Kenya ePrescription FHIR Implementation Guide
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: Additional Instruction Codes CodeSystem - JSON Representation

Active as of 2026-04-24

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{
  "resourceType" : "CodeSystem",
  "id" : "additional-instruction-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem additional-instruction-cs</b></p><a name=\"additional-instruction-cs\"> </a><a name=\"hcadditional-instruction-cs\"> </a><p>This case-sensitive code system <code>https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">TAKE-AT-BEDTIME<a name=\"additional-instruction-cs-TAKE-AT-BEDTIME\"> </a></td><td>Take at bedtime</td></tr><tr><td style=\"white-space:nowrap\">TAKE-IN-THE-MORNING<a name=\"additional-instruction-cs-TAKE-IN-THE-MORNING\"> </a></td><td>Take in the morning</td></tr><tr><td style=\"white-space:nowrap\">TAKE-IN-THE-EVENING<a name=\"additional-instruction-cs-TAKE-IN-THE-EVENING\"> </a></td><td>Take in the evening</td></tr><tr><td style=\"white-space:nowrap\">TAKE-WITH-OR-AFTER-FOOD<a name=\"additional-instruction-cs-TAKE-WITH-OR-AFTER-FOOD\"> </a></td><td>Take with or after food</td></tr><tr><td style=\"white-space:nowrap\">TAKE-WITH-OR-BEFORE-FOOD<a name=\"additional-instruction-cs-TAKE-WITH-OR-BEFORE-FOOD\"> </a></td><td>Take with or before food</td></tr><tr><td style=\"white-space:nowrap\">HALF-TO-ONE-HOUR-BEFORE-FOOD<a name=\"additional-instruction-cs-HALF-TO-ONE-HOUR-BEFORE-FOOD\"> </a></td><td>Half to one hour before food</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-BREAKFAST<a name=\"additional-instruction-cs-TAKE-BEFORE-BREAKFAST\"> </a></td><td>Take before breakfast</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-BREAKFAST<a name=\"additional-instruction-cs-TAKE-AFTER-BREAKFAST\"> </a></td><td>Take after breakfast</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-LUNCH<a name=\"additional-instruction-cs-TAKE-BEFORE-LUNCH\"> </a></td><td>Take before lunch</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-LUNCH<a name=\"additional-instruction-cs-TAKE-AFTER-LUNCH\"> </a></td><td>Take after lunch</td></tr><tr><td style=\"white-space:nowrap\">TAKE-BEFORE-DINNER<a name=\"additional-instruction-cs-TAKE-BEFORE-DINNER\"> </a></td><td>Take before dinner</td></tr><tr><td style=\"white-space:nowrap\">TAKE-AFTER-DINNER<a name=\"additional-instruction-cs-TAKE-AFTER-DINNER\"> </a></td><td>Take after dinner</td></tr><tr><td style=\"white-space:nowrap\">DISSOLVE-OR-MIX-IN-WATER<a name=\"additional-instruction-cs-DISSOLVE-OR-MIX-IN-WATER\"> </a></td><td>Dissolve or mix in water</td></tr><tr><td style=\"white-space:nowrap\">SWALLOW-WHOLE<a name=\"additional-instruction-cs-SWALLOW-WHOLE\"> </a></td><td>Swallow whole</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-CHEW<a name=\"additional-instruction-cs-DO-NOT-CHEW\"> </a></td><td>Do not chew</td></tr><tr><td style=\"white-space:nowrap\">CHEW-BEFORE-SWALLOWING<a name=\"additional-instruction-cs-CHEW-BEFORE-SWALLOWING\"> </a></td><td>Chew before swallowing</td></tr><tr><td style=\"white-space:nowrap\">ALLOW-TO-DISSOLVE-UNDER-TONGUE<a name=\"additional-instruction-cs-ALLOW-TO-DISSOLVE-UNDER-TONGUE\"> </a></td><td>Allow to dissolve under tongue</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-TAKE-WITH-ALCOHOL<a name=\"additional-instruction-cs-DO-NOT-TAKE-WITH-ALCOHOL\"> </a></td><td>Do not take with alcohol</td></tr><tr><td style=\"white-space:nowrap\">DO-NOT-TAKE-WITH-DAIRY-PRODUCTS<a name=\"additional-instruction-cs-DO-NOT-TAKE-WITH-DAIRY-PRODUCTS\"> </a></td><td>Do not take with dairy products</td></tr><tr><td style=\"white-space:nowrap\">MAY-CAUSE-DROWSINESS<a name=\"additional-instruction-cs-MAY-CAUSE-DROWSINESS\"> </a></td><td>May cause drowsiness</td></tr><tr><td style=\"white-space:nowrap\">MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL<a name=\"additional-instruction-cs-MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL\"> </a></td><td>May cause drowsiness if combined with alcohol</td></tr><tr><td style=\"white-space:nowrap\">AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT<a name=\"additional-instruction-cs-AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT\"> </a></td><td>Avoid prolonged exposure to sunlight</td></tr><tr><td style=\"white-space:nowrap\">KEEP-REFRIGERATED<a name=\"additional-instruction-cs-KEEP-REFRIGERATED\"> </a></td><td>Keep refrigerated</td></tr><tr><td style=\"white-space:nowrap\">SHAKE-WELL-BEFORE-USE<a name=\"additional-instruction-cs-SHAKE-WELL-BEFORE-USE\"> </a></td><td>Shake well before use</td></tr><tr><td style=\"white-space:nowrap\">WARNING-MAY-CAUSE-DROWSINESS<a name=\"additional-instruction-cs-WARNING-MAY-CAUSE-DROWSINESS\"> </a></td><td>Warning — may cause drowsiness</td></tr></table></div>"
  },
  "url" : "https://ilm-hie.dha.go.ke/fhir/CodeSystem/additional-instruction-cs",
  "version" : "0.1.0",
  "name" : "AdditionalInstructionCS",
  "title" : "Additional Instruction Codes CodeSystem",
  "status" : "active",
  "date" : "2026-04-24T09:57:31+00:00",
  "publisher" : "DHA, Kenya",
  "contact" : [
    {
      "name" : "DHA, Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://dha.go.ke/"
        },
        {
          "system" : "email",
          "value" : "helpdesk@dha.go.ke"
        }
      ]
    },
    {
      "name" : "Digital Health Agency, Kenya",
      "telecom" : [
        {
          "system" : "email",
          "value" : "helpdesk@dha.go.ke",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://www.dha.go.ke/"
        }
      ]
    }
  ],
  "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"
        }
      ]
    }
  ],
  "copyright" : "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.",
  "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"
    }
  ]
}