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 Exclusion Reason - 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-exclusion-reason-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "icr-exclusion-reason-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-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>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ICRExclusionReasonCS"] ;
  fhir:CodeSystem.title [ fhir:value "ICR Exclusion Reason"] ;
  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 "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)."] ;
  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 "5"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "under-height-age" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Below dose-pole minimum (height/age)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "pregnant" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pregnant" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Excluded this round because pregnant (drug contraindicated in pregnancy)." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "breastfeeding" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breastfeeding / lactating" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Excluded this round because breastfeeding (drug contraindicated while lactating, per protocol)." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "acute-illness" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Acute illness / clinical contraindication" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "other" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other contraindication" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Other clinical exclusion — record detail in text." ]
  ] .

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

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