Integrated Campaign Registry (ICR) Implementation Guide
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: ICR ↔ WHO IMMZ AEFI Causality - XML Representation

Draft as of 2026-08-07

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="icr-aefi-causality-to-immz"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap icr-aefi-causality-to-immz</b></p><a name="icr-aefi-causality-to-immz"> </a><a name="hcicr-aefi-causality-to-immz"> </a><p>Mapping from <a href="ValueSet-icr-adverse-event-causality.html">ICR Adverse Event Causality</a> to http://smart.who.int/immunizations/ValueSet/IMMZ-aefi-causality</p><br/><p>Mapping from <a href="CodeSystem-icr-adverse-event-causality-cs.html">ICR Adverse Event Causality</a> to <code>http://smart.who.int/immunizations/CodeSystem/IMMZ-aefi-causality</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>a-consistent (A — Consistent causal association)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>A (Consistent causal association to immunization)</td></tr><tr><td>b-indeterminate (B — Indeterminate)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>B (Indeterminate)</td></tr><tr><td>c-coincidental (C — Coincidental / inconsistent)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>C (Coincidental (inconsistent causal association))</td></tr><tr><td>d-unclassifiable (D — Unclassifiable)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>D (Unclassifiable)</td></tr></table></div>
  </text>
  <url
       value="https://icr.healthcampaigns.org/ConceptMap/icr-aefi-causality-to-immz"/>
  <version value="0.1.0"/>
  <name value="ICRAEFICausalityToIMMZ"/>
  <title value="ICR ↔ WHO IMMZ AEFI Causality"/>
  <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="Maps ICRAdverseEventCausalityCS (WHO/CIOMS A/B/C/D) to the WHO SMART Immunizations AEFI causality categories. Provisional — target codes to be confirmed against the published IMMZ IG (§18.3)."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <sourceCanonical
                   value="https://icr.healthcampaigns.org/ValueSet/icr-adverse-event-causality"/>
  <targetCanonical
                   value="http://smart.who.int/immunizations/ValueSet/IMMZ-aefi-causality"/>
  <group>
    <source
            value="https://icr.healthcampaigns.org/CodeSystem/icr-adverse-event-causality-cs"/>
    <target
            value="http://smart.who.int/immunizations/CodeSystem/IMMZ-aefi-causality"/>
    <element>
      <code value="a-consistent"/>
      <display value="A — Consistent causal association"/>
      <target>
        <code value="A"/>
        <display value="Consistent causal association to immunization"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="b-indeterminate"/>
      <display value="B — Indeterminate"/>
      <target>
        <code value="B"/>
        <display value="Indeterminate"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="c-coincidental"/>
      <display value="C — Coincidental / inconsistent"/>
      <target>
        <code value="C"/>
        <display value="Coincidental (inconsistent causal association)"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="d-unclassifiable"/>
      <display value="D — Unclassifiable"/>
      <target>
        <code value="D"/>
        <display value="Unclassifiable"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>