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        "display-claim:6d2fcd6c0e5ec8594da00065",
        "display-claim:d5618e90accc5d8d46399a9b",
        "display-claim:0cd2afbeb310e1e66fdecf35",
        "display-claim:db30fbe967da49c1cc082d4b",
        "display-claim:ec533eae98add1e69b715d3d",
        "display-claim:77bf3a4dda84afd902df83dd"
      ],
      "display_evidence_object_id": "display-claim:6d2fcd6c0e5ec8594da00065",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:IDN:relationships-networks:ownership-operation-and-jkn-purchasing",
      "country_id": "IDN",
      "mapping_group": "relationships_and_networks",
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      "target_slot": "hospital-organizer-categories-and-jkn-purchasing",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "formal hospital organizer categories and JKN purchaser-provider relationship",
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        "country-improvement-source:IDN:health-implementing-regulation-2024",
        "country-improvement-source:IDN:jkn-presidential-regulation-2024"
      ],
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      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "idn:bpjs",
            "label": "BPJS Kesehatan",
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              "display-claim:e9dca0aa51fa9f968969bca7"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
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              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:e9dca0aa51fa9f968969bca7"
          },
          {
            "node_id": "idn:first-level-facilities",
            "label": "First-level facilities",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:cee0eeff5a4bd99eec76ced2"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
              "display-source:IDN:de273bb1af6781760e0fa9bf"
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            "source_version_ids": [
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              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:cee0eeff5a4bd99eec76ced2"
          },
          {
            "node_id": "idn:referral-level-facilities",
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            "family": "provider",
            "display_claim_ids": [
              "display-claim:c00526cdfbc82102c8010296"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
              "display-source:IDN:de273bb1af6781760e0fa9bf"
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            "source_version_ids": [
              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:c00526cdfbc82102c8010296"
          },
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            "family": "national",
            "display_claim_ids": [
              "display-claim:e8f2fbe9f35b0067e6e488c0"
            ],
            "display_source_ids": [
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            "source_version_ids": [
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              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:e8f2fbe9f35b0067e6e488c0"
          },
          {
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            "label": "Regional-government hospital organizer",
            "family": "subnational",
            "display_claim_ids": [
              "display-claim:b84e993378428e4b690fdede"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
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              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:b84e993378428e4b690fdede"
          },
          {
            "node_id": "idn:societal-hospital-organizer",
            "label": "Societal hospital organizer",
            "family": "community",
            "display_claim_ids": [
              "display-claim:f257dc91da9e4914f36557db"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
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            "source_version_ids": [
              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:f257dc91da9e4914f36557db"
          },
          {
            "node_id": "idn:hospitals",
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            "family": "provider",
            "display_claim_ids": [
              "display-claim:31940f51d0497afeb24b7075"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
              "display-source:IDN:de273bb1af6781760e0fa9bf"
            ],
            "source_version_ids": [
              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:31940f51d0497afeb24b7075"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "idn:bpjs",
            "target_node_id": "idn:first-level-facilities",
            "relationship": "has direct JKN payment relationship",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:6214d945182324a5e264471a"
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            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
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            "source_version_ids": [
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            "display_evidence_object_id": "display-claim:6214d945182324a5e264471a"
          },
          {
            "source_node_id": "idn:bpjs",
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            "relationship": "has direct JKN payment relationship",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:87cfab4bf632298fd2c8f7d9"
            ],
            "display_source_ids": [
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            "source_version_ids": [
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            "display_evidence_object_id": "display-claim:87cfab4bf632298fd2c8f7d9"
          },
          {
            "source_node_id": "idn:central-government-hospital-organizer",
            "target_node_id": "idn:hospitals",
            "relationship": "may organize hospitals in the legal forms permitted by the implementing regulation",
            "relationship_family": "ownership",
            "display_claim_ids": [
              "display-claim:8e952bae8b2bdf36b441cf50"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
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            "source_version_ids": [
              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
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            "display_evidence_object_id": "display-claim:8e952bae8b2bdf36b441cf50"
          },
          {
            "source_node_id": "idn:regional-government-hospital-organizer",
            "target_node_id": "idn:hospitals",
            "relationship": "may organize hospitals in the legal forms permitted by the implementing regulation",
            "relationship_family": "ownership",
            "display_claim_ids": [
              "display-claim:1f67b091ab5cd95f28e14885"
            ],
            "display_source_ids": [
              "display-source:IDN:d80acfbbc7bfa971cc2dcd14",
              "display-source:IDN:de273bb1af6781760e0fa9bf"
            ],
            "source_version_ids": [
              "display-source-version:e7802876ae7ac66c5bab8cbc",
              "display-source-version:c5acb5e20ae4467113b0f4b5"
            ],
            "display_evidence_object_id": "display-claim:1f67b091ab5cd95f28e14885"
          },
          {
            "source_node_id": "idn:societal-hospital-organizer",
            "target_node_id": "idn:hospitals",
            "relationship": "may organize hospitals in the legal forms permitted by the implementing regulation",
            "relationship_family": "ownership",
            "display_claim_ids": [
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            "display_source_ids": [
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            "display_evidence_object_id": "display-claim:5cb4cec11fa92d7f30b115cb"
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        ],
        "decision_cells": [
          {
            "decision_id": "idn:decision:puskesmas-establishment",
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            "actor_label": "District or city government",
            "actor_family": "subnational",
            "role": "Must establish at least one Puskesmas per subdistrict, subject to the regulation's stated requirements",
            "constraint": "The requirement does not identify the owner of each asset, BLUD status, or the operational autonomy of individual Puskesmas.",
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            "display_evidence_object_id": "display-claim:99aebea35e74f402b02ef653"
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        ]
      },
      "title": "Organizer category and JKN purchasing remain distinct",
      "statement": "Indonesia's formal rules permit public and societal hospital organizer categories and define JKN payment relationships across first-level and referral-level facilities. The mapping does not treat purchasing as ownership or a measure of private-sector dominance.",
      "citation": "Republic of Indonesia, Government Regulation No. 28 of 2024, arts. 803 and 817; Presidential Regulation No. 59 of 2024, art. 71.",
      "url": "https://peraturan.bpk.go.id/Details/294077/pp-no-28-tahun-2024",
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        "hospital_organization",
        "government_responsibilities"
      ],
      "boundaries": [
        "Facility organizer category is not a verified ownership register for named hospitals or a market-share estimate."
      ],
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        {
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          "citation": "Republic of Indonesia. Government Regulation No. 28 of 2024 implementing Law No. 17 of 2023 on Health, arts. 803, 806, 816-817. https://peraturan.bpk.go.id/Details/294077/pp-no-28-tahun-2024",
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            "source_word_anchor": "Rumah Sakit dapat diselenggarakan oleh",
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    {
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        "relationship": "under and accountable to",
        "ownership_boundary": "organizational placement is not converted into an asset-ownership claim"
      },
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          {
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          {
            "source_node_id": "idn:district-health-office",
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            "relationship": "places under its technical administration",
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          {
            "source_node_id": "idn:puskesmas",
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            "relationship": "is accountable to",
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            ],
            "display_evidence_object_id": "display-claim:24a7a45cdb4328581acd1949"
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        ]
      },
      "title": "Structured country finding: Puskesmas Organizational Placement",
      "statement": "A Puskesmas is formally placed as a functional organization and technical implementing unit under, and accountable to, the district or city health-office head.",
      "citation": "Minister of Health Regulation 19/2024 on Puskesmas. IDN-MOH-2024-19, art. 49, PDF p. 21. https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024",
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      "locator": "IDN-MOH-2024-19, art. 49, PDF p. 21",
      "period": "From 2024-12-31",
      "territory": "national",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
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        "referral_design"
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        {
          "citation": "Minister of Health Regulation 19/2024 on Puskesmas. IDN-MOH-2024-19, art. 49, PDF p. 21. https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024",
          "locator": "IDN-MOH-2024-19, art. 49, PDF p. 21",
          "title": "Minister of Health Regulation 19/2024 on Puskesmas",
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      "review_requirements": [
        "Do not relabel organizational placement as ownership of land or assets."
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        "period_basis": "2019",
        "source_version": {
          "file_sha256": "bc74a206c36b136abbe4ed120345472b41f2b5bcc9f8e629c375d65588b28f48"
        },
        "verification_requirements": [
          "This exact source excerpt is displayed as context and is not automatically treated as a complete country statement.",
          "This excerpt does not establish the review's full methods, included-study scope, or country applicability."
        ],
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation"
      }
    ]
  },
  "evidence_scorecard": {
    "country_id": "IDN",
    "audit_passed": true,
    "preparation_stage": "direct_typed_mapping",
    "preparation_stage_label": "Explicit analytical mappings",
    "scores": {
      "analytical_mapping_groups": {
        "denominator": 5,
        "numerator": 5,
        "score": 100,
        "unit": "explicit analytical object groups"
      },
      "controlled_domain_leads": {
        "denominator": 17,
        "numerator": 17,
        "score": 100,
        "unit": "controlled domains with displayed candidate leads"
      },
      "material_locator_coverage": {
        "denominator": 512,
        "numerator": 423,
        "score": 83,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 512,
        "numerator": 480,
        "score": 94,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 512,
        "numerator": 461,
        "score": 90,
        "unit": "material records with an immutable source version"
      },
      "source_layer_presence": {
        "denominator": 3,
        "numerator": 3,
        "score": 100,
        "unit": "displayed candidate-source layers"
      }
    },
    "represented_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "missing_domain_ids": [],
    "direct_typed_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "priority_actions": [
      {
        "action_id": "capture-source-versions",
        "detail": "51 of 512 displayed materials do not yet carry a source-version field.",
        "label": "Capture immutable source versions"
      }
    ],
    "review_ready_material_ids": [
      "material:ecb2a5f6465a50d9d8c68c90",
      "material:e8562f087c996fff00b5245a",
      "material:da599c164fa5b16663fe0e51",
      "material:82aff2d73b149476e1e0127f",
      "material:6fd257aa1b5a01d70aca4166"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "analytical_mapping": {
        "mapping_basis": "formal BPJS mandate and JKN payment regulation",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:IDN:decision-autonomy:bpjs-contracting-and-tariff-boundary",
        "source_projection_ids": [
          "country-improvement-source:IDN:bpjs-law-2011",
          "country-improvement-source:IDN:jkn-presidential-regulation-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "bpjs-contracting-and-payment-authority",
        "target_view": "decisions",
        "typed_fields": {
          "bpjs": "Administers health insurance, contracts with health facilities, and agrees payment amounts within government tariff standards.",
          "government_constraint": "Payment amounts remain within government tariff standards.",
          "provider_boundary": "A provider contract does not establish provider managerial, workforce, capital, or clinical autonomy."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Republic of Indonesia, Law No. 24 of 2011, art. 11; Presidential Regulation No. 59 of 2024, art. 71.",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "actors",
        "decision_rights",
        "hospital_organization",
        "market_structure",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Law 24/2011 art. 11 p. 8; Presidential Regulation 59/2024 art. 71 p. 27."
      },
      "material_id": "material:f64c93a02d4d5a6e73602e1f",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Law 2011; JKN amendment in force from 2024-05-08",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "650b86991e55dbf1ada27294676c451dca85c09d8f9352754d5cb59505680f57",
        "page_count": 68
      },
      "statement": "BPJS Kesehatan has statutory provider-contracting and payment-agreement authority within government tariff standards, while the current JKN rule specifies direct payment relationships with first-level and referral-level facilities.",
      "tags": [],
      "territory": "Indonesia; contracted JKN facilities",
      "title": "BPJS contracting authority is bounded by tariff standards",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://peraturan.bpk.go.id/Details/39268/uu-no-24-tahun-2011"
        },
        {
          "kind": "source_reference",
          "source": "Presidential Regulation No. 59 of 2024 on the Third Amendment to Health Insurance Regulation",
          "url": "https://peraturan.bpk.go.id/Details/285181/perpres-no-59-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/344279/Perpres%20Nomor%2059%20Tahun%202024.pdf"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/DownloadUjiMateri/200/putusan_mkri_72-PUU-XVII-2019.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "declared_from_source_linked_candidate_statement",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:IDN:actors-functions:bpjs",
        "source_projection_ids": [
          "candidate-fact:IDN:86db3a112b13a14c6947"
        ],
        "support_state": "candidate_supported",
        "target_slot": "actor-function-assignment",
        "target_view": "functions",
        "typed_fields": {
          "accountable_to": "President of Indonesia",
          "actor": "BPJS Kesehatan",
          "actor_type": "public-law social security administering body",
          "function": "administer the health-insurance programme",
          "role": "administers"
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Law 24/2011 on Social Security Administering Bodies. IDN-LAW-2011-24, articles 5 to 9, PDF pages 5 to 7. https://peraturan.bpk.go.id/Details/39268/uu-no-24-tahun-2011",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "IDN-LAW-2011-24, articles 5 to 9, PDF pages 5 to 7"
      },
      "material_id": "material:b1f80003f5fe4cef819616a4",
      "notes": [
        "Use annotation to challenge the actor type, function wording, accountability relation, current validity, or source interpretation."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "From 2011-11-25",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "650b86991e55dbf1ada27294676c451dca85c09d8f9352754d5cb59505680f57",
        "page_count": 68
      },
      "statement": "BPJS Kesehatan is a public-law body responsible to the President and administers the health-insurance programme.",
      "tags": [],
      "territory": "national",
      "title": "Candidate-supported actor and function mapping: BPJS Kesehatan",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://peraturan.bpk.go.id/Details/39268/uu-no-24-tahun-2011"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/DownloadUjiMateri/200/putusan_mkri_72-PUU-XVII-2019.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "declared_from_source_linked_candidate_statement",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:IDN:decision-rights:bpjs-contracting",
        "source_projection_ids": [
          "candidate-fact:IDN:91e13f70c895cec91811"
        ],
        "support_state": "candidate_supported",
        "target_slot": "provider-contracting-decision",
        "target_view": "decisions",
        "typed_fields": {
          "actor": "BPJS Kesehatan",
          "constraint": "within government tariff standards",
          "decision": "provider payment agreement and health-facility contracting",
          "role": "agrees payment amounts and creates or ends contracts"
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Law 24/2011 on Social Security Administering Bodies. IDN-LAW-2011-24, article 11, PDF page 8. https://peraturan.bpk.go.id/Details/39268/uu-no-24-tahun-2011",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "autonomy",
        "decision_rights",
        "governance"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "IDN-LAW-2011-24, article 11, PDF page 8"
      },
      "material_id": "material:e486289e11fdb399362ecfe7",
      "notes": [
        "Use annotation to challenge the decision scope, role, constraints, implementing rules, or current validity."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "From 2011-11-25",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "650b86991e55dbf1ada27294676c451dca85c09d8f9352754d5cb59505680f57",
        "page_count": 68
      },
      "statement": "BPJS has formal authority to agree provider-payment amounts within government tariff standards and to create or end contracts with health facilities.",
      "tags": [],
      "territory": "national",
      "title": "Candidate-supported decision-right mapping: BPJS provider contracting",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://peraturan.bpk.go.id/Details/39268/uu-no-24-tahun-2011"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/DownloadUjiMateri/200/putusan_mkri_72-PUU-XVII-2019.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "declared_from_source_linked_candidate_statement",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:IDN:relationships-networks:puskesmas-network",
        "source_projection_ids": [
          "candidate-fact:IDN:9b883ce80e87a2c6a162"
        ],
        "support_state": "candidate_supported",
        "target_slot": "primary-care-functional-network",
        "target_view": "referrals",
        "typed_fields": {
          "coordinating_actor": "Puskesmas",
          "coordination_mechanisms": [
            "care pathways",
            "recurring monitoring"
          ],
          "implementation_status": "guidance design, not national implementation",
          "members": "other first-level facilities",
          "network": "district-facilitated integrated primary-care functional network"
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministerial Decree HK.01.07/MENKES/2015/2023, Technical Guidelines for Integrated Primary Health Care. IDN-MOH-2023-ILP, PDF pages 215 to 220. https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/2023kepmenkes2015.pdf",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "networks",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "IDN-MOH-2023-ILP, PDF pages 215 to 220"
      },
      "material_id": "material:54af9b86a4c17743ef26ec74",
      "notes": [
        "Use annotation to challenge network membership, governance, coordination mechanisms, territorial scope, or observed implementation."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Guidance dated 2023-08-29",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "1c8754f5294d5b06c2f6402fd993d8c143dd595325e0e6479d4e8c3bc7bd17e3",
        "page_count": 264
      },
      "statement": "The integrated-PHC guidance proposes a district-facilitated functional network in which Puskesmas coordinate other first-level facilities around care pathways and recurring monitoring.",
      "tags": [],
      "territory": "national guidance with district facilitation",
      "title": "Candidate-supported network mapping: integrated primary care",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/2023kepmenkes2015.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "declared_from_source_linked_candidate_statement",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:IDN:delivery-referral:general-rule",
        "source_projection_ids": [
          "candidate-fact:IDN:9a689c7df5427116e272"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-referral-basis",
        "target_view": "referrals",
        "typed_fields": {
          "additional_considerations": [
            "accessibility",
            "quality",
            "cost considered separately"
          ],
          "formal_basis": "medical need and facility capability",
          "implementation_status": "not inferred from the formal rule",
          "pathway": "individual health-service referral"
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Minister of Health Regulation 16/2024 on the individual health-service referral system. IDN-MOH-2024-16, articles 2 to 5, PDF pages 3 to 4. https://peraturan.bpk.go.id/Details/308445",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "hospital_organization",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "IDN-MOH-2024-16, articles 2 to 5, PDF pages 3 to 4"
      },
      "material_id": "material:240ee32f2b5e730c36d6da30",
      "notes": [
        "Use annotation to challenge the pathway scope, bypass conditions, patient choice, implementation, or interaction with JKN rules."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "From 2024-11-12",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "a164d47bd50d22c0f8f2a9c0b5aaee99fef9255978259486731d3008030c08a0",
        "page_count": 12
      },
      "statement": "The current general referral rule bases referral on medical need and facility capability, with accessibility and quality considered separately from cost.",
      "tags": [],
      "territory": "national",
      "title": "Candidate-supported referral mapping: formal referral basis",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://peraturan.bpk.go.id/Details/308445"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/368904/permenkes-no-16-tahun-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "declared_from_exact_review_context",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:IDN:time-reform:decentralization-2001",
        "source_projection_ids": [
          "display-evidence:IDN:d996cb35b6babc420d2a"
        ],
        "support_state": "candidate_supported",
        "target_slot": "health-system-decentralization",
        "target_view": "reforms",
        "typed_fields": {
          "event": "commencement",
          "evidence_scope": "systematic-review context",
          "reform": "health-system decentralization",
          "year": 2001
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Rakmawati T, Hinchcliff R, Pardosi JF. District-level impacts of health system decentralization in Indonesia: a systematic review. International Journal of Health Planning and Management. 2019. doi:10.1002/hpm.2768. https://pubmed.ncbi.nlm.nih.gov/30901111/",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "authoritative_review",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Indonesia, which commenced a health system decentralization process in 2001",
      "institution": null,
      "locator": {
        "anchor_text": "Indonesia, which commenced a health system decentralization process in 2001",
        "locator_type": "full_text",
        "pdf_page": 4,
        "section": "Abstract"
      },
      "material_id": "material:da599c164fa5b16663fe0e51",
      "notes": [
        "Use annotation to challenge the reform date, legal and implementation milestones, territorial variation, or review applicability."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Reform event in 2001; review published 2019",
      "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": {
        "file_sha256": "bc74a206c36b136abbe4ed120345472b41f2b5bcc9f8e629c375d65588b28f48"
      },
      "statement": "The displayed systematic-review context identifies 2001 as the commencement of Indonesia's health-system decentralization process.",
      "tags": [],
      "territory": "national review scope",
      "title": "Candidate-supported reform mapping: decentralization commencement",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/30901111/"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "formal Annex allocation in the Regional Government Law",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:IDN:decision-autonomy:central-provincial-district-allocation",
        "source_projection_ids": [
          "country-improvement-source:IDN:regional-government-law-2014",
          "country-improvement-source:IDN:health-law-2023"
        ],
        "support_state": "candidate_supported",
        "target_slot": "central-provincial-district-city-allocation",
        "target_view": "decisions",
        "typed_fields": {
          "boundary": "This mapping does not assert an exhaustive or current function-by-function allocation beyond the cited provisions.",
          "central": "National standards and nationally allocated health functions are distinguished in the legal framework.",
          "district_city": "The Annex treats district or city government as a separate level; current Puskesmas rules assign establishment and administrative roles at this level.",
          "provincial": "The Annex treats provincial government as a separate level for specified health functions."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Republic of Indonesia, Law No. 23 of 2014, Annex Health Division; Law No. 17 of 2023, art. 19.",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [
        "actors",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Law 23/2014 Annex Health Division pp. 317-321; Law 17/2023 art. 19 p. 15."
      },
      "material_id": "material:415e1e19e9eb2a57a7d18aef",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2014 Annex, interpreted with applicable amendments; 2023 statute",
      "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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
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      "statement": "The legal framework distinguishes central, provincial, and district or city health functions. The mapping keeps the three tiers visible while avoiding a claim that they have the same responsibilities or a complete current decision-right matrix.",
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          "url": "https://peraturan.bpk.go.id/Details/258028/uu-no-17-tahun-2023"
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      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Regulation No. 16 of 2024, arts. 2-5 and 24-25.",
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        "hospital_organization",
        "networks",
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          "source": "not supplied",
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        "mapping_basis": "observed aggregate JKN service-use reporting",
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          "boundary": "Aggregates do not link individual first-level contacts to subsequent referrals, counter-referrals or outcomes.",
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          "observed_categories": "First-level outpatient, advanced outpatient and advanced inpatient JKN service use are separately reported."
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      "annotation_status": "open",
      "authors": [],
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      "citation": "Kementerian Kesehatan Republik Indonesia, Profil Kesehatan Indonesia 2023, 2024, Chapter IV.",
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        "patient_flows",
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      "locator": {
        "description": "Profil Kesehatan Indonesia 2023, Chapter IV Health financing, PDF p. 138."
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      "territory": "Indonesia; reported JKN service categories",
      "title": "JKN utilization is observed by broad service category",
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          "url": "https://kemkes.go.id/app_asset/file_content_download/172231123666a86244b83fd8.51637104.pdf"
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      "citation": "Republic of Indonesia, Law No. 17 of 2023, art. 19; Ministry of Health, Regulation No. 19 of 2024, arts. 2-3 and 49.",
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        "description": "Law 17/2023 art. 19 p. 15; Regulation 19/2024 arts. 2-3, 49 pp. 3-5, 21."
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      "statement": "Indonesia's formal framework distinguishes national standards, regional programme and referral responsibilities, and Puskesmas coordination in a defined working area. This mapping does not turn those statements into a complete operational hierarchy.",
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      "territory": "Indonesia",
      "title": "Multi-level health roles retain their legal boundary",
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          "source": "Minister of Health Regulation No. 19 of 2024 on Community Health Centres",
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      "annotation_status": "open",
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      "citation": "Kementerian Kesehatan Republik Indonesia, Dashboard Sistem Informasi Rujukan Terintegrasi, updated 2026-08-13.",
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        "description": "Dashboard heading Daftar Dasbor; FKTP to FKTL and FKTL counter-referral entries."
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      "statement": "The SATUSEHAT dashboard provides observed referral and counter-referral views. This mapping records the available observation surface without presenting an unsupported national performance result.",
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      "territory": "Indonesia; coverage depends on the dashboard view",
      "title": "Observed referral views are available with a measurement boundary",
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          "url": "https://satusehat.kemkes.go.id/data/dashboard/dcf63597-179a-43fe-bde4-7cf74d0a0fd5"
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        "mapping_basis": "formal hospital organizer categories and JKN purchaser-provider relationship",
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        "source_projection_ids": [
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        "target_slot": "hospital-organizer-categories-and-jkn-purchasing",
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        "typed_fields": {
          "boundary": "Organizer categories and purchasing links do not measure public or private market share, ownership of each facility, or integration.",
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          "hospitals": "Hospitals may be organized by central government, regional government, or society in different legal forms.",
          "puskesmas": "District or city government establishment is stated for at least one Puskesmas per subdistrict, subject to requirements."
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      },
      "annotation_status": "open",
      "authors": [],
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      "citation": "Republic of Indonesia, Government Regulation No. 28 of 2024, arts. 803 and 817; Presidential Regulation No. 59 of 2024, art. 71.",
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        "description": "Government Regulation 28/2024 arts. 803, 817 pp. 327-332; Presidential Regulation 59/2024 art. 71 p. 27."
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      "statement": "Indonesia's formal rules permit public and societal hospital organizer categories and define JKN payment relationships across first-level and referral-level facilities. The mapping does not treat purchasing as ownership or a measure of private-sector dominance.",
      "tags": [],
      "territory": "Indonesia",
      "title": "Organizer category and JKN purchasing remain distinct",
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          "kind": "url",
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          "url": "https://peraturan.bpk.go.id/Details/294077/pp-no-28-tahun-2024"
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          "kind": "source_reference",
          "source": "Presidential Regulation No. 59 of 2024 on the Third Amendment to Health Insurance Regulation",
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        "mapping_basis": "formal Puskesmas regulation and integrated primary-care guidance",
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        "mapping_id": "candidate-mapping:IDN:relationships-networks:territorial-primary-care-network",
        "source_projection_ids": [
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        "support_state": "candidate_supported",
        "target_slot": "territorial-puskesmas-network-design",
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        "typed_fields": {
          "boundary": "Neither instrument measures actual network membership, coordination frequency, interoperability, or care continuity.",
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          "network_design": "Territorial primary-care network and district-facilitated integrated primary-care functional network.",
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Regulation No. 19 of 2024, arts. 60-78; Ministerial Decree HK.01.07/MENKES/2015/2023, pp. 215-220.",
      "country_ids": [
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      "coverage_domains": [
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      "locator": {
        "description": "Regulation 19/2024 arts. 60-78 pp. 24-31; Integrated PHC Guidance pp. 215-220."
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      "statement": "Puskesmas are assigned territorial primary-care network coordination, while the 2023 guidance proposes district-facilitated coordination with other first-level facilities around pathways and monitoring. These sources describe design, not measured integration.",
      "tags": [],
      "territory": "Indonesia; guidance includes district facilitation",
      "title": "Primary-care network is a formal design",
      "urls": [
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          "kind": "url",
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          "url": "https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/2023kepmenkes2015.pdf"
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    },
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        "mapping_basis": "formal Puskesmas accountability rule and WHO four-district reported evidence",
        "mapping_group": "decision_rights_and_autonomy",
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        "support_state": "candidate_supported",
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        "typed_fields": {
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Regulation No. 19 of 2024, arts. 49 and 58-59; WHO Indonesia, Public financial management for effective financing of Puskesmas services, 2026.",
      "country_ids": [
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      "coverage_domains": [
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      "display_status": "shown_in_full",
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      "evidence_mode": "reported",
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      "locator": {
        "description": "Regulation 19/2024 art. 49, arts. 58-59 pp. 21, 23-24; WHO brief pp. 3, 8-10."
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      "source_layers": [
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      "statement": "A formal accountability relationship coexists with reported, four-district variation in Puskesmas operating discretion. The different evidence types and territorial scopes are kept separate.",
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      "territory": "Indonesia; WHO evidence limited to four districts",
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          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/indonesia/news/publications/other-documents/policy-brief--public-financial-management-for-effective-financing-of-puskesmas-services-in-indonesia"
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    },
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      },
      "source_layers": [],
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      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "496595d2f32fd61b9afc74743d3ae36e360acf15e9cb4eba40500fcca02f7b9a"
      },
      "statement": "A Puskesmas is formally placed as a functional organization and technical implementing unit under, and accountable to, the district or city health-office head.",
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        {
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          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/373654/permenkes-no-19-tahun-2024.pdf"
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      ]
    },
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      "analytical_mapping": {},
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      "citation": "A regional public-hospital director has specified budget, asset, and staff-management roles but remains accountable through the regional health administration.",
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      "notes": [
        "Confirm province and district variants separately and collect facility bylaws.",
        "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."
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      },
      "source_layers": [],
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      "source_version": {
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        "response_sha256": "45122b4567cd3b66bb9d09ce201805a4904245c48150d176fb5872e112b83a84"
      },
      "statement": "A regional public-hospital director has specified budget, asset, and staff-management roles but remains accountable through the regional health administration.",
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      "title": "A regional public-hospital director has specified budget, asset, and staff-management roles but remains accountable through the regional health administration.",
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          "url": "https://peraturan.bpk.go.id/Details/122033/pp-no-72-tahun-2019"
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        {
          "kind": "resolved_document",
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          "url": "https://peraturan.bpk.go.id/Download/112819/PP%20Nomor%2072%20Tahun%202019.pdf"
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    },
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      "authors": [],
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      "citation": "BPJS Kesehatan is a public-law body responsible to the President and administers the health-insurance programme.",
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      "material_id": "material:cf0828a99da5a8c0d2f4ad7b",
      "notes": [
        "Verify later statutory and judicial-review history.",
        "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",
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      "source_layers": [],
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      "source_version": {
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        "response_sha256": "eab2d907820217df459886bd380c578c93c196f009fd48a88e3af8d931c74eb6"
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      "statement": "BPJS Kesehatan is a public-law body responsible to the President and administers the health-insurance programme.",
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      "title": "BPJS Kesehatan is a public-law body responsible to the President and administers the health-insurance programme.",
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    {
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      "citation": "BPJS has formal authority to agree provider-payment amounts within government tariff standards and to create or end contracts with health facilities.",
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      "material_id": "material:d9e3f62f108753bd096eab9d",
      "notes": [
        "Link to current implementing rules and sampled agreements.",
        "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": "From 2011-11-25",
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      "source_layers": [],
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      "source_version": {
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      "statement": "BPJS has formal authority to agree provider-payment amounts within government tariff standards and to create or end contracts with health facilities.",
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    {
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      "citation": "Central and regional governments share responsibility for planning, regulating, delivering, supervising, and overseeing health efforts within their legal authority.",
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      "notes": [
        "Determine the exact actor and action asserted in each downstream fact.",
        "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."
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      "origin": "candidate-claims",
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      "source_version": {
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      "citation": "Current JKN rules place BPJS in direct payment relationships with first-level and referral-level facilities using several payment routes.",
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        "Keep methods and amounts in the Payment knob; retain only the purchaser-provider edge here.",
        "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."
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      "origin": "candidate-claims",
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      "title": "Current JKN rules place BPJS in direct payment relationships with first-level and referral-level facilities using several payment routes.",
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          "url": "https://peraturan.bpk.go.id/Details/285181/perpres-no-59-tahun-2024"
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      "citation": "Current Ministry organization includes separate primary and community health, advanced health, disease control, workforce, policy, strategy, data, crisis, and financing bodies.",
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        "Use the amended list and preserve the pre-amendment actor graph for earlier dates.",
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      "citation": "District or city government is formally responsible for meeting health-worker needs in government-owned primary-care facilities, while several central and regional placement routes remain possible.",
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      "citation": "Hospital owners and leaders share formal responsibility for meeting workforce requirements, and either the owner or hospital head may appoint hospital personnel under the implementing rule.",
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        "This does not answer who appoints the hospital's highest leader.",
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      "origin": "candidate-claims",
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      "source_version": {
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        "response_sha256": "86e41b5e0ec3dd77dd877acb861fb44fc0915c771d1268276288e1500b56950c"
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      "statement": "Hospital owners and leaders share formal responsibility for meeting workforce requirements, and either the owner or hospital head may appoint hospital personnel under the implementing rule.",
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      "title": "Hospital owners and leaders share formal responsibility for meeting workforce requirements, and either the owner or hospital head may appoint hospital personnel under the implementing rule.",
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          "kind": "exact_stage_lineage",
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    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
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      "citation": "Hospitals may be organized by central government, regional government, or society, with different formal legal forms for each organizer.",
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      "evidence_mode": "formal",
      "excerpt": null,
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      "locator": {
        "description": "`IDN-PP-2024-28`, art. 817, PDF pp. 331 to 332"
      },
      "material_id": "material:8854cfa4d1e8bf9c03025304",
      "notes": [
        "Resolve each named hospital to its actual owner and legal form.",
        "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": "From 2024-07-26",
      "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": "86e41b5e0ec3dd77dd877acb861fb44fc0915c771d1268276288e1500b56950c"
      },
      "statement": "Hospitals may be organized by central government, regional government, or society, with different formal legal forms for each organizer.",
      "tags": [],
      "territory": null,
      "title": "Hospitals may be organized by central government, regional government, or society, with different formal legal forms for each organizer.",
      "urls": [
        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/294077/pp-no-28-tahun-2024"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Provincial and district or city public hospitals are special regional organizational units with formal autonomy in finance, regional assets, and staffing.",
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        "IDN"
      ],
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      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
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      "locator": {
        "description": "`IDN-PP-2019-72`, arts. 21 and 43, PDF pp. 5 and 13 to 14"
      },
      "material_id": "material:a8330df285525d501edd3023",
      "notes": [
        "Test interaction with later law and measure autonomy by domain, not one score.",
        "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",
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      "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": [],
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      "source_version": {
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        "response_sha256": "45122b4567cd3b66bb9d09ce201805a4904245c48150d176fb5872e112b83a84"
      },
      "statement": "Provincial and district or city public hospitals are special regional organizational units with formal autonomy in finance, regional assets, and staffing.",
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      "title": "Provincial and district or city public hospitals are special regional organizational units with formal autonomy in finance, regional assets, and staffing.",
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        {
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        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/112819/PP%20Nomor%2072%20Tahun%202019.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Puskesmas formally coordinate a territorial primary-care network that includes administrative, educational, workplace, referral, and cross-sector structures.",
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        "IDN"
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      "display_status": "shown_in_full",
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      "evidence_mode": "formal",
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      },
      "material_id": "material:6c6213ab492d9eac80c014d5",
      "notes": [
        "Build separate relationship edges for each network type.",
        "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",
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        "source_url_linked_by_exact_stage_lineage": true,
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [],
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      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "496595d2f32fd61b9afc74743d3ae36e360acf15e9cb4eba40500fcca02f7b9a"
      },
      "statement": "Puskesmas formally coordinate a territorial primary-care network that includes administrative, educational, workplace, referral, and cross-sector structures.",
      "tags": [],
      "territory": null,
      "title": "Puskesmas formally coordinate a territorial primary-care network that includes administrative, educational, workplace, referral, and cross-sector structures.",
      "urls": [
        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/373654/permenkes-no-19-tahun-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Puskesmas formally organize and coordinate primary health services in their defined working areas.",
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        "IDN"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
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      "locator": {
        "description": "`IDN-MOH-2024-19`, arts. 2 to 3, PDF pp. 3 to 5"
      },
      "material_id": "material:3f9b1ca69922e055ab8b4dd0",
      "notes": [
        "Account for the two-year conformity period and facility implementation.",
        "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": "From 2024-12-31",
      "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_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": "496595d2f32fd61b9afc74743d3ae36e360acf15e9cb4eba40500fcca02f7b9a"
      },
      "statement": "Puskesmas formally organize and coordinate primary health services in their defined working areas.",
      "tags": [],
      "territory": null,
      "title": "Puskesmas formally organize and coordinate primary health services in their defined working areas.",
      "urls": [
        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/373654/permenkes-no-19-tahun-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Puskesmas funding may come from national, regional, and other lawful sources, and a Puskesmas may use the regional public-service agency financial model.",
      "country_ids": [
        "IDN"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
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      "institution": null,
      "locator": {
        "description": "`IDN-MOH-2024-19`, arts. 88 to 89, PDF p. 34"
      },
      "material_id": "material:f857cad351200d85ca1309ee",
      "notes": [
        "Split source of funds from budget authority and verify each facility's BLUD status.",
        "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": "From 2024-12-31",
      "publication_date": null,
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      "record_kind": "candidate_claim",
      "record_kind_label": "Candidate Claim",
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        "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": "496595d2f32fd61b9afc74743d3ae36e360acf15e9cb4eba40500fcca02f7b9a"
      },
      "statement": "Puskesmas funding may come from national, regional, and other lawful sources, and a Puskesmas may use the regional public-service agency financial model.",
      "tags": [],
      "territory": null,
      "title": "Puskesmas funding may come from national, regional, and other lawful sources, and a Puskesmas may use the regional public-service agency financial model.",
      "urls": [
        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/373654/permenkes-no-19-tahun-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Qualifying public facilities must cooperate with BPJS through written agreements, while qualifying private facilities may do so; BPJS coordinates with the district or city health office for facility cooperation.",
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      "display_status": "shown_in_full",
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      "notes": [
        "Textual triage found no change to art. 67 in the acquired 2019, 2020, or 2024 amendments. Human consolidation review and current credentialing rules are still required.",
        "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.",
        "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL."
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      "origin": "candidate-claims",
      "period": "From 2018-09-18",
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      "record_kind": "candidate_claim",
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        "source_url_linked_by_exact_stage_lineage": true,
        "source_version_linked_by_exact_url": true
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      "source_version": {
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      "territory": null,
      "title": "Qualifying public facilities must cooperate with BPJS through written agreements, while qualifying private facilities may do so; BPJS coordinates with the district or city health office for facility cooperation.",
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        {
          "kind": "exact_stage_lineage",
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      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "The central government sets national health-service standards, while regional governments manage regional programmes and referral systems under national policy.",
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      "material_id": "material:1456682fc147c8c0fc79e8e5",
      "notes": [
        "Map later implementing regulations and avoid overstating central operational control.",
        "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."
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      "origin": "candidate-claims",
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    {
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      "annotation_status": "open",
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      "citation": "The current general referral rule bases referral on medical need and facility capability, with accessibility and quality considered separately from cost.",
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      "notes": [
        "JKN eligibility and operating rules require separate sources.",
        "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."
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      "origin": "candidate-claims",
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        "source_version_linked_from_country_score_acquisition": true
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      "source_layers": [],
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      "source_version": {
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      "title": "The current general referral rule bases referral on medical need and facility capability, with accessibility and quality considered separately from cost.",
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        {
          "kind": "exact_stage_lineage",
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        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/368904/permenkes-no-16-tahun-2024.pdf"
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      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "The district or city health office formally supervises Puskesmas and evaluates performance through a recurring reporting relationship.",
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      "display_status": "shown_in_full",
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      "material_id": "material:add5c66817244e515b416715",
      "notes": [
        "Verify local implementation and distinguish supervision from operation.",
        "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": "From 2024-12-31",
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      "record_kind": "candidate_claim",
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      "title": "The district or city health office formally supervises Puskesmas and evaluates performance through a recurring reporting relationship.",
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        {
          "kind": "exact_stage_lineage",
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          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://peraturan.bpk.go.id/Download/373654/permenkes-no-19-tahun-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "The integrated-PHC guidance proposes a district-facilitated functional network in which Puskesmas coordinate other first-level facilities around care pathways and recurring monitoring.",
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      "coverage_domains": [],
      "display_status": "shown_in_full",
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      "evidence_mode": "reported",
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      "material_id": "material:ae3c20ba6448354941949b23",
      "notes": [
        "Do not infer national implementation from intended design.",
        "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",
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        "source_url_linked_by_exact_stage_lineage": true,
        "source_version_linked_from_country_score_acquisition": true
      },
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      "source_version": {
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        "response_sha256": "1c8754f5294d5b06c2f6402fd993d8c143dd595325e0e6479d4e8c3bc7bd17e3"
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      "statement": "The integrated-PHC guidance proposes a district-facilitated functional network in which Puskesmas coordinate other first-level facilities around care pathways and recurring monitoring.",
      "tags": [],
      "territory": null,
      "title": "The integrated-PHC guidance proposes a district-facilitated functional network in which Puskesmas coordinate other first-level facilities around care pathways and recurring monitoring.",
      "urls": [
        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/2023kepmenkes2015.pdf"
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    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "The referral regulation assigns national policy and national-system roles to central government and management, resources, partnerships, and continuing system development to regional government.",
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        "Requires source-version registration and reviewer annotation.",
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        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
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      "notes": [
        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
        "Preserve sample coverage, study method, uncertainty, and the distinction between reported rules and observed practice.",
        "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.",
        "candidate_label_mixes_reported_and_observed",
        "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.",
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        "response_sha256": "51eb761cdd8296eff1b9071690c73436e3cc2698f33e3bf54cf06962b204beb7"
      },
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      "title": "A 2024 to 2025 four-district review reports materially different operating discretion for sampled BLUD and non-BLUD Puskesmas across several management domains.",
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        {
          "kind": "exact_stage_lineage",
          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://www.who.int/indonesia/news/publications/other-documents/policy-brief--public-financial-management-for-effective-financing-of-puskesmas-services-in-indonesia"
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          "url": "https://cdn.who.int/media/docs/default-source/searo/indonesia/20260220-public-financial-management-policy-brief.pdf?sfvrsn=66312749_4&download=true"
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      "citation": "A Puskesmas is formally placed as a functional organization and technical implementing unit under, and accountable to, the district or city health-office head.",
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      "coverage_domains": [],
      "display_status": "shown_in_full",
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        "description": "`IDN-MOH-2024-19`, art. 49, PDF p. 21"
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      "material_id": "material:51b605e301bce38f6e91b7db",
      "notes": [
        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
        "Do not relabel organizational placement as ownership of land or assets.",
        "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."
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        "response_sha256": "496595d2f32fd61b9afc74743d3ae36e360acf15e9cb4eba40500fcca02f7b9a"
      },
      "statement": "A Puskesmas is formally placed as a functional organization and technical implementing unit under, and accountable to, the district or city health-office head.",
      "tags": [],
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          "source": "Exact Statement And Locator match across displayed pipeline stages",
          "url": "https://peraturan.bpk.go.id/Details/312837/permenkes-no-19-tahun-2024"
        },
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          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
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      "analytical_mapping": {},
      "annotation_status": "open",
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      "availability": {},
      "citation": "A regional public-hospital director has specified budget, asset, and staff-management roles but remains accountable through the regional health administration.",
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        "description": "`IDN-PP-2019-72`, arts. 21A to 21E and 44 to 44D, PDF pp. 6 to 9 and 14 to 17"
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      "notes": [
        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
        "Confirm province and district variants separately and collect facility bylaws.",
        "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."
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          "url": "https://peraturan.bpk.go.id/Details/122033/pp-no-72-tahun-2019"
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          "kind": "resolved_document",
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      "availability": {},
      "citation": "BPJS Kesehatan is a public-law body responsible to the President and administers the health-insurance programme.",
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      "notes": [
        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
        "Verify later statutory and judicial-review history.",
        "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."
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      "notes": [
        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
        "Link to current implementing rules and sampled agreements.",
        "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.",
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        "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."
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        "Do not infer private dominance from facility count alone.",
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        "Do not infer decentralization from federalism alone.",
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        "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.",
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        "Do not infer competition from provider count.",
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        "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.",
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        "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."
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        "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."
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        "Use the amended list and preserve the pre-amendment actor graph for earlier dates.",
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        "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.",
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        "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.",
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        "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 is linked from another displayed stage record with the exact same source URL."
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        "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.",
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        "Do not infer decentralization from federalism alone.",
        "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.",
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        "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.",
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        "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.",
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        "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.",
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        {
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        "Heuristic flags are prompts for annotation and do not alter the displayed source record.",
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        "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.",
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        "Do not infer private dominance from facility count alone.",
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        "Provider count does not establish competition",
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        "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.",
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        "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.",
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        "Do not infer integration from common ownership.",
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        "Do not infer private dominance from facility count alone.",
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        "Do not infer competition from provider count.",
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        "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.",
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        "Do not infer provider autonomy from ownership alone.",
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        "Do not infer gatekeeping from primary care presence.",
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        "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.",
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        "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.",
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        "Build separate relationship edges for each network type.",
        "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.",
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        "Do not infer decentralization from federalism alone.",
        "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.",
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        "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.",
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        "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.",
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        "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."
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        "Administrative boundaries do not establish service territories",
        "Do not infer territorial responsibility from administrative boundaries.",
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        "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.",
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        "Do not infer decentralization from federalism alone.",
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        "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.",
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        "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.",
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        "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.",
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        "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."
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        "Common ownership does not establish service integration",
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        "Facility count does not establish private-sector dominance",
        "Do not infer private dominance from facility count alone.",
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        "Do not infer decentralization from federalism alone.",
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        "Legal authority does not establish implementation",
        "Do not infer implementation from legal authority.",
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        "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.",
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        "Do not infer gatekeeping from primary care presence.",
        "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.",
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        "Do not infer competition from provider count.",
        "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.",
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        "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.",
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        "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."
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        "Do not infer private dominance from facility count alone.",
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        "Do not infer decentralization from federalism alone.",
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