<status value="draft"/> <experimental value="false"/> <date value="2026-05-14T00:50:23+00:00"/> <publisher value="Dan Heslinga (independent contributor)"/> <contact> <name value="Dan Heslinga (independent contributor)"/> <telecom> <system value="url"/> <value value="https://github.com/dhes"/> </telecom> </contact> <description value="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 value="true"/> <content value="complete"/> <count value="3"/> <concept> <code value="legal"/> <display value="Legal — binding regulatory instrument"/> <definition value="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."/> </concept> <concept> <code value="programmatic"/> <display value="Programmatic — announced position not yet binding"/> <definition value="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."/> </concept> <concept> <code value="operational"/> <display value="Operational — empirically-observed delivery state"/> <definition value="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."/> </concept> </CodeSystem>

Generated Narrative: CodeSystem CXCA.Bindingness

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.