SMART DAK Cervical Cancer Screening, published by Dan Heslinga (independent contributor). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/dhes/smart-dak-cxca/ and changes regularly. See the Directory of published versions
Official URL: http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness
Version:
0.0.1
Draft
as of 2026-05-14
Computable Name: CXCA_Bindingness
CodeSystem for tagging cervical cancer screening DAK artifacts by their regulatory bindingness. Distinguishes legal/binding instruments from programmatic announcements from empirically-observed operational realities.
This Code system is referenced in the content logical definition of the following value sets:
This case-sensitive code system http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness defines the following codes:
Code
Display
Definition
legal
Legal — binding regulatory instrument
The artifact encodes a rule from a legally-binding regulatory instrument (e.g., a signed ministerial order, a national law, an enacted regulation). Providers are required to follow this rule. Example: Mongolia MOH Order A/641 (2020) section 2.2.
programmatic
Programmatic — announced position not yet binding
The artifact encodes a position announced via a national programme, ministerial communication, or strategy document, where the announcement has not (yet) been operationalised as a legally-binding instrument. Providers may be encouraged or guided toward this position but are not legally required to follow it. Example: Mongolia's April 2025 Cervical Cancer Elimination Programme launch announcing HPV screening at ages 30 and 40.
operational
Operational — empirically-observed delivery state
The artifact encodes a rule or threshold that reflects how a programme is actually being delivered in the field, regardless of its formal regulatory status. Useful for modelling pilot adjustments, mid-execution age-range expansions, and other operational drifts. Example: Mongolia's April 2026 Khan-Uul pilot, which started at the binding 35–45 ages and was expanded mid-execution to 40–60 due to low participation.