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 Adverse Event Causality - TTL Representation

Draft as of 2026-08-07

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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-adverse-event-causality-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "icr-adverse-event-causality-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-adverse-event-causality-cs</b></p><a name=\"icr-adverse-event-causality-cs\"> </a><a name=\"hcicr-adverse-event-causality-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-adverse-event-causality-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\">a-consistent<a name=\"icr-adverse-event-causality-cs-a-consistent\"> </a></td><td>A — Consistent causal association</td><td>Consistent causal association to the intervention (WHO category A; immunization subtypes A1 product, A2 quality defect, A3 administration error, A4 anxiety).</td></tr><tr><td style=\"white-space:nowrap\">b-indeterminate<a name=\"icr-adverse-event-causality-cs-b-indeterminate\"> </a></td><td>B — Indeterminate</td><td>Indeterminate: conflicting trends or insufficient evidence.</td></tr><tr><td style=\"white-space:nowrap\">c-coincidental<a name=\"icr-adverse-event-causality-cs-c-coincidental\"> </a></td><td>C — Coincidental / inconsistent</td><td>Inconsistent causal association — coincidental, due to underlying/emerging condition or other exposure.</td></tr><tr><td style=\"white-space:nowrap\">d-unclassifiable<a name=\"icr-adverse-event-causality-cs-d-unclassifiable\"> </a></td><td>D — Unclassifiable</td><td>Unclassifiable: insufficient information to assess.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://icr.healthcampaigns.org/CodeSystem/icr-adverse-event-causality-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ICRAdverseEventCausalityCS"] ;
  fhir:CodeSystem.title [ fhir:value "ICR Adverse Event Causality"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-08-07T08:41:18-04:00"^^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 "WHO/CIOMS causality classification of an adverse event following an intervention — intervention-neutral: covers AEFI (immunization) and MDA drug pharmacovigilance alike. Top-level WHO categories; immunization implementations may use WHO IMMZ.AdverseEvent's finer A1–A4 subtypes (espen-v3 / §17.2 C1)."] ;
  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 "4"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "a-consistent" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "A — Consistent causal association" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Consistent causal association to the intervention (WHO category A; immunization subtypes A1 product, A2 quality defect, A3 administration error, A4 anxiety)." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "b-indeterminate" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "B — Indeterminate" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indeterminate: conflicting trends or insufficient evidence." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "c-coincidental" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "C — Coincidental / inconsistent" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inconsistent causal association — coincidental, due to underlying/emerging condition or other exposure." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "d-unclassifiable" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "D — Unclassifiable" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Unclassifiable: insufficient information to assess." ]
  ] .

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

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