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 |
@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:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "CXCAD18SRecallScheduling"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">CXCAD18SRecallScheduling</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-CXCAD18SRecallScheduling.html\">CXCA.D18.S — Recall Scheduling</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.0.1</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">CXCA.D18.S — Recall Scheduling</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2026-05-14 00:50:23+0000</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Dan Heslinga (independent contributor)</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Decision support for recall and re-call per Mongolia MOH Order A/641 (2020) section 2.3. Evaluates seven timeout triggers (HPV sample timeout, positive-result follow-up timeout, biopsy timeout, treatment-after-biopsy timeout, cytology unread timeout, second-reminder, missed scheduled exam) and instantiates a CommunicationRequest reminder for each fired trigger. The 187 LTFU women from the April 2026 Khan-Uul pilot represent the empirical case for why this layer matters — DE39 (positive-result follow-up timeout, 4 weeks) is the trigger that should fire for each of them.</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-CXCAD18SRecallSchedulingLogic.html\">CXCAD18SRecallSchedulingLogic</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Recall — HPV sample result missing more than 3 weeks:</b> An HPV sample was dispatched more than 3 weeks ago and no result has been entered. Issue a reminder to follow up with the lab.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — HPV sample result timeout)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — positive screening result without follow-up exam after 4 weeks:</b> A positive screening result was entered more than 4 weeks ago and no follow-up examination has been recorded. Issue a reminder to the patient and the clinician. THIS IS THE LTFU-PREVENTION TRIGGER — the 187 women lost to follow-up in the April 2026 Khan-Uul pilot would each have had this trigger fire.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — positive result follow-up timeout)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — biopsy result missing more than 4 weeks:</b> A biopsy sample was received at the lab more than 4 weeks ago and no histopathology result has been entered. Follow up with the lab.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — biopsy result timeout)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — no treatment record more than 4 weeks after positive biopsy:</b> A positive biopsy result has been entered for more than 4 weeks and no treatment record exists. Issue a reminder to schedule treatment.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — treatment after positive biopsy timeout)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — cytology slide unread more than 2 weeks at lab:</b> A cytology slide was received more than 2 weeks ago and no cytologist conclusion has been entered. Follow up with the lab.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — cytology slide unread timeout)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — second reminder needed (first sent more than 4 weeks ago):</b> A first reminder was sent more than 4 weeks ago and the underlying gap remains unresolved. Issue a second reminder.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — second reminder needed)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Recall — missed scheduled examination:</b> Patient missed a scheduled examination. Immediate reminder — no timeout wait.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(Recall — missed scheduled examination)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <a href=\"ActivityDefinition-CXCAD18ReminderCommunicationRequest.html\">CXCAD18 — Recall Reminder CommunicationRequest</a><br/>\n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"^^rdf:XMLLiteral ] ] ; # fhir:contained ( [ a fhir:Library ; fhir:id [ fhir:v "effective-data-requirements" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — treatment after positive biopsy timeout" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE41 \"Recall: treatment timeout after positive biopsy (4 weeks)\"\n */\ndefine \"Recall — treatment after positive biopsy timeout\":\n \"TreatmentAfterPositiveBiopsyTimedOut\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 0 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — HPV sample result timeout" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "// =============================================================================\n// Recall trigger rules — one per A/641 section 2.3 timeout\n// =============================================================================\n\n/*\n * @output: CXCA.D#DE38 \"Recall: HPV sample result timeout (3 weeks)\"\n */\ndefine \"Recall — HPV sample result timeout\":\n \"HPVSampleResultTimedOut\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 1 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — positive result follow-up timeout" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE39 \"Recall: positive result follow-up timeout (4 weeks)\"\n * The single most important trigger — fires for the LTFU population from\n * the April 2026 Khan-Uul pilot.\n */\ndefine \"Recall — positive result follow-up timeout\":\n \"PositiveResultFollowUpTimedOut\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 2 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — biopsy result timeout" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE40 \"Recall: biopsy result timeout (4 weeks)\"\n */\ndefine \"Recall — biopsy result timeout\":\n \"BiopsyResultTimedOut\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 3 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — missed scheduled examination" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE44 \"Recall: missed scheduled examination\"\n * No timeout — fires immediately once a missed appointment is detected.\n */\ndefine \"Recall — missed scheduled examination\":\n \"MissedScheduledExamination\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 4 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — cytology slide unread timeout" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE42 \"Recall: cytology slide unread timeout (2 weeks)\"\n */\ndefine \"Recall — cytology slide unread timeout\":\n \"CytologySlideUnreadTimedOut\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 5 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ; fhir:l fhir:libraryName ] ; fhir:value [ a fhir:String ; fhir:v "CXCAD18SRecallSchedulingLogic" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:String ; fhir:v "Recall — second reminder needed" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ; fhir:l fhir:statement ] ; fhir:value [ a fhir:String ; fhir:v "/*\n * @output: CXCA.D#DE43 \"Recall: second reminder (4 weeks after first)\"\n */\ndefine \"Recall — second reminder needed\":\n \"FirstReminderUnresolvedAtSecondTimeout\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ; fhir:l fhir:displaySequence ] ; fhir:value [ a fhir:Integer ; fhir:v 6 ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition> ] ] ) ; fhir:name [ fhir:v "EffectiveDataRequirements" ] ; fhir:status [ fhir:v "active" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/library-type> ] ; fhir:code [ fhir:v "module-definition" ] ] ) ] ; ( fhir:relatedArtifact [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "FHIR model information" ] ; fhir:resource [ fhir:v "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"^^xsd:anyURI ; fhir:l <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo?version=4.0.1> ] ] ) ; ( fhir:parameter [ fhir:name [ fhir:v "TreatmentAfterPositiveBiopsyTimedOut" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "HPVSampleResultTimedOut" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "PositiveResultFollowUpTimedOut" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "BiopsyResultTimedOut" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "MissedScheduledExamination" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "CytologySlideUnreadTimedOut" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "FirstReminderUnresolvedAtSecondTimeout" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — treatment after positive biopsy timeout" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — HPV sample result timeout" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — positive result follow-up timeout" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — biopsy result timeout" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — missed scheduled examination" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — cytology slide unread timeout" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:name [ fhir:v "Recall — second reminder needed" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v 0 ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] ) ; # fhir:extension ( [ fhir:url [ fhir:v "http://smart.who.int/cxca/StructureDefinition/cxca-bindingness"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/StructureDefinition/cxca-bindingness> ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness> ] ; fhir:code [ fhir:v "legal" ] ; fhir:display [ fhir:v "Legal — binding regulatory instrument" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements> ] ; fhir:value [ a fhir:Canonical ; fhir:v "#effective-data-requirements"^^xsd:anyURI ; fhir:l <#effective-data-requirements> ] ] ) ; # fhir:url [ fhir:v "http://smart.who.int/cxca/PlanDefinition/CXCAD18SRecallScheduling"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/PlanDefinition/CXCAD18SRecallScheduling> ] ; # fhir:version [ fhir:v "0.0.1"] ; # fhir:name [ fhir:v "CXCAD18SRecallScheduling"] ; # fhir:title [ fhir:v "CXCA.D18.S — Recall Scheduling"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ; fhir:l <http://terminology.hl7.org/CodeSystem/plan-definition-type> ] ; fhir:code [ fhir:v "eca-rule" ] ] ) ] ; # 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 "Decision support for recall and re-call per Mongolia MOH Order A/641 (2020) section 2.3. Evaluates seven timeout triggers (HPV sample timeout, positive-result follow-up timeout, biopsy timeout, treatment-after-biopsy timeout, cytology unread timeout, second-reminder, missed scheduled exam) and instantiates a CommunicationRequest reminder for each fired trigger. The 187 LTFU women from the April 2026 Khan-Uul pilot represent the empirical case for why this layer matters — DE39 (positive-result follow-up timeout, 4 weeks) is the trigger that should fire for each of them."] ; # fhir:library ( [ fhir:v "http://smart.who.int/cxca/Library/CXCAD18SRecallSchedulingLogic"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/Library/CXCAD18SRecallSchedulingLogic> ] ) ; # fhir:action ( [ fhir:title [ fhir:v "Recall — HPV sample result missing more than 3 weeks" ] ; fhir:description [ fhir:v "An HPV sample was dispatched more than 3 weeks ago and no result has been entered. Issue a reminder to follow up with the lab." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — HPV sample result timeout" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — positive screening result without follow-up exam after 4 weeks" ] ; fhir:description [ fhir:v "A positive screening result was entered more than 4 weeks ago and no follow-up examination has been recorded. Issue a reminder to the patient and the clinician. THIS IS THE LTFU-PREVENTION TRIGGER — the 187 women lost to follow-up in the April 2026 Khan-Uul pilot would each have had this trigger fire." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — positive result follow-up timeout" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — biopsy result missing more than 4 weeks" ] ; fhir:description [ fhir:v "A biopsy sample was received at the lab more than 4 weeks ago and no histopathology result has been entered. Follow up with the lab." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — biopsy result timeout" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — no treatment record more than 4 weeks after positive biopsy" ] ; fhir:description [ fhir:v "A positive biopsy result has been entered for more than 4 weeks and no treatment record exists. Issue a reminder to schedule treatment." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — treatment after positive biopsy timeout" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — cytology slide unread more than 2 weeks at lab" ] ; fhir:description [ fhir:v "A cytology slide was received more than 2 weeks ago and no cytologist conclusion has been entered. Follow up with the lab." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — cytology slide unread timeout" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — second reminder needed (first sent more than 4 weeks ago)" ] ; fhir:description [ fhir:v "A first reminder was sent more than 4 weeks ago and the underlying gap remains unresolved. Issue a second reminder." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — second reminder needed" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] [ fhir:title [ fhir:v "Recall — missed scheduled examination" ] ; fhir:description [ fhir:v "Patient missed a scheduled examination. Immediate reminder — no timeout wait." ] ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Recall — missed scheduled examination" ] ] ] ) ; fhir:definition [ a fhir:Canonical ; fhir:v "http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest"^^xsd:anyURI ; fhir:l <http://smart.who.int/cxca/ActivityDefinition/CXCAD18ReminderCommunicationRequest> ] ] ) . #
IG © 2026+ Dan Heslinga (independent contributor). Package smart.who.int.cxca#0.0.1 based on FHIR 4.0.1. Generated 2026-05-14
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