Integrated Campaign Registry (ICR) Implementation Guide
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ValueSet: ICR Not-done Reason

Official URL: https://icr.healthcampaigns.org/ValueSet/icr-not-done-reason Version: 0.1.0
Draft as of 2026-10-29 Computable Name: ICRNotDoneReasonVS

Why an eligible person was not given a vaccine or drug at a campaign contact: missed (ICRMissedReasonVS), refused (ICRNoncomplianceReasonVS) or excluded (ICRExclusionReasonVS). Binding: extensible on statusReason of ICRImmunizationEvent and ICRMedicationAdministration.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 24 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  absentAbsentEligible person not present at the time of the visit.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  sleepingSleepingChild asleep and not woken (polio doorstep convention).
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  sickSickDeferred due to illness or contraindication at time of visit.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  refusalRefusalCaregiver or individual refused — capture the refusal reason separately.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  inaccessibleInaccessibleDwelling or settlement could not be reached (security, terrain, weather).
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  not-visitedNot visitedHousehold never reached by a team during the round.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  not-revisitedHouse not revisitedHousehold was flagged for a revisit (e.g. child absent on first pass) but the revisit did not happen before the round closed — distinct from never-visited. Polio house-to-house monitoring reason (forms-v1 / jul3-form-analysis §Aggregate #4).
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  medication-shortageMedication shortageArea not treated because the medicine/commodity ran out or never arrived.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  insecurityInsecurityArea not reached due to armed conflict, unrest, or security restrictions.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  difficult-accessDifficult accessArea not reached due to terrain, distance, or seasonal inaccessibility.
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  not-requiredNot requiredArea not treated because it was not targeted this round (e.g. not co-endemic for the disease).
https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs  otherOtherOther reason — record detail in text.
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  safety-concernSafety concern / fear of adverse eventsFear of AEFI or medicine side effects.
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  religious-objectionReligious or cultural objectionBelief-based objection.
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  no-felt-needNo felt needDoes not consider the intervention necessary (e.g. child already vaccinated, not at risk).
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  campaign-fatigueCampaign fatigueToo many rounds; declines further participation.
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  misinformationMisinformation / rumorDeclines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap).
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  not-decision-makerNot the decision-makerThe person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis §Aggregate #4).
https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs  otherOtherOther reason — record detail in text.
https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs  under-height-ageBelow dose-pole minimum (height/age)Below the intervention's minimum dose-pole height or age threshold (e.g. children under ~90 cm for height-dosed PC-NTD drugs; under the minimum age for azithromycin).
https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs  pregnantPregnantExcluded this round because pregnant (drug contraindicated in pregnancy).
https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs  breastfeedingBreastfeeding / lactatingExcluded this round because breastfeeding (drug contraindicated while lactating, per protocol).
https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs  acute-illnessAcute illness / clinical contraindicationExcluded due to acute illness or a clinical contraindication at the time of the visit. Reconciles with the deferral sense of ICRMissedReasonCS#sick — see §17.2 C3.
https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs  otherOther contraindicationOther clinical exclusion — record detail in text.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code