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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="CXCA.Bindingness"/>
<text>
<status value="generated"/>
<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>
</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>
</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>
</div></td></tr></table></div>
</text>
<url value="http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness"/>
<version value="0.0.1"/>
<name value="CXCA_Bindingness"/>
<title value="CXCA Regulatory Bindingness"/>
<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>