BioMaxis Implementation Guide
0.0.0-semantic-release - ci-build

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: HMIS Leprosy Reaction Type - JSON Representation

Active as of 2026-02-04

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{
  "resourceType" : "CodeSystem",
  "id" : "hmis-leprosy-reaction-type",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem hmis-leprosy-reaction-type</b></p><a name=\"hmis-leprosy-reaction-type\"> </a><a name=\"hchmis-leprosy-reaction-type\"> </a><p>This case-sensitive code system <code>http://biomaxis.com/fhir/CodeSystem/hmis-leprosy-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\">type-1<a name=\"hmis-leprosy-reaction-type-type-1\"> </a></td><td>Type 1 Reaction (Reversal Reaction)</td><td>Cell-mediated immune reaction causing inflammation of skin lesions and nerves, may occur in both PB and MB leprosy</td><td>टाइप १ रिएक्सन (रिभर्सल रिएक्सन)</td></tr><tr><td style=\"white-space:nowrap\">type-2<a name=\"hmis-leprosy-reaction-type-type-2\"> </a></td><td>Type 2 Reaction (ENL)</td><td>Erythema Nodosum Leprosum - immune complex-mediated reaction causing tender nodules, fever, and systemic symptoms, occurs mainly in MB leprosy</td><td>टाइप २ रिएक्सन (ENL)</td></tr><tr><td style=\"white-space:nowrap\">neuritis<a name=\"hmis-leprosy-reaction-type-neuritis\"> </a></td><td>Neuritis</td><td>Inflammation of peripheral nerves causing pain, tenderness, and/or loss of function without skin reaction</td><td>न्युराइटिस (नसाको सूजन)</td></tr><tr><td style=\"white-space:nowrap\">silent-neuritis<a name=\"hmis-leprosy-reaction-type-silent-neuritis\"> </a></td><td>Silent Neuritis</td><td>Nerve damage occurring without pain or tenderness, detected by progressive loss of nerve function</td><td>साइलेन्ट न्युराइटिस</td></tr><tr><td style=\"white-space:nowrap\">mixed<a name=\"hmis-leprosy-reaction-type-mixed\"> </a></td><td>Mixed Reaction</td><td>Combination of Type 1 and Type 2 reactions occurring simultaneously</td><td>मिश्रित रिएक्सन</td></tr><tr><td style=\"white-space:nowrap\">none<a name=\"hmis-leprosy-reaction-type-none\"> </a></td><td>No Reaction</td><td>No lepra reaction observed</td><td>कुनै रिएक्सन छैन</td></tr></table></div>"
  },
  "url" : "http://biomaxis.com/fhir/CodeSystem/hmis-leprosy-reaction-type",
  "version" : "0.0.0-semantic-release",
  "name" : "HMISLeprosyReactionType",
  "title" : "HMIS Leprosy Reaction Type",
  "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" : "Types of lepra reactions that may occur during leprosy treatment based on Nepal HMIS 5.4.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 6,
  "concept" : [
    {
      "code" : "type-1",
      "display" : "Type 1 Reaction (Reversal Reaction)",
      "definition" : "Cell-mediated immune reaction causing inflammation of skin lesions and nerves, may occur in both PB and MB leprosy",
      "designation" : [
        {
          "language" : "ne",
          "value" : "टाइप १ रिएक्सन (रिभर्सल रिएक्सन)"
        }
      ]
    },
    {
      "code" : "type-2",
      "display" : "Type 2 Reaction (ENL)",
      "definition" : "Erythema Nodosum Leprosum - immune complex-mediated reaction causing tender nodules, fever, and systemic symptoms, occurs mainly in MB leprosy",
      "designation" : [
        {
          "language" : "ne",
          "value" : "टाइप २ रिएक्सन (ENL)"
        }
      ]
    },
    {
      "code" : "neuritis",
      "display" : "Neuritis",
      "definition" : "Inflammation of peripheral nerves causing pain, tenderness, and/or loss of function without skin reaction",
      "designation" : [
        {
          "language" : "ne",
          "value" : "न्युराइटिस (नसाको सूजन)"
        }
      ]
    },
    {
      "code" : "silent-neuritis",
      "display" : "Silent Neuritis",
      "definition" : "Nerve damage occurring without pain or tenderness, detected by progressive loss of nerve function",
      "designation" : [
        {
          "language" : "ne",
          "value" : "साइलेन्ट न्युराइटिस"
        }
      ]
    },
    {
      "code" : "mixed",
      "display" : "Mixed Reaction",
      "definition" : "Combination of Type 1 and Type 2 reactions occurring simultaneously",
      "designation" : [
        {
          "language" : "ne",
          "value" : "मिश्रित रिएक्सन"
        }
      ]
    },
    {
      "code" : "none",
      "display" : "No Reaction",
      "definition" : "No lepra reaction observed",
      "designation" : [
        {
          "language" : "ne",
          "value" : "कुनै रिएक्सन छैन"
        }
      ]
    }
  ]
}