FHIR IG analytics| Package | smart.who.int.cxca |
| Resource Type | PlanDefinition |
| Id | PlanDefinition-CXCAD2DTScreeningEligibility.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/dhes/smart-dak-cxca/PlanDefinition-CXCAD2DTScreeningEligibility.html |
| URL | http://smart.who.int/cxca/PlanDefinition/CXCAD2DTScreeningEligibility |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-05-14T00:50:23+00:00 |
| Name | CXCAD2DTScreeningEligibility |
| Title | CXCA.D2.DT — Cervical Cancer Screening Eligibility |
| Description | Decision support recommendation for cervical cancer screening eligibility (CXCA.D2). Evaluates the rules from Mongolia MOH Order A/641 (2020) section 2.2 via the CXCAD2DTScreeningEligibilityLogic CQL library; when the client is due, recommends instantiating the CXCAD2HPVScreeningServiceRequest ActivityDefinition. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
| Id: | CXCAD2DTScreeningEligibility | ||||
|---|---|---|---|---|---|
| Url: | CXCA.D2.DT — Cervical Cancer Screening Eligibility | ||||
| Version: | 0.0.1 | ||||
| Title: | CXCA.D2.DT — Cervical Cancer Screening Eligibility | ||||
| Status: | draft | ||||
| Type: |
system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule |
||||
| Date: | 2026-05-14 00:50:23+0000 | ||||
| Publisher: | Dan Heslinga (independent contributor) | ||||
| Description: | Decision support recommendation for cervical cancer screening eligibility (CXCA.D2). Evaluates the rules from Mongolia MOH Order A/641 (2020) section 2.2 via the CXCAD2DTScreeningEligibilityLogic CQL library; when the client is due, recommends instantiating the CXCAD2HPVScreeningServiceRequest ActivityDefinition. |
||||
| Libraries: |
|
||||
| Actions: |
|
FHIR
FHIRsmith{
"resourceType": "PlanDefinition",
"id": "CXCAD2DTScreeningEligibility",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Library",
"id": "effective-data-requirements",
"extension": [
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client age"
},
{
"url": "statement",
"valueString": "// =============================================================================\n// Helper definitions\n// =============================================================================\n\n/*\n * Client age in years at the encounter date.\n */\ndefine \"Client age\":\n AgeInYearsAt(Today)"
},
{
"url": "displaySequence",
"valueInteger": 0
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client is at binding target age (35 or 45)"
},
{
"url": "statement",
"valueString": "/*\n * The client is at one of the binding target ages per A/641 section 2.2\n * (HPV-test-capable facilities: ages 35 and 45 only).\n */\ndefine \"Client is at binding target age (35 or 45)\":\n \"Client age\" = 35 or \"Client age\" = 45"
},
{
"url": "displaySequence",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAElements"
},
{
"url": "name",
"valueString": "Hysterectomy Procedures"
},
{
"url": "statement",
"valueString": "// =============================================================================\n// Hysterectomy history\n// =============================================================================\n\n/*\n * @internal: All recorded hysterectomy procedures for this patient,\n * filtered to status = completed.\n */\ndefine \"Hysterectomy Procedures\":\n [Procedure] P\n where P.status = 'completed'\n and exists (P.code.coding C where C.code = 'DE45'\n and C.system = 'http://smart.who.int/cxca/CodeSystem/CXCA.D')"
},
{
"url": "displaySequence",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAElements"
},
{
"url": "name",
"valueString": "Has Had Hysterectomy"
},
{
"url": "statement",
"valueString": "/*\n * The patient has a documented completed hysterectomy.\n *\n * NOTE: A/641 section 2.2 only excludes hysterectomy for non-cervical-cancer indication\n * with a documented negative post-op vaginal-smear cytology. This define\n * captures only the hysterectomy fact; the indication and post-op cytology\n * checks live in higher-layer logic that combines this define with others.\n */\ndefine \"Has Had Hysterectomy\":\n exists \"Hysterectomy Procedures\""
},
{
"url": "displaySequence",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client is due for HPV screening (legal binding)"
},
{
"url": "statement",
"valueString": "// =============================================================================\n// Legal-binding eligibility tree — A/641 section 2.2 (HPV at ages 35 and 45)\n// Bindingness: legal\n// =============================================================================\n\n/*\n * @output: CXCA.D#DE4 \"Due for HPV screening\"\n * @bindingness: legal\n * Client is due if at a binding target age, has not had a hysterectomy,\n * and has not been screened in the current cycle.\n */\ndefine \"Client is due for HPV screening (legal binding)\":\n \"Client is at binding target age (35 or 45)\"\n and not Elements.\"Has Had Hysterectomy\"\n and not \"HasRecentHPVScreening\""
},
{
"url": "displaySequence",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client excluded — prior hysterectomy (legal binding)"
},
{
"url": "statement",
"valueString": "/*\n * @output: CXCA.D#DE7 \"Excluded — prior hysterectomy\"\n * @bindingness: legal\n * Client has had a hysterectomy for non-cervical-cancer indication and is\n * therefore exempt from cervical cancer screening per A/641 section 2.2.\n */\ndefine \"Client excluded — prior hysterectomy (legal binding)\":\n Elements.\"Has Had Hysterectomy\""
},
{
"url": "displaySequence",
"valueInteger": 5
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client excluded — outside target age range (legal binding)"
},
{
"url": "statement",
"valueString": "/*\n * @output: CXCA.D#DE6 \"Excluded — outside target age range\"\n * @bindingness: legal\n * Client is not at a binding target age (35 or 45 only for HPV-capable facilities).\n */\ndefine \"Client excluded — outside target age range (legal binding)\":\n not \"Client is at binding target age (35 or 45)\"\n and not Elements.\"Has Had Hysterectomy\""
},
{
"url": "displaySequence",
"valueInteger": 6
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "CXCAD2DTScreeningEligibilityLogic"
},
{
"url": "name",
"valueString": "Client not due — already screened in current cycle (legal binding)"
},
{
"url": "statement",
"valueString": "/*\n * @output: CXCA.D#DE5 \"Not due — already screened in current cycle\"\n * @bindingness: legal\n * Client is at a target age but has had a recent valid HPV screening result.\n */\ndefine \"Client not due — already screened in current cycle (legal binding)\":\n \"Client is at binding target age (35 or 45)\"\n and \"HasRecentHPVScreening\"\n and not Elements.\"Has Had Hysterectomy\""
},
{
"url": "displaySequence",
"valueInteger": 7
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "FHIRHelpers"
},
{
"url": "name",
"valueString": "ToString"
},
{
"url": "statement",
"valueString": "define function ToString(value ProcedureStatus): value.value"
},
{
"url": "displaySequence",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "FHIRHelpers"
},
{
"url": "name",
"valueString": "ToString"
},
{
"url": "statement",
"valueString": "define function ToString(value string): value.value"
},
{
"url": "displaySequence",
"valueInteger": 9
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension": [
{
"url": "libraryName",
"valueString": "FHIRHelpers"
},
{
"url": "name",
"valueString": "ToString"
},
{
"url": "statement",
"valueString": "define function ToString(value uri): value.value"
},
{
"url": "displaySequence",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
}
],
"name": "EffectiveDataRequirements",
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/library-type",
"code": "module-definition"
}
]
},
"relatedArtifact": [
{
"type": "depends-on",
"display": "FHIR model information",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type": "depends-on",
"display": "Library Elements",
"resource": "http://smart.who.int/cxca/Library/CXCAElements"
},
{
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}
],
"parameter": [
{
"name": "Today",
"use": "in",
"min": 0,
"max": "1",
"type": "date"
},
{
"name": "HasRecentHPVScreening",
"use": "in",
"min": 0,
"max": "1",
"type": "boolean"
},
{
"name": "Client is due for HPV screening (legal binding)",
"use": "out",
"min": 0,
"max": "1",
"type": "boolean"
},
{
"name": "Client excluded — prior hysterectomy (legal binding)",
"use": "out",
"min": 0,
"max": "1",
"type": "boolean"
},
{
"name": "Client excluded — outside target age range (legal binding)",
"use": "out",
"min": 0,
"max": "1",
"type": "boolean"
},
{
"name": "Client not due — already screened in current cycle (legal binding)",
"use": "out",
"min": 0,
"max": "1",
"type": "boolean"
}
],
"dataRequirement": [
{
"type": "Patient",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"type": "Procedure",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Procedure"
],
"mustSupport": [
"status",
"code",
"code.coding"
]
},
{
"type": "Procedure",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Procedure"
],
"mustSupport": [
"status",
"code",
"code.coding"
]
},
{
"type": "Procedure",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Procedure"
],
"mustSupport": [
"status",
"code",
"code.coding"
]
}
]
}
],
"extension": [
{
"url": "http://smart.who.int/cxca/StructureDefinition/cxca-bindingness",
"valueCoding": {
"system": "http://smart.who.int/cxca/CodeSystem/CXCA.Bindingness",
"code": "legal",
"display": "Legal — binding regulatory instrument"
}
},
{
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical": "#effective-data-requirements"
}
],
"url": "http://smart.who.int/cxca/PlanDefinition/CXCAD2DTScreeningEligibility",
"version": "0.0.1",
"name": "CXCAD2DTScreeningEligibility",
"title": "CXCA.D2.DT — Cervical Cancer Screening Eligibility",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code": "eca-rule"
}
]
},
"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": "Decision support recommendation for cervical cancer screening eligibility (CXCA.D2). Evaluates the rules from Mongolia MOH Order A/641 (2020) section 2.2 via the CXCAD2DTScreeningEligibilityLogic CQL library; when the client is due, recommends instantiating the CXCAD2HPVScreeningServiceRequest ActivityDefinition.",
"library": [
"http://smart.who.int/cxca/Library/CXCAD2DTScreeningEligibilityLogic"
],
"action": [
{
"title": "Recommend HPV high-risk DNA screening (client is due)",
"description": "Client is at the binding target age (35 or 45 per A/641 section 2.2), has not had a hysterectomy, and has not been screened in the current cycle. Create a proposed ServiceRequest for HPV high-risk DNA testing.",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql-identifier",
"expression": "Client is due for HPV screening (legal binding)"
}
}
],
"definitionCanonical": "http://smart.who.int/cxca/ActivityDefinition/CXCAD2HPVScreeningServiceRequest"
},
{
"title": "Defer screening — client already screened in current cycle",
"description": "Client is at a binding target age but has had a recent valid HPV screening result. Per A/641 section 2.2 they are not due for re-screening at this encounter. Inform the client of their next due date.",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql-identifier",
"expression": "Client not due — already screened in current cycle (legal binding)"
}
}
]
},
{
"title": "Defer screening — client outside binding target age range",
"description": "Client is not at a binding target age (35 or 45 per A/641 section 2.2 for HPV-test-capable facilities). Note: cytology-only facilities follow a different age cycle (30, 33, 36, ..., 60 every 3 years per A/641 section 2.2 cytology pathway) — see the separate cytology-pathway PlanDefinition (deferred to a future Phase 5 chunk).",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql-identifier",
"expression": "Client excluded — outside target age range (legal binding)"
}
}
]
},
{
"title": "Exclude from screening — prior hysterectomy",
"description": "Client has had a hysterectomy. Per A/641 section 2.2, women who have had a hysterectomy for non-cervical-cancer indication and who have a documented negative post-operative vaginal-smear cytology are exempt from cervical cancer screening. Verify the indication and the post-operative cytology status before fully excluding.",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql-identifier",
"expression": "Client excluded — prior hysterectomy (legal binding)"
}
}
]
}
]
}