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

CodeSystem: HMIS IMNCI Assessment Codes

Official URL: http://biomaxis.com/fhir/CodeSystem/hmis-imnci-assessment Version: 0.0.0-semantic-release
Active as of 2026-02-04 Computable Name: HMISIMNCIAssessment

Standardized codes for clinical assessment findings in IMNCI protocol used in Nepal HMIS 2.4.

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

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

This case-sensitive code system http://biomaxis.com/fhir/CodeSystem/hmis-imnci-assessment defines the following codes:

CodeDisplayDefinitionne
unable-to-drink Unable to Drink or Breastfeed Child is not able to drink or breastfeed पिउन वा स्तनपान गर्न असमर्थ
vomits-everything Vomits Everything Child vomits everything given सबै बान्ता गर्छ
convulsions Convulsions Child has had convulsions during current illness खिचौटी/झट्का
lethargic-unconscious Lethargic or Unconscious Child is abnormally sleepy or difficult to wake सुस्त वा बेहोश
fast-breathing Fast Breathing Respiratory rate above age-appropriate threshold छिटो सास फेर्ने
chest-indrawing Chest Indrawing Lower chest wall goes in when child breathes in छाती भित्र तानिने
stridor Stridor Harsh noise when child breathes in (when calm) सास फेर्दा कर्कश आवाज
wheezing Wheezing High-pitched whistling sound during expiration घर्घराहट
severe-chest-indrawing Severe Chest Indrawing Severe lower chest wall indrawing in young infant गम्भीर छाती भित्र तानिने
nasal-flaring Nasal Flaring Nostrils widen when infant breathes in नाकको प्वाल फराकिने
grunting Grunting Short, low-pitched sound when infant breathes out कराउने आवाज
bulging-fontanelle Bulging Fontanelle Fontanelle bulges outward when infant is quiet तालु उठेको
umbilicus-red Umbilicus Redness Redness extending to the skin around umbilicus नाभी वरिपरि रातो
umbilicus-pus Umbilicus Draining Pus Pus draining from umbilicus नाभीबाट पिप बग्ने
skin-pustules Skin Pustules Pustules on the skin छालामा फोका
skin-pustules-many Many or Severe Skin Pustules 10 or more skin pustules, or severe pustules धेरै वा गम्भीर छालाको फोका
movement-normal Normal Movement Infant moves normally when stimulated सामान्य हलचल
movement-less Less Than Normal Movement Infant moves less than normal सामान्य भन्दा कम हलचल
movement-none No Movement Infant does not move at all हलचल छैन
jaundice-none No Jaundice No yellow coloring of skin or eyes पहेंलो छैन
jaundice-face Jaundice on Face Only Yellow coloring visible on face अनुहारमा मात्र पहेंलो
jaundice-body Jaundice on Face and Body Yellow coloring on face and body अनुहार र शरीरमा पहेंलो
jaundice-palms-soles Jaundice on Palms and Soles Yellow coloring extending to palms and soles (severe) हत्केला र पैतालामा पहेंलो
sunken-eyes Sunken Eyes Eyes appear sunken in sockets आँखा धस्केको
skin-pinch-very-slow Skin Pinch Goes Back Very Slowly Skin pinch takes more than 2 seconds to go back छाला चिम्टी निकै ढिलो फर्किने
skin-pinch-slow Skin Pinch Goes Back Slowly Skin pinch takes 1-2 seconds to go back छाला चिम्टी ढिलो फर्किने
skin-pinch-immediate Skin Pinch Goes Back Immediately Skin pinch goes back immediately छाला चिम्टी तुरुन्त फर्किने
drinks-poorly Drinks Poorly or Not Able to Drink Child drinks poorly or is not able to drink राम्रोसँग पिउँदैन वा पिउन सक्दैन
drinks-eagerly Drinks Eagerly, Thirsty Child drinks eagerly and appears thirsty तिर्खाएको, हतारमा पिउँछ
drinks-normally Drinks Normally Child drinks normally without difficulty सामान्य रूपमा पिउँछ
blood-in-stool Blood in Stool Presence of blood in stool (dysentery) दिसामा रगत
stiff-neck Stiff Neck Child cannot flex neck or has pain on flexion घाँटी अकडेको
runny-nose Runny Nose Nasal discharge present नाक बग्ने
ear-pain Ear Pain Child has ear pain कान दुख्ने
ear-discharge Ear Discharge Pus draining from ear कानबाट पिप बग्ने
tender-swelling-behind-ear Tender Swelling Behind Ear Painful swelling behind the ear (mastoiditis) कान पछाडि दुखाइ सहितको सुन्निने
visible-severe-wasting Visible Severe Wasting Very thin child with no fat, looks like skin and bones स्पष्ट गम्भीर सुक्खा
oedema-both-feet Oedema of Both Feet Pitting oedema present on both feet दुवै खुट्टामा सुन्निने
severe-palmar-pallor Severe Palmar Pallor Palm is very pale or white हत्केलामा गम्भीर फिक्कापन
some-palmar-pallor Some Palmar Pallor Palm is paler than normal हत्केलामा केही फिक्कापन
no-palmar-pallor No Palmar Pallor Palm color is normal (pink) हत्केलामा फिक्कापन छैन
chin-touching-breast Chin Touching Breast Infant's chin is touching the breast चिउँडो स्तनमा टेकेको
mouth-wide-open Mouth Wide Open Infant's mouth is wide open during feeding मुख फराकिलो खुलेको
lower-lip-turned-outward Lower Lip Turned Outward Infant's lower lip is turned outward तल्लो ओठ बाहिर फर्केको
more-areola-above More Areola Visible Above Upper Lip More areola visible above the mouth than below माथिको ओठ भन्दा माथि बढी एरिओला देखिने
head-body-straight Head and Body Straight Infant's head and body are in a straight line टाउको र शरीर सिधा
face-to-breast Face Facing Breast Infant is facing the breast with nose opposite nipple अनुहार स्तनतिर
body-close-to-mother Body Close to Mother Infant's body is close to mother's body शरीर आमा नजिक
whole-body-supported Whole Body Supported Mother is supporting infant's whole body पूरा शरीर समातिएको
effective-suckling Effective Suckling Slow, deep sucks with pauses, swallowing seen or heard प्रभावकारी चुसाइ
not-suckling-effectively Not Suckling Effectively Only rapid, shallow sucks, no swallowing observed प्रभावकारी चुसाइ छैन
oral-thrush Oral Thrush (Ulcers or White Patches) White patches on tongue, gums, or inside cheeks मुखमा सेतो दाग (थ्रश)
pus-from-eyes Pus Draining from Eyes Purulent discharge from one or both eyes आँखाबाट पिप बग्ने