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

: HMIS IMNCI Assessment Codes - JSON Representation

Active as of 2026-02-04

Raw json | Download

{
  "resourceType" : "CodeSystem",
  "id" : "hmis-imnci-assessment",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem hmis-imnci-assessment</b></p><a name=\"hmis-imnci-assessment\"> </a><a name=\"hchmis-imnci-assessment\"> </a><p>This case-sensitive code system <code>http://biomaxis.com/fhir/CodeSystem/hmis-imnci-assessment</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\">unable-to-drink<a name=\"hmis-imnci-assessment-unable-to-drink\"> </a></td><td>Unable to Drink or Breastfeed</td><td>Child is not able to drink or breastfeed</td><td>पिउन वा स्तनपान गर्न असमर्थ</td></tr><tr><td style=\"white-space:nowrap\">vomits-everything<a name=\"hmis-imnci-assessment-vomits-everything\"> </a></td><td>Vomits Everything</td><td>Child vomits everything given</td><td>सबै बान्ता गर्छ</td></tr><tr><td style=\"white-space:nowrap\">convulsions<a name=\"hmis-imnci-assessment-convulsions\"> </a></td><td>Convulsions</td><td>Child has had convulsions during current illness</td><td>खिचौटी/झट्का</td></tr><tr><td style=\"white-space:nowrap\">lethargic-unconscious<a name=\"hmis-imnci-assessment-lethargic-unconscious\"> </a></td><td>Lethargic or Unconscious</td><td>Child is abnormally sleepy or difficult to wake</td><td>सुस्त वा बेहोश</td></tr><tr><td style=\"white-space:nowrap\">fast-breathing<a name=\"hmis-imnci-assessment-fast-breathing\"> </a></td><td>Fast Breathing</td><td>Respiratory rate above age-appropriate threshold</td><td>छिटो सास फेर्ने</td></tr><tr><td style=\"white-space:nowrap\">chest-indrawing<a name=\"hmis-imnci-assessment-chest-indrawing\"> </a></td><td>Chest Indrawing</td><td>Lower chest wall goes in when child breathes in</td><td>छाती भित्र तानिने</td></tr><tr><td style=\"white-space:nowrap\">stridor<a name=\"hmis-imnci-assessment-stridor\"> </a></td><td>Stridor</td><td>Harsh noise when child breathes in (when calm)</td><td>सास फेर्दा कर्कश आवाज</td></tr><tr><td style=\"white-space:nowrap\">wheezing<a name=\"hmis-imnci-assessment-wheezing\"> </a></td><td>Wheezing</td><td>High-pitched whistling sound during expiration</td><td>घर्घराहट</td></tr><tr><td style=\"white-space:nowrap\">severe-chest-indrawing<a name=\"hmis-imnci-assessment-severe-chest-indrawing\"> </a></td><td>Severe Chest Indrawing</td><td>Severe lower chest wall indrawing in young infant</td><td>गम्भीर छाती भित्र तानिने</td></tr><tr><td style=\"white-space:nowrap\">nasal-flaring<a name=\"hmis-imnci-assessment-nasal-flaring\"> </a></td><td>Nasal Flaring</td><td>Nostrils widen when infant breathes in</td><td>नाकको प्वाल फराकिने</td></tr><tr><td style=\"white-space:nowrap\">grunting<a name=\"hmis-imnci-assessment-grunting\"> </a></td><td>Grunting</td><td>Short, low-pitched sound when infant breathes out</td><td>कराउने आवाज</td></tr><tr><td style=\"white-space:nowrap\">bulging-fontanelle<a name=\"hmis-imnci-assessment-bulging-fontanelle\"> </a></td><td>Bulging Fontanelle</td><td>Fontanelle bulges outward when infant is quiet</td><td>तालु उठेको</td></tr><tr><td style=\"white-space:nowrap\">umbilicus-red<a name=\"hmis-imnci-assessment-umbilicus-red\"> </a></td><td>Umbilicus Redness</td><td>Redness extending to the skin around umbilicus</td><td>नाभी वरिपरि रातो</td></tr><tr><td style=\"white-space:nowrap\">umbilicus-pus<a name=\"hmis-imnci-assessment-umbilicus-pus\"> </a></td><td>Umbilicus Draining Pus</td><td>Pus draining from umbilicus</td><td>नाभीबाट पिप बग्ने</td></tr><tr><td style=\"white-space:nowrap\">skin-pustules<a name=\"hmis-imnci-assessment-skin-pustules\"> </a></td><td>Skin Pustules</td><td>Pustules on the skin</td><td>छालामा फोका</td></tr><tr><td style=\"white-space:nowrap\">skin-pustules-many<a name=\"hmis-imnci-assessment-skin-pustules-many\"> </a></td><td>Many or Severe Skin Pustules</td><td>10 or more skin pustules, or severe pustules</td><td>धेरै वा गम्भीर छालाको फोका</td></tr><tr><td style=\"white-space:nowrap\">movement-normal<a name=\"hmis-imnci-assessment-movement-normal\"> </a></td><td>Normal Movement</td><td>Infant moves normally when stimulated</td><td>सामान्य हलचल</td></tr><tr><td style=\"white-space:nowrap\">movement-less<a name=\"hmis-imnci-assessment-movement-less\"> </a></td><td>Less Than Normal Movement</td><td>Infant moves less than normal</td><td>सामान्य भन्दा कम हलचल</td></tr><tr><td style=\"white-space:nowrap\">movement-none<a name=\"hmis-imnci-assessment-movement-none\"> </a></td><td>No Movement</td><td>Infant does not move at all</td><td>हलचल छैन</td></tr><tr><td style=\"white-space:nowrap\">jaundice-none<a name=\"hmis-imnci-assessment-jaundice-none\"> </a></td><td>No Jaundice</td><td>No yellow coloring of skin or eyes</td><td>पहेंलो छैन</td></tr><tr><td style=\"white-space:nowrap\">jaundice-face<a name=\"hmis-imnci-assessment-jaundice-face\"> </a></td><td>Jaundice on Face Only</td><td>Yellow coloring visible on face</td><td>अनुहारमा मात्र पहेंलो</td></tr><tr><td style=\"white-space:nowrap\">jaundice-body<a name=\"hmis-imnci-assessment-jaundice-body\"> </a></td><td>Jaundice on Face and Body</td><td>Yellow coloring on face and body</td><td>अनुहार र शरीरमा पहेंलो</td></tr><tr><td style=\"white-space:nowrap\">jaundice-palms-soles<a name=\"hmis-imnci-assessment-jaundice-palms-soles\"> </a></td><td>Jaundice on Palms and Soles</td><td>Yellow coloring extending to palms and soles (severe)</td><td>हत्केला र पैतालामा पहेंलो</td></tr><tr><td style=\"white-space:nowrap\">sunken-eyes<a name=\"hmis-imnci-assessment-sunken-eyes\"> </a></td><td>Sunken Eyes</td><td>Eyes appear sunken in sockets</td><td>आँखा धस्केको</td></tr><tr><td style=\"white-space:nowrap\">skin-pinch-very-slow<a name=\"hmis-imnci-assessment-skin-pinch-very-slow\"> </a></td><td>Skin Pinch Goes Back Very Slowly</td><td>Skin pinch takes more than 2 seconds to go back</td><td>छाला चिम्टी निकै ढिलो फर्किने</td></tr><tr><td style=\"white-space:nowrap\">skin-pinch-slow<a name=\"hmis-imnci-assessment-skin-pinch-slow\"> </a></td><td>Skin Pinch Goes Back Slowly</td><td>Skin pinch takes 1-2 seconds to go back</td><td>छाला चिम्टी ढिलो फर्किने</td></tr><tr><td style=\"white-space:nowrap\">skin-pinch-immediate<a name=\"hmis-imnci-assessment-skin-pinch-immediate\"> </a></td><td>Skin Pinch Goes Back Immediately</td><td>Skin pinch goes back immediately</td><td>छाला चिम्टी तुरुन्त फर्किने</td></tr><tr><td style=\"white-space:nowrap\">drinks-poorly<a name=\"hmis-imnci-assessment-drinks-poorly\"> </a></td><td>Drinks Poorly or Not Able to Drink</td><td>Child drinks poorly or is not able to drink</td><td>राम्रोसँग पिउँदैन वा पिउन सक्दैन</td></tr><tr><td style=\"white-space:nowrap\">drinks-eagerly<a name=\"hmis-imnci-assessment-drinks-eagerly\"> </a></td><td>Drinks Eagerly, Thirsty</td><td>Child drinks eagerly and appears thirsty</td><td>तिर्खाएको, हतारमा पिउँछ</td></tr><tr><td style=\"white-space:nowrap\">drinks-normally<a name=\"hmis-imnci-assessment-drinks-normally\"> </a></td><td>Drinks Normally</td><td>Child drinks normally without difficulty</td><td>सामान्य रूपमा पिउँछ</td></tr><tr><td style=\"white-space:nowrap\">blood-in-stool<a name=\"hmis-imnci-assessment-blood-in-stool\"> </a></td><td>Blood in Stool</td><td>Presence of blood in stool (dysentery)</td><td>दिसामा रगत</td></tr><tr><td style=\"white-space:nowrap\">stiff-neck<a name=\"hmis-imnci-assessment-stiff-neck\"> </a></td><td>Stiff Neck</td><td>Child cannot flex neck or has pain on flexion</td><td>घाँटी अकडेको</td></tr><tr><td style=\"white-space:nowrap\">runny-nose<a name=\"hmis-imnci-assessment-runny-nose\"> </a></td><td>Runny Nose</td><td>Nasal discharge present</td><td>नाक बग्ने</td></tr><tr><td style=\"white-space:nowrap\">ear-pain<a name=\"hmis-imnci-assessment-ear-pain\"> </a></td><td>Ear Pain</td><td>Child has ear pain</td><td>कान दुख्ने</td></tr><tr><td style=\"white-space:nowrap\">ear-discharge<a name=\"hmis-imnci-assessment-ear-discharge\"> </a></td><td>Ear Discharge</td><td>Pus draining from ear</td><td>कानबाट पिप बग्ने</td></tr><tr><td style=\"white-space:nowrap\">tender-swelling-behind-ear<a name=\"hmis-imnci-assessment-tender-swelling-behind-ear\"> </a></td><td>Tender Swelling Behind Ear</td><td>Painful swelling behind the ear (mastoiditis)</td><td>कान पछाडि दुखाइ सहितको सुन्निने</td></tr><tr><td style=\"white-space:nowrap\">visible-severe-wasting<a name=\"hmis-imnci-assessment-visible-severe-wasting\"> </a></td><td>Visible Severe Wasting</td><td>Very thin child with no fat, looks like skin and bones</td><td>स्पष्ट गम्भीर सुक्खा</td></tr><tr><td style=\"white-space:nowrap\">oedema-both-feet<a name=\"hmis-imnci-assessment-oedema-both-feet\"> </a></td><td>Oedema of Both Feet</td><td>Pitting oedema present on both feet</td><td>दुवै खुट्टामा सुन्निने</td></tr><tr><td style=\"white-space:nowrap\">severe-palmar-pallor<a name=\"hmis-imnci-assessment-severe-palmar-pallor\"> </a></td><td>Severe Palmar Pallor</td><td>Palm is very pale or white</td><td>हत्केलामा गम्भीर फिक्कापन</td></tr><tr><td style=\"white-space:nowrap\">some-palmar-pallor<a name=\"hmis-imnci-assessment-some-palmar-pallor\"> </a></td><td>Some Palmar Pallor</td><td>Palm is paler than normal</td><td>हत्केलामा केही फिक्कापन</td></tr><tr><td style=\"white-space:nowrap\">no-palmar-pallor<a name=\"hmis-imnci-assessment-no-palmar-pallor\"> </a></td><td>No Palmar Pallor</td><td>Palm color is normal (pink)</td><td>हत्केलामा फिक्कापन छैन</td></tr><tr><td style=\"white-space:nowrap\">chin-touching-breast<a name=\"hmis-imnci-assessment-chin-touching-breast\"> </a></td><td>Chin Touching Breast</td><td>Infant's chin is touching the breast</td><td>चिउँडो स्तनमा टेकेको</td></tr><tr><td style=\"white-space:nowrap\">mouth-wide-open<a name=\"hmis-imnci-assessment-mouth-wide-open\"> </a></td><td>Mouth Wide Open</td><td>Infant's mouth is wide open during feeding</td><td>मुख फराकिलो खुलेको</td></tr><tr><td style=\"white-space:nowrap\">lower-lip-turned-outward<a name=\"hmis-imnci-assessment-lower-lip-turned-outward\"> </a></td><td>Lower Lip Turned Outward</td><td>Infant's lower lip is turned outward</td><td>तल्लो ओठ बाहिर फर्केको</td></tr><tr><td style=\"white-space:nowrap\">more-areola-above<a name=\"hmis-imnci-assessment-more-areola-above\"> </a></td><td>More Areola Visible Above Upper Lip</td><td>More areola visible above the mouth than below</td><td>माथिको ओठ भन्दा माथि बढी एरिओला देखिने</td></tr><tr><td style=\"white-space:nowrap\">head-body-straight<a name=\"hmis-imnci-assessment-head-body-straight\"> </a></td><td>Head and Body Straight</td><td>Infant's head and body are in a straight line</td><td>टाउको र शरीर सिधा</td></tr><tr><td style=\"white-space:nowrap\">face-to-breast<a name=\"hmis-imnci-assessment-face-to-breast\"> </a></td><td>Face Facing Breast</td><td>Infant is facing the breast with nose opposite nipple</td><td>अनुहार स्तनतिर</td></tr><tr><td style=\"white-space:nowrap\">body-close-to-mother<a name=\"hmis-imnci-assessment-body-close-to-mother\"> </a></td><td>Body Close to Mother</td><td>Infant's body is close to mother's body</td><td>शरीर आमा नजिक</td></tr><tr><td style=\"white-space:nowrap\">whole-body-supported<a name=\"hmis-imnci-assessment-whole-body-supported\"> </a></td><td>Whole Body Supported</td><td>Mother is supporting infant's whole body</td><td>पूरा शरीर समातिएको</td></tr><tr><td style=\"white-space:nowrap\">effective-suckling<a name=\"hmis-imnci-assessment-effective-suckling\"> </a></td><td>Effective Suckling</td><td>Slow, deep sucks with pauses, swallowing seen or heard</td><td>प्रभावकारी चुसाइ</td></tr><tr><td style=\"white-space:nowrap\">not-suckling-effectively<a name=\"hmis-imnci-assessment-not-suckling-effectively\"> </a></td><td>Not Suckling Effectively</td><td>Only rapid, shallow sucks, no swallowing observed</td><td>प्रभावकारी चुसाइ छैन</td></tr><tr><td style=\"white-space:nowrap\">oral-thrush<a name=\"hmis-imnci-assessment-oral-thrush\"> </a></td><td>Oral Thrush (Ulcers or White Patches)</td><td>White patches on tongue, gums, or inside cheeks</td><td>मुखमा सेतो दाग (थ्रश)</td></tr><tr><td style=\"white-space:nowrap\">pus-from-eyes<a name=\"hmis-imnci-assessment-pus-from-eyes\"> </a></td><td>Pus Draining from Eyes</td><td>Purulent discharge from one or both eyes</td><td>आँखाबाट पिप बग्ने</td></tr></table></div>"
  },
  "url" : "http://biomaxis.com/fhir/CodeSystem/hmis-imnci-assessment",
  "version" : "0.0.0-semantic-release",
  "name" : "HMISIMNCIAssessment",
  "title" : "HMIS IMNCI Assessment Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-02-04T09:30:33+00:00",
  "publisher" : "BioMaxis Pvt. Ltd.",
  "contact" : [
    {
      "name" : "BioMaxis Pvt. Ltd.",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://biomaxis.com"
        }
      ]
    }
  ],
  "description" : "Standardized codes for clinical assessment findings in IMNCI protocol used in Nepal HMIS 2.4.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 53,
  "concept" : [
    {
      "code" : "unable-to-drink",
      "display" : "Unable to Drink or Breastfeed",
      "definition" : "Child is not able to drink or breastfeed",
      "designation" : [
        {
          "language" : "ne",
          "value" : "पिउन वा स्तनपान गर्न असमर्थ"
        }
      ]
    },
    {
      "code" : "vomits-everything",
      "display" : "Vomits Everything",
      "definition" : "Child vomits everything given",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सबै बान्ता गर्छ"
        }
      ]
    },
    {
      "code" : "convulsions",
      "display" : "Convulsions",
      "definition" : "Child has had convulsions during current illness",
      "designation" : [
        {
          "language" : "ne",
          "value" : "खिचौटी/झट्का"
        }
      ]
    },
    {
      "code" : "lethargic-unconscious",
      "display" : "Lethargic or Unconscious",
      "definition" : "Child is abnormally sleepy or difficult to wake",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सुस्त वा बेहोश"
        }
      ]
    },
    {
      "code" : "fast-breathing",
      "display" : "Fast Breathing",
      "definition" : "Respiratory rate above age-appropriate threshold",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छिटो सास फेर्ने"
        }
      ]
    },
    {
      "code" : "chest-indrawing",
      "display" : "Chest Indrawing",
      "definition" : "Lower chest wall goes in when child breathes in",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छाती भित्र तानिने"
        }
      ]
    },
    {
      "code" : "stridor",
      "display" : "Stridor",
      "definition" : "Harsh noise when child breathes in (when calm)",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सास फेर्दा कर्कश आवाज"
        }
      ]
    },
    {
      "code" : "wheezing",
      "display" : "Wheezing",
      "definition" : "High-pitched whistling sound during expiration",
      "designation" : [
        {
          "language" : "ne",
          "value" : "घर्घराहट"
        }
      ]
    },
    {
      "code" : "severe-chest-indrawing",
      "display" : "Severe Chest Indrawing",
      "definition" : "Severe lower chest wall indrawing in young infant",
      "designation" : [
        {
          "language" : "ne",
          "value" : "गम्भीर छाती भित्र तानिने"
        }
      ]
    },
    {
      "code" : "nasal-flaring",
      "display" : "Nasal Flaring",
      "definition" : "Nostrils widen when infant breathes in",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नाकको प्वाल फराकिने"
        }
      ]
    },
    {
      "code" : "grunting",
      "display" : "Grunting",
      "definition" : "Short, low-pitched sound when infant breathes out",
      "designation" : [
        {
          "language" : "ne",
          "value" : "कराउने आवाज"
        }
      ]
    },
    {
      "code" : "bulging-fontanelle",
      "display" : "Bulging Fontanelle",
      "definition" : "Fontanelle bulges outward when infant is quiet",
      "designation" : [
        {
          "language" : "ne",
          "value" : "तालु उठेको"
        }
      ]
    },
    {
      "code" : "umbilicus-red",
      "display" : "Umbilicus Redness",
      "definition" : "Redness extending to the skin around umbilicus",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नाभी वरिपरि रातो"
        }
      ]
    },
    {
      "code" : "umbilicus-pus",
      "display" : "Umbilicus Draining Pus",
      "definition" : "Pus draining from umbilicus",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नाभीबाट पिप बग्ने"
        }
      ]
    },
    {
      "code" : "skin-pustules",
      "display" : "Skin Pustules",
      "definition" : "Pustules on the skin",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छालामा फोका"
        }
      ]
    },
    {
      "code" : "skin-pustules-many",
      "display" : "Many or Severe Skin Pustules",
      "definition" : "10 or more skin pustules, or severe pustules",
      "designation" : [
        {
          "language" : "ne",
          "value" : "धेरै वा गम्भीर छालाको फोका"
        }
      ]
    },
    {
      "code" : "movement-normal",
      "display" : "Normal Movement",
      "definition" : "Infant moves normally when stimulated",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सामान्य हलचल"
        }
      ]
    },
    {
      "code" : "movement-less",
      "display" : "Less Than Normal Movement",
      "definition" : "Infant moves less than normal",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सामान्य भन्दा कम हलचल"
        }
      ]
    },
    {
      "code" : "movement-none",
      "display" : "No Movement",
      "definition" : "Infant does not move at all",
      "designation" : [
        {
          "language" : "ne",
          "value" : "हलचल छैन"
        }
      ]
    },
    {
      "code" : "jaundice-none",
      "display" : "No Jaundice",
      "definition" : "No yellow coloring of skin or eyes",
      "designation" : [
        {
          "language" : "ne",
          "value" : "पहेंलो छैन"
        }
      ]
    },
    {
      "code" : "jaundice-face",
      "display" : "Jaundice on Face Only",
      "definition" : "Yellow coloring visible on face",
      "designation" : [
        {
          "language" : "ne",
          "value" : "अनुहारमा मात्र पहेंलो"
        }
      ]
    },
    {
      "code" : "jaundice-body",
      "display" : "Jaundice on Face and Body",
      "definition" : "Yellow coloring on face and body",
      "designation" : [
        {
          "language" : "ne",
          "value" : "अनुहार र शरीरमा पहेंलो"
        }
      ]
    },
    {
      "code" : "jaundice-palms-soles",
      "display" : "Jaundice on Palms and Soles",
      "definition" : "Yellow coloring extending to palms and soles (severe)",
      "designation" : [
        {
          "language" : "ne",
          "value" : "हत्केला र पैतालामा पहेंलो"
        }
      ]
    },
    {
      "code" : "sunken-eyes",
      "display" : "Sunken Eyes",
      "definition" : "Eyes appear sunken in sockets",
      "designation" : [
        {
          "language" : "ne",
          "value" : "आँखा धस्केको"
        }
      ]
    },
    {
      "code" : "skin-pinch-very-slow",
      "display" : "Skin Pinch Goes Back Very Slowly",
      "definition" : "Skin pinch takes more than 2 seconds to go back",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छाला चिम्टी निकै ढिलो फर्किने"
        }
      ]
    },
    {
      "code" : "skin-pinch-slow",
      "display" : "Skin Pinch Goes Back Slowly",
      "definition" : "Skin pinch takes 1-2 seconds to go back",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छाला चिम्टी ढिलो फर्किने"
        }
      ]
    },
    {
      "code" : "skin-pinch-immediate",
      "display" : "Skin Pinch Goes Back Immediately",
      "definition" : "Skin pinch goes back immediately",
      "designation" : [
        {
          "language" : "ne",
          "value" : "छाला चिम्टी तुरुन्त फर्किने"
        }
      ]
    },
    {
      "code" : "drinks-poorly",
      "display" : "Drinks Poorly or Not Able to Drink",
      "definition" : "Child drinks poorly or is not able to drink",
      "designation" : [
        {
          "language" : "ne",
          "value" : "राम्रोसँग पिउँदैन वा पिउन सक्दैन"
        }
      ]
    },
    {
      "code" : "drinks-eagerly",
      "display" : "Drinks Eagerly, Thirsty",
      "definition" : "Child drinks eagerly and appears thirsty",
      "designation" : [
        {
          "language" : "ne",
          "value" : "तिर्खाएको, हतारमा पिउँछ"
        }
      ]
    },
    {
      "code" : "drinks-normally",
      "display" : "Drinks Normally",
      "definition" : "Child drinks normally without difficulty",
      "designation" : [
        {
          "language" : "ne",
          "value" : "सामान्य रूपमा पिउँछ"
        }
      ]
    },
    {
      "code" : "blood-in-stool",
      "display" : "Blood in Stool",
      "definition" : "Presence of blood in stool (dysentery)",
      "designation" : [
        {
          "language" : "ne",
          "value" : "दिसामा रगत"
        }
      ]
    },
    {
      "code" : "stiff-neck",
      "display" : "Stiff Neck",
      "definition" : "Child cannot flex neck or has pain on flexion",
      "designation" : [
        {
          "language" : "ne",
          "value" : "घाँटी अकडेको"
        }
      ]
    },
    {
      "code" : "runny-nose",
      "display" : "Runny Nose",
      "definition" : "Nasal discharge present",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नाक बग्ने"
        }
      ]
    },
    {
      "code" : "ear-pain",
      "display" : "Ear Pain",
      "definition" : "Child has ear pain",
      "designation" : [
        {
          "language" : "ne",
          "value" : "कान दुख्ने"
        }
      ]
    },
    {
      "code" : "ear-discharge",
      "display" : "Ear Discharge",
      "definition" : "Pus draining from ear",
      "designation" : [
        {
          "language" : "ne",
          "value" : "कानबाट पिप बग्ने"
        }
      ]
    },
    {
      "code" : "tender-swelling-behind-ear",
      "display" : "Tender Swelling Behind Ear",
      "definition" : "Painful swelling behind the ear (mastoiditis)",
      "designation" : [
        {
          "language" : "ne",
          "value" : "कान पछाडि दुखाइ सहितको सुन्निने"
        }
      ]
    },
    {
      "code" : "visible-severe-wasting",
      "display" : "Visible Severe Wasting",
      "definition" : "Very thin child with no fat, looks like skin and bones",
      "designation" : [
        {
          "language" : "ne",
          "value" : "स्पष्ट गम्भीर सुक्खा"
        }
      ]
    },
    {
      "code" : "oedema-both-feet",
      "display" : "Oedema of Both Feet",
      "definition" : "Pitting oedema present on both feet",
      "designation" : [
        {
          "language" : "ne",
          "value" : "दुवै खुट्टामा सुन्निने"
        }
      ]
    },
    {
      "code" : "severe-palmar-pallor",
      "display" : "Severe Palmar Pallor",
      "definition" : "Palm is very pale or white",
      "designation" : [
        {
          "language" : "ne",
          "value" : "हत्केलामा गम्भीर फिक्कापन"
        }
      ]
    },
    {
      "code" : "some-palmar-pallor",
      "display" : "Some Palmar Pallor",
      "definition" : "Palm is paler than normal",
      "designation" : [
        {
          "language" : "ne",
          "value" : "हत्केलामा केही फिक्कापन"
        }
      ]
    },
    {
      "code" : "no-palmar-pallor",
      "display" : "No Palmar Pallor",
      "definition" : "Palm color is normal (pink)",
      "designation" : [
        {
          "language" : "ne",
          "value" : "हत्केलामा फिक्कापन छैन"
        }
      ]
    },
    {
      "code" : "chin-touching-breast",
      "display" : "Chin Touching Breast",
      "definition" : "Infant's chin is touching the breast",
      "designation" : [
        {
          "language" : "ne",
          "value" : "चिउँडो स्तनमा टेकेको"
        }
      ]
    },
    {
      "code" : "mouth-wide-open",
      "display" : "Mouth Wide Open",
      "definition" : "Infant's mouth is wide open during feeding",
      "designation" : [
        {
          "language" : "ne",
          "value" : "मुख फराकिलो खुलेको"
        }
      ]
    },
    {
      "code" : "lower-lip-turned-outward",
      "display" : "Lower Lip Turned Outward",
      "definition" : "Infant's lower lip is turned outward",
      "designation" : [
        {
          "language" : "ne",
          "value" : "तल्लो ओठ बाहिर फर्केको"
        }
      ]
    },
    {
      "code" : "more-areola-above",
      "display" : "More Areola Visible Above Upper Lip",
      "definition" : "More areola visible above the mouth than below",
      "designation" : [
        {
          "language" : "ne",
          "value" : "माथिको ओठ भन्दा माथि बढी एरिओला देखिने"
        }
      ]
    },
    {
      "code" : "head-body-straight",
      "display" : "Head and Body Straight",
      "definition" : "Infant's head and body are in a straight line",
      "designation" : [
        {
          "language" : "ne",
          "value" : "टाउको र शरीर सिधा"
        }
      ]
    },
    {
      "code" : "face-to-breast",
      "display" : "Face Facing Breast",
      "definition" : "Infant is facing the breast with nose opposite nipple",
      "designation" : [
        {
          "language" : "ne",
          "value" : "अनुहार स्तनतिर"
        }
      ]
    },
    {
      "code" : "body-close-to-mother",
      "display" : "Body Close to Mother",
      "definition" : "Infant's body is close to mother's body",
      "designation" : [
        {
          "language" : "ne",
          "value" : "शरीर आमा नजिक"
        }
      ]
    },
    {
      "code" : "whole-body-supported",
      "display" : "Whole Body Supported",
      "definition" : "Mother is supporting infant's whole body",
      "designation" : [
        {
          "language" : "ne",
          "value" : "पूरा शरीर समातिएको"
        }
      ]
    },
    {
      "code" : "effective-suckling",
      "display" : "Effective Suckling",
      "definition" : "Slow, deep sucks with pauses, swallowing seen or heard",
      "designation" : [
        {
          "language" : "ne",
          "value" : "प्रभावकारी चुसाइ"
        }
      ]
    },
    {
      "code" : "not-suckling-effectively",
      "display" : "Not Suckling Effectively",
      "definition" : "Only rapid, shallow sucks, no swallowing observed",
      "designation" : [
        {
          "language" : "ne",
          "value" : "प्रभावकारी चुसाइ छैन"
        }
      ]
    },
    {
      "code" : "oral-thrush",
      "display" : "Oral Thrush (Ulcers or White Patches)",
      "definition" : "White patches on tongue, gums, or inside cheeks",
      "designation" : [
        {
          "language" : "ne",
          "value" : "मुखमा सेतो दाग (थ्रश)"
        }
      ]
    },
    {
      "code" : "pus-from-eyes",
      "display" : "Pus Draining from Eyes",
      "definition" : "Purulent discharge from one or both eyes",
      "designation" : [
        {
          "language" : "ne",
          "value" : "आँखाबाट पिप बग्ने"
        }
      ]
    }
  ]
}