Kenya ePrescription FHIR Implementation Guide
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CodeSystem: Additional Instruction Codes CodeSystem

Official URL: https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs Version: 0.1.0
Active as of 2026-04-24 Computable Name: AdditionalInstructionCS

Copyright/Legal: Copyright 2025+ Digital Health Agency, Kenya. This content is licensed under Creative Commons Attribution 4.0 International (CC-BY-4.0). Terminology content from the Kenya Pharmacy and Poisons Board (PPB) via Open Concept Lab (OCL) is subject to separate terms.

Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES.

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

This case-sensitive code system https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs defines the following codes:

CodeDisplay
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