{
  "resourceType" : "CodeSystem",
  "id" : "icr-missed-reason-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-missed-reason-cs</b></p><a name=\"icr-missed-reason-cs\"> </a><a name=\"hcicr-missed-reason-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-missed-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><td><b>English (United States) (English (United States), en)</b></td></tr><tr><td style=\"white-space:nowrap\">absent<a name=\"icr-missed-reason-cs-absent\"> </a></td><td>Absent</td><td>Eligible person not present at the time of the visit.</td><td/></tr><tr><td style=\"white-space:nowrap\">sleeping<a name=\"icr-missed-reason-cs-sleeping\"> </a></td><td>Sleeping</td><td>Child asleep and not woken (polio doorstep convention).</td><td/></tr><tr><td style=\"white-space:nowrap\">sick<a name=\"icr-missed-reason-cs-sick\"> </a></td><td>Sick</td><td>Deferred due to illness or contraindication at time of visit.</td><td/></tr><tr><td style=\"white-space:nowrap\">refusal<a name=\"icr-missed-reason-cs-refusal\"> </a></td><td>Refusal</td><td>Caregiver or individual refused — capture the refusal reason separately.</td><td>Population refusal</td></tr><tr><td style=\"white-space:nowrap\">inaccessible<a name=\"icr-missed-reason-cs-inaccessible\"> </a></td><td>Inaccessible</td><td>Dwelling or settlement could not be reached (security, terrain, weather).</td><td/></tr><tr><td style=\"white-space:nowrap\">not-visited<a name=\"icr-missed-reason-cs-not-visited\"> </a></td><td>Not visited</td><td>Household never reached by a team during the round.</td><td>Absence of DC</td></tr><tr><td style=\"white-space:nowrap\">not-revisited<a name=\"icr-missed-reason-cs-not-revisited\"> </a></td><td>House not revisited</td><td>Household was flagged for a revisit (e.g. child absent on first pass) but the revisit did not happen before the round closed — distinct from never-visited. Polio house-to-house monitoring reason (forms-v1 / jul3-form-analysis §Aggregate #4).</td><td/></tr><tr><td style=\"white-space:nowrap\">medication-shortage<a name=\"icr-missed-reason-cs-medication-shortage\"> </a></td><td>Medication shortage</td><td>Area not treated because the medicine/commodity ran out or never arrived.</td><td/></tr><tr><td style=\"white-space:nowrap\">insecurity<a name=\"icr-missed-reason-cs-insecurity\"> </a></td><td>Insecurity</td><td>Area not reached due to armed conflict, unrest, or security restrictions.</td><td/></tr><tr><td style=\"white-space:nowrap\">difficult-access<a name=\"icr-missed-reason-cs-difficult-access\"> </a></td><td>Difficult access</td><td>Area not reached due to terrain, distance, or seasonal inaccessibility.</td><td/></tr><tr><td style=\"white-space:nowrap\">not-required<a name=\"icr-missed-reason-cs-not-required\"> </a></td><td>Not required</td><td>Area not treated because it was not targeted this round (e.g. not co-endemic for the disease).</td><td/></tr><tr><td style=\"white-space:nowrap\">other<a name=\"icr-missed-reason-cs-other\"> </a></td><td>Other</td><td>Other reason — record detail in text.</td><td/></tr></table></div>"
  },
  "url" : "https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs",
  "version" : "0.1.0",
  "name" : "ICRMissedReasonCS",
  "title" : "ICR Missed 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 an eligible person or household was not reached during a campaign visit.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 12,
  "concept" : [{
    "code" : "absent",
    "display" : "Absent",
    "definition" : "Eligible person not present at the time of the visit."
  },
  {
    "code" : "sleeping",
    "display" : "Sleeping",
    "definition" : "Child asleep and not woken (polio doorstep convention)."
  },
  {
    "code" : "sick",
    "display" : "Sick",
    "definition" : "Deferred due to illness or contraindication at time of visit."
  },
  {
    "code" : "refusal",
    "display" : "Refusal",
    "definition" : "Caregiver or individual refused — capture the refusal reason separately.",
    "designation" : [{
      "language" : "en-US",
      "value" : "Population refusal"
    }]
  },
  {
    "code" : "inaccessible",
    "display" : "Inaccessible",
    "definition" : "Dwelling or settlement could not be reached (security, terrain, weather)."
  },
  {
    "code" : "not-visited",
    "display" : "Not visited",
    "definition" : "Household never reached by a team during the round.",
    "designation" : [{
      "language" : "en-US",
      "value" : "Absence of DC"
    }]
  },
  {
    "code" : "not-revisited",
    "display" : "House not revisited",
    "definition" : "Household was flagged for a revisit (e.g. child absent on first pass) but the revisit did not happen before the round closed — distinct from never-visited. Polio house-to-house monitoring reason (forms-v1 / jul3-form-analysis §Aggregate #4)."
  },
  {
    "code" : "medication-shortage",
    "display" : "Medication shortage",
    "definition" : "Area not treated because the medicine/commodity ran out or never arrived."
  },
  {
    "code" : "insecurity",
    "display" : "Insecurity",
    "definition" : "Area not reached due to armed conflict, unrest, or security restrictions."
  },
  {
    "code" : "difficult-access",
    "display" : "Difficult access",
    "definition" : "Area not reached due to terrain, distance, or seasonal inaccessibility."
  },
  {
    "code" : "not-required",
    "display" : "Not required",
    "definition" : "Area not treated because it was not targeted this round (e.g. not co-endemic for the disease)."
  },
  {
    "code" : "other",
    "display" : "Other",
    "definition" : "Other reason — record detail in text."
  }]
}