{
  "resourceType" : "CodeSystem",
  "id" : "icr-endemicity-status-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-endemicity-status-cs</b></p><a name=\"icr-endemicity-status-cs\"> </a><a name=\"hcicr-endemicity-status-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-endemicity-status-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\">endemic-mda-not-started<a name=\"icr-endemicity-status-cs-endemic-mda-not-started\"> </a></td><td>Endemic, MDA not started</td><td>The disease is endemic in this location and preventive chemotherapy has not yet begun.</td></tr><tr><td style=\"white-space:nowrap\">endemic-under-mda<a name=\"icr-endemicity-status-cs-endemic-under-mda\"> </a></td><td>Endemic, under MDA</td><td>The disease is endemic and the location is under active preventive-chemotherapy rounds.</td></tr><tr><td style=\"white-space:nowrap\">post-mda-surveillance<a name=\"icr-endemicity-status-cs-post-mda-surveillance\"> </a></td><td>Under post-MDA surveillance</td><td>MDA has stopped after meeting stopping criteria; the location is under post-treatment surveillance (e.g. TAS for LF).</td></tr><tr><td style=\"white-space:nowrap\">elimination-validated<a name=\"icr-endemicity-status-cs-elimination-validated\"> </a></td><td>Elimination validated</td><td>WHO has validated or verified elimination (of transmission, or as a public-health problem) for this disease in the geography covering this location.</td></tr><tr><td style=\"white-space:nowrap\">non-endemic<a name=\"icr-endemicity-status-cs-non-endemic\"> </a></td><td>Non-endemic</td><td>The disease is not endemic in this location.</td></tr><tr><td style=\"white-space:nowrap\">unknown<a name=\"icr-endemicity-status-cs-unknown\"> </a></td><td>Unknown (mapping required)</td><td>Endemicity has not been determined; mapping is required.</td></tr></table></div>"
  },
  "url" : "https://icr.healthcampaigns.org/CodeSystem/icr-endemicity-status-cs",
  "version" : "0.1.0",
  "name" : "ICREndemicityStatusCS",
  "title" : "ICR Endemicity Status",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-08-20T10:45:05+00:00",
  "publisher" : "UNICEF",
  "contact" : [{
    "name" : "UNICEF",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.unicef.org"
    }]
  }],
  "description" : "The endemicity classification ladder for a location, aligned with the WHO JRSM district-level endemicity categories — the value side of the ICRLocationStatus endemicity property codes.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 6,
  "concept" : [{
    "code" : "endemic-mda-not-started",
    "display" : "Endemic, MDA not started",
    "definition" : "The disease is endemic in this location and preventive chemotherapy has not yet begun."
  },
  {
    "code" : "endemic-under-mda",
    "display" : "Endemic, under MDA",
    "definition" : "The disease is endemic and the location is under active preventive-chemotherapy rounds."
  },
  {
    "code" : "post-mda-surveillance",
    "display" : "Under post-MDA surveillance",
    "definition" : "MDA has stopped after meeting stopping criteria; the location is under post-treatment surveillance (e.g. TAS for LF)."
  },
  {
    "code" : "elimination-validated",
    "display" : "Elimination validated",
    "definition" : "WHO has validated or verified elimination (of transmission, or as a public-health problem) for this disease in the geography covering this location."
  },
  {
    "code" : "non-endemic",
    "display" : "Non-endemic",
    "definition" : "The disease is not endemic in this location."
  },
  {
    "code" : "unknown",
    "display" : "Unknown (mapping required)",
    "definition" : "Endemicity has not been determined; mapping is required."
  }]
}