<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="dosage-additional-instruction-cs"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem dosage-additional-instruction-cs</b></p><a name="dosage-additional-instruction-cs"> </a><a name="hcdosage-additional-instruction-cs"> </a><p>This case-sensitive code system <code>https://fhir.dha.go.ke/eclaims/CodeSystem/dosage-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><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">WITH-FOOD<a name="dosage-additional-instruction-cs-WITH-FOOD"> </a></td><td>With Food</td><td>Take with food.</td></tr><tr><td style="white-space:nowrap">WITHOUT-FOOD<a name="dosage-additional-instruction-cs-WITHOUT-FOOD"> </a></td><td>Without Food</td><td>Take on an empty stomach.</td></tr><tr><td style="white-space:nowrap">WITH-WATER<a name="dosage-additional-instruction-cs-WITH-WATER"> </a></td><td>With Water</td><td>Take with plenty of water.</td></tr><tr><td style="white-space:nowrap">AVOID-ALCOHOL<a name="dosage-additional-instruction-cs-AVOID-ALCOHOL"> </a></td><td>Avoid Alcohol</td><td>Do not take with alcohol.</td></tr><tr><td style="white-space:nowrap">AVOID-DRIVING<a name="dosage-additional-instruction-cs-AVOID-DRIVING"> </a></td><td>Avoid Driving</td><td>Do not operate machinery while taking this medication.</td></tr><tr><td style="white-space:nowrap">DISSOLVE-FIRST<a name="dosage-additional-instruction-cs-DISSOLVE-FIRST"> </a></td><td>Dissolve First</td><td>Dissolve in water before taking.</td></tr><tr><td style="white-space:nowrap">REFRIGERATE<a name="dosage-additional-instruction-cs-REFRIGERATE"> </a></td><td>Refrigerate</td><td>Store in the refrigerator.</td></tr><tr><td style="white-space:nowrap">SHAKE-WELL<a name="dosage-additional-instruction-cs-SHAKE-WELL"> </a></td><td>Shake Well</td><td>Shake the bottle well before use.</td></tr><tr><td style="white-space:nowrap">AS-DIRECTED<a name="dosage-additional-instruction-cs-AS-DIRECTED"> </a></td><td>As Directed</td><td>Take as directed by your healthcare provider.</td></tr></table></div>
  </text>
  <url value="https://fhir.dha.go.ke/eclaims/CodeSystem/dosage-additional-instruction-cs"/>
  <version value="0.1.0"/>
  <name value="DosageAdditionalInstructionCS"/>
  <title value="Dosage Additional Instruction Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-19T11:26:54+00:00"/>
  <publisher value="Digital Health Agency of Kenya"/>
  <contact>
    <name value="Digital Health Agency of Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="interoperability@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="eClaims Technical Working Group"/>
    <telecom>
      <system value="email"/>
      <value value="interoperability@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="Codes for additional dispensing/dosage instructions, replacing SNOMED CT-based HL7 ValueSet"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="WITH-FOOD"/>
    <display value="With Food"/>
    <definition value="Take with food."/>
  </concept>
  <concept>
    <code value="WITHOUT-FOOD"/>
    <display value="Without Food"/>
    <definition value="Take on an empty stomach."/>
  </concept>
  <concept>
    <code value="WITH-WATER"/>
    <display value="With Water"/>
    <definition value="Take with plenty of water."/>
  </concept>
  <concept>
    <code value="AVOID-ALCOHOL"/>
    <display value="Avoid Alcohol"/>
    <definition value="Do not take with alcohol."/>
  </concept>
  <concept>
    <code value="AVOID-DRIVING"/>
    <display value="Avoid Driving"/>
    <definition value="Do not operate machinery while taking this medication."/>
  </concept>
  <concept>
    <code value="DISSOLVE-FIRST"/>
    <display value="Dissolve First"/>
    <definition value="Dissolve in water before taking."/>
  </concept>
  <concept>
    <code value="REFRIGERATE"/>
    <display value="Refrigerate"/>
    <definition value="Store in the refrigerator."/>
  </concept>
  <concept>
    <code value="SHAKE-WELL"/>
    <display value="Shake Well"/>
    <definition value="Shake the bottle well before use."/>
  </concept>
  <concept>
    <code value="AS-DIRECTED"/>
    <display value="As Directed"/>
    <definition value="Take as directed by your healthcare provider."/>
  </concept>
</CodeSystem>