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

: CXCA Regulatory Bindingness - TTL Representation

Draft as of 2026-05-14

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "CXCA.Bindingness"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness"^^xsd:anyURI ;
fhir:l <http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness>
  ] ; # 
  fhir:version [ fhir:v "0.0.1"] ; # 
  fhir:name [ fhir:v "CXCA_Bindingness"] ; # 
  fhir:title [ fhir:v "CXCA Regulatory Bindingness"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-05-14T00:50:23+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Dan Heslinga (independent contributor)"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Dan Heslinga (independent contributor)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://github.com/dhes" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "CodeSystem for tagging cervical cancer screening DAK artifacts by their regulatory bindingness. Distinguishes legal/binding instruments from programmatic announcements from empirically-observed operational realities."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "3"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "legal" ] ;
fhir:display [ fhir:v "Legal — binding regulatory instrument" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "programmatic" ] ;
fhir:display [ fhir:v "Programmatic — announced position not yet binding" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "operational" ] ;
fhir:display [ fhir:v "Operational — empirically-observed delivery state" ] ;
fhir:definition [ fhir:v "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." ]
  ] ) . #