additional-instruction-cs
type: CodeSystem
node role: treeRoot
id:
  v: additional-instruction-cs
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CodeSystem additional-instruction-cs This case-sensitive code system https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs defines the following codes: Code Display TAKE-AT-BEDTIME Take at bedtime TAKE-IN-THE-MORNING Take in the morning TAKE-IN-THE-EVENING Take in the evening TAKE-WITH-OR-AFTER-FOOD Take with or after food TAKE-WITH-OR-BEFORE-FOOD Take with or before food HALF-TO-ONE-HOUR-BEFORE-FOOD Half to one hour before food TAKE-BEFORE-BREAKFAST Take before breakfast TAKE-AFTER-BREAKFAST Take after breakfast TAKE-BEFORE-LUNCH Take before lunch TAKE-AFTER-LUNCH Take after lunch TAKE-BEFORE-DINNER Take before dinner TAKE-AFTER-DINNER Take after dinner DISSOLVE-OR-MIX-IN-WATER Dissolve or mix in water SWALLOW-WHOLE Swallow whole DO-NOT-CHEW Do not chew CHEW-BEFORE-SWALLOWING Chew before swallowing ALLOW-TO-DISSOLVE-UNDER-TONGUE Allow to dissolve under tongue DO-NOT-TAKE-WITH-ALCOHOL Do not take with alcohol DO-NOT-TAKE-WITH-DAIRY-PRODUCTS Do not take with dairy products MAY-CAUSE-DROWSINESS May cause drowsiness MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL May cause drowsiness if combined with alcohol AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT Avoid prolonged exposure to sunlight KEEP-REFRIGERATED Keep refrigerated SHAKE-WELL-BEFORE-USE Shake well before use WARNING-MAY-CAUSE-DROWSINESS Warning — may cause drowsiness
url:
  v: https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs
version:
  v: 0.1.0
name:
  v: AdditionalInstructionCS
title:
  v: Additional Instruction Codes CodeSystem
status:
  v: active
experimental:
  v: false
date:
  v: 2026-06-24T08:25:00+00:00
publisher:
  v: Digital Health Agency of Kenya
contact:
  name:
    v: Digital Health Agency of Kenya
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
  telecom:
    system:
      v: email
contact:
  name:
    v: Digital Health Agency of Kenya – Interoperability Team
  telecom:
    system:
      v: email
    use:
      v: work
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
    use:
      v: work
description:
  v: Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
    code:
      v: KE
    display:
      v: Kenya
copyright:
  v: Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.
case sensitive:
  v: true
content:
  v: complete
count:
  v: 25
concept:
  code:
    v: TAKE-AT-BEDTIME
  display:
    v: Take at bedtime
concept:
  code:
    v: TAKE-IN-THE-MORNING
  display:
    v: Take in the morning
concept:
  code:
    v: TAKE-IN-THE-EVENING
  display:
    v: Take in the evening
concept:
  code:
    v: TAKE-WITH-OR-AFTER-FOOD
  display:
    v: Take with or after food
concept:
  code:
    v: TAKE-WITH-OR-BEFORE-FOOD
  display:
    v: Take with or before food
concept:
  code:
    v: HALF-TO-ONE-HOUR-BEFORE-FOOD
  display:
    v: Half to one hour before food
concept:
  code:
    v: TAKE-BEFORE-BREAKFAST
  display:
    v: Take before breakfast
concept:
  code:
    v: TAKE-AFTER-BREAKFAST
  display:
    v: Take after breakfast
concept:
  code:
    v: TAKE-BEFORE-LUNCH
  display:
    v: Take before lunch
concept:
  code:
    v: TAKE-AFTER-LUNCH
  display:
    v: Take after lunch
concept:
  code:
    v: TAKE-BEFORE-DINNER
  display:
    v: Take before dinner
concept:
  code:
    v: TAKE-AFTER-DINNER
  display:
    v: Take after dinner
concept:
  code:
    v: DISSOLVE-OR-MIX-IN-WATER
  display:
    v: Dissolve or mix in water
concept:
  code:
    v: SWALLOW-WHOLE
  display:
    v: Swallow whole
concept:
  code:
    v: DO-NOT-CHEW
  display:
    v: Do not chew
concept:
  code:
    v: CHEW-BEFORE-SWALLOWING
  display:
    v: Chew before swallowing
concept:
  code:
    v: ALLOW-TO-DISSOLVE-UNDER-TONGUE
  display:
    v: Allow to dissolve under tongue
concept:
  code:
    v: DO-NOT-TAKE-WITH-ALCOHOL
  display:
    v: Do not take with alcohol
concept:
  code:
    v: DO-NOT-TAKE-WITH-DAIRY-PRODUCTS
  display:
    v: Do not take with dairy products
concept:
  code:
    v: MAY-CAUSE-DROWSINESS
  display:
    v: May cause drowsiness
concept:
  code:
    v: MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL
  display:
    v: May cause drowsiness if combined with alcohol
concept:
  code:
    v: AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT
  display:
    v: Avoid prolonged exposure to sunlight
concept:
  code:
    v: KEEP-REFRIGERATED
  display:
    v: Keep refrigerated
concept:
  code:
    v: SHAKE-WELL-BEFORE-USE
  display:
    v: Shake well before use
concept:
  code:
    v: WARNING-MAY-CAUSE-DROWSINESS
  display:
    v: Warning — may cause drowsiness