Generated Narrative: StructureDefinition CXCAD1

NameFlagsCard.TypeDescription & Constraintsdoco
.. CXCAD1 C0..*BaseCXCA.D1 — Cervical Cancer Screening Anamnesis
Constraints: cxca-d1-pregnant-needs-gestational-age, cxca-d1-hiv-positive-needs-art-status, cxca-d1-hysterectomy-needs-indication, cxca-d1-screening-date-not-future
... clientAge 1..1integerClient's age in years on the encounter date
... clientEducation 0..1stringClient's highest level of education completed (free text in this iteration; may be coded against an ISCED valueset in a future iteration)
... numberOfPregnancies 0..1integerNumber of pregnancies (gravidity), regardless of outcome
... numberOfBirths 0..1integerNumber of live births (parity)
... lastMenstrualPeriod 0..1dateFirst day of the client's most recent menstrual period. Drives sample-collection timing — per A/641 Op.Inst. 5.1 section 10, samples should not be collected during heavy menstrual flow.
... currentlyPregnant 0..1booleanWhether the client is currently pregnant. Pregnant women in the first 3 months may be opportunistically included in screening per A/641 section 2.2.
... gestationalAgeWeeks 0..1integerIf currently pregnant, gestational age in weeks. Required if currentlyPregnant = true.
... currentContraception 0..1stringDescription of the client's current contraception method (free text; will bind to a contraception-method valueset when smart-core's medicationstatement-current-contraceptive-methods profile is vendored)
... pastContraception 0..1stringDescription of past contraception methods used (free text)
... ageAtFirstSexualContact 0..1integerClient's age in years at first sexual contact. Risk factor — earlier age is associated with higher cervical cancer risk.
... ageAtFirstDelivery 0..1integerClient's age in years at first delivery (if any). Risk factor.
... numberOfSexualPartners 0..1integerLifetime number of sexual partners. Risk factor.
... hasHadSTI 0..1booleanWhether the client has had any sexually transmitted infection. Risk factor.
... hivStatus 0..1CodingClient's HIV status. Bound to CXCA.D codes DE17 (HIV-positive), DE18 (HIV-negative), DE19 (HIV status unknown). Per WHO, WLHIV are 6× more likely to develop cervical cancer.
... currentlyOnART 0..1booleanIf HIV-positive, whether the client is currently on antiretroviral therapy. Required (per FHIRPath invariant) when hivStatus indicates HIV-positive.
... lastScreeningDate 0..1dateDate of the client's most recent prior cervical cancer screening, if any. Drives the recall-cycle / not-due-in-cycle decision.
... lastScreeningType 0..1CodingType of the most recent prior screening. Bound to CXCA.D codes DE23 (HPV), DE24 (cytology), DE25 (VIA).
... lastScreeningResult 0..1CodingResult category of the most recent prior screening. Bound to CXCA.D codes DE26 (normal), DE27 (abnormal), DE28 (unknown).
... hadHysterectomy 0..1booleanWhether the client has had a hysterectomy. Drives the eligibility-exclusion check per A/641 section 2.2.
... hysterectomyForCervicalCancer 0..1booleanIf hadHysterectomy = true, whether the indication was cervical cancer (in which case the screening exclusion does NOT apply per A/641 section 2.2). Required when hadHysterectomy = true.
... smokingStatus 0..1CodingClient's smoking status. Bound to CXCA.D codes DE20 (current), DE21 (former), DE22 (never).
... alcoholUse 0..1booleanWhether the client consumes alcohol regularly. Documented as a risk factor per A/641 section 1.3.2.
... hasPostcoitalBleeding 0..1booleanWhether the client reports bleeding after intercourse. May indicate cervical pathology — flag for clinician attention.
... hasIntermenstrualBleeding 0..1booleanWhether the client reports bleeding between menstrual periods. May indicate cervical pathology.
... hasUnusualDischarge 0..1booleanWhether the client reports unusual vaginal discharge.

doco Documentation for this format
 <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="Logical model for the first-encounter intake / anamnesis used at the start of a cervical cancer screening encounter. Mirrors A/641 (2020) Op.Inst. 5.1 (p. 105). Paired with QCXCAD1 Questionnaire for data capture; the eventual SDC StructureMap will extract a filled-in QuestionnaireResponse into FHIR resources conforming to vendored smart-core profiles."/> <fhirVersion value="4.0.1"/> <kind value="logical"/> <abstract value="false"/> <type value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="CXCAD1"> <path value="CXCAD1"/> <short value="CXCA.D1 — Cervical Cancer Screening Anamnesis"/> <definition value="Logical model for the first-encounter intake / anamnesis used at the start of a cervical cancer screening encounter. Mirrors A/641 (2020) Op.Inst. 5.1 (p. 105). Paired with QCXCAD1 Questionnaire for data capture; the eventual SDC StructureMap will extract a filled-in QuestionnaireResponse into FHIR resources conforming to vendored smart-core profiles."/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="cxca-d1-pregnant-needs-gestational-age"/> <severity value="error"/> <human value="If currentlyPregnant = true, gestationalAgeWeeks must be provided"/> <expression value="currentlyPregnant.empty() or currentlyPregnant = false or gestationalAgeWeeks.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-hiv-positive-needs-art-status"/> <severity value="error"/> <human value="If hivStatus indicates HIV-positive (CXCA.D#DE17), currentlyOnART must be provided"/> <expression value="hivStatus.empty() or hivStatus.code != 'DE17' or currentlyOnART.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-hysterectomy-needs-indication"/> <severity value="error"/> <human value="If hadHysterectomy = true, hysterectomyForCervicalCancer must be provided"/> <expression value="hadHysterectomy.empty() or hadHysterectomy = false or hysterectomyForCervicalCancer.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-screening-date-not-future"/> <severity value="error"/> <human value="Last screening date cannot be in the future"/> <expression value="lastScreeningDate.empty() or lastScreeningDate <= today()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <isModifier value="false"/> </element> <element id="CXCAD1.clientAge"> <path value="CXCAD1.clientAge"/> <short value="Client's age in years on the encounter date"/> <definition value="Client's age in years on the encounter date"/> <min value="1"/> <max value="1"/> <base> <path value="CXCAD1.clientAge"/> <min value="1"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.clientEducation"> <path value="CXCAD1.clientEducation"/> <short value="Client's highest level of education completed (free text in this iteration; may be coded against an ISCED valueset in a future iteration)"/> <definition value="Client's highest level of education completed (free text in this iteration; may be coded against an ISCED valueset in a future iteration)"/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.clientEducation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="CXCAD1.numberOfPregnancies"> <path value="CXCAD1.numberOfPregnancies"/> <short value="Number of pregnancies (gravidity), regardless of outcome"/> <definition value="Number of pregnancies (gravidity), regardless of outcome"/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.numberOfPregnancies"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.numberOfBirths"> <path value="CXCAD1.numberOfBirths"/> <short value="Number of live births (parity)"/> <definition value="Number of live births (parity)"/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.numberOfBirths"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.lastMenstrualPeriod"> <path value="CXCAD1.lastMenstrualPeriod"/> <short value="First day of the client's most recent menstrual period. Drives sample-collection timing — per A/641 Op.Inst. 5.1 section 10, samples should not be collected during heavy menstrual flow."/> <definition value="First day of the client's most recent menstrual period. Drives sample-collection timing — per A/641 Op.Inst. 5.1 section 10, samples should not be collected during heavy menstrual flow."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.lastMenstrualPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> </element> <element id="CXCAD1.currentlyPregnant"> <path value="CXCAD1.currentlyPregnant"/> <short value="Whether the client is currently pregnant. Pregnant women in the first 3 months may be opportunistically included in screening per A/641 section 2.2."/> <definition value="Whether the client is currently pregnant. Pregnant women in the first 3 months may be opportunistically included in screening per A/641 section 2.2."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.currentlyPregnant"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.gestationalAgeWeeks"> <path value="CXCAD1.gestationalAgeWeeks"/> <short value="If currently pregnant, gestational age in weeks. Required if currentlyPregnant = true."/> <definition value="If currently pregnant, gestational age in weeks. Required if currentlyPregnant = true."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.gestationalAgeWeeks"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.currentContraception"> <path value="CXCAD1.currentContraception"/> <short value="Description of the client's current contraception method (free text; will bind to a contraception-method valueset when smart-core's medicationstatement-current-contraceptive-methods profile is vendored)"/> <definition value="Description of the client's current contraception method (free text; will bind to a contraception-method valueset when smart-core's medicationstatement-current-contraceptive-methods profile is vendored)"/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.currentContraception"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="CXCAD1.pastContraception"> <path value="CXCAD1.pastContraception"/> <short value="Description of past contraception methods used (free text)"/> <definition value="Description of past contraception methods used (free text)"/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.pastContraception"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="CXCAD1.ageAtFirstSexualContact"> <path value="CXCAD1.ageAtFirstSexualContact"/> <short value="Client's age in years at first sexual contact. Risk factor — earlier age is associated with higher cervical cancer risk."/> <definition value="Client's age in years at first sexual contact. Risk factor — earlier age is associated with higher cervical cancer risk."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.ageAtFirstSexualContact"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.ageAtFirstDelivery"> <path value="CXCAD1.ageAtFirstDelivery"/> <short value="Client's age in years at first delivery (if any). Risk factor."/> <definition value="Client's age in years at first delivery (if any). Risk factor."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.ageAtFirstDelivery"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.numberOfSexualPartners"> <path value="CXCAD1.numberOfSexualPartners"/> <short value="Lifetime number of sexual partners. Risk factor."/> <definition value="Lifetime number of sexual partners. Risk factor."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.numberOfSexualPartners"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.hasHadSTI"> <path value="CXCAD1.hasHadSTI"/> <short value="Whether the client has had any sexually transmitted infection. Risk factor."/> <definition value="Whether the client has had any sexually transmitted infection. Risk factor."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hasHadSTI"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hivStatus"> <path value="CXCAD1.hivStatus"/> <short value="Client's HIV status. Bound to CXCA.D codes DE17 (HIV-positive), DE18 (HIV-negative), DE19 (HIV status unknown). Per WHO, WLHIV are 6× more likely to develop cervical cancer."/> <definition value="Client's HIV status. Bound to CXCA.D codes DE17 (HIV-positive), DE18 (HIV-negative), DE19 (HIV status unknown). Per WHO, WLHIV are 6× more likely to develop cervical cancer."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hivStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.currentlyOnART"> <path value="CXCAD1.currentlyOnART"/> <short value="If HIV-positive, whether the client is currently on antiretroviral therapy. Required (per FHIRPath invariant) when hivStatus indicates HIV-positive."/> <definition value="If HIV-positive, whether the client is currently on antiretroviral therapy. Required (per FHIRPath invariant) when hivStatus indicates HIV-positive."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.currentlyOnART"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.lastScreeningDate"> <path value="CXCAD1.lastScreeningDate"/> <short value="Date of the client's most recent prior cervical cancer screening, if any. Drives the recall-cycle / not-due-in-cycle decision."/> <definition value="Date of the client's most recent prior cervical cancer screening, if any. Drives the recall-cycle / not-due-in-cycle decision."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.lastScreeningDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> </element> <element id="CXCAD1.lastScreeningType"> <path value="CXCAD1.lastScreeningType"/> <short value="Type of the most recent prior screening. Bound to CXCA.D codes DE23 (HPV), DE24 (cytology), DE25 (VIA)."/> <definition value="Type of the most recent prior screening. Bound to CXCA.D codes DE23 (HPV), DE24 (cytology), DE25 (VIA)."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.lastScreeningType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.lastScreeningResult"> <path value="CXCAD1.lastScreeningResult"/> <short value="Result category of the most recent prior screening. Bound to CXCA.D codes DE26 (normal), DE27 (abnormal), DE28 (unknown)."/> <definition value="Result category of the most recent prior screening. Bound to CXCA.D codes DE26 (normal), DE27 (abnormal), DE28 (unknown)."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.lastScreeningResult"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.hadHysterectomy"> <path value="CXCAD1.hadHysterectomy"/> <short value="Whether the client has had a hysterectomy. Drives the eligibility-exclusion check per A/641 section 2.2."/> <definition value="Whether the client has had a hysterectomy. Drives the eligibility-exclusion check per A/641 section 2.2."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hadHysterectomy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hysterectomyForCervicalCancer"> <path value="CXCAD1.hysterectomyForCervicalCancer"/> <short value="If hadHysterectomy = true, whether the indication was cervical cancer (in which case the screening exclusion does NOT apply per A/641 section 2.2). Required when hadHysterectomy = true."/> <definition value="If hadHysterectomy = true, whether the indication was cervical cancer (in which case the screening exclusion does NOT apply per A/641 section 2.2). Required when hadHysterectomy = true."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hysterectomyForCervicalCancer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.smokingStatus"> <path value="CXCAD1.smokingStatus"/> <short value="Client's smoking status. Bound to CXCA.D codes DE20 (current), DE21 (former), DE22 (never)."/> <definition value="Client's smoking status. Bound to CXCA.D codes DE20 (current), DE21 (former), DE22 (never)."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.smokingStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.alcoholUse"> <path value="CXCAD1.alcoholUse"/> <short value="Whether the client consumes alcohol regularly. Documented as a risk factor per A/641 section 1.3.2."/> <definition value="Whether the client consumes alcohol regularly. Documented as a risk factor per A/641 section 1.3.2."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.alcoholUse"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasPostcoitalBleeding"> <path value="CXCAD1.hasPostcoitalBleeding"/> <short value="Whether the client reports bleeding after intercourse. May indicate cervical pathology — flag for clinician attention."/> <definition value="Whether the client reports bleeding after intercourse. May indicate cervical pathology — flag for clinician attention."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hasPostcoitalBleeding"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasIntermenstrualBleeding"> <path value="CXCAD1.hasIntermenstrualBleeding"/> <short value="Whether the client reports bleeding between menstrual periods. May indicate cervical pathology."/> <definition value="Whether the client reports bleeding between menstrual periods. May indicate cervical pathology."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hasIntermenstrualBleeding"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasUnusualDischarge"> <path value="CXCAD1.hasUnusualDischarge"/> <short value="Whether the client reports unusual vaginal discharge."/> <definition value="Whether the client reports unusual vaginal discharge."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD1.hasUnusualDischarge"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> </snapshot> <differential> <element id="CXCAD1"> <path value="CXCAD1"/> <short value="CXCA.D1 — Cervical Cancer Screening Anamnesis"/> <definition value="Logical model for the first-encounter intake / anamnesis used at the start of a cervical cancer screening encounter. Mirrors A/641 (2020) Op.Inst. 5.1 (p. 105). Paired with QCXCAD1 Questionnaire for data capture; the eventual SDC StructureMap will extract a filled-in QuestionnaireResponse into FHIR resources conforming to vendored smart-core profiles."/> <constraint> <key value="cxca-d1-pregnant-needs-gestational-age"/> <severity value="error"/> <human value="If currentlyPregnant = true, gestationalAgeWeeks must be provided"/> <expression value="currentlyPregnant.empty() or currentlyPregnant = false or gestationalAgeWeeks.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-hiv-positive-needs-art-status"/> <severity value="error"/> <human value="If hivStatus indicates HIV-positive (CXCA.D#DE17), currentlyOnART must be provided"/> <expression value="hivStatus.empty() or hivStatus.code != 'DE17' or currentlyOnART.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-hysterectomy-needs-indication"/> <severity value="error"/> <human value="If hadHysterectomy = true, hysterectomyForCervicalCancer must be provided"/> <expression value="hadHysterectomy.empty() or hadHysterectomy = false or hysterectomyForCervicalCancer.exists()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> <constraint> <key value="cxca-d1-screening-date-not-future"/> <severity value="error"/> <human value="Last screening date cannot be in the future"/> <expression value="lastScreeningDate.empty() or lastScreeningDate <= today()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD1"/> </constraint> </element> <element id="CXCAD1.clientAge"> <path value="CXCAD1.clientAge"/> <short value="Client's age in years on the encounter date"/> <definition value="Client's age in years on the encounter date"/> <min value="1"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.clientEducation"> <path value="CXCAD1.clientEducation"/> <short value="Client's highest level of education completed (free text in this iteration; may be coded against an ISCED valueset in a future iteration)"/> <definition value="Client's highest level of education completed (free text in this iteration; may be coded against an ISCED valueset in a future iteration)"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> </element> <element id="CXCAD1.numberOfPregnancies"> <path value="CXCAD1.numberOfPregnancies"/> <short value="Number of pregnancies (gravidity), regardless of outcome"/> <definition value="Number of pregnancies (gravidity), regardless of outcome"/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.numberOfBirths"> <path value="CXCAD1.numberOfBirths"/> <short value="Number of live births (parity)"/> <definition value="Number of live births (parity)"/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.lastMenstrualPeriod"> <path value="CXCAD1.lastMenstrualPeriod"/> <short value="First day of the client's most recent menstrual period. Drives sample-collection timing — per A/641 Op.Inst. 5.1 section 10, samples should not be collected during heavy menstrual flow."/> <definition value="First day of the client's most recent menstrual period. Drives sample-collection timing — per A/641 Op.Inst. 5.1 section 10, samples should not be collected during heavy menstrual flow."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> </element> <element id="CXCAD1.currentlyPregnant"> <path value="CXCAD1.currentlyPregnant"/> <short value="Whether the client is currently pregnant. Pregnant women in the first 3 months may be opportunistically included in screening per A/641 section 2.2."/> <definition value="Whether the client is currently pregnant. Pregnant women in the first 3 months may be opportunistically included in screening per A/641 section 2.2."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.gestationalAgeWeeks"> <path value="CXCAD1.gestationalAgeWeeks"/> <short value="If currently pregnant, gestational age in weeks. Required if currentlyPregnant = true."/> <definition value="If currently pregnant, gestational age in weeks. Required if currentlyPregnant = true."/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.currentContraception"> <path value="CXCAD1.currentContraception"/> <short value="Description of the client's current contraception method (free text; will bind to a contraception-method valueset when smart-core's medicationstatement-current-contraceptive-methods profile is vendored)"/> <definition value="Description of the client's current contraception method (free text; will bind to a contraception-method valueset when smart-core's medicationstatement-current-contraceptive-methods profile is vendored)"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> </element> <element id="CXCAD1.pastContraception"> <path value="CXCAD1.pastContraception"/> <short value="Description of past contraception methods used (free text)"/> <definition value="Description of past contraception methods used (free text)"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> </element> <element id="CXCAD1.ageAtFirstSexualContact"> <path value="CXCAD1.ageAtFirstSexualContact"/> <short value="Client's age in years at first sexual contact. Risk factor — earlier age is associated with higher cervical cancer risk."/> <definition value="Client's age in years at first sexual contact. Risk factor — earlier age is associated with higher cervical cancer risk."/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.ageAtFirstDelivery"> <path value="CXCAD1.ageAtFirstDelivery"/> <short value="Client's age in years at first delivery (if any). Risk factor."/> <definition value="Client's age in years at first delivery (if any). Risk factor."/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.numberOfSexualPartners"> <path value="CXCAD1.numberOfSexualPartners"/> <short value="Lifetime number of sexual partners. Risk factor."/> <definition value="Lifetime number of sexual partners. Risk factor."/> <min value="0"/> <max value="1"/> <type> <code value="integer"/> </type> </element> <element id="CXCAD1.hasHadSTI"> <path value="CXCAD1.hasHadSTI"/> <short value="Whether the client has had any sexually transmitted infection. Risk factor."/> <definition value="Whether the client has had any sexually transmitted infection. Risk factor."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hivStatus"> <path value="CXCAD1.hivStatus"/> <short value="Client's HIV status. Bound to CXCA.D codes DE17 (HIV-positive), DE18 (HIV-negative), DE19 (HIV status unknown). Per WHO, WLHIV are 6× more likely to develop cervical cancer."/> <definition value="Client's HIV status. Bound to CXCA.D codes DE17 (HIV-positive), DE18 (HIV-negative), DE19 (HIV status unknown). Per WHO, WLHIV are 6× more likely to develop cervical cancer."/> <min value="0"/> <max value="1"/> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.currentlyOnART"> <path value="CXCAD1.currentlyOnART"/> <short value="If HIV-positive, whether the client is currently on antiretroviral therapy. Required (per FHIRPath invariant) when hivStatus indicates HIV-positive."/> <definition value="If HIV-positive, whether the client is currently on antiretroviral therapy. Required (per FHIRPath invariant) when hivStatus indicates HIV-positive."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.lastScreeningDate"> <path value="CXCAD1.lastScreeningDate"/> <short value="Date of the client's most recent prior cervical cancer screening, if any. Drives the recall-cycle / not-due-in-cycle decision."/> <definition value="Date of the client's most recent prior cervical cancer screening, if any. Drives the recall-cycle / not-due-in-cycle decision."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> </element> <element id="CXCAD1.lastScreeningType"> <path value="CXCAD1.lastScreeningType"/> <short value="Type of the most recent prior screening. Bound to CXCA.D codes DE23 (HPV), DE24 (cytology), DE25 (VIA)."/> <definition value="Type of the most recent prior screening. Bound to CXCA.D codes DE23 (HPV), DE24 (cytology), DE25 (VIA)."/> <min value="0"/> <max value="1"/> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.lastScreeningResult"> <path value="CXCAD1.lastScreeningResult"/> <short value="Result category of the most recent prior screening. Bound to CXCA.D codes DE26 (normal), DE27 (abnormal), DE28 (unknown)."/> <definition value="Result category of the most recent prior screening. Bound to CXCA.D codes DE26 (normal), DE27 (abnormal), DE28 (unknown)."/> <min value="0"/> <max value="1"/> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.hadHysterectomy"> <path value="CXCAD1.hadHysterectomy"/> <short value="Whether the client has had a hysterectomy. Drives the eligibility-exclusion check per A/641 section 2.2."/> <definition value="Whether the client has had a hysterectomy. Drives the eligibility-exclusion check per A/641 section 2.2."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hysterectomyForCervicalCancer"> <path value="CXCAD1.hysterectomyForCervicalCancer"/> <short value="If hadHysterectomy = true, whether the indication was cervical cancer (in which case the screening exclusion does NOT apply per A/641 section 2.2). Required when hadHysterectomy = true."/> <definition value="If hadHysterectomy = true, whether the indication was cervical cancer (in which case the screening exclusion does NOT apply per A/641 section 2.2). Required when hadHysterectomy = true."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.smokingStatus"> <path value="CXCAD1.smokingStatus"/> <short value="Client's smoking status. Bound to CXCA.D codes DE20 (current), DE21 (former), DE22 (never)."/> <definition value="Client's smoking status. Bound to CXCA.D codes DE20 (current), DE21 (former), DE22 (never)."/> <min value="0"/> <max value="1"/> <type> <code value="Coding"/> </type> </element> <element id="CXCAD1.alcoholUse"> <path value="CXCAD1.alcoholUse"/> <short value="Whether the client consumes alcohol regularly. Documented as a risk factor per A/641 section 1.3.2."/> <definition value="Whether the client consumes alcohol regularly. Documented as a risk factor per A/641 section 1.3.2."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasPostcoitalBleeding"> <path value="CXCAD1.hasPostcoitalBleeding"/> <short value="Whether the client reports bleeding after intercourse. May indicate cervical pathology — flag for clinician attention."/> <definition value="Whether the client reports bleeding after intercourse. May indicate cervical pathology — flag for clinician attention."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasIntermenstrualBleeding"> <path value="CXCAD1.hasIntermenstrualBleeding"/> <short value="Whether the client reports bleeding between menstrual periods. May indicate cervical pathology."/> <definition value="Whether the client reports bleeding between menstrual periods. May indicate cervical pathology."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD1.hasUnusualDischarge"> <path value="CXCAD1.hasUnusualDischarge"/> <short value="Whether the client reports unusual vaginal discharge."/> <definition value="Whether the client reports unusual vaginal discharge."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> </differential> </StructureDefinition>