BioMaxis Implementation Guide
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CodeSystem: HMIS AEFI Reaction Type

Official URL: http://biomaxis.com/fhir/CodeSystem/hmis-aefi-reaction-type Version: 0.0.0-semantic-release
Active as of 2026-02-04 Computable Name: HMISAEFIReactionType

Standardized codes for types of Adverse Events Following Immunization (AEFI) reactions used in Nepal's National Immunization Program based on HMIS 2.2.

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

This case-sensitive code system http://biomaxis.com/fhir/CodeSystem/hmis-aefi-reaction-type defines the following codes:

CodeDisplayDefinitionne
local-pain Local Pain Pain at the injection site सुई लगाएको ठाउँमा दुखाइ
local-swelling Local Swelling Swelling at the injection site सुई लगाएको ठाउँमा सुन्निने
local-redness Local Redness Redness or erythema at the injection site सुई लगाएको ठाउँमा रातो हुने
abscess Injection Site Abscess Abscess formation at the injection site (sterile or septic) सुई लगाएको ठाउँमा फोडा
cellulitis Cellulitis Spreading inflammation of the skin and subcutaneous tissue at injection site सेलुलाइटिस
lymphadenitis Lymphadenitis Inflammation of lymph nodes, particularly BCG lymphadenitis लिम्फ नोड सुन्निने
fever Fever Elevated body temperature following immunization ज्वरो
rash Rash Skin rash or urticaria following immunization छालामा दाना/लटरम्मे
irritability Irritability Excessive crying or irritability in infants चिडचिडापन
drowsiness Drowsiness Excessive sleepiness or lethargy following immunization सुस्तता
loss-of-appetite Loss of Appetite Decreased appetite or refusal to feed खान नखोज्ने
vomiting Vomiting Vomiting following immunization बान्ता
diarrhea Diarrhea Diarrhea following immunization (particularly with rotavirus vaccine) झाडा
anaphylaxis Anaphylaxis Severe allergic reaction with rapid onset involving multiple body systems एनाफिलेक्सिस
seizure Seizure/Convulsion Convulsions or seizures following immunization (febrile or afebrile) खिचौटी/झट्का
hypotonic-hyporesponsive Hypotonic-Hyporesponsive Episode Episode of sudden reduced muscle tone, reduced responsiveness, and pallor or cyanosis हाइपोटोनिक-हाइपोरेस्पोन्सिभ
encephalopathy Encephalopathy Acute onset of major illness characterized by altered consciousness, seizures, or focal neurological signs इन्सेफालोप्याथी
intussusception Intussusception Bowel obstruction where part of intestine folds into itself (associated with rotavirus vaccine) इन्टससेप्सन (आन्द्रा भित्र पस्ने)
thrombocytopenia Thrombocytopenia Low platelet count following immunization थ्रोम्बोसाइटोपेनिया
guillain-barre Guillain-Barré Syndrome Acute inflammatory demyelinating polyneuropathy गुलिएन-बारे सिन्ड्रोम
bcg-osteitis BCG Osteitis Bone infection following BCG vaccination बीसीजी हड्डी संक्रमण
disseminated-bcg Disseminated BCG Infection Widespread BCG infection in immunocompromised individuals फैलिएको बीसीजी संक्रमण
toxic-shock Toxic Shock Syndrome Acute systemic illness with fever, hypotension, and multi-organ involvement टक्सिक शक सिन्ड्रोम
sepsis Sepsis Systemic infection following immunization सेप्सिस (रक्त संक्रमण)
death Death Death following immunization (any cause) मृत्यु
other Other Reaction Other adverse reaction not specified above अन्य प्रतिक्रिया