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

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: ICR Refusal Reason - XML Representation

Draft as of 2026-08-07

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="icr-noncompliance-reason-cs"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem icr-noncompliance-reason-cs</b></p><a name="icr-noncompliance-reason-cs"> </a><a name="hcicr-noncompliance-reason-cs"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-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">safety-concern<a name="icr-noncompliance-reason-cs-safety-concern"> </a></td><td>Safety concern / fear of adverse events</td><td>Fear of AEFI or medicine side effects.</td></tr><tr><td style="white-space:nowrap">religious-objection<a name="icr-noncompliance-reason-cs-religious-objection"> </a></td><td>Religious or cultural objection</td><td>Belief-based objection.</td></tr><tr><td style="white-space:nowrap">no-felt-need<a name="icr-noncompliance-reason-cs-no-felt-need"> </a></td><td>No felt need</td><td>Does not consider the intervention necessary (e.g. child already vaccinated, not at risk).</td></tr><tr><td style="white-space:nowrap">campaign-fatigue<a name="icr-noncompliance-reason-cs-campaign-fatigue"> </a></td><td>Campaign fatigue</td><td>Too many rounds; declines further participation.</td></tr><tr><td style="white-space:nowrap">misinformation<a name="icr-noncompliance-reason-cs-misinformation"> </a></td><td>Misinformation / rumor</td><td>Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap).</td></tr><tr><td style="white-space:nowrap">not-decision-maker<a name="icr-noncompliance-reason-cs-not-decision-maker"> </a></td><td>Not the decision-maker</td><td>The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis Aggregate #4).</td></tr><tr><td style="white-space:nowrap">other<a name="icr-noncompliance-reason-cs-other"> </a></td><td>Other</td><td>Other reason — record detail in text.</td></tr></table></div>
  </text>
  <url
       value="https://icr.healthcampaigns.org/CodeSystem/icr-noncompliance-reason-cs"/>
  <version value="0.1.0"/>
  <name value="ICRNoncomplianceReasonCS"/>
  <title value="ICR Refusal 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 household or caregiver refused the intervention (WHO IDHC: 'intervention refusal'; ESPEN forms say noncompliance) — drives social-mobilization targeting and mop-up planning."/>
  <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="7"/>
  <concept>
    <code value="safety-concern"/>
    <display value="Safety concern / fear of adverse events"/>
    <definition value="Fear of AEFI or medicine side effects."/>
  </concept>
  <concept>
    <code value="religious-objection"/>
    <display value="Religious or cultural objection"/>
    <definition value="Belief-based objection."/>
  </concept>
  <concept>
    <code value="no-felt-need"/>
    <display value="No felt need"/>
    <definition
                value="Does not consider the intervention necessary (e.g. child already vaccinated, not at risk)."/>
  </concept>
  <concept>
    <code value="campaign-fatigue"/>
    <display value="Campaign fatigue"/>
    <definition value="Too many rounds; declines further participation."/>
  </concept>
  <concept>
    <code value="misinformation"/>
    <display value="Misinformation / rumor"/>
    <definition
                value="Declines based on circulating misinformation (including disease-specific rumours — e.g. 'Africa is polio-free', vaccine-specific concerns; localise via ConceptMap)."/>
  </concept>
  <concept>
    <code value="not-decision-maker"/>
    <display value="Not the decision-maker"/>
    <definition
                value="The person present could not consent; the household decision-maker was absent. Recurring polio SIA refusal reason (forms-v1 / jul3-form-analysis Aggregate #4)."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition value="Other reason — record detail in text."/>
  </concept>
</CodeSystem>