Integrated Campaign Registry (ICR) Implementation Guide
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: ICR Missed Reason - XML Representation

Draft as of 2026-08-07

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="icr-missed-reason-cs"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs"/>
  <version value="0.1.0"/>
  <name value="ICRMissedReasonCS"/>
  <title value="ICR Missed 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 an eligible person or household was not reached during a campaign visit."/>
  <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="12"/>
  <concept>
    <code value="absent"/>
    <display value="Absent"/>
    <definition
                value="Eligible person not present at the time of the visit."/>
  </concept>
  <concept>
    <code value="sleeping"/>
    <display value="Sleeping"/>
    <definition
                value="Child asleep and not woken (polio doorstep convention)."/>
  </concept>
  <concept>
    <code value="sick"/>
    <display value="Sick"/>
    <definition
                value="Deferred due to illness or contraindication at time of visit."/>
  </concept>
  <concept>
    <code value="refusal"/>
    <display value="Refusal"/>
    <definition
                value="Caregiver or individual refused — capture the refusal reason separately."/>
    <designation>
      <language value="en-US"/>
      <value value="Population refusal"/>
    </designation>
  </concept>
  <concept>
    <code value="inaccessible"/>
    <display value="Inaccessible"/>
    <definition
                value="Dwelling or settlement could not be reached (security, terrain, weather)."/>
  </concept>
  <concept>
    <code value="not-visited"/>
    <display value="Not visited"/>
    <definition value="Household never reached by a team during the round."/>
    <designation>
      <language value="en-US"/>
      <value value="Absence of DC"/>
    </designation>
  </concept>
  <concept>
    <code value="not-revisited"/>
    <display value="House not revisited"/>
    <definition
                value="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)."/>
  </concept>
  <concept>
    <code value="medication-shortage"/>
    <display value="Medication shortage"/>
    <definition
                value="Area not treated because the medicine/commodity ran out or never arrived."/>
  </concept>
  <concept>
    <code value="insecurity"/>
    <display value="Insecurity"/>
    <definition
                value="Area not reached due to armed conflict, unrest, or security restrictions."/>
  </concept>
  <concept>
    <code value="difficult-access"/>
    <display value="Difficult access"/>
    <definition
                value="Area not reached due to terrain, distance, or seasonal inaccessibility."/>
  </concept>
  <concept>
    <code value="not-required"/>
    <display value="Not required"/>
    <definition
                value="Area not treated because it was not targeted this round (e.g. not co-endemic for the disease)."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition value="Other reason — record detail in text."/>
  </concept>
</CodeSystem>