@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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "CervicalCancerTriage"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b style=\"color: maroon\">Exception generating Narrative: unexpected non-end of element null::a  at line 166 column 55</b></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
     fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage"^^xsd:anyURI ;
     fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "CervicalCancerTriage"] ; # 
  fhir:title [ fhir:v "Cervical Cancer Triage — HPV-Positive VIA Assessment"] ; # 
  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:display [ fhir:v "ECA Rule" ]
     ] )
  ] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-03-08"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Hopena Health"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "Hopena Health" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://hopenahealth.com" ]
     ] )
  ] [
     fhir:name [ fhir:v "Dan Heslinga" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://hopenahealth.com" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Clinical decision support rule for triage of HPV-positive women using VIA (visual inspection with acetic acid). Implements WHO Algorithm 5 triage pathway: HPV+ -> VIA triage -> route to treatment (VIA+), follow-up retest (VIA-), or oncology referral (suspicious for cancer). Applies to both general population and WLHIV with population-specific follow-up intervals."] ; # 
  fhir:useContext ( [
     fhir:code [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type>
       ] ;
       fhir:code [ fhir:v "focus" ] ;
       fhir:display [ fhir:v "Clinical Focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:35904009 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "35904009" ] ;
         fhir:display [ fhir:v "HPV DNA detection" ]
       ] )
     ]
  ] ) ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
         fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>
       ] ;
       fhir:code [ fhir:v "001" ]
     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "To guide clinical decision-making for women with positive HPV DNA test results, ensuring appropriate triage with VIA and correct routing to treatment, follow-up, or referral based on triage outcome."] ; # 
  fhir:copyright [ fhir:v "Copyright 2026 Hopena Health. License: Apache 2.0"] ; # 
  fhir:relatedArtifact ( [
     fhir:type [ fhir:v "derived-from" ] ;
     fhir:label [ fhir:v "WHO Guideline" ] ;
     fhir:display [ fhir:v "WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, 2nd edition (2021)" ] ;
     fhir:url [
       fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
       fhir:l <https://www.who.int/publications/i/item/9789240030824>
     ] ;
     fhir:document [
       fhir:url [
         fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
         fhir:l <https://www.who.int/publications/i/item/9789240030824>
       ]
     ]
  ] [
     fhir:type [ fhir:v "citation" ] ;
     fhir:label [ fhir:v "WHO Recommendations" ] ;
     fhir:display [ fhir:v "General population: Recs 3b, 11. WLHIV: Recs 22, 23, 31. Algorithm 5: HPV DNA + VIA Triage." ] ;
     fhir:url [
       fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
       fhir:l <https://www.who.int/publications/i/item/9789240030824>
     ] ;
     fhir:document [
       fhir:url [
         fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
         fhir:l <https://www.who.int/publications/i/item/9789240030824>
       ]
     ]
  ] [
     fhir:type [ fhir:v "composed-of" ] ;
     fhir:display [ fhir:v "Upstream: Screening determines cascade position and routes HPV+ patients to triage" ] ;
     fhir:resource [
       fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerScreening|0.1.0"^^xsd:anyURI ;
       fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerScreening?version=0.1.0>
     ]
  ] [
     fhir:type [ fhir:v "composed-of" ] ;
     fhir:display [ fhir:v "Downstream: VIA+ patients are routed to treatment assessment" ] ;
     fhir:resource [
       fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment|0.1.0"^^xsd:anyURI ;
       fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment?version=0.1.0>
     ]
  ] ) ; # 
  fhir:library ( [
     fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision|0.1.0"^^xsd:anyURI ;
     fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision?version=0.1.0>
  ] ) ; # 
  fhir:action ( [
     fhir:title [ fhir:v "HPV-Positive Triage Assessment" ] ;
     fhir:description [ fhir:v "Evaluate triage status for women with positive HPV DNA test results" ] ;
     fhir:trigger ( [
       fhir:type [ fhir:v "named-event" ] ;
       fhir:name [ fhir:v "patient-view" ]
     ] ) ;
     fhir:condition ( [
       fhir:kind [ fhir:v "applicability" ] ;
       fhir:expression [
         fhir:language [ fhir:v "text/cql-identifier" ] ;
         fhir:expression [ fhir:v "Triage Is Indicated" ] ;
         fhir:reference [
           fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
           fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
         ]
       ]
     ] ) ;
     fhir:action ( [
       fhir:id [ fhir:v "perform-via" ] ;
       fhir:title [ fhir:v "Perform VIA Triage" ] ;
       fhir:description [ fhir:v "HPV DNA test is positive — perform VIA (visual inspection with acetic acid) to determine treatment pathway" ] ;
       fhir:condition ( [
         fhir:kind [ fhir:v "applicability" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Triage Is Indicated" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] ) ;
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/action-type>
           ] ;
           fhir:code [ fhir:v "create" ]
         ] )
       ] ;
       fhir:dynamicValue ( [
         fhir:path [ fhir:v "payload[0].contentString" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Triage Recommended Action" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] )
     ] [
       fhir:id [ fhir:v "via-positive-treat" ] ;
       fhir:title [ fhir:v "VIA Positive — Proceed to Treatment" ] ;
       fhir:description [ fhir:v "VIA triage is positive — assess ablation eligibility and treat" ] ;
       fhir:condition ( [
         fhir:kind [ fhir:v "applicability" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Proceed To Treatment" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] ) ;
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/action-type>
           ] ;
           fhir:code [ fhir:v "create" ]
         ] )
       ] ;
       fhir:dynamicValue ( [
         fhir:path [ fhir:v "payload[0].contentString" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Triage Recommended Action" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] )
     ] [
       fhir:id [ fhir:v "via-negative-followup" ] ;
       fhir:title [ fhir:v "VIA Negative — Schedule Follow-Up HPV Retest" ] ;
       fhir:description [ fhir:v "VIA triage is negative — schedule HPV DNA retest at 12 months (WLHIV) or 24 months (general population)" ] ;
       fhir:condition ( [
         fhir:kind [ fhir:v "applicability" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Proceed To Follow Up Retest" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] ) ;
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/action-type>
           ] ;
           fhir:code [ fhir:v "create" ]
         ] )
       ] ;
       fhir:dynamicValue ( [
         fhir:path [ fhir:v "payload[0].contentString" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Triage Recommended Action" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] )
     ] [
       fhir:id [ fhir:v "suspicious-refer" ] ;
       fhir:title [ fhir:v "Suspicious for Cancer — Refer to Oncology" ] ;
       fhir:description [ fhir:v "Findings are suspicious for invasive cancer — refer for definitive diagnosis and staging" ] ;
       fhir:priority [ fhir:v "urgent" ] ;
       fhir:condition ( [
         fhir:kind [ fhir:v "applicability" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Needs Referral" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] ) ;
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/action-type>
           ] ;
           fhir:code [ fhir:v "create" ]
         ] )
       ] ;
       fhir:dynamicValue ( [
         fhir:path [ fhir:v "payload[0].contentString" ] ;
         fhir:expression [
           fhir:language [ fhir:v "text/cql-identifier" ] ;
           fhir:expression [ fhir:v "Triage Recommended Action" ] ;
           fhir:reference [
             fhir:v "Library/CervicalCancerTriageDecision"^^xsd:anyURI ;
             fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision>
           ]
         ]
       ] )
     ] )
  ] ) . # 

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