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Spain Health System Review, 2024.", "country_ids": [ "ESP" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "SNS page; Health System Review, Organization and governance." }, "material_id": "material:777575018003594687c1c1d4", "notes": [], "origin": "candidate-analytical-mappings", "period": "Current official page and 2024 review", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "15ff5e4403715f5b3ecb1ff3951127c9068db714bd1ce934c4a9ac2f8a2d093b" }, "statement": "The evidence supports decentralization to Autonomous Communities but does not support a categorical autonomy score for individual hospitals or primary-care providers.", "tags": [], "territory": "Spain", "title": "Regional devolution is not a provider-autonomy score", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sanidad.gob.es/en/organizacion/sns/" }, { "kind": "source_reference", "source": "Spain: health system review 2024", "url": "https://iris.who.int/server/api/core/bitstreams/484a7fc9-b55a-4994-aaa2-b9aa2cc77910/content" } ] }, { "analytical_mapping": { "mapping_basis": "Official SNS description and 2024 Health System Review", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:ESP:decision-autonomy:regional-decision-space-boundary", "source_projection_ids": [ "country-improvement-source:ESP:ministry-sns-2026", "country-improvement-source:ESP:observatory-hit-2024", "country-improvement-source:ESP:atlas-vpm-2024" ], "support_state": "candidate_supported", "target_slot": "regional-organization-with-national-coordination", "target_view": "decisions", "typed_fields": { "national_boundary": "The Ministry retains SNS coordination.", "regional_decision_space": "Health competences are devolved to Autonomous Communities.", "unresolved": "The cited material does not allocate workforce, procurement, capital and revenue decisions for every provider." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Sanidad SNS page, 2026; Spain Health System Review, 2024; Atlas VPM, 2024.", "country_ids": [ "ESP" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Organization and governance; Atlas VPM Context and purpose." }, "material_id": "material:becf901f3819ff80fb2190f6", "notes": [], "origin": "candidate-analytical-mappings", "period": "2002 devolution context, current official page and 2024 review", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "15ff5e4403715f5b3ecb1ff3951127c9068db714bd1ce934c4a9ac2f8a2d093b" }, "statement": "The sources support a regional organizational role and a national coordination role, not a complete provider-level decision-rights matrix.", "tags": [], "territory": "Spain, Autonomous Communities", "title": "Regional organization under a national coordination framework", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/484a7fc9-b55a-4994-aaa2-b9aa2cc77910/content" }, { "kind": "source_reference", "source": "Sistema Nacional de Salud", "url": "https://www.sanidad.gob.es/en/organizacion/sns/" }, { "kind": "source_reference", "source": "Atlas VPM: two decades informing on unwarranted variations in health care in Spain", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11264760/" } ] }, { "analytical_mapping": { "mapping_basis": "Atlas VPM peer-reviewed research and Ministry territorial catalogue", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:ESP:relationships-networks:formal-observed-flow-boundary", "source_projection_ids": [ "country-improvement-source:ESP:atlas-vpm-2024", "country-improvement-source:ESP:ministry-primary-catalogue-2026" ], "support_state": "candidate_supported", "target_slot": "routine-data-not-referral-completion", "target_view": "referrals", "typed_fields": { "boundary": "Neither source supplies a national referral-completion or counter-referral rate.", "formal_context": "The catalogue describes territorial primary-care organization.", "observed_data_context": "Atlas VPM uses routine hospital admissions and primary-care visit data to examine variation." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Atlas VPM, 2024; Ministerio de Sanidad primary-care catalogue, 2026.", "country_ids": [ "ESP" ], "coverage_domains": [ "authoritative_review", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Atlas VPM Context and purpose; Catalogue Presentación." }, "material_id": "material:cf30d2dd32eb262a7b4362f9", "notes": [], "origin": "candidate-analytical-mappings", "period": "2024 research publication and current catalogue", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "3169b0fa970c5f030a5bbc0be500265a0170db3f9539246ab2961061b2c5f0fe" }, "statement": "The cited sources describe territorial care organization and routine-data analysis, but they do not establish a national observed referral or counter-referral rate.", "tags": [], "territory": "Spain", "title": "Territorial design and observed routine data remain distinct", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11264760/" }, { "kind": "source_reference", "source": "Catalogue of primary care centres: Introduction", "url": "https://www.sanidad.gob.es/en/estadEstudios/estadisticas/sisInfSanSNS/ofertaRecursos/hospitales/introduccionCentro.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 50, PDF p. 25" }, "material_id": "material:7df3acf0ac42f784eda3e4ae", "notes": [ "Functional integration must not overwrite the owner field.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "tags": [], "territory": "Catalonia", "title": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 51, PDF p. 25" }, "material_id": "material:cbc51919c9b6cfe103db6032", "notes": [ "Verify current Catalan planning and authorization law.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 52 to 55, PDF pp. 25 to 26" }, "material_id": "material:7c2f5e755150bd487a7a3a5b", "notes": [ "Catalan law and current instruments are required for named actors.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 41, PDF p. 23" }, "material_id": "material:cc96f5d2add5156c2268b16d", "notes": [ "Read with the Constitution and Catalonia's Statute of Autonomy.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ESP-CATALONIA-SISCAT`, `Choosing a health care centre" }, "material_id": "material:f853526f431058c4631460c9", "notes": [ "Stale page. Acquire current SISCAT law, membership register, centre list, and ownership evidence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Page updated 2016-05-18", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "8ea31ec836b3a7a651772e5e797af5833aabfb2035535955e709ebd567922f1e" }, "statement": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "tags": [], "territory": "Catalonia", "title": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/acces-sistema-salut/assistencia-transfronterera/persones-assegurades-english/com-sollicitar/tria-centre-sanitari-english/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ESP-CATALONIA-CONTRACTING`, opening section" }, "material_id": "material:8c983bfe0b7fbb4d3b627f02", "notes": [ "Acquire current Catalan law and network records.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Page updated 2021-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "81b964aed30198e2bb8774bb5290b5ec40f6cb40724c067bb878eee2270c3b2d" }, "statement": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "tags": [], "territory": "Catalonia", "title": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/presentacio/instruments-relacio/contractacio-serveis-assistencials/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 72 to 73, PDF p. 41" }, "material_id": "material:3acf4a8c2685f0a6e67e802f", "notes": [ "Verify the legal effect of each named instrument.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "tags": [], "territory": "Catalonia", "title": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each autonomous community must organize a health service under the national principles.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 49, PDF p. 25" }, "material_id": "material:37f13a88d25df2fe5298afed", "notes": [ "Use Catalan law to identify CatSalut's exact legal form and powers.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Each autonomous community must organize a health service under the national principles.", "tags": [], "territory": "Catalonia", "title": "Each autonomous community must organize a health service under the national principles.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Local corporations participate in health-area direction and hold listed minimum public-health responsibilities under the national baseline.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 42, PDF pp. 23 to 24" }, "material_id": "material:da1d501eb440d9df7eb5a119", "notes": [ "Current Catalan and local law controls actual organs and duties.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; 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this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Page updated 2021-06-17", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "81b964aed30198e2bb8774bb5290b5ec40f6cb40724c067bb878eee2270c3b2d" }, "statement": "The same page describes the contract as regulating the CatSalut-provider relationship and reports a prospective payment structure with fixed and variable parts.", "tags": [], "territory": "Catalonia", "title": "The same page describes the contract as regulating the CatSalut-provider relationship and reports a prospective payment structure with fixed and variable parts.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/presentacio/instruments-relacio/contractacio-serveis-assistencials/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Under the national supplementary baseline, a private hospital linked to the public network retains title to its centres and employment relationships.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 66(3), PDF p. 28" }, "material_id": "material:9e68b28ea80f3ca73da5589d", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Under the national supplementary baseline, a private hospital linked to the public network retains title to its centres and employment relationships.", "tags": [], "territory": "Catalonia", "title": "Under the national supplementary baseline, a private hospital linked to the public network retains title to its centres and employment relationships.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Under the same baseline, linkage of a private hospital occurs through a specific agreement defining reciprocal rights, economic terms, capacity, and service conditions.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 67, PDF pp. 28 to 29" }, "material_id": "material:4eb5fdbeb9aff736330a8a6f", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Under the same baseline, linkage of a private hospital occurs through a specific agreement defining reciprocal rights, economic terms, capacity, and service conditions.", "tags": [], "territory": "Catalonia", "title": "Under the same baseline, linkage of a private hospital occurs through a specific agreement defining reciprocal rights, economic terms, capacity, and service conditions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 50, PDF p. 25" }, "material_id": "material:f3d1844ebcffe872f68afdc8", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Functional integration must not overwrite the owner field.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "tags": [], "territory": "Catalonia", "title": "An autonomous-community health service functionally integrates public centres and establishments under regional responsibility, while a territorial administration may retain legal title to its centres.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 51, PDF p. 25" }, "material_id": "material:0c0cea1e0b26bc0962435dd6", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify current Catalan planning and authorization law.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities control territorial health-service ordering and prior authorization for new centres or services created by intraregional territorial administrations under the national baseline.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 52 to 55, PDF pp. 25 to 26" }, "material_id": "material:8291eb4c91cd59a094b98c33", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Catalan law and current instruments are required for named actors.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities determine management and control organs, plans, organization, functions, and resource assignment for their health services within the statutory framework.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 41, PDF p. 23" }, "material_id": "material:09947562aeac7dc0d32299ec", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Read with the Constitution and Catalonia's Statute of Autonomy.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "tags": [], "territory": "Catalonia", "title": "Autonomous communities exercise powers assumed in their statutes and transferred or delegated by the State, and the Law attributes unreserved public actions to them.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ESP-CATALONIA-SISCAT`, `Choosing a health care centre" }, "material_id": "material:eedb7dfb7c0925bb543cb7b2", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Stale page. Acquire current SISCAT law, membership register, centre list, and ownership evidence.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page updated 2016-05-18", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "8ea31ec836b3a7a651772e5e797af5833aabfb2035535955e709ebd567922f1e" }, "statement": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "tags": [], "territory": "Catalonia", "title": "CatSalut's 2016 page describes SISCAT hospital care as including hospitals of public or private ownership that provide public care.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/acces-sistema-salut/assistencia-transfronterera/persones-assegurades-english/com-sollicitar/tria-centre-sanitari-english/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`ESP-CATALONIA-CONTRACTING`, opening section" }, "material_id": "material:1e5e51e4c405ae05fdea9ccf", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire current Catalan law and network records.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page updated 2021-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "81b964aed30198e2bb8774bb5290b5ec40f6cb40724c067bb878eee2270c3b2d" }, "statement": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "tags": [], "territory": "Catalonia", "title": "CatSalut's 2021 administrative page describes it as guaranteeing publicly covered services and generally using centres, services, and establishments integrated in SISCAT.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/presentacio/instruments-relacio/contractacio-serveis-assistencials/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 72 to 73, PDF p. 41" }, "material_id": "material:6e945dfcfd5c0b3d6a297cbf", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify the legal effect of each named instrument.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "tags": [], "territory": "Catalonia", "title": "Council agreements are expressed as recommendations approved, where applicable, by consensus, while joint actions may be formalized through cooperation agreements.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each autonomous community must organize a health service under the national principles.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 49, PDF p. 25" }, "material_id": "material:2169752c9650830be20d7bc2", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Use Catalan law to identify CatSalut's exact legal form and powers.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Each autonomous community must organize a health service under the national principles.", "tags": [], "territory": "Catalonia", "title": "Each autonomous community must organize a health service under the national principles.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Local corporations participate in health-area direction and hold listed minimum public-health responsibilities under the national baseline.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 42, PDF pp. 23 to 24" }, "material_id": "material:97897487a5f56ada6baf6895", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Current Catalan and local law controls actual organs and duties.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Local corporations participate in health-area direction and hold listed minimum public-health responsibilities under the national baseline.", "tags": [], "territory": "Catalonia", "title": "Local corporations participate in health-area direction and hold listed minimum public-health responsibilities under the national baseline.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National articles 57 to 69 are supplementary rather than automatically controlling in an autonomous community that has applicable rules on those matters.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 2(1), PDF p. 12" }, "material_id": "material:443b615a513a93e2667ce70e", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Tag every derived area, manager, primary-care, and hospital claim with this limitation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "National articles 57 to 69 are supplementary rather than automatically controlling in an autonomous community that has applicable rules on those matters.", "tags": [], "territory": "Catalonia", "title": "National articles 57 to 69 are supplementary rather than automatically controlling in an autonomous community that has applicable rules on those matters.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Cohesion and Quality Law establishes a coordination and cooperation framework for public health administrations acting within their respective powers.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ESP-LAW-16-2003`, art. 1, PDF p. 13" }, "material_id": "material:43a6a0b06f88987d692907b3", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Coordination is not direct central operation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "The Cohesion and Quality Law establishes a coordination and cooperation framework for public health administrations acting within their respective powers.", "tags": [], "territory": "Catalonia", "title": "The Cohesion and Quality Law establishes a coordination and cooperation framework for public health administrations acting within their respective powers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Council comprises the national health minister and autonomous-community health councillors, with a regional councillor serving as vice-president.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 70, PDF p. 39" }, "material_id": "material:838a9c744ebbd1d9ed33ce67", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Update office titles and current membership.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "The Council comprises the national health minister and autonomous-community health councillors, with a regional councillor serving as vice-president.", "tags": [], "territory": "Catalonia", "title": "The Council comprises the national health minister and autonomous-community health councillors, with a regional councillor serving as vice-president.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Council knows, debates, and may issue recommendations across specified system matters without diminishing national or autonomous-community powers.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 71, PDF pp. 39 to 41" }, "material_id": "material:8b3c0ad2176f83b50f21fbb9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Encode recommendation, agreement, and binding law separately.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "The Council knows, debates, and may issue recommendations across specified system matters without diminishing national or autonomous-community powers.", "tags": [], "territory": "Catalonia", "title": "The Council knows, debates, and may issue recommendations across specified system matters without diminishing national or autonomous-community powers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The General Health Law is a basic national law and permits autonomous 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teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "The General Health Law is a basic national law and permits autonomous communities to enact development and complementary rules within their powers.", "tags": [], "territory": "Catalonia", "title": "The General Health Law is a basic national law and permits autonomous communities to enact development and complementary rules within their powers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Interterritorial Council is a permanent coordination, cooperation, communication, and information body linking health services and the State administration.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 69, PDF pp. 38 to 39" }, "material_id": "material:be6a78ac3dcd5bdbbcf103a6", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Collect current rules and decisions for specific claims.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2026-07-31", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2a4d1204ed5941ed436a722d68daf9e5cafbfab9cb02a128aa9c1bee6b2b0da8" }, "statement": "The Interterritorial Council is a permanent coordination, cooperation, communication, and information body linking health services and the State administration.", "tags": [], "territory": "Catalonia", "title": "The Interterritorial Council is a permanent coordination, cooperation, communication, and information body linking health services and the State administration.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://boe.es/buscar/act.php?id=BOE-A-2003-10715" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The National Health System is the set of State and autonomous-community health services and integrates public health functions and benefits.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 44 to 45, PDF p. 24" }, "material_id": "material:456a7be60e5aa01e4af4f3ea", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Do not model the system as one provider or corporate actor.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "The National Health System is the set of State and autonomous-community health services and integrates public health functions and benefits.", "tags": [], "territory": "Catalonia", "title": "The National Health System is the set of State and autonomous-community health services and integrates public health functions and benefits.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The State retains listed external-health, minimum-requirement, product, national-register, information, and coordination functions without displacing autonomous-community competence.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, arts. 38 to 40, PDF pp. 21 to 23" }, "material_id": "material:6ebec338394cab59cc477e30", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Split each function and update changed ministry names and laws.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "The State retains listed external-health, minimum-requirement, product, national-register, information, and coordination functions without displacing autonomous-community competence.", "tags": [], "territory": "Catalonia", "title": "The State retains listed external-health, minimum-requirement, product, national-register, information, and coordination functions without displacing autonomous-community competence.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The State, autonomous communities, and other competent public administrations organize health actions within an integrated-system conception, while autonomous communities create their health services.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, art. 4, PDF p. 12" }, "material_id": "material:a28516917e74242307ad1632", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Current Catalan implementing law is required.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Consolidation last modified 2023-03-23", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "The State, autonomous communities, and other competent public administrations organize health actions within an integrated-system conception, while autonomous communities create their health services.", "tags": [], "territory": "Catalonia", "title": "The State, autonomous communities, and other competent public administrations organize health actions within an integrated-system conception, while autonomous communities create their health services.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The page describes a public register containing CatSalut-provider healthcare agreements and contracts and contracts made by provider entities.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, `Registre de convenis i contractes`" }, "material_id": "material:c630142a5dba82dce42b2f33", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Freeze the current registry and define record scope before use.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Page updated 2021-06-17", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "81b964aed30198e2bb8774bb5290b5ec40f6cb40724c067bb878eee2270c3b2d" }, "statement": "The page describes a public register containing CatSalut-provider healthcare agreements and contracts and contracts made by provider entities.", "tags": [], "territory": "Catalonia", "title": "The page describes a public register containing CatSalut-provider healthcare agreements and contracts and contracts made by provider entities.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://catsalut.gencat.cat/ca/coneix-catsalut/presentacio/instruments-relacio/contractacio-serveis-assistencials/index.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The same page describes the contract as regulating the CatSalut-provider relationship and reports a prospective payment structure with fixed and variable parts.", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, `La compra de serveis i el contracte`" }, "material_id": "material:45908595f0d65b2f78808591", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Current Decree 118/2014 consolidation, contract templates, and payment rules remain missing.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass 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"source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "30e0e74d280588b9c3453b6346dc9a860391342f3d796c58f5a896abcfc269c0" }, "statement": "Under the same baseline, linkage of a private hospital occurs through a specific agreement defining reciprocal rights, economic terms, capacity, and service conditions.", "tags": [], "territory": "Catalonia", "title": "Under the same baseline, linkage of a private hospital occurs through a specific agreement defining reciprocal rights, economic terms, capacity, and service conditions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "EU investment grants review. 1999. https://documents1.worldbank.org/curated/en/599081468761737034/pdf/multi-page.pdf", "country_ids": [ "ESP" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "Barker Tenenbaum and Woolf Governance and Regulation of Power Pools and System", "institution": null, "locator": { "physical_pdf_page": 2, "source_word_anchor": "Barker Tenenbaum and Woolf Governance and Regulation of Power Pools and System", "source_word_count": 12 }, "material_id": "material:ce36fed52b6ff767b9c0aaa2", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 1999, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": 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Catalogue of primary care centres: Introduction. Accessed 2026-08-21. https://www.sanidad.gob.es/en/estadEstudios/estadisticas/sisInfSanSNS/ofertaRecursos/hospitales/introduccionCentro.htm", "country_ids": [ "ESP" ], "coverage_domains": [ "facility_data", "governance", "networks", "patient_flows", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Área de Salud", "institution": "Ministerio de Sanidad", "locator": { "locator_type": "web_section", "section": "Presentación", "source_word_anchor": "Zona Básica de Salud", "source_word_count": 4 }, "material_id": "material:8f38f3a127ed18035cf99506", "notes": [ "Catalogue organization does not establish a standardized national referral rule or observed patient movement." ], "origin": "country-evidence-improvement-sources", "period": "Dynamically maintained official catalogue retrieved 2026-08-21", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "5f42fb14515e46d789c03eb6aedd53b83bb7cec48d0144bf33d8e71470e958f2" }, "statement": "The catalogue describes Area de Salud and Zona Básica de Salud as territorial organization units set by Autonomous Communities, with health centres coordinating linked local consulting rooms.", "tags": [], "territory": "Spain, Autonomous Community primary-care territorial organization", "title": "Catalogue of primary care centres: Introduction", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sanidad.gob.es/en/estadEstudios/estadisticas/sisInfSanSNS/ofertaRecursos/hospitales/introduccionCentro.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Sanidad. Comunidades Autónomas y Ciudades Autónomas. Accessed 2026-08-21. https://www.sanidad.gob.es/organizacion/ccaa/", "country_ids": [ "ESP" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "CC.AA y Ciudades Autónomas", "institution": "Ministerio de Sanidad", "locator": { "locator_type": "web_section", "section": "CC.AA y Ciudades Autónomas", "source_word_anchor": "Instituto Nacional de Gestión Sanitaria", "source_word_count": 6 }, "material_id": "material:2447d669b9ff6f1d69c8f5ef", "notes": [ "The INGESA exception applies only to Ceuta and Melilla and must not be generalized to the Autonomous Communities." ], "origin": "country-evidence-improvement-sources", "period": "Official institutional page retrieved 2026-08-21", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "103046e538c44cb0fb115043ba9ce8746b2cd8722164f9cd350e50a284a150ab" }, "statement": "The Ministry states that SNS services are those of the Autonomous Communities, coordinated within the national system, and identifies INGESA as the provider for Ceuta and Melilla.", "tags": [], "territory": "Spain, Autonomous Communities and autonomous cities", "title": "Comunidades Autónomas y Ciudades Autónomas", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sanidad.gob.es/organizacion/ccaa/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Sanidad. Hospitals, operating beds and day-hospital places in the SNS by Autonomous Community. 2024 reporting year, accessed 2026-08-21. https://www.sanidad.gob.es/estadEstudios/sanidadDatos/tablas/tabla22.htm", "country_ids": [ "ESP" ], "coverage_domains": [ "facility_data", "hospital_organization", "networks", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Hospitales, camas en funcionamiento", "institution": "Ministerio de Sanidad", "locator": { "locator_type": "web_table", "section": "Tabla 22", "source_word_anchor": "Año 2024", "source_word_count": 2 }, "material_id": "material:1aaa20b086b52ee8726631f9", "notes": [ "These capacity measures do not identify ownership of all hospitals or actual referral completion between care levels." ], "origin": "country-evidence-improvement-sources", "period": "Hospital and bed reporting year 2024; CSUR designations to January 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6fd9214aee2dd66e06d02f8b01f5f561dbc4589712f8b78529bf12d10b3e275e" }, "statement": "The Ministry table reports SNS hospitals, operating beds, day-hospital places and designated reference centres by Autonomous Community.", "tags": [], "territory": "Spain, SNS and Autonomous Communities", "title": "Hospitals, operating beds and day-hospital places in the SNS by Autonomous Community", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sanidad.gob.es/estadEstudios/sanidadDatos/tablas/tabla22.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Sanidad. Interterritorial Council of the National Health System: Basic aspects. Accessed 2026-08-21. https://www.sanidad.gob.es/en/organizacion/consejoInterterri/aspectos.htm", "country_ids": [ "ESP" ], "coverage_domains": [ "actors", "decision_rights", "governance", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Interterritorial Council", "institution": "Ministerio de Sanidad", "locator": { "locator_type": "web_section", "section": "Composition and Functions", "source_word_anchor": "órgano de cooperación", "source_word_count": 3 }, "material_id": "material:3c125efb06dfed675e2dcdf9", "notes": [ "Council membership and coordination functions do not establish that all regional delivery decisions are centrally controlled." ], "origin": "country-evidence-improvement-sources", "period": "Official institutional page retrieved 2026-08-21", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "d4e2ff9e48eb2ceba28da64e453ba576a11627666d268974161610c46802f067" }, "statement": "The Ministry describes the Interterritorial Council as a cooperation body chaired by the Minister and composed of national and Autonomous Community health leaders.", "tags": [], "territory": "Spain, national and Autonomous Community coordination", "title": "Interterritorial Council of the National Health System: Basic aspects", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.sanidad.gob.es/en/organizacion/consejoInterterri/aspectos.htm" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://www.sanidad.gob.es/en/organizacion/consejoInterterri/docs/LeyCohesionyCalidad.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Sanidad. Key data from Spain's National Health System. 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