Dispensary form use non standard values as coded answer

        <select class="form-control" id="obs.medication_glibenclamide.missed_medication_reason"
                name="obs.medication_glibenclamide.missed_medication_reason" required="required"
                data-concept="1668^MISSED MEDICATION REASON^99DCT">
            <option value="">...</option>
            <option value="financial_barrier">No money</option>
            <option value="facility_stocked_out_of_medication">Facility stocked out of medication</option>
            <option value="missed_appointment">Missed Appointment</option>
            <option value="healed_by_faith">Healed by faith</option>
            <option value="forgot_to_take_medicine">Forgot to take medicine</option>
            <option value="medicine_not_useful">Medicine not useful</option>
            <option value="side_effects_from_taking_medications">Side effects</option>
            <option value="transport_problems">Lack of Transport</option>
            <option value="other_non-coded">Other</option>
        </select>