Integrated Campaign Registry (ICR) Implementation Guide
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: ICR Endemicity Status - XML Representation

Draft as of 2026-08-20

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="icr-endemicity-status-cs"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://icr.healthcampaigns.org/CodeSystem/icr-endemicity-status-cs"/>
  <version value="0.1.0"/>
  <name value="ICREndemicityStatusCS"/>
  <title value="ICR Endemicity Status"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-08-20T10:45:05+00:00"/>
  <publisher value="UNICEF"/>
  <contact>
    <name value="UNICEF"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.unicef.org"/>
    </telecom>
  </contact>
  <description
               value="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 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="6"/>
  <concept>
    <code value="endemic-mda-not-started"/>
    <display value="Endemic, MDA not started"/>
    <definition
                value="The disease is endemic in this location and preventive chemotherapy has not yet begun."/>
  </concept>
  <concept>
    <code value="endemic-under-mda"/>
    <display value="Endemic, under MDA"/>
    <definition
                value="The disease is endemic and the location is under active preventive-chemotherapy rounds."/>
  </concept>
  <concept>
    <code value="post-mda-surveillance"/>
    <display value="Under post-MDA surveillance"/>
    <definition
                value="MDA has stopped after meeting stopping criteria; the location is under post-treatment surveillance (e.g. TAS for LF)."/>
  </concept>
  <concept>
    <code value="elimination-validated"/>
    <display value="Elimination validated"/>
    <definition
                value="WHO has validated or verified elimination (of transmission, or as a public-health problem) for this disease in the geography covering this location."/>
  </concept>
  <concept>
    <code value="non-endemic"/>
    <display value="Non-endemic"/>
    <definition value="The disease is not endemic in this location."/>
  </concept>
  <concept>
    <code value="unknown"/>
    <display value="Unknown (mapping required)"/>
    <definition
                value="Endemicity has not been determined; mapping is required."/>
  </concept>
</CodeSystem>