Integrated Campaign Registry (ICR) Implementation Guide
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: ICR Referral Reason to SNOMED CT - JSON Representation

Draft as of 2026-10-29

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{
  "resourceType" : "ConceptMap",
  "id" : "icr-referral-reason-to-snomed",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap icr-referral-reason-to-snomed</b></p><a name=\"icr-referral-reason-to-snomed\"> </a><a name=\"hcicr-referral-reason-to-snomed\"> </a><p>Mapping from <a href=\"ValueSet-icr-referral-reason.html\">ICR Referral Reason</a> to <a href=\"https://browser.ihtsdotools.org/\">All Codes SCT ValueSet</a></p><br/><p>Mapping from <a href=\"CodeSystem-icr-referral-reason-cs.html\">ICR Referral Reason</a> to <code>http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201</code></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>vaccine-adverse-event (Adverse event after a vaccine)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-narrower\" title=\"narrower\">narrower</a></td><td>293104008 (Vaccine adverse reaction)</td><td>The target asserts the vaccine caused the event; ICRAdverseEvent keeps causality separate.</td></tr><tr><td>drug-adverse-event (Adverse event after a drug)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-narrower\" title=\"narrower\">narrower</a></td><td>62014003 (Adverse reaction to drug)</td><td>The target asserts the drug caused the event; ICRAdverseEvent keeps causality separate.</td></tr><tr><td>fever</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>386661006 (Fever)</td><td/></tr><tr><td>suspected-malaria</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>772168000 (Malaria suspected)</td><td/></tr><tr><td>acute-malnutrition</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-narrower\" title=\"narrower\">narrower</a></td><td>762497007 (Acute malnutrition in childhood)</td><td>The target is childhood only. A search on Oct 26, 2026 found no 'severe acute malnutrition' concept; severity comes from the MUAC measurement.</td></tr><tr><td>zero-dose-to-routine (Zero-dose child, to routine immunization)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-relatedto\" title=\"relatedto\">is related to</a></td><td>401179006 (No previous immunizations)</td><td>The target is the finding; the referral purpose is in the ICR code.</td></tr><tr><td>illness (Excluded for illness)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-wider\" title=\"wider\">maps to wider concept</a></td><td>39104002 (Illness)</td><td>The ICR code is illness found at a campaign contact.</td></tr><tr><td>pregnancy</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>77386006 (Pregnancy)</td><td/></tr><tr><td>other</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">No SNOMED CT target; the reason is in text.</td></tr></table></div>"
  },
  "url" : "https://icr.healthcampaigns.org/ConceptMap/icr-referral-reason-to-snomed",
  "version" : "0.1.0",
  "name" : "ICRReferralReasonToSNOMED",
  "title" : "ICR Referral Reason to SNOMED CT",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-10-29T03:03:58+00:00",
  "publisher" : "UNICEF",
  "contact" : [
    {
      "name" : "UNICEF",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.unicef.org"
        }
      ]
    }
  ],
  "description" : "Maps ICRReferralReasonCS to SNOMED CT (International Edition 2025-02-01), with the equivalence of each target. The data carries ICR codes; this map is for analysis and exchange with systems that use SNOMED CT.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "This ConceptMap includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (SNOMED International), and distributed by agreement between SNOMED International and HL7. Implementer use of SNOMED CT is not covered by this agreement.",
  "sourceCanonical" : "https://icr.healthcampaigns.org/ValueSet/icr-referral-reason",
  "targetCanonical" : "http://snomed.info/sct?fhir_vs",
  "group" : [
    {
      "source" : "https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs",
      "target" : "http://snomed.info/sct",
      "targetVersion" : "http://snomed.info/sct/900000000000207008/version/20250201",
      "element" : [
        {
          "code" : "vaccine-adverse-event",
          "display" : "Adverse event after a vaccine",
          "target" : [
            {
              "code" : "293104008",
              "display" : "Vaccine adverse reaction",
              "equivalence" : "narrower",
              "comment" : "The target asserts the vaccine caused the event; ICRAdverseEvent keeps causality separate."
            }
          ]
        },
        {
          "code" : "drug-adverse-event",
          "display" : "Adverse event after a drug",
          "target" : [
            {
              "code" : "62014003",
              "display" : "Adverse reaction to drug",
              "equivalence" : "narrower",
              "comment" : "The target asserts the drug caused the event; ICRAdverseEvent keeps causality separate."
            }
          ]
        },
        {
          "code" : "fever",
          "display" : "Fever",
          "target" : [
            {
              "code" : "386661006",
              "display" : "Fever",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "suspected-malaria",
          "display" : "Suspected malaria",
          "target" : [
            {
              "code" : "772168000",
              "display" : "Malaria suspected",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "acute-malnutrition",
          "display" : "Acute malnutrition",
          "target" : [
            {
              "code" : "762497007",
              "display" : "Acute malnutrition in childhood",
              "equivalence" : "narrower",
              "comment" : "The target is childhood only. A search on Oct 26, 2026 found no 'severe acute malnutrition' concept; severity comes from the MUAC measurement."
            }
          ]
        },
        {
          "code" : "zero-dose-to-routine",
          "display" : "Zero-dose child, to routine immunization",
          "target" : [
            {
              "code" : "401179006",
              "display" : "No previous immunizations",
              "equivalence" : "relatedto",
              "comment" : "The target is the finding; the referral purpose is in the ICR code."
            }
          ]
        },
        {
          "code" : "illness",
          "display" : "Excluded for illness",
          "target" : [
            {
              "code" : "39104002",
              "display" : "Illness",
              "equivalence" : "wider",
              "comment" : "The ICR code is illness found at a campaign contact."
            }
          ]
        },
        {
          "code" : "pregnancy",
          "display" : "Pregnancy",
          "target" : [
            {
              "code" : "77386006",
              "display" : "Pregnancy",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "other",
          "display" : "Other",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "No SNOMED CT target; the reason is in text."
            }
          ]
        }
      ]
    }
  ]
}