<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 inputs and output of the cervical cancer screening eligibility decision (D2). Paired with the QCXCAD2 Questionnaire for data capture and consumed by the CXCAD2DTScreeningEligibilityLogic CQL library. Reflects the binding eligibility rules in Mongolia MOH Order A/641 (2020) section 2.2. Note: the LogicalModel ID is `CXCAD2` (no period) because periods in LogicalModel IDs collide with FSH path generation; the human-readable title preserves the `CXCA.D2` notation."/> <fhirVersion value="4.0.1"/> <kind value="logical"/> <abstract value="false"/> <type value="http://smart.who.int/cxca/StructureDefinition/CXCAD2"/> <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="CXCAD2"> <path value="CXCAD2"/> <short value="CXCA.D2 — Cervical Cancer Screening Eligibility"/> <definition value="Logical model for the inputs and output of the cervical cancer screening eligibility decision (D2). Paired with the QCXCAD2 Questionnaire for data capture and consumed by the CXCAD2DTScreeningEligibilityLogic CQL library. Reflects the binding eligibility rules in Mongolia MOH Order A/641 (2020) section 2.2. Note: the LogicalModel ID is `CXCAD2` (no period) because periods in LogicalModel IDs collide with FSH path generation; the human-readable title preserves the `CXCA.D2` notation."/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="cxca-d2-screen-date-not-future"/> <severity value="error"/> <human value="Last HPV screening date cannot be in the future"/> <expression value="lastHPVScreeningDate.empty() or lastHPVScreeningDate <= today()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD2"/> </constraint> <isModifier value="false"/> </element> <element id="CXCAD2.clientAge"> <path value="CXCAD2.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="CXCAD2.clientAge"/> <min value="1"/> <max value="1"/> </base> <type> <code value="integer"/> </type> </element> <element id="CXCAD2.lastHPVScreeningDate"> <path value="CXCAD2.lastHPVScreeningDate"/> <short value="Date of the client's most recent HPV high-risk DNA screening, if any. Empty if never screened or unknown."/> <definition value="Date of the client's most recent HPV high-risk DNA screening, if any. Empty if never screened or unknown."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD2.lastHPVScreeningDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> </element> <element id="CXCAD2.hadHysterectomy"> <path value="CXCAD2.hadHysterectomy"/> <short value="Whether the client has had a hysterectomy. Empty if unknown."/> <definition value="Whether the client has had a hysterectomy. Empty if unknown."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD2.hadHysterectomy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> </element> <element id="CXCAD2.eligibilityOutcome"> <path value="CXCAD2.eligibilityOutcome"/> <short value="The decision output. Bound to CXCA.D codes DE4 (Due), DE5 (Not due — already screened in cycle), DE6 (Excluded — outside target age), or DE7 (Excluded — prior hysterectomy)."/> <definition value="The decision output. Bound to CXCA.D codes DE4 (Due), DE5 (Not due — already screened in cycle), DE6 (Excluded — outside target age), or DE7 (Excluded — prior hysterectomy)."/> <min value="0"/> <max value="1"/> <base> <path value="CXCAD2.eligibilityOutcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> </element> </snapshot> <differential> <element id="CXCAD2"> <path value="CXCAD2"/> <short value="CXCA.D2 — Cervical Cancer Screening Eligibility"/> <definition value="Logical model for the inputs and output of the cervical cancer screening eligibility decision (D2). Paired with the QCXCAD2 Questionnaire for data capture and consumed by the CXCAD2DTScreeningEligibilityLogic CQL library. Reflects the binding eligibility rules in Mongolia MOH Order A/641 (2020) section 2.2. Note: the LogicalModel ID is `CXCAD2` (no period) because periods in LogicalModel IDs collide with FSH path generation; the human-readable title preserves the `CXCA.D2` notation."/> <constraint> <key value="cxca-d2-screen-date-not-future"/> <severity value="error"/> <human value="Last HPV screening date cannot be in the future"/> <expression value="lastHPVScreeningDate.empty() or lastHPVScreeningDate <= today()"/> <source value="http://smart.who.int/cxca/StructureDefinition/CXCAD2"/> </constraint> </element> <element id="CXCAD2.clientAge"> <path value="CXCAD2.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="CXCAD2.lastHPVScreeningDate"> <path value="CXCAD2.lastHPVScreeningDate"/> <short value="Date of the client's most recent HPV high-risk DNA screening, if any. Empty if never screened or unknown."/> <definition value="Date of the client's most recent HPV high-risk DNA screening, if any. Empty if never screened or unknown."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> </element> <element id="CXCAD2.hadHysterectomy"> <path value="CXCAD2.hadHysterectomy"/> <short value="Whether the client has had a hysterectomy. Empty if unknown."/> <definition value="Whether the client has had a hysterectomy. Empty if unknown."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> </element> <element id="CXCAD2.eligibilityOutcome"> <path value="CXCAD2.eligibilityOutcome"/> <short value="The decision output. Bound to CXCA.D codes DE4 (Due), DE5 (Not due — already screened in cycle), DE6 (Excluded — outside target age), or DE7 (Excluded — prior hysterectomy)."/> <definition value="The decision output. Bound to CXCA.D codes DE4 (Due), DE5 (Not due — already screened in cycle), DE6 (Excluded — outside target age), or DE7 (Excluded — prior hysterectomy)."/> <min value="0"/> <max value="1"/> <type> <code value="Coding"/> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition CXCAD2

Name	Flags	Card.	Type	Description & Constraints
CXCAD2	C	0..*	Base	CXCA.D2 — Cervical Cancer Screening Eligibility Constraints: cxca-d2-screen-date-not-future
clientAge		1..1	integer	Client's age in years on the encounter date
lastHPVScreeningDate		0..1	date	Date of the client's most recent HPV high-risk DNA screening, if any. Empty if never screened or unknown.
hadHysterectomy		0..1	boolean	Whether the client has had a hysterectomy. Empty if unknown.
eligibilityOutcome		0..1	Coding	The decision output. Bound to CXCA.D codes DE4 (Due), DE5 (Not due — already screened in cycle), DE6 (Excluded — outside target age), or DE7 (Excluded — prior hysterectomy).
Documentation for this format