{
  "resourceType" : "CodeSystem",
  "id" : "icr-exclusion-reason-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-exclusion-reason-cs</b></p><a name=\"icr-exclusion-reason-cs\"> </a><a name=\"hcicr-exclusion-reason-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-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\">under-height-age<a name=\"icr-exclusion-reason-cs-under-height-age\"> </a></td><td>Below dose-pole minimum (height/age)</td><td>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).</td></tr><tr><td style=\"white-space:nowrap\">pregnant<a name=\"icr-exclusion-reason-cs-pregnant\"> </a></td><td>Pregnant</td><td>Excluded this round because pregnant (drug contraindicated in pregnancy).</td></tr><tr><td style=\"white-space:nowrap\">breastfeeding<a name=\"icr-exclusion-reason-cs-breastfeeding\"> </a></td><td>Breastfeeding / lactating</td><td>Excluded this round because breastfeeding (drug contraindicated while lactating, per protocol).</td></tr><tr><td style=\"white-space:nowrap\">acute-illness<a name=\"icr-exclusion-reason-cs-acute-illness\"> </a></td><td>Acute illness / clinical contraindication</td><td>Excluded 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.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"icr-exclusion-reason-cs-other\"> </a></td><td>Other contraindication</td><td>Other clinical exclusion — record detail in text.</td></tr></table></div>"
  },
  "url" : "https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs",
  "version" : "0.1.0",
  "name" : "ICRExclusionReasonCS",
  "title" : "ICR Exclusion Reason",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-08-07T08:41:18-04:00",
  "publisher" : "UNICEF",
  "contact" : [{
    "name" : "UNICEF",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.unicef.org"
    }]
  }],
  "description" : "Why a PRESENT, age-eligible person was not treated because they are clinically ineligible/contraindicated for the intervention this round — as opposed to being MISSED (not reached, ICRMissedReasonCS) or DECLINING (ICRNoncomplianceReasonCS). The MDA case (ESPEN treatment Form 3): under the dose-pole minimum, pregnant, breastfeeding, acutely ill. Added v0.18.0 (espen.md rec 2 / §17.4 NTD specifics).",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 5,
  "concept" : [{
    "code" : "under-height-age",
    "display" : "Below dose-pole minimum (height/age)",
    "definition" : "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)."
  },
  {
    "code" : "pregnant",
    "display" : "Pregnant",
    "definition" : "Excluded this round because pregnant (drug contraindicated in pregnancy)."
  },
  {
    "code" : "breastfeeding",
    "display" : "Breastfeeding / lactating",
    "definition" : "Excluded this round because breastfeeding (drug contraindicated while lactating, per protocol)."
  },
  {
    "code" : "acute-illness",
    "display" : "Acute illness / clinical contraindication",
    "definition" : "Excluded 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."
  },
  {
    "code" : "other",
    "display" : "Other contraindication",
    "definition" : "Other clinical exclusion — record detail in text."
  }]
}