<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="icr-referral-reason-cs"/>
  <text>
    <status value="generated"/><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>
  </text>
  <url value="https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs"/>
  <version value="0.1.0"/>
  <name value="ICRReferralReasonCS"/>
  <title value="ICR Referral Reason"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-10-29T03:03:58+00:00"/>
  <publisher value="UNICEF"/>
  <contact>
    <name value="UNICEF"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.unicef.org"/>
    </telecom>
  </contact>
  <description 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."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="vaccine-adverse-event"/>
    <display value="Adverse event after a vaccine"/>
    <definition value="An adverse event following a campaign vaccine dose, causality not assessed (ICRAdverseEvent keeps causality separate)."/>
  </concept>
  <concept>
    <code value="drug-adverse-event"/>
    <display value="Adverse event after a drug"/>
    <definition value="An adverse event following an MDA or chemoprevention drug, causality not assessed."/>
  </concept>
  <concept>
    <code value="fever"/>
    <display value="Fever"/>
    <definition value="Fever found at the campaign contact."/>
  </concept>
  <concept>
    <code value="suspected-malaria"/>
    <display value="Suspected malaria"/>
    <definition value="Suspected malaria found at the campaign contact (for example during SMC)."/>
  </concept>
  <concept>
    <code value="acute-malnutrition"/>
    <display value="Acute malnutrition"/>
    <definition value="Acute malnutrition, for example a red MUAC measurement; the severity comes from the measurement."/>
  </concept>
  <concept>
    <code value="zero-dose-to-routine"/>
    <display value="Zero-dose child, to routine immunization"/>
    <definition value="A zero-dose child referred to routine immunization services."/>
  </concept>
  <concept>
    <code value="illness"/>
    <display value="Excluded for illness"/>
    <definition value="Illness found at the campaign contact that excluded the person from the intervention."/>
  </concept>
  <concept>
    <code value="pregnancy"/>
    <display value="Pregnancy"/>
    <definition value="A pregnant woman excluded from MDA and referred to antenatal care."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition value="Another reason; record it in text."/>
  </concept>
</CodeSystem>