Integrated Campaign Registry (ICR) Implementation Guide
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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

: ICR Endemicity Status - TTL Representation

Draft as of 2026-08-20

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/icr-endemicity-status-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "icr-endemicity-status-cs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem icr-endemicity-status-cs</b></p><a name=\"icr-endemicity-status-cs\"> </a><a name=\"hcicr-endemicity-status-cs\"> </a><p>This case-sensitive code system <code>https://icr.healthcampaigns.org/CodeSystem/icr-endemicity-status-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\">endemic-mda-not-started<a name=\"icr-endemicity-status-cs-endemic-mda-not-started\"> </a></td><td>Endemic, MDA not started</td><td>The disease is endemic in this location and preventive chemotherapy has not yet begun.</td></tr><tr><td style=\"white-space:nowrap\">endemic-under-mda<a name=\"icr-endemicity-status-cs-endemic-under-mda\"> </a></td><td>Endemic, under MDA</td><td>The disease is endemic and the location is under active preventive-chemotherapy rounds.</td></tr><tr><td style=\"white-space:nowrap\">post-mda-surveillance<a name=\"icr-endemicity-status-cs-post-mda-surveillance\"> </a></td><td>Under post-MDA surveillance</td><td>MDA has stopped after meeting stopping criteria; the location is under post-treatment surveillance (e.g. TAS for LF).</td></tr><tr><td style=\"white-space:nowrap\">elimination-validated<a name=\"icr-endemicity-status-cs-elimination-validated\"> </a></td><td>Elimination validated</td><td>WHO has validated or verified elimination (of transmission, or as a public-health problem) for this disease in the geography covering this location.</td></tr><tr><td style=\"white-space:nowrap\">non-endemic<a name=\"icr-endemicity-status-cs-non-endemic\"> </a></td><td>Non-endemic</td><td>The disease is not endemic in this location.</td></tr><tr><td style=\"white-space:nowrap\">unknown<a name=\"icr-endemicity-status-cs-unknown\"> </a></td><td>Unknown (mapping required)</td><td>Endemicity has not been determined; mapping is required.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://icr.healthcampaigns.org/CodeSystem/icr-endemicity-status-cs"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ICREndemicityStatusCS"] ;
  fhir:CodeSystem.title [ fhir:value "ICR Endemicity Status"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-08-20T10:45:05+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "UNICEF"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "UNICEF" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.unicef.org" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "The endemicity classification ladder for a location, aligned with the WHO JRSM district-level endemicity categories — the value side of the ICRLocationStatus endemicity property codes."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ] ;
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "6"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "endemic-mda-not-started" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Endemic, MDA not started" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The disease is endemic in this location and preventive chemotherapy has not yet begun." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "endemic-under-mda" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Endemic, under MDA" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The disease is endemic and the location is under active preventive-chemotherapy rounds." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "post-mda-surveillance" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Under post-MDA surveillance" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "MDA has stopped after meeting stopping criteria; the location is under post-treatment surveillance (e.g. TAS for LF)." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "elimination-validated" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Elimination validated" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "WHO has validated or verified elimination (of transmission, or as a public-health problem) for this disease in the geography covering this location." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "non-endemic" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Non-endemic" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The disease is not endemic in this location." ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "unknown" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Unknown (mapping required)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Endemicity has not been determined; mapping is required." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/icr-endemicity-status-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/icr-endemicity-status-cs.ttl> .