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

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: HMIS Leprosy Reaction Type - XML Representation

Active as of 2026-02-04

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="hmis-leprosy-reaction-type"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://biomaxis.com/fhir/CodeSystem/hmis-leprosy-reaction-type"/>
  <version value="0.0.0-semantic-release"/>
  <name value="HMISLeprosyReactionType"/>
  <title value="HMIS Leprosy 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="Types of lepra reactions that may occur during leprosy treatment based on Nepal HMIS 5.4."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="6"/>
  <concept>
    <code value="type-1"/>
    <display value="Type 1 Reaction (Reversal Reaction)"/>
    <definition
                value="Cell-mediated immune reaction causing inflammation of skin lesions and nerves, may occur in both PB and MB leprosy"/>
    <designation>
      <language value="ne"/>
      <value value="टाइप १ रिएक्सन (रिभर्सल रिएक्सन)"/>
    </designation>
  </concept>
  <concept>
    <code value="type-2"/>
    <display value="Type 2 Reaction (ENL)"/>
    <definition
                value="Erythema Nodosum Leprosum - immune complex-mediated reaction causing tender nodules, fever, and systemic symptoms, occurs mainly in MB leprosy"/>
    <designation>
      <language value="ne"/>
      <value value="टाइप २ रिएक्सन (ENL)"/>
    </designation>
  </concept>
  <concept>
    <code value="neuritis"/>
    <display value="Neuritis"/>
    <definition
                value="Inflammation of peripheral nerves causing pain, tenderness, and/or loss of function without skin reaction"/>
    <designation>
      <language value="ne"/>
      <value value="न्युराइटिस (नसाको सूजन)"/>
    </designation>
  </concept>
  <concept>
    <code value="silent-neuritis"/>
    <display value="Silent Neuritis"/>
    <definition
                value="Nerve damage occurring without pain or tenderness, detected by progressive loss of nerve function"/>
    <designation>
      <language value="ne"/>
      <value value="साइलेन्ट न्युराइटिस"/>
    </designation>
  </concept>
  <concept>
    <code value="mixed"/>
    <display value="Mixed Reaction"/>
    <definition
                value="Combination of Type 1 and Type 2 reactions occurring simultaneously"/>
    <designation>
      <language value="ne"/>
      <value value="मिश्रित रिएक्सन"/>
    </designation>
  </concept>
  <concept>
    <code value="none"/>
    <display value="No Reaction"/>
    <definition value="No lepra reaction observed"/>
    <designation>
      <language value="ne"/>
      <value value="कुनै रिएक्सन छैन"/>
    </designation>
  </concept>
</CodeSystem>