<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="icr-exclusion-reason-cs"/>
  <text>
    <status value="generated"/><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>
  </text>
  <url value="https://icr.healthcampaigns.org/CodeSystem/icr-exclusion-reason-cs"/>
  <version value="0.1.0"/>
  <name value="ICRExclusionReasonCS"/>
  <title value="ICR Exclusion Reason"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-08-07T08:41:18-04:00"/>
  <publisher value="UNICEF"/>
  <contact>
    <name value="UNICEF"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.unicef.org"/>
    </telecom>
  </contact>
  <description 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)."/>
  <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="5"/>
  <concept>
    <code value="under-height-age"/>
    <display value="Below dose-pole minimum (height/age)"/>
    <definition 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)."/>
  </concept>
  <concept>
    <code value="pregnant"/>
    <display value="Pregnant"/>
    <definition value="Excluded this round because pregnant (drug contraindicated in pregnancy)."/>
  </concept>
  <concept>
    <code value="breastfeeding"/>
    <display value="Breastfeeding / lactating"/>
    <definition value="Excluded this round because breastfeeding (drug contraindicated while lactating, per protocol)."/>
  </concept>
  <concept>
    <code value="acute-illness"/>
    <display value="Acute illness / clinical contraindication"/>
    <definition 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."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other contraindication"/>
    <definition value="Other clinical exclusion — record detail in text."/>
  </concept>
</CodeSystem>