FHIR IG analytics

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Source1

{
  "resourceType": "CodeSystem",
  "id": "CXCA.Bindingness",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness",
  "version": "0.0.1",
  "name": "CXCA_Bindingness",
  "title": "CXCA Regulatory Bindingness",
  "status": "draft",
  "experimental": false,
  "date": "2026-05-14T00:50:23+00:00",
  "publisher": "Dan Heslinga (independent contributor)",
  "contact": [
    {
      "name": "Dan Heslinga (independent contributor)",
      "telecom": [
        {
          "system": "url",
          "value": "https://github.com/dhes"
        }
      ]
    }
  ],
  "description": "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": true,
  "content": "complete",
  "count": 3,
  "concept": [
    {
      "code": "legal",
      "display": "Legal — binding regulatory instrument",
      "definition": "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."
    },
    {
      "code": "programmatic",
      "display": "Programmatic — announced position not yet binding",
      "definition": "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."
    },
    {
      "code": "operational",
      "display": "Operational — empirically-observed delivery state",
      "definition": "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."
    }
  ]
}