for 1 hour after use"/>
    <definition value="Do not eat/drink for 1 hour after use"/>
  </concept>
  <concept>
    <code value="990"/>
    <display value="Keep in refrigerator -temp 2-8 C"/>
    <definition value="Keep in refrigerator -temp 2-8 C"/>
  </concept>
  <concept>
    <code value="1000"/>
    <display value="Leave for 10-15 mins and rinse thoroughly"/>
    <definition value="Leave for 10-15 mins and rinse thoroughly"/>
  </concept>
  <concept>
    <code value="1010"/>
    <display
             value="Leave overnight (8-14 hours) Wash thoroughly with warm water"/>
    <definition
                value="Leave overnight (8-14 hours) Wash thoroughly with warm water"/>
  </concept>
  <concept>
    <code value="1020"/>
    <display
             value="Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour"/>
    <definition
                value="Pour 1 teaspoon to 500 ml of hot water. Inhale the vapour"/>
  </concept>
  <concept>
    <code value="1030"/>
    <display value="Shake well before use."/>
    <definition value="Shake well before use."/>
  </concept>
  <concept>
    <code value="1040"/>
    <display value="Take after meals to avoid gastric discomfort"/>
    <definition value="Take after meals to avoid gastric discomfort"/>
  </concept>
  <concept>
    <code value="1050"/>
    <display value="Take for 4 weeks, rest or 2 weeks"/>
    <definition value="Take for 4 weeks, rest or 2 weeks"/>
  </concept>
  <concept>
    <code value="1060"/>
    <display value="Take medicine as directed by doctor/pharmacist"/>
    <definition value="Take medicine as directed by doctor/pharmacist"/>
  </concept>
  <concept>
    <code value="1070"/>
    <display value="Take with a full glass / 250ml of water or juice"/>
    <definition value="Take with a full glass / 250ml of water or juice"/>
  </concept>
  <concept>
    <code value="1080"/>
    <display value="Use as directed by doctor/ pharmacist"/>
    <definition value="Use as directed by doctor/ pharmacist"/>
  </concept>
  <concept>
    <code value="1090"/>
    <display value="Use as directed. Shake well before use"/>
    <definition value="Use as directed. Shake well before use"/>
  </concept>
</CodeSystem>