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Source1

{
  "resourceType": "CodeSystem",
  "id": "additional-instruction-cs",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs",
  "version": "0.1.0",
  "name": "AdditionalInstructionCS",
  "title": "Additional Instruction Codes CodeSystem",
  "status": "active",
  "experimental": false,
  "date": "2026-07-20T11:03:05+00:00",
  "publisher": "Digital Health Agency (DHA), Kenya",
  "contact": [
    {
      "name": "Digital Health Agency (DHA), Kenya",
      "telecom": [
        {
          "system": "url",
          "value": "https://dha.go.ke"
        },
        {
          "system": "email",
          "value": "info@dha.go.ke"
        }
      ]
    },
    {
      "name": "Digital Health Agency Kenya – FHIR Team",
      "telecom": [
        {
          "system": "email",
          "value": "info@dha.go.ke",
          "use": "work"
        },
        {
          "system": "url",
          "value": "https://dha.go.ke",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "KE",
          "display": "Kenya"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 25,
  "concept": [
    {
      "code": "TAKE-AT-BEDTIME",
      "display": "Take at bedtime"
    },
    {
      "code": "TAKE-IN-THE-MORNING",
      "display": "Take in the morning"
    },
    {
      "code": "TAKE-IN-THE-EVENING",
      "display": "Take in the evening"
    },
    {
      "code": "TAKE-WITH-OR-AFTER-FOOD",
      "display": "Take with or after food"
    },
    {
      "code": "TAKE-WITH-OR-BEFORE-FOOD",
      "display": "Take with or before food"
    },
    {
      "code": "HALF-TO-ONE-HOUR-BEFORE-FOOD",
      "display": "Half to one hour before food"
    },
    {
      "code": "TAKE-BEFORE-BREAKFAST",
      "display": "Take before breakfast"
    },
    {
      "code": "TAKE-AFTER-BREAKFAST",
      "display": "Take after breakfast"
    },
    {
      "code": "TAKE-BEFORE-LUNCH",
      "display": "Take before lunch"
    },
    {
      "code": "TAKE-AFTER-LUNCH",
      "display": "Take after lunch"
    },
    {
      "code": "TAKE-BEFORE-DINNER",
      "display": "Take before dinner"
    },
    {
      "code": "TAKE-AFTER-DINNER",
      "display": "Take after dinner"
    },
    {
      "code": "DISSOLVE-OR-MIX-IN-WATER",
      "display": "Dissolve or mix in water"
    },
    {
      "code": "SWALLOW-WHOLE",
      "display": "Swallow whole"
    },
    {
      "code": "DO-NOT-CHEW",
      "display": "Do not chew"
    },
    {
      "code": "CHEW-BEFORE-SWALLOWING",
      "display": "Chew before swallowing"
    },
    {
      "code": "ALLOW-TO-DISSOLVE-UNDER-TONGUE",
      "display": "Allow to dissolve under tongue"
    },
    {
      "code": "DO-NOT-TAKE-WITH-ALCOHOL",
      "display": "Do not take with alcohol"
    },
    {
      "code": "DO-NOT-TAKE-WITH-DAIRY-PRODUCTS",
      "display": "Do not take with dairy products"
    },
    {
      "code": "MAY-CAUSE-DROWSINESS",
      "display": "May cause drowsiness"
    },
    {
      "code": "MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL",
      "display": "May cause drowsiness if combined with alcohol"
    },
    {
      "code": "AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT",
      "display": "Avoid prolonged exposure to sunlight"
    },
    {
      "code": "KEEP-REFRIGERATED",
      "display": "Keep refrigerated"
    },
    {
      "code": "SHAKE-WELL-BEFORE-USE",
      "display": "Shake well before use"
    },
    {
      "code": "WARNING-MAY-CAUSE-DROWSINESS",
      "display": "Warning — may cause drowsiness"
    }
  ]
}