@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "additional-instruction-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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://nshr-uat.sha.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>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "AdditionalInstructionCS"] ;
  fhir:CodeSystem.title [ fhir:value "Additional Instruction Codes CodeSystem"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-20T11:03:05+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Supplementary instructions for dispensed or administered medication. Source: MOH-KENYA OCL ADDITIONAL-INSTRUCTION-CODES."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "25"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-AT-BEDTIME" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take at bedtime" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-IN-THE-MORNING" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take in the morning" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-IN-THE-EVENING" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take in the evening" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-WITH-OR-AFTER-FOOD" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take with or after food" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-WITH-OR-BEFORE-FOOD" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take with or before food" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "HALF-TO-ONE-HOUR-BEFORE-FOOD" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Half to one hour before food" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-BEFORE-BREAKFAST" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take before breakfast" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-AFTER-BREAKFAST" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take after breakfast" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-BEFORE-LUNCH" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take before lunch" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-AFTER-LUNCH" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take after lunch" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-BEFORE-DINNER" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take before dinner" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "TAKE-AFTER-DINNER" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Take after dinner" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "DISSOLVE-OR-MIX-IN-WATER" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dissolve or mix in water" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "SWALLOW-WHOLE" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Swallow whole" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "DO-NOT-CHEW" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Do not chew" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "CHEW-BEFORE-SWALLOWING" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chew before swallowing" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "ALLOW-TO-DISSOLVE-UNDER-TONGUE" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Allow to dissolve under tongue" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "DO-NOT-TAKE-WITH-ALCOHOL" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Do not take with alcohol" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "DO-NOT-TAKE-WITH-DAIRY-PRODUCTS" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Do not take with dairy products" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "MAY-CAUSE-DROWSINESS" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "May cause drowsiness" ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "MAY-CAUSE-DROWSINESS-IF-COMBINED-WITH-ALCOHOL" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "May cause drowsiness if combined with alcohol" ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "AVOID-PROLONGED-EXPOSURE-TO-SUNLIGHT" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Avoid prolonged exposure to sunlight" ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "KEEP-REFRIGERATED" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Keep refrigerated" ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "SHAKE-WELL-BEFORE-USE" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Shake well before use" ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "WARNING-MAY-CAUSE-DROWSINESS" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Warning — may cause drowsiness" ]
  ] .

# - ontology header ------------------------------------------------------------

<https://nshr-uat.sha.go.ke/fhir/CodeSystem/additional-instruction-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------