{
  "resourceType" : "CodeSystem",
  "id" : "CXCA.Bindingness",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem CXCA.Bindingness</b></p><a name=\"CXCA.Bindingness\"> </a><a name=\"hcCXCA.Bindingness\"> </a><p>This case-sensitive code system <code>http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness</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\">legal<a name=\"CXCA.Bindingness-legal\"> </a></td><td>Legal — binding regulatory instrument</td><td><div><p>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.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">programmatic<a name=\"CXCA.Bindingness-programmatic\"> </a></td><td>Programmatic — announced position not yet binding</td><td><div><p>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.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">operational<a name=\"CXCA.Bindingness-operational\"> </a></td><td>Operational — empirically-observed delivery state</td><td><div><p>The artifact encodes a rule or threshold that reflects how a programme is <em>actually being delivered</em> 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.</p>\n</div></td></tr></table></div>"
  },
  "url" : "http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness",
  "version" : "0.0.1",
  "name" : "CXCA_Bindingness",
  "title" : "CXCA Regulatory Bindingness",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-05-14T00:50:23+00:00",
  "publisher" : "Dan Heslinga (independent contributor)",
  "contact" : [{
    "name" : "Dan Heslinga (independent contributor)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://github.com/dhes"
    }]
  }],
  "description" : "CodeSystem for tagging cervical cancer screening DAK artifacts by their regulatory bindingness. Distinguishes legal/binding instruments from programmatic announcements from empirically-observed operational realities.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 3,
  "concept" : [{
    "code" : "legal",
    "display" : "Legal — binding regulatory instrument",
    "definition" : "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."
  },
  {
    "code" : "programmatic",
    "display" : "Programmatic — announced position not yet binding",
    "definition" : "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."
  },
  {
    "code" : "operational",
    "display" : "Operational — empirically-observed delivery state",
    "definition" : "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."
  }]
}