BioMaxis Implementation Guide
0.0.0-semantic-release - ci-build
BioMaxis Implementation Guide - Local Development build (v0.0.0-semantic-release) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2026-02-04 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="hmis-aefi-reaction-type"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem hmis-aefi-reaction-type</b></p><a name="hmis-aefi-reaction-type"> </a><a name="hchmis-aefi-reaction-type"> </a><p>This case-sensitive code system <code>http://biomaxis.com/fhir/CodeSystem/hmis-aefi-reaction-type</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><td><b>ne</b></td></tr><tr><td style="white-space:nowrap">local-pain<a name="hmis-aefi-reaction-type-local-pain"> </a></td><td>Local Pain</td><td>Pain at the injection site</td><td>सुई लगाएको ठाउँमा दुखाइ</td></tr><tr><td style="white-space:nowrap">local-swelling<a name="hmis-aefi-reaction-type-local-swelling"> </a></td><td>Local Swelling</td><td>Swelling at the injection site</td><td>सुई लगाएको ठाउँमा सुन्निने</td></tr><tr><td style="white-space:nowrap">local-redness<a name="hmis-aefi-reaction-type-local-redness"> </a></td><td>Local Redness</td><td>Redness or erythema at the injection site</td><td>सुई लगाएको ठाउँमा रातो हुने</td></tr><tr><td style="white-space:nowrap">abscess<a name="hmis-aefi-reaction-type-abscess"> </a></td><td>Injection Site Abscess</td><td>Abscess formation at the injection site (sterile or septic)</td><td>सुई लगाएको ठाउँमा फोडा</td></tr><tr><td style="white-space:nowrap">cellulitis<a name="hmis-aefi-reaction-type-cellulitis"> </a></td><td>Cellulitis</td><td>Spreading inflammation of the skin and subcutaneous tissue at injection site</td><td>सेलुलाइटिस</td></tr><tr><td style="white-space:nowrap">lymphadenitis<a name="hmis-aefi-reaction-type-lymphadenitis"> </a></td><td>Lymphadenitis</td><td>Inflammation of lymph nodes, particularly BCG lymphadenitis</td><td>लिम्फ नोड सुन्निने</td></tr><tr><td style="white-space:nowrap">fever<a name="hmis-aefi-reaction-type-fever"> </a></td><td>Fever</td><td>Elevated body temperature following immunization</td><td>ज्वरो</td></tr><tr><td style="white-space:nowrap">rash<a name="hmis-aefi-reaction-type-rash"> </a></td><td>Rash</td><td>Skin rash or urticaria following immunization</td><td>छालामा दाना/लटरम्मे</td></tr><tr><td style="white-space:nowrap">irritability<a name="hmis-aefi-reaction-type-irritability"> </a></td><td>Irritability</td><td>Excessive crying or irritability in infants</td><td>चिडचिडापन</td></tr><tr><td style="white-space:nowrap">drowsiness<a name="hmis-aefi-reaction-type-drowsiness"> </a></td><td>Drowsiness</td><td>Excessive sleepiness or lethargy following immunization</td><td>सुस्तता</td></tr><tr><td style="white-space:nowrap">loss-of-appetite<a name="hmis-aefi-reaction-type-loss-of-appetite"> </a></td><td>Loss of Appetite</td><td>Decreased appetite or refusal to feed</td><td>खान नखोज्ने</td></tr><tr><td style="white-space:nowrap">vomiting<a name="hmis-aefi-reaction-type-vomiting"> </a></td><td>Vomiting</td><td>Vomiting following immunization</td><td>बान्ता</td></tr><tr><td style="white-space:nowrap">diarrhea<a name="hmis-aefi-reaction-type-diarrhea"> </a></td><td>Diarrhea</td><td>Diarrhea following immunization (particularly with rotavirus vaccine)</td><td>झाडा</td></tr><tr><td style="white-space:nowrap">anaphylaxis<a name="hmis-aefi-reaction-type-anaphylaxis"> </a></td><td>Anaphylaxis</td><td>Severe allergic reaction with rapid onset involving multiple body systems</td><td>एनाफिलेक्सिस</td></tr><tr><td style="white-space:nowrap">seizure<a name="hmis-aefi-reaction-type-seizure"> </a></td><td>Seizure/Convulsion</td><td>Convulsions or seizures following immunization (febrile or afebrile)</td><td>खिचौटी/झट्का</td></tr><tr><td style="white-space:nowrap">hypotonic-hyporesponsive<a name="hmis-aefi-reaction-type-hypotonic-hyporesponsive"> </a></td><td>Hypotonic-Hyporesponsive Episode</td><td>Episode of sudden reduced muscle tone, reduced responsiveness, and pallor or cyanosis</td><td>हाइपोटोनिक-हाइपोरेस्पोन्सिभ</td></tr><tr><td style="white-space:nowrap">encephalopathy<a name="hmis-aefi-reaction-type-encephalopathy"> </a></td><td>Encephalopathy</td><td>Acute onset of major illness characterized by altered consciousness, seizures, or focal neurological signs</td><td>इन्सेफालोप्याथी</td></tr><tr><td style="white-space:nowrap">intussusception<a name="hmis-aefi-reaction-type-intussusception"> </a></td><td>Intussusception</td><td>Bowel obstruction where part of intestine folds into itself (associated with rotavirus vaccine)</td><td>इन्टससेप्सन (आन्द्रा भित्र पस्ने)</td></tr><tr><td style="white-space:nowrap">thrombocytopenia<a name="hmis-aefi-reaction-type-thrombocytopenia"> </a></td><td>Thrombocytopenia</td><td>Low platelet count following immunization</td><td>थ्रोम्बोसाइटोपेनिया</td></tr><tr><td style="white-space:nowrap">guillain-barre<a name="hmis-aefi-reaction-type-guillain-barre"> </a></td><td>Guillain-Barré Syndrome</td><td>Acute inflammatory demyelinating polyneuropathy</td><td>गुलिएन-बारे सिन्ड्रोम</td></tr><tr><td style="white-space:nowrap">bcg-osteitis<a name="hmis-aefi-reaction-type-bcg-osteitis"> </a></td><td>BCG Osteitis</td><td>Bone infection following BCG vaccination</td><td>बीसीजी हड्डी संक्रमण</td></tr><tr><td style="white-space:nowrap">disseminated-bcg<a name="hmis-aefi-reaction-type-disseminated-bcg"> </a></td><td>Disseminated BCG Infection</td><td>Widespread BCG infection in immunocompromised individuals</td><td>फैलिएको बीसीजी संक्रमण</td></tr><tr><td style="white-space:nowrap">toxic-shock<a name="hmis-aefi-reaction-type-toxic-shock"> </a></td><td>Toxic Shock Syndrome</td><td>Acute systemic illness with fever, hypotension, and multi-organ involvement</td><td>टक्सिक शक सिन्ड्रोम</td></tr><tr><td style="white-space:nowrap">sepsis<a name="hmis-aefi-reaction-type-sepsis"> </a></td><td>Sepsis</td><td>Systemic infection following immunization</td><td>सेप्सिस (रक्त संक्रमण)</td></tr><tr><td style="white-space:nowrap">death<a name="hmis-aefi-reaction-type-death"> </a></td><td>Death</td><td>Death following immunization (any cause)</td><td>मृत्यु</td></tr><tr><td style="white-space:nowrap">other<a name="hmis-aefi-reaction-type-other"> </a></td><td>Other Reaction</td><td>Other adverse reaction not specified above</td><td>अन्य प्रतिक्रिया</td></tr></table></div>
</text>
<url value="http://biomaxis.com/fhir/CodeSystem/hmis-aefi-reaction-type"/>
<version value="0.0.0-semantic-release"/>
<name value="HMISAEFIReactionType"/>
<title value="HMIS AEFI Reaction Type"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-02-04T09:30:33+00:00"/>
<publisher value="BioMaxis Pvt. Ltd."/>
<contact>
<name value="BioMaxis Pvt. Ltd."/>
<telecom>
<system value="url"/>
<value value="http://biomaxis.com"/>
</telecom>
</contact>
<description
value="Standardized codes for types of Adverse Events Following Immunization (AEFI) reactions used in Nepal's National Immunization Program based on HMIS 2.2."/>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="26"/>
<concept>
<code value="local-pain"/>
<display value="Local Pain"/>
<definition value="Pain at the injection site"/>
<designation>
<language value="ne"/>
<value value="सुई लगाएको ठाउँमा दुखाइ"/>
</designation>
</concept>
<concept>
<code value="local-swelling"/>
<display value="Local Swelling"/>
<definition value="Swelling at the injection site"/>
<designation>
<language value="ne"/>
<value value="सुई लगाएको ठाउँमा सुन्निने"/>
</designation>
</concept>
<concept>
<code value="local-redness"/>
<display value="Local Redness"/>
<definition value="Redness or erythema at the injection site"/>
<designation>
<language value="ne"/>
<value value="सुई लगाएको ठाउँमा रातो हुने"/>
</designation>
</concept>
<concept>
<code value="abscess"/>
<display value="Injection Site Abscess"/>
<definition
value="Abscess formation at the injection site (sterile or septic)"/>
<designation>
<language value="ne"/>
<value value="सुई लगाएको ठाउँमा फोडा"/>
</designation>
</concept>
<concept>
<code value="cellulitis"/>
<display value="Cellulitis"/>
<definition
value="Spreading inflammation of the skin and subcutaneous tissue at injection site"/>
<designation>
<language value="ne"/>
<value value="सेलुलाइटिस"/>
</designation>
</concept>
<concept>
<code value="lymphadenitis"/>
<display value="Lymphadenitis"/>
<definition
value="Inflammation of lymph nodes, particularly BCG lymphadenitis"/>
<designation>
<language value="ne"/>
<value value="लिम्फ नोड सुन्निने"/>
</designation>
</concept>
<concept>
<code value="fever"/>
<display value="Fever"/>
<definition value="Elevated body temperature following immunization"/>
<designation>
<language value="ne"/>
<value value="ज्वरो"/>
</designation>
</concept>
<concept>
<code value="rash"/>
<display value="Rash"/>
<definition value="Skin rash or urticaria following immunization"/>
<designation>
<language value="ne"/>
<value value="छालामा दाना/लटरम्मे"/>
</designation>
</concept>
<concept>
<code value="irritability"/>
<display value="Irritability"/>
<definition value="Excessive crying or irritability in infants"/>
<designation>
<language value="ne"/>
<value value="चिडचिडापन"/>
</designation>
</concept>
<concept>
<code value="drowsiness"/>
<display value="Drowsiness"/>
<definition
value="Excessive sleepiness or lethargy following immunization"/>
<designation>
<language value="ne"/>
<value value="सुस्तता"/>
</designation>
</concept>
<concept>
<code value="loss-of-appetite"/>
<display value="Loss of Appetite"/>
<definition value="Decreased appetite or refusal to feed"/>
<designation>
<language value="ne"/>
<value value="खान नखोज्ने"/>
</designation>
</concept>
<concept>
<code value="vomiting"/>
<display value="Vomiting"/>
<definition value="Vomiting following immunization"/>
<designation>
<language value="ne"/>
<value value="बान्ता"/>
</designation>
</concept>
<concept>
<code value="diarrhea"/>
<display value="Diarrhea"/>
<definition
value="Diarrhea following immunization (particularly with rotavirus vaccine)"/>
<designation>
<language value="ne"/>
<value value="झाडा"/>
</designation>
</concept>
<concept>
<code value="anaphylaxis"/>
<display value="Anaphylaxis"/>
<definition
value="Severe allergic reaction with rapid onset involving multiple body systems"/>
<designation>
<language value="ne"/>
<value value="एनाफिलेक्सिस"/>
</designation>
</concept>
<concept>
<code value="seizure"/>
<display value="Seizure/Convulsion"/>
<definition
value="Convulsions or seizures following immunization (febrile or afebrile)"/>
<designation>
<language value="ne"/>
<value value="खिचौटी/झट्का"/>
</designation>
</concept>
<concept>
<code value="hypotonic-hyporesponsive"/>
<display value="Hypotonic-Hyporesponsive Episode"/>
<definition
value="Episode of sudden reduced muscle tone, reduced responsiveness, and pallor or cyanosis"/>
<designation>
<language value="ne"/>
<value value="हाइपोटोनिक-हाइपोरेस्पोन्सिभ"/>
</designation>
</concept>
<concept>
<code value="encephalopathy"/>
<display value="Encephalopathy"/>
<definition
value="Acute onset of major illness characterized by altered consciousness, seizures, or focal neurological signs"/>
<designation>
<language value="ne"/>
<value value="इन्सेफालोप्याथी"/>
</designation>
</concept>
<concept>
<code value="intussusception"/>
<display value="Intussusception"/>
<definition
value="Bowel obstruction where part of intestine folds into itself (associated with rotavirus vaccine)"/>
<designation>
<language value="ne"/>
<value value="इन्टससेप्सन (आन्द्रा भित्र पस्ने)"/>
</designation>
</concept>
<concept>
<code value="thrombocytopenia"/>
<display value="Thrombocytopenia"/>
<definition value="Low platelet count following immunization"/>
<designation>
<language value="ne"/>
<value value="थ्रोम्बोसाइटोपेनिया"/>
</designation>
</concept>
<concept>
<code value="guillain-barre"/>
<display value="Guillain-Barré Syndrome"/>
<definition value="Acute inflammatory demyelinating polyneuropathy"/>
<designation>
<language value="ne"/>
<value value="गुलिएन-बारे सिन्ड्रोम"/>
</designation>
</concept>
<concept>
<code value="bcg-osteitis"/>
<display value="BCG Osteitis"/>
<definition value="Bone infection following BCG vaccination"/>
<designation>
<language value="ne"/>
<value value="बीसीजी हड्डी संक्रमण"/>
</designation>
</concept>
<concept>
<code value="disseminated-bcg"/>
<display value="Disseminated BCG Infection"/>
<definition
value="Widespread BCG infection in immunocompromised individuals"/>
<designation>
<language value="ne"/>
<value value="फैलिएको बीसीजी संक्रमण"/>
</designation>
</concept>
<concept>
<code value="toxic-shock"/>
<display value="Toxic Shock Syndrome"/>
<definition
value="Acute systemic illness with fever, hypotension, and multi-organ involvement"/>
<designation>
<language value="ne"/>
<value value="टक्सिक शक सिन्ड्रोम"/>
</designation>
</concept>
<concept>
<code value="sepsis"/>
<display value="Sepsis"/>
<definition value="Systemic infection following immunization"/>
<designation>
<language value="ne"/>
<value value="सेप्सिस (रक्त संक्रमण)"/>
</designation>
</concept>
<concept>
<code value="death"/>
<display value="Death"/>
<definition value="Death following immunization (any cause)"/>
<designation>
<language value="ne"/>
<value value="मृत्यु"/>
</designation>
</concept>
<concept>
<code value="other"/>
<display value="Other Reaction"/>
<definition value="Other adverse reaction not specified above"/>
<designation>
<language value="ne"/>
<value value="अन्य प्रतिक्रिया"/>
</designation>
</concept>
</CodeSystem>