Integrated Campaign Registry (ICR) Implementation Guide
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Integrated Campaign Registry (ICR) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: ICR Referral Reason - TTL Representation

Draft as of 2026-10-29

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/icr-referral-reason-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "icr-referral-reason-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-referral-reason-cs</b></p><a name=\"icr-referral-reason-cs\"> </a><a name=\"hcicr-referral-reason-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs</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></tr><tr><td style=\"white-space:nowrap\">vaccine-adverse-event<a name=\"icr-referral-reason-cs-vaccine-adverse-event\"> </a></td><td>Adverse event after a vaccine</td><td>An adverse event following a campaign vaccine dose, causality not assessed (ICRAdverseEvent keeps causality separate).</td></tr><tr><td style=\"white-space:nowrap\">drug-adverse-event<a name=\"icr-referral-reason-cs-drug-adverse-event\"> </a></td><td>Adverse event after a drug</td><td>An adverse event following an MDA or chemoprevention drug, causality not assessed.</td></tr><tr><td style=\"white-space:nowrap\">fever<a name=\"icr-referral-reason-cs-fever\"> </a></td><td>Fever</td><td>Fever found at the campaign contact.</td></tr><tr><td style=\"white-space:nowrap\">suspected-malaria<a name=\"icr-referral-reason-cs-suspected-malaria\"> </a></td><td>Suspected malaria</td><td>Suspected malaria found at the campaign contact (for example during SMC).</td></tr><tr><td style=\"white-space:nowrap\">acute-malnutrition<a name=\"icr-referral-reason-cs-acute-malnutrition\"> </a></td><td>Acute malnutrition</td><td>Acute malnutrition, for example a red MUAC measurement; the severity comes from the measurement.</td></tr><tr><td style=\"white-space:nowrap\">zero-dose-to-routine<a name=\"icr-referral-reason-cs-zero-dose-to-routine\"> </a></td><td>Zero-dose child, to routine immunization</td><td>A zero-dose child referred to routine immunization services.</td></tr><tr><td style=\"white-space:nowrap\">illness<a name=\"icr-referral-reason-cs-illness\"> </a></td><td>Excluded for illness</td><td>Illness found at the campaign contact that excluded the person from the intervention.</td></tr><tr><td style=\"white-space:nowrap\">pregnancy<a name=\"icr-referral-reason-cs-pregnancy\"> </a></td><td>Pregnancy</td><td>A pregnant woman excluded from MDA and referred to antenatal care.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"icr-referral-reason-cs-other\"> </a></td><td>Other</td><td>Another reason; record it in text.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ICRReferralReasonCS"] ;
  fhir:CodeSystem.title [ fhir:value "ICR Referral Reason"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-29T03:03:58+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "UNICEF"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "UNICEF" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.unicef.org" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Why a campaign worker referred a person to a facility (ICRReferral.reasonCode). ICR-defined codes with a published map to SNOMED CT (ConceptMap icr-referral-reason-to-snomed), following the WHO SMART Guidelines pattern of IG-defined concepts mapped to international terminologies, which keeps SNOMED licensing out of the data."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ] ;
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "9"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "vaccine-adverse-event" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Adverse event after a vaccine" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An adverse event following a campaign vaccine dose, causality not assessed (ICRAdverseEvent keeps causality separate)." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "drug-adverse-event" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Adverse event after a drug" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An adverse event following an MDA or chemoprevention drug, causality not assessed." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "fever" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Fever" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Fever found at the campaign contact." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "suspected-malaria" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Suspected malaria" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Suspected malaria found at the campaign contact (for example during SMC)." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "acute-malnutrition" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Acute malnutrition" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Acute malnutrition, for example a red MUAC measurement; the severity comes from the measurement." ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "zero-dose-to-routine" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Zero-dose child, to routine immunization" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A zero-dose child referred to routine immunization services." ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "illness" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Excluded for illness" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Illness found at the campaign contact that excluded the person from the intervention." ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "pregnancy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pregnancy" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A pregnant woman excluded from MDA and referred to antenatal care." ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "other" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Another reason; record it in text." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/icr-referral-reason-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/icr-referral-reason-cs.ttl> .