SMART DAK Cervical Cancer Screening
0.0.1 - ci-build
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
| Draft as of 2026-05-14 |
{
"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."
}
]
}