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null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "tags": [], "territory": "Kerala", "title": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 8 to 9, PDF pp. 7 to 8" }, "material_id": "material:6f574831a933d9a6634ac17b", "notes": [ "Resolve the selected state's adoption, council, and current rules.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "tags": [], "territory": "Kerala", "title": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 10(1), PDF p. 8" }, "material_id": "material:3b7789c4ffe0a0157d2908b1", "notes": [ "Verify notified authority membership in the selected district.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "tags": [], "territory": "Kerala", "title": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause v(f), PDF p. 4" }, "material_id": "material:a8e7a2bb64e407ff55b07ce6", "notes": [ "Verify denominator, period, exceptions, and actual approvals.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "tags": [], "territory": "Kerala", "title": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospital superintendents are responsible for claim submission and follow-up, 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"previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Hospital superintendents are responsible for claim submission and follow-up, with a superintendent-designated nodal officer monitoring the claim system.", "tags": [], "territory": "Kerala", "title": "Hospital superintendents are responsible for claim submission and follow-up, with a superintendent-designated nodal officer monitoring the claim system.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause vii and para. 5, PDF p. 5" }, "material_id": "material:58ea22bc1a4660e1c6a3a4d3", "notes": [ "Acquire actual statements and monitoring records.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "tags": [], "territory": "Kerala", "title": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause ii, PDF p. 2" }, "material_id": "material:f7eb2949b7483f6235548bba", "notes": [ "Verify bank mandate, segregation, and later finance controls.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "tags": [], "territory": "Kerala", "title": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`KER-KASP-REVISED-GUIDELINES-2026`, heading and paras. 1 to 2, PDF pp. 1 to 2" }, "material_id": "material:1d845a3eac1475fca05b3497", "notes": [ "Confirm commencement and any later amendment or supersession.", "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 order dated 2026-01-15, subject to later-order check", "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": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "tags": [], "territory": "Kerala", "title": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CONSTITUTION-AS-OF-2024-05-01-DIGLOT`, Seventh Schedule, List II, entry 6, PDF p. 694" }, "material_id": "material:ed2f377a5f1462bef41684da", "notes": [ "Complete the amendment delta and broader constitutional review.", "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": "As on 2024-05-01", "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": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "tags": [], "territory": "Kerala", "title": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 37 to 39, PDF p. 12" }, "material_id": "material:81c4dbae999c388b0847b9b6", "notes": [ "Statutory design does not establish portal completeness.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "tags": [], "territory": "Kerala", "title": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 11 to 12, PDF p. 8" }, "material_id": "material:9484ef8efbe86259317840aa", "notes": [ "Current rules define the operative requirements.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "tags": [], "territory": "Kerala", "title": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 5, PDF pp. 6 to 7" }, "material_id": "material:cac9f30c4653c810e8e9e9ac", "notes": [ "Verify current body composition, rules, standards, and implementation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "tags": [], "territory": "Kerala", "title": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-REGISTER`, warning above table" }, "material_id": "material:7a349edb87269e05322b741c", "notes": [ "No visible portal result may be called the national register.", "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": "Retrieved 2026-08-10", "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": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "tags": [], "territory": "Kerala", "title": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 32 to 36, PDF pp. 11 to 12" }, "material_id": "material:16cccba9f11f4234e69af43e", "notes": [ "Acquire actual enforcement orders and appeal outcomes.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "tags": [], "territory": "Kerala", "title": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-ACT-2010`, s. 1, PDF p. 3" }, "material_id": "material:8d66a6e936a479d5e34003b6", "notes": [ "Build a current adoption and commencement ledger for every displayed state.", "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": "Enactment baseline", "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": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "tags": [], "territory": "Kerala", "title": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause v(a), PDF p. 3" }, "material_id": "material:7ed5b981543909942629e19a", "notes": [ "General public-works law and capital budget remain required.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "tags": [], "territory": "Kerala", "title": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clauses iv to v, PDF pp. 3 to 4" }, "material_id": "material:46fd241ef8664ed96481d4c8", "notes": [ "Split every permitted use and approving actor.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "tags": [], "territory": "Kerala", "title": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause i(b), PDF p. 2" }, "material_id": "material:d16fd0f0121e1e073fb1062c", "notes": [ "Acquire controlling grievance rules and named bodies.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "tags": [], "territory": "Kerala", "title": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, visible `Approved Provisional Clinical Establishments` table" }, "material_id": "material:c9e957719d8eaea304bbe607", "notes": [ "Not a national, state-complete, or permanent-registration count. Preserve row scope and warning.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "tags": [], "territory": "Kerala", "title": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, Seventh Schedule, List III, entries 23, 25, 26, and 29, PDF p. 706" }, "material_id": "material:26123f19d3dd255c137bfa79", "notes": [ "A list entry does not identify the current implementing actor or statute.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "As on 2024-05-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "tags": [], "territory": "Kerala", "title": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 2(c), PDF pp. 4 to 5" }, "material_id": "material:921630c64f3ef6c5065811a1", "notes": [ "Verify amendments and state-specific scope or exemptions.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "tags": [], "territory": "Kerala", "title": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, clause vi, PDF p. 4" }, "material_id": "material:80c2626bff45aa69d0c3fe39", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "tags": [], "territory": "Kerala", "title": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, para. 3, PDF p. 5" }, "material_id": "material:6c3e0e449cc98fa0f8857535", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "tags": [], "territory": "Kerala", "title": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 20, PDF p. 9" }, "material_id": "material:459b2ab512cdd37f7a829890", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "tags": [], "territory": "Kerala", "title": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, clause iii(c), PDF pp. 2 to 3" }, "material_id": "material:368c6f76ca15ec95b50500f1", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { 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direction powers subject to statutory procedure and appeal.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 32 to 36, PDF pp. 11 to 12" }, "material_id": "material:5fc98afe91b99ec8b491ddf6", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { 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"https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-ACT-2010`, s. 1, PDF p. 3" }, "material_id": "material:0e4b3c38e46e44930dca64ea", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "tags": [], "territory": "Kerala", "title": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, clause v(a), PDF p. 3" }, "material_id": "material:ca29d85c2a859ba8e6b82004", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "tags": [], "territory": "Kerala", "title": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, clauses iv to v, PDF pp. 3 to 4" }, "material_id": "material:b5f0574acb9616a06eb15154", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "tags": [], "territory": "Kerala", "title": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, clause i(b), PDF p. 2" }, "material_id": "material:234721758e656b228aa81ed3", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "tags": [], "territory": "Kerala", "title": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, visible `Approved Provisional Clinical Establishments` table" }, "material_id": "material:ee99960c1fbfd7e03e8b0580", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "tags": [], "territory": "Kerala", "title": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, Seventh Schedule, List III, entries 23, 25, 26, and 29, PDF p. 706" }, "material_id": "material:8233acb258881c80d0cdcaa2", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "As on 2024-05-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "tags": [], "territory": "Kerala", "title": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 2(c), PDF pp. 4 to 5" }, "material_id": "material:e7fd207360576f696ffcd931", "notes": [ "Requires source-version registration and reviewer annotation.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-evidence", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "tags": [], "territory": "Kerala", "title": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause vi, PDF p. 4" }, "material_id": "material:47842e41d8d8eb825eedb428", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Review the page image because extracted list ordering needs visual confirmation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "tags": [], "territory": "Kerala", "title": "A hospital executive committee composed of specified clinical, nursing, stores, administrative, and technical roles decides expenditure from insurance claim revenue.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, para. 3, PDF p. 5" }, "material_id": "material:c062db6ddb6630d724f287e8", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify account creation, calculation, bids, approvals, transfers, and later orders.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "tags": [], "territory": "Kerala", "title": "A hospital spending below 60 percent of annual claim revenue transfers the difference to 60 percent into a challenge-fund route for government-approved proposals from other hospitals.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 20, PDF p. 9" }, "material_id": "material:673e8bd5c2ed304970cbbd00", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Separate registration consequences from corporate or asset-transfer law.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "semicolon_clause_boundary", "while_clause_boundary", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "tags": [], "territory": "Kerala", "title": "A registration certificate is non-transferable; ownership or management change must be reported, while category or location change requires surrender and a fresh application.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause iii(c), PDF pp. 2 to 3" }, "material_id": "material:7245d5666038df6a8d44edf7", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire current medicine lists and procurement rules.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "tags": [], "territory": "Kerala", "title": "A specified hospital committee approves requests for drugs outside the essential-medicines list, and its decisions are separately recorded for audit.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 8 to 9, PDF pp. 7 to 8" }, "material_id": "material:deec356ed21a6c748062861b", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Resolve the selected state's adoption, council, and current rules.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "tags": [], "territory": "Kerala", "title": "An applicable State Government constitutes a State Council that maintains the State Register, sends monthly national returns, hears specified appeals, and reports annually on standards implementation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 10(1), PDF p. 8" }, "material_id": "material:5b86e75544fa2eec4417fd72", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify notified authority membership in the selected district.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "tags": [], "territory": "Kerala", "title": "An applicable State Government establishes a district registering authority chaired by the District Collector with the District Health Officer as convenor.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause v(f), PDF p. 4" }, "material_id": "material:8494a6635e9dc39cc5368e02", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify denominator, period, exceptions, and actual approvals.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "tags": [], "territory": "Kerala", "title": "Claim-revenue-funded personnel hiring is capped at 40 percent and requires prior permission from the Director of Health Services or Director of Medical Education.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospital superintendents are responsible for claim submission and follow-up, with a superintendent-designated nodal officer monitoring the claim system.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause i(a) to (e), PDF p. 2" }, "material_id": "material:ad53e0fd763e0c42ea67c34d", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Separate provider submission from payer adjudication and audit.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Hospital superintendents are responsible for claim submission and follow-up, with a superintendent-designated nodal officer monitoring the claim system.", "tags": [], "territory": "Kerala", "title": "Hospital superintendents are responsible for claim submission and follow-up, with a superintendent-designated nodal officer monitoring the claim system.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause vii and para. 5, PDF p. 5" }, "material_id": "material:0c52f8762c36211f16b2f75a", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire actual statements and monitoring records.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "tags": [], "territory": "Kerala", "title": "Hospitals report monthly receipts and expenditure through district or directorate channels to the State Health Agency.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause ii, PDF p. 2" }, "material_id": "material:d45a7c7249f9b3207f500399", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify bank mandate, segregation, and later finance controls.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "tags": [], "territory": "Kerala", "title": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`KER-KASP-REVISED-GUIDELINES-2026`, heading and paras. 1 to 2, PDF pp. 1 to 2" }, "material_id": "material:b57c60ad31866d92b35d716c", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Confirm commencement and any later amendment or supersession.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From order dated 2026-01-15, subject to later-order check", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "tags": [], "territory": "Kerala", "title": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CONSTITUTION-AS-OF-2024-05-01-DIGLOT`, Seventh Schedule, List II, entry 6, PDF p. 694" }, "material_id": "material:549f7f71fe996f42f87d9e34", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Complete the amendment delta and broader constitutional review.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "As on 2024-05-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "tags": [], "territory": "Kerala", "title": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 37 to 39, PDF p. 12" }, "material_id": "material:54b30bd9152105b548714327", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Statutory design does not establish portal completeness.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "tags": [], "territory": "Kerala", "title": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 11 to 12, PDF p. 8" }, "material_id": "material:1140ed600d537c2fcfac15c9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Current rules define the operative requirements.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "tags": [], "territory": "Kerala", "title": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 5, PDF pp. 6 to 7" }, "material_id": "material:38fa1227753f3abd8801a678", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify current body composition, rules, standards, and implementation.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "tags": [], "territory": "Kerala", "title": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-REGISTER`, warning above table" }, "material_id": "material:5c276ef51fa21c8c554bfdc6", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "No visible portal result may be called the national register.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "tags": [], "territory": "Kerala", "title": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, ss. 32 to 36, PDF pp. 11 to 12" }, "material_id": "material:6e15d5d53f46a318ceb651a2", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire actual enforcement orders and appeal outcomes.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "tags": [], "territory": "Kerala", "title": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-ACT-2010`, s. 1, PDF p. 3" }, "material_id": "material:f9b90f79a4a724146fb29e81", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Build a current adoption and commencement ledger for every displayed state.", "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.", "long_claim_28_words_or_more", "semicolon_clause_boundary", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "tags": [], "territory": "Kerala", "title": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause v(a), PDF p. 3" }, "material_id": "material:9a15080c15254654f22065f9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "General public-works law and capital budget remain required.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "tags": [], "territory": "Kerala", "title": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clauses iv to v, PDF pp. 3 to 4" }, "material_id": "material:87c9c57d1e1fdf527945ad3d", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Split every permitted use and approving actor.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "tags": [], "territory": "Kerala", "title": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, clause i(b), PDF p. 2" }, "material_id": "material:6910a6267a958fbd5e13bc37", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire controlling grievance rules and named bodies.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "tags": [], "territory": "Kerala", "title": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, visible `Approved Provisional Clinical Establishments` table" }, "material_id": "material:c8a90123a2338b45f8d7987c", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Not a national, state-complete, or permanent-registration count. Preserve row scope and warning.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "tags": [], "territory": "Kerala", "title": "The portal's visible provisional table totals 185 establishments across the displayed Jammu, Kashmir, Jharkhand, Rajasthan, and Uttar Pradesh rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Same source, Seventh Schedule, List III, entries 23, 25, 26, and 29, PDF p. 706" }, "material_id": "material:1dc0d62a0d8d0cb8974608cb", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "A list entry does not identify the current implementing actor or statute.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "As on 2024-05-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "tags": [], "territory": "Kerala", "title": "The same snapshot places social insurance, medical education, medical professions, and interstate infectious-disease prevention in the Concurrent List.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Same source, s. 2(c), PDF pp. 4 to 5" }, "material_id": "material:b021ad8fc9e85d2d25d20d40", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify amendments and state-specific scope or exemptions.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "tags": [], "territory": "Kerala", "title": "Where applicable, the Act covers specified clinical facilities across government, trust, corporate, local-authority, and single-doctor organizers but excludes Armed Forces establishments.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "India - Country partnership strategy (CAS) completion report review for the period FY09-FY12 : IEG review. 2013. https://documents1.worldbank.org/curated/en/240731468041362074/pdf/764100CORRIGENDUM0R20130005003.pdf", "country_ids": [ "IND" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "partial success in mitigating governance risks Overview of CAS CPS Implementation Lending", "institution": null, "locator": { "physical_pdf_page": 4, "source_word_anchor": "partial success in mitigating governance risks Overview of CAS CPS Implementation Lending", "source_word_count": 12 }, "material_id": "material:aed3c691e8b325b67c568d10", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2013, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e67cc12bb31047f8d0dbaa8e35247561870dde178bf8b23d628219577e7f7fc2", "page_count": 32, "text_sha256": "a6270d4101616e602171b66b94d50c270cc4b6ee78f548b6fe6ed910c3da5434" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "India - Country partnership strategy (CAS) completion report review for the period FY09-FY12 : IEG review", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/240731468041362074/pdf/764100CORRIGENDUM0R20130005003.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NITI Aayog, Ministry of Health and Family Welfare and World Bank. Healthy States, Progressive India: Health Index Round IV 2019-20. 2021. https://www.niti.gov.in/sites/default/files/2023-02/NITI-WB_Health_Index_Report_24-12-21.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "facility_data", "governance", "government_responsibilities", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Governance and Information Domain", "institution": "NITI Aayog, Ministry of Health and Family Welfare and World Bank", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "Governance and Information Domain", "source_word_count": 4 }, "material_id": "material:20200a4f26ab796216bbc283", "notes": [ "Use as dated comparative performance context, not as evidence of authority allocation or facility practice." ], "origin": "country-evidence-improvement-sources", "period": "Health Index Round IV reference year 2019-20; report released 2021", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "6cde38e5f0c0c90a1c19fccda7bf089d477e577b3dcc62ddce15861d51bda5da", "page_count": 198 }, "statement": "The report compares states and union territories using health outcomes, governance and information, and key inputs and processes domains; it does not allocate legal decision rights.", "tags": [], "territory": "India, with state and union-territory comparisons", "title": "Healthy States, Progressive India: Health Index Round IV 2019-20", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.niti.gov.in/sites/default/files/2023-02/NITI-WB_Health_Index_Report_24-12-21.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, India. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/IND/indicator/SH.MED.BEDS.ZS?format=json", "country_ids": [ "IND" ], "coverage_domains": [ "facility_data", "hospital_organization", "market_structure", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Hospital beds per 1,000 people", "institution": "World Bank World Development Indicators", "locator": { "locator_type": "api_resource", "source_word_anchor": "SH.MED.BEDS.ZS", "source_word_count": 1 }, "material_id": "material:61a2e58ae34ec18053770bae", "notes": [ "Use only as an aggregate observed input series. Do not derive provider ownership, autonomy, referral or network conclusions." ], "origin": "country-evidence-improvement-sources", "period": "Indicator series returned by API on 2026-08-21; each observation has its own reference year", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "b588040f063da63ad835b08adf48e6cdaff1dd8cabed9bbb9dc39182e822c9d7" }, "statement": "The API returns a dated national aggregate hospital-bed-density series; it does not identify ownership, facility network membership, patient pathways or decision rights.", "tags": [], "territory": "India national aggregate", "title": "Hospital beds per 1,000 people, India", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/IND/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Selvaraj S, Karan AK, Srivastava S, Bhan N, Mukhopadhyay I. India Health System Review. Health Systems in Transition. Vol. 11 No. 1. World Health Organization Regional Office for South-East Asia; 2022. https://pure.jgu.edu.in/id/eprint/4900/1/India%20health%20system%20review.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "India Health System Review", "institution": "World Health Organization Regional Office for South-East Asia and Asia Pacific Observatory on Health Systems and Policies", "locator": { "locator_type": "pdf_table_of_contents_and_chapter", "source_word_anchor": "Organization and Governance", "source_word_count": 3 }, "material_id": "material:4e4fa3798a6f21caac138485", "notes": [ "This is a 2022 health-system review, not formal authority for a present legal allocation or a facility-level ownership, autonomy, referral-completion or network register." ], "origin": "country-evidence-improvement-sources", "period": "Health-system review published 2022; underlying indicators and policies have their own stated years", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "64dda4cb6a41278d106b7772d3b0902e06e3b213fc9bd653800e80d80a2f1633", "page_count": 328 }, "statement": "This dated Health Systems in Transition review describes India's mixed system, Union, state and district organization, service provision, patient pathways and reforms; it reports, rather than establishes, current legal authority or facility-level practice.", "tags": [], "territory": "India, with state variation described in the review", "title": "India Health System Review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pure.jgu.edu.in/id/eprint/4900/1/India%20health%20system%20review.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health Mission, Ministry of Health and Family Welfare, Government of India. Indian Public Health Standards, accessed 2026-08-22. https://www.nhm.gov.in/index1.php?lang=1&level=3&lid=154&sublinkid=284", "country_ids": [ "IND" ], "coverage_domains": [ "facility_data", "government_responsibilities", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "revised IPHS guidelines on 16th April 2022", "institution": "National Health Mission, Ministry of Health and Family Welfare, Government of India", "locator": { "locator_type": "web_page", "source_word_anchor": "revised IPHS guidelines on 16th April 2022", "source_word_count": 7 }, "material_id": "material:71f3bcc371c2cfa39969ffb5", "notes": [ "The page verifies named standards and facility types only, not facility compliance or service availability." ], "origin": "country-evidence-improvement-sources", "period": "Revised guidelines released 16 April 2022; webpage accessed 2026-08-22", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "3e27e48c63e3d8e74f53d3981c8bb944c566363b2262bc7978c7bd805911fbb3" }, "statement": "The official page identifies revised IPHS guidelines for district and sub-district hospitals, community health centres and Health and Wellness Centre primary and sub-health centres.", "tags": [], "territory": "India", "title": "Indian Public Health Standards", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.nhm.gov.in/index1.php?lang=1&level=3&lid=154&sublinkid=284" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health Mission, Ministry of Health and Family Welfare, Government of India. Public website, accessed 2026-08-21. https://www.nhm.gov.in/", "country_ids": [ "IND" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Institutional Mechanism", "institution": "National Health Mission, Ministry of Health and Family Welfare, Government of India", "locator": { "locator_type": "web_page", "source_word_anchor": "Institutional Mechanism", "source_word_count": 2 }, "material_id": "material:bc85ab91bf8fb14f5d447ebd", "notes": [ "The site verifies named official information surfaces only. It is not used to infer unlisted operational authority or implementation performance." ], "origin": "country-evidence-improvement-sources", "period": "Public information surface accessed 2026-08-21", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "669f3b32a4c69e8287bfc4d29bd82dec06e6b3aaf496f07c6680ca5c04cc5e21" }, "statement": "The official National Health Mission site identifies institutional mechanisms, state annual-plan materials, community-action resources and health-systems-strengthening information surfaces.", "tags": [], "territory": "India", "title": "National Health Mission public website", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.nhm.gov.in/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Family Welfare, Government of India. National Urban Health Mission: Framework for Implementation. 2013. https://nhm.gov.in/images/pdf/NUHM/Implementation_Framework_NUHM.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Levels of service delivery", "institution": "Ministry of Health and Family Welfare, Government of India", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "Levels of service delivery", "source_word_count": 4 }, "material_id": "material:5e9ae2c74dcb341d83adacd4", "notes": [ "This framework records intended urban design in 2013. It does not establish current national implementation, referral completion or patient bypass behaviour." ], "origin": "country-evidence-improvement-sources", "period": "Implementation framework published 2013", "publication_date": null, "publication_year": 2013, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "4927f219789a6275853ee8514bc5215b354749f53fe0ad729102915238d197bb", "page_count": 78 }, "statement": "The framework sets out a formal urban service architecture spanning community outreach, urban primary health centres and urban community health centres, with referral functions specified by level.", "tags": [], "territory": "Urban areas covered by the National Urban Health Mission framework", "title": "National Urban Health Mission: Framework for Implementation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://nhm.gov.in/images/pdf/NUHM/Implementation_Framework_NUHM.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Family Welfare, Government of India. Ayushman Bharat: Comprehensive Primary Health Care through Health and Wellness Centers: Operational Guidelines. 2018. https://nhm.gov.in/New_Updates_2018/NHM_Components/Health_System_Stregthening/Comprehensive_primary_health_care/letter/Operational_Guidelines_For_CPHC.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Ensure continuity of care with a two way referral system", "institution": "Ministry of Health and Family Welfare, Government of India", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "Ensure continuity of care with a two way referral system", "source_word_count": 10 }, "material_id": "material:e14c070c128b49a15f2076e0", "notes": [ "Use as a 2018 formal design only; do not infer implementation, completion or patient behaviour." ], "origin": "country-evidence-improvement-sources", "period": "Operational guidelines published 2018", "publication_date": null, "publication_year": 2018, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "14b5075290cfa1a75e768ffe34c1df688e6ef3480ea38d9edb9a2a7b618c36da", "page_count": 96 }, "statement": "The operational guidelines set out Health and Wellness Centres, linked referral facilities and intended two-way referral support; they do not measure implementation or completed referrals.", "tags": [], "territory": "India, with state contextual variation explicitly noted", "title": "Operational Guidelines for Comprehensive Primary Health Care", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://nhm.gov.in/New_Updates_2018/NHM_Components/Health_System_Stregthening/Comprehensive_primary_health_care/letter/Operational_Guidelines_For_CPHC.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, India. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/IND/indicator/SH.MED.PHYS.ZS?format=json", "country_ids": [ "IND" ], "coverage_domains": [ "facility_data", "market_structure", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Physicians per 1,000 people", "institution": "World Bank World Development Indicators", "locator": { "locator_type": "api_resource", "source_word_anchor": "SH.MED.PHYS.ZS", "source_word_count": 1 }, "material_id": "material:b7b4e782b0bf28b3ab21abd8", "notes": [ "Use only as an aggregate observed input series. 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"institution": null, "locator": { "description": "KER-KASP-REVISED-GUIDELINES-2026, clause ii, PDF p. 2" }, "material_id": "display-evidence:IND:909e27933c7cab33bc23", "notes": [ "Verify bank mandate, segregation, and later finance controls.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "tags": [], "territory": "Kerala", "title": "Insurance reimbursements are deposited in a separate account jointly operated through specified hospital administrative roles and not in the HMC, HDC, or HDS account.", "urls": [ { "kind": "source_reference", "source": "Kerala State Health Agency", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.. https://sha.kerala.gov.in/?lang=en&page_id=108", "country_ids": [ "IND" ], "coverage_domains": [ "financing_relationship", "governance", "hospital_organization", "oversight" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`KER-KASP-REVISED-GUIDELINES-2026`, heading and paras. 1 to 2, PDF pp. 1 to 2" }, "material_id": "display-evidence:IND:9fd0000f03d1e4ebf6fd", "notes": [ "Confirm commencement and any later amendment or supersession.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "From order dated 2026-01-15, subject to later-order check", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "tags": [], "territory": "Kerala", "title": "Kerala's January 2026 order sets revised claim-revenue-use rules for government hospitals under AB-PMJAY and KASP and supersedes seven named prior orders on that subject.", "urls": [ { "kind": "source_reference", "source": "Kerala State Health Agency", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.. https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India", "country_ids": [ "IND" ], "coverage_domains": [ "governance", "hospital_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CONSTITUTION-AS-OF-2024-05-01-DIGLOT`, Seventh Schedule, List II, entry 6, PDF p. 694" }, "material_id": "display-evidence:IND:7461c6236c5a813264c4", "notes": [ "Complete the amendment delta and broader constitutional review.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "As on 2024-05-01", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "6ffbf7df1065822ebf198d5bdd0c9d1d8642027af36d720455280ad4becc9cfd" }, "statement": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "tags": [], "territory": "Kerala", "title": "The 2024 Constitution snapshot places public health and sanitation, hospitals, and dispensaries in the State List.", "urls": [ { "kind": "source_reference", "source": "Constitution of India download", "url": "https://www.legislative.gov.in/documents/constitution-of-india/constitution-of-india-AjN2EjMtQWa?pageTitle=Constitution-of-India" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.. https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "ownership_boundary", "registry_scope", "territorial_governance" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "IND-CLINICAL-ESTABLISHMENTS-ACT-2010, ss. 37 to 39, PDF p. 12" }, "material_id": "display-evidence:IND:ed263ee33a9a3e827cbd", "notes": [ "Statutory design does not establish portal completeness.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "tags": [], "territory": "Kerala", "title": "The Act designs a digital reporting chain from district registers to State Registers and an amalgamated National Register.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments Act 2010", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.. https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "ownership_boundary", "registry_scope", "territorial_governance" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "IND-CLINICAL-ESTABLISHMENTS-ACT-2010, ss. 11 to 12, PDF p. 8" }, "material_id": "display-evidence:IND:ee7014f979ff1b27f96b", "notes": [ "Current rules define the operative requirements.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "tags": [], "territory": "Kerala", "title": "The Act prohibits operation of a covered clinical establishment without registration and links continued registration to standards, personnel, records, reporting, and emergency stabilization.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments Act 2010", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.. https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "ownership_boundary", "registry_scope", "territorial_governance" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "IND-CLINICAL-ESTABLISHMENTS-ACT-2010, s. 5, PDF pp. 6 to 7" }, "material_id": "display-evidence:IND:d7f492b14ef22f7459fb", "notes": [ "Verify current body composition, rules, standards, and implementation.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "tags": [], "territory": "Kerala", "title": "The National Council's statutory functions include compiling the national register, classifying establishments, developing standards, and collecting statistics.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments Act 2010", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.. https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register", "country_ids": [ "IND" ], "coverage_domains": [ "health_system_organization" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-REGISTER`, warning above table" }, "material_id": "display-evidence:IND:581d86450d6da1c8b5f0", "notes": [ "No visible portal result may be called the national register.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Retrieved 2026-08-10", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "978623d90171173384b180b3e8b8b69ad8e40108d67e25d8d803ce2096e9ac55" }, "statement": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "tags": [], "territory": "Kerala", "title": "The acquired portal explicitly says the new clinical-establishment portal is not officially launched and directs users to state nodal officers for offline registration.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments national-register portal", "url": "https://www.clinicalestablishments.mohfw.gov.in/portal/cerrs/national-register" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.. https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "ownership_boundary", "registry_scope", "territorial_governance" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "IND-CLINICAL-ESTABLISHMENTS-ACT-2010, ss. 32 to 36, PDF pp. 11 to 12" }, "material_id": "display-evidence:IND:43c57ab77b7a16233327", "notes": [ "Acquire actual enforcement orders and appeal outcomes.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Conditional on state applicability and commencement", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "tags": [], "territory": "Kerala", "title": "The district authority has formal cancellation, inspection, inquiry, entry, and direction powers subject to statutory procedure and appeal.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments Act 2010", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.. https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf", "country_ids": [ "IND" ], "coverage_domains": [ "ownership_boundary", "registry_scope", "territorial_governance" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`IND-CLINICAL-ESTABLISHMENTS-ACT-2010`, s. 1, PDF p. 3" }, "material_id": "display-evidence:IND:9518cf42f7d69ae725c9", "notes": [ "Build a current adoption and commencement ledger for every displayed state.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "Enactment baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "application/pdf", "page_count": 18, "response_sha256": "da7a049eff3a872cc7cff54f897ba5acf16a2740bf72d17d3526536813cbc3a6" }, "statement": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "tags": [], "territory": "Kerala", "title": "The national Clinical Establishments Act does not apply uniformly by its own terms; initial states and Union territories are named, while another state enters through article 252 adoption and state-specific commencement.", "urls": [ { "kind": "source_reference", "source": "Clinical Establishments Act 2010", "url": "https://www.clinicalestablishments.mohfw.gov.in/sites/default/files/2023-06/Act%202010-23.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.. https://sha.kerala.gov.in/?lang=en&page_id=108", "country_ids": [ "IND" ], "coverage_domains": [ "financing_relationship", "governance", "hospital_organization", "oversight" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "KER-KASP-REVISED-GUIDELINES-2026, clause v(a), PDF p. 3" }, "material_id": "display-evidence:IND:8d0ad58cef53be34b7dd", "notes": [ "General public-works law and capital budget remain required.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "tags": [], "territory": "Kerala", "title": "The order excludes original construction and subjects maintenance or renovation to estimate and technical-sanction routes.", "urls": [ { "kind": "source_reference", "source": "Kerala State Health Agency", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.. https://sha.kerala.gov.in/?lang=en&page_id=108", "country_ids": [ "IND" ], "coverage_domains": [ "financing_relationship", "governance", "hospital_organization", "oversight" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "KER-KASP-REVISED-GUIDELINES-2026, clauses iv to v, PDF pp. 3 to 4" }, "material_id": "display-evidence:IND:98e079de1f03a0bb7a53", "notes": [ "Split every permitted use and approving actor.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "tags": [], "territory": "Kerala", "title": "The order permits listed uses of claim revenue for diagnostics, equipment, maintenance, consumables, infrastructure modification, and technical personnel under specified controls.", "urls": [ { "kind": "source_reference", "source": "Kerala State Health Agency", "url": "https://sha.kerala.gov.in/?lang=en&page_id=108" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": false }, "citation": "The order routes disputed rejected claims from the hospital to a District Grievance Redressal Committee and then potentially to state level.. https://sha.kerala.gov.in/?lang=en&page_id=108", "country_ids": [ "IND" ], "coverage_domains": [ "financing_relationship", "governance", "hospital_organization", "oversight" ], "display_status": "shown_in_full", "document_type": "candidate_fact", "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "KER-KASP-REVISED-GUIDELINES-2026, clause i(b), PDF p. 2" }, "material_id": "display-evidence:IND:54d340d9dc6f8f69db35", "notes": [ "Acquire controlling grievance rules and named bodies.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-fact-projection", "period": "2026 order baseline", "publication_date": null, "publication_year": null, "record_kind": "displayed_source_linked_statement", "record_kind_label": "Displayed source-linked statement", "screening": { "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "country_source_locator" ], "source_system": "country_source_locator", "source_version": { "detected_media_type": "text/html", "response_sha256": "64aa6e7a70f13bba391ca5ac2ba30df18e7293a044da5c8ae1fb82743f1fb1e0" }, "statement": "The 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