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