{
  "schema_version": "1.0.0",
  "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation",
  "country": {
    "iso3": "TUR",
    "name": "Türkiye",
    "aliases": [
      "Türkiye",
      "Turkiye",
      "Turkey"
    ],
    "type": "country",
    "who_region": "EUR",
    "who_region_source": "EUR",
    "wb_region": "Europe & Central Asia",
    "income_group": "upper_middle",
    "first_year": 2000,
    "last_core_year": 2023
  },
  "build": {
    "version": "2026-08-23+6c22928b",
    "built_at": "2026-08-23T06:47:49Z"
  },
  "summary": {
    "direct_typed_sources": 0,
    "direct_typed_claims": 0,
    "direct_typed_relationships": 0,
    "direct_typed_decision_rights": 0,
    "candidate_sources": 1,
    "candidate_facts": 0,
    "exact_contexts": 0,
    "source_linked_analytical_mappings": 10,
    "source_linked_analytical_object_rows": 25,
    "all_material_records": 24,
    "library_document_candidates": 1,
    "candidate_queue_records": 22,
    "current_public_projection_records": 1
  },
  "availability": [
    {
      "domain": "actors",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 9,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "government_responsibilities",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "ownership",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "decision_rights",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 5,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "autonomy",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "primary_care",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 15,
      "exact_context_count": 12,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "hospital_organization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 11,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "referral_design",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "observed_referral",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "networks",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "facility_data",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "utilization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "patient_flows",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "governance",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 11,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "market_structure",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "reform_history",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 4,
      "exact_context_count": 4,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "authoritative_review",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    }
  ],
  "direct_typed_objects": {
    "sources": [],
    "claims": [],
    "actors": [],
    "relationships": [],
    "decision_rights": [],
    "provider_organizations": [],
    "autonomy": [],
    "accountability": [],
    "referrals": [],
    "patient_flows": [],
    "networks": [],
    "integration": [],
    "reforms": []
  },
  "source_linked_analytical_mappings": [
    {
      "mapping_id": "candidate-mapping:TUR:actors-functions:policy-and-implementation",
      "country_id": "TUR",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "policy-and-implementation",
      "support_state": "candidate_supported",
      "mapping_basis": "European Observatory Türkiye country overview",
      "source_projection_ids": [
        "country-improvement-source:TUR:who-observatory-country-overview-2022"
      ],
      "typed_fields": {
        "function": "The overview reports presidential policy-setting and Ministry and provincial implementation.",
        "boundary": "Reported country-overview description; not a complete current allocation of statutory powers."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tur:health-food-policies-council",
            "label": "Health and Food Policies Council",
            "family": "national",
            "display_claim_ids": [
              "display-claim:2eab0c961273807bb9102427"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:2eab0c961273807bb9102427"
          },
          {
            "node_id": "tur:ministry-health",
            "label": "Ministry of Health",
            "family": "national",
            "display_claim_ids": [
              "display-claim:aec20a4a51409079e48b45f4"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:aec20a4a51409079e48b45f4"
          },
          {
            "node_id": "tur:provincial-directorates",
            "label": "Provincial directorates",
            "family": "subnational",
            "display_claim_ids": [
              "display-claim:7b24b84e91173deef89b370c"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:7b24b84e91173deef89b370c"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tur:health-food-policies-council",
            "target_node_id": "tur:ministry-health",
            "relationship": "is reported to set policy for",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:9b4cb5eb3c9b39571402320f"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:9b4cb5eb3c9b39571402320f"
          },
          {
            "source_node_id": "tur:ministry-health",
            "target_node_id": "tur:provincial-directorates",
            "relationship": "is reported with to implement health policies through",
            "relationship_family": "operations",
            "display_claim_ids": [
              "display-claim:a36041261df270fb5d80fbe7"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:a36041261df270fb5d80fbe7"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Health and Food Policies Council",
            "function_label": "Health policy setting",
            "role": "Reported policy-setting role",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:8753ed2f74be0bd1c75ebf42"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:8753ed2f74be0bd1c75ebf42"
          },
          {
            "actor_label": "Ministry of Health",
            "function_label": "Health-policy implementation",
            "role": "Reported implementation role with provincial directorates",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:da26f0cbee89fb3c88e9ad21"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:da26f0cbee89fb3c88e9ad21"
          }
        ]
      },
      "title": "Policy setting and implementation are reported as separated roles",
      "statement": "The 2022 Observatory overview reports policy-setting by the Health and Food Policies Council and implementation by the Ministry and provincial directorates.",
      "excerpt": "the Ministry of Health and provincial directorates implement",
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "url": "https://eurohealthobservatory.who.int/countries/turkiye",
      "locator": "Country overview.",
      "period": "Country overview published 2022; describes 2019 restructuring",
      "territory": "Türkiye",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "decision_rights",
        "governance",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Türkiye health system information",
          "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye",
          "locator": {
            "locator_type": "web_page_sections",
            "sections": [
              "Country overview",
              "Health systems in transition"
            ],
            "source_word_anchor": "the Ministry of Health and provincial directorates implement",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "display_source_id": "display-source:TUR:da91c788637e3d1e6b42810f",
          "source_version_id": "display-source-version:b3e289df57465ad0f0dc8ff0"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:da91c788637e3d1e6b42810f"
      ],
      "source_version_ids": [
        "display-source-version:b3e289df57465ad0f0dc8ff0"
      ],
      "display_claim_ids": [
        "display-claim:e2288f23bc01334275c7c2a8",
        "display-claim:2eab0c961273807bb9102427",
        "display-claim:aec20a4a51409079e48b45f4",
        "display-claim:7b24b84e91173deef89b370c",
        "display-claim:9b4cb5eb3c9b39571402320f",
        "display-claim:a36041261df270fb5d80fbe7",
        "display-claim:8753ed2f74be0bd1c75ebf42",
        "display-claim:da26f0cbee89fb3c88e9ad21"
      ],
      "display_evidence_object_id": "display-claim:e2288f23bc01334275c7c2a8",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:actors-functions:ssi-purchasing",
      "country_id": "TUR",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "ssi-purchasing",
      "support_state": "candidate_supported",
      "mapping_basis": "European Observatory Türkiye country overview",
      "source_projection_ids": [
        "country-improvement-source:TUR:who-observatory-country-overview-2022"
      ],
      "typed_fields": {
        "function": "The overview reports that SSI collects and pools premiums, contracts with providers, and sets health-service tariffs.",
        "boundary": "This source does not specify every contract, tariff, or purchaser decision."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tur:ssi",
            "label": "Social Security Institution",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:830a9c3243cf61452b6dfd6a"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:830a9c3243cf61452b6dfd6a"
          },
          {
            "node_id": "tur:providers",
            "label": "Health providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:3d9933b452ee41fbd67cfcc8"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:3d9933b452ee41fbd67cfcc8"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tur:ssi",
            "target_node_id": "tur:providers",
            "relationship": "is reported to contract with",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:efef67582961dca905011df3"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:efef67582961dca905011df3"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Social Security Institution",
            "function_label": "Premium pooling and provider purchasing",
            "role": "Reported single-payer purchasing functions",
            "actor_family": "purchaser",
            "display_claim_ids": [
              "display-claim:d71e3b179c16e6312f1453c2"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:d71e3b179c16e6312f1453c2"
          }
        ]
      },
      "title": "SSI purchasing functions are reported",
      "statement": "The Observatory overview reports SSI premium pooling, provider contracting and tariff setting, without deriving all purchaser decision rules.",
      "excerpt": "contracts with providers and sets tariffs",
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "url": "https://eurohealthobservatory.who.int/countries/turkiye",
      "locator": "Country overview.",
      "period": "Country overview published 2022",
      "territory": "Türkiye",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "governance",
        "market_structure",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Türkiye health system information",
          "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye",
          "locator": {
            "locator_type": "web_page_sections",
            "sections": [
              "Country overview",
              "Health systems in transition"
            ],
            "source_word_anchor": "the Ministry of Health and provincial directorates implement",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "display_source_id": "display-source:TUR:da91c788637e3d1e6b42810f",
          "source_version_id": "display-source-version:b3e289df57465ad0f0dc8ff0"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:da91c788637e3d1e6b42810f"
      ],
      "source_version_ids": [
        "display-source-version:b3e289df57465ad0f0dc8ff0"
      ],
      "display_claim_ids": [
        "display-claim:cfdbef160405871cc13a3020",
        "display-claim:830a9c3243cf61452b6dfd6a",
        "display-claim:3d9933b452ee41fbd67cfcc8",
        "display-claim:efef67582961dca905011df3",
        "display-claim:d71e3b179c16e6312f1453c2"
      ],
      "display_evidence_object_id": "display-claim:cfdbef160405871cc13a3020",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:decision-autonomy:pcet-bounded-autonomy",
      "country_id": "TUR",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "autonomy",
      "target_slot": "pcet-bounded-autonomy",
      "support_state": "candidate_supported",
      "mapping_basis": "Kringos et al. Primary Care Evaluation Tool study",
      "source_projection_ids": [
        "country-improvement-source:TUR:pcet-primary-care-study-2011"
      ],
      "typed_fields": {
        "autonomy": "The two-province PCET study recorded primary-care organization in 2007-08, but it is not a current autonomy classification.",
        "boundary": "No provider-level workforce, finance, procurement, capital, operations, or service-mix authority is inferred."
      },
      "analytical_objects": {
        "autonomy_cells": [
          {
            "dimension": "Operations",
            "provider_group": "Primary care",
            "authority_label": "Not classified by the two-province study",
            "counterpart": "No current operational autonomy assignment is inferred",
            "display_claim_ids": [
              "display-claim:59c37073c45126bd2bd9732c"
            ],
            "display_source_ids": [
              "display-source:TUR:bb11882681cdc9cc91040907"
            ],
            "source_version_ids": [
              "display-source-version:e971eef39e93e503f2d2efb6"
            ],
            "display_evidence_object_id": "display-claim:59c37073c45126bd2bd9732c"
          }
        ]
      },
      "title": "Primary-care autonomy remains unclassified by this evidence",
      "statement": "The 2007-08 PCET study supports a bounded account of primary-care organization, not a current provider-autonomy classification.",
      "excerpt": "organization and provision of primary care",
      "citation": "Kringos et al., A snapshot of the organization and provision of primary care in Turkey.",
      "url": "https://link.springer.com/article/10.1186/1472-6963-11-90",
      "locator": "Methods; Primary Care Evaluation Tool fieldwork, 2007-08.",
      "period": "Bolu and Eskişehir fieldwork, 2007-08",
      "territory": "Bolu and Eskişehir, Turkey",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "autonomy",
        "primary_care",
        "decision_rights",
        "governance",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "622019e16f944809c4707d71effcfbc024c833ab6c32649d04006c32db736182",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "A snapshot of the organization and provision of primary care in Turkey",
          "citation": "Kringos DS, Boerma WGW, Spaan E, Pellny M. A snapshot of the organization and provision of primary care in Turkey. BMC Health Services Research. 2011;11:90. https://link.springer.com/article/10.1186/1472-6963-11-90",
          "url": "https://link.springer.com/article/10.1186/1472-6963-11-90",
          "locator": {
            "locator_type": "article_section",
            "sections": [
              "Methods",
              "Coordination with other care levels"
            ],
            "source_word_anchor": "There were no mechanisms to promote coordination",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "622019e16f944809c4707d71effcfbc024c833ab6c32649d04006c32db736182",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:pcet-primary-care-study-2011",
          "display_source_id": "display-source:TUR:bb11882681cdc9cc91040907",
          "source_version_id": "display-source-version:e971eef39e93e503f2d2efb6"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:bb11882681cdc9cc91040907"
      ],
      "source_version_ids": [
        "display-source-version:e971eef39e93e503f2d2efb6"
      ],
      "display_claim_ids": [
        "display-claim:ebcd3b74d97ca38ab6942ab7",
        "display-claim:59c37073c45126bd2bd9732c"
      ],
      "display_evidence_object_id": "display-claim:ebcd3b74d97ca38ab6942ab7",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:decision-autonomy:reported-national-policy",
      "country_id": "TUR",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "decisions",
      "target_slot": "reported-national-policy",
      "support_state": "candidate_supported",
      "mapping_basis": "European Observatory Türkiye country overview",
      "source_projection_ids": [
        "country-improvement-source:TUR:who-observatory-country-overview-2022"
      ],
      "typed_fields": {
        "decision": "The overview reports policy-setting under the President and Ministry regulation of medicines and devices.",
        "boundary": "No complete legal hierarchy or current implementation test is inferred."
      },
      "analytical_objects": {
        "decision_cells": [
          {
            "decision_id": "tur:policy-setting",
            "decision_label": "National health policy setting",
            "actor_label": "Health and Food Policies Council",
            "actor_family": "national",
            "role": "Reported policy-setting actor",
            "constraint": "Reported in a 2022 overview describing 2019 restructuring",
            "display_claim_ids": [
              "display-claim:dcbf686e47c8dfc8423628c2"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:dcbf686e47c8dfc8423628c2"
          },
          {
            "decision_id": "tur:medical-regulation",
            "decision_label": "Medicines and medical-device regulation",
            "actor_label": "Ministry of Health",
            "actor_family": "national",
            "role": "Reported regulatory actor",
            "constraint": "The overview does not enumerate regulatory instruments or delegated decisions",
            "display_claim_ids": [
              "display-claim:1bafe1bd8ec4d3f857774f73"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:1bafe1bd8ec4d3f857774f73"
          }
        ]
      },
      "title": "National policy and regulation roles are reported",
      "statement": "The overview reports national policy-setting and Ministry regulation roles, without converting that summary into a complete decision-rights map.",
      "excerpt": "regulation of medicines and medical devices",
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "url": "https://eurohealthobservatory.who.int/countries/turkiye",
      "locator": "Country overview.",
      "period": "Country overview published 2022; describes 2019 restructuring",
      "territory": "Türkiye",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "decision_rights",
        "government_responsibilities",
        "governance",
        "actors",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Türkiye health system information",
          "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye",
          "locator": {
            "locator_type": "web_page_sections",
            "sections": [
              "Country overview",
              "Health systems in transition"
            ],
            "source_word_anchor": "the Ministry of Health and provincial directorates implement",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "display_source_id": "display-source:TUR:da91c788637e3d1e6b42810f",
          "source_version_id": "display-source-version:b3e289df57465ad0f0dc8ff0"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:da91c788637e3d1e6b42810f"
      ],
      "source_version_ids": [
        "display-source-version:b3e289df57465ad0f0dc8ff0"
      ],
      "display_claim_ids": [
        "display-claim:db11609e3823ebdd560192f4",
        "display-claim:dcbf686e47c8dfc8423628c2",
        "display-claim:1bafe1bd8ec4d3f857774f73"
      ],
      "display_evidence_object_id": "display-claim:db11609e3823ebdd560192f4",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:delivery-referrals:ankara-ems-referral-observation",
      "country_id": "TUR",
      "mapping_group": "delivery_and_referrals",
      "target_view": "referrals",
      "target_slot": "ankara-ems-referral-observation",
      "support_state": "candidate_supported",
      "mapping_basis": "Ankara primary-care emergency medical services referral study",
      "source_projection_ids": [
        "country-improvement-source:TUR:ankara-primary-care-referrals-2024"
      ],
      "typed_fields": {
        "referral": "The study analyzes emergency medical services referrals from Ankara primary-care centers to tertiary institutions during 2019-23.",
        "boundary": "This local retrospective sample is not a national referral design or performance estimate."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Ankara primary-care referrals",
            "observation": "Retrospective emergency-transfer referrals to tertiary institutions",
            "scope": "Ankara; 2019-2023; study sample",
            "display_claim_ids": [
              "display-claim:9030772ad5bab8135c508279"
            ],
            "display_source_ids": [
              "display-source:TUR:93910ac5ce104d46afadb8b5"
            ],
            "source_version_ids": [
              "display-source-version:f39aced3aa9d756834459269"
            ],
            "display_evidence_object_id": "display-claim:9030772ad5bab8135c508279"
          }
        ]
      },
      "title": "Ankara emergency-transfer referrals are observed in a bounded study",
      "statement": "A 2019-23 Ankara study observes emergency-transfer referrals from primary-care centers to tertiary institutions and does not establish national practice.",
      "excerpt": "primary care centers located in Ankara, Türkiye",
      "citation": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/",
      "locator": "Abstract; Materials and methods; Results.",
      "period": "Ankara emergency medical services referral data, 2019-2023",
      "territory": "Ankara, Türkiye",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "referral_design",
        "observed_referral",
        "patient_flows",
        "utilization",
        "primary_care",
        "hospital_organization"
      ],
      "source_version": {
        "response_sha256": "ed56588b82fca88e231b57b84d6ca003e5610a5649d232542d848791a352cdfb",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions",
          "citation": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions. 2024. PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/",
          "locator": {
            "locator_type": "article_section",
            "sections": [
              "Abstract",
              "Materials and methods",
              "Results"
            ],
            "source_word_anchor": "primary care centers located in Ankara Türkiye",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "ed56588b82fca88e231b57b84d6ca003e5610a5649d232542d848791a352cdfb",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:ankara-primary-care-referrals-2024",
          "display_source_id": "display-source:TUR:93910ac5ce104d46afadb8b5",
          "source_version_id": "display-source-version:f39aced3aa9d756834459269"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:93910ac5ce104d46afadb8b5"
      ],
      "source_version_ids": [
        "display-source-version:f39aced3aa9d756834459269"
      ],
      "display_claim_ids": [
        "display-claim:fe7f9498d67eb43547e5eed9",
        "display-claim:9030772ad5bab8135c508279"
      ],
      "display_evidence_object_id": "display-claim:fe7f9498d67eb43547e5eed9",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:delivery-referrals:national-input-series",
      "country_id": "TUR",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "national-input-series",
      "support_state": "candidate_supported",
      "mapping_basis": "World Development Indicators API series",
      "source_projection_ids": [
        "country-improvement-source:TUR:world-bank-beds-series-2026",
        "country-improvement-source:TUR:world-bank-physicians-series-2026",
        "country-improvement-source:TUR:world-bank-nurses-series-2026",
        "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026"
      ],
      "typed_fields": {
        "delivery": "The APIs provide national beds, physician, nurse-midwife and expenditure series.",
        "boundary": "National time series are not a provider census, service-delivery assessment, referral-flow measure, or organizational network."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Hospital-bed series",
            "observation": "National beds per 1,000 people series",
            "scope": "Türkiye; returned World Development Indicators time series",
            "display_claim_ids": [
              "display-claim:49185cc128e5b5a9b929c269"
            ],
            "display_source_ids": [
              "display-source:TUR:cbacfa97a46309214d191a38",
              "display-source:TUR:6e60d9c87221465b3df15eeb",
              "display-source:TUR:4e793f109673840247a58aa9",
              "display-source:TUR:a2323ca27f9745c3734c26ac"
            ],
            "source_version_ids": [
              "display-source-version:487b501c7cdd85fc3114a7ac",
              "display-source-version:ed688719fe71f2cf945448e4",
              "display-source-version:166cde2d6226b87812a1bb26",
              "display-source-version:adf2601eac759db58d99e31d"
            ],
            "display_evidence_object_id": "display-claim:49185cc128e5b5a9b929c269"
          },
          {
            "label": "Health-workforce series",
            "observation": "National physician and nurse-midwife per 1,000 people series",
            "scope": "Türkiye; returned World Development Indicators time series",
            "display_claim_ids": [
              "display-claim:34ae1617f2f622a19b66d755"
            ],
            "display_source_ids": [
              "display-source:TUR:cbacfa97a46309214d191a38",
              "display-source:TUR:6e60d9c87221465b3df15eeb",
              "display-source:TUR:4e793f109673840247a58aa9",
              "display-source:TUR:a2323ca27f9745c3734c26ac"
            ],
            "source_version_ids": [
              "display-source-version:487b501c7cdd85fc3114a7ac",
              "display-source-version:ed688719fe71f2cf945448e4",
              "display-source-version:166cde2d6226b87812a1bb26",
              "display-source-version:adf2601eac759db58d99e31d"
            ],
            "display_evidence_object_id": "display-claim:34ae1617f2f622a19b66d755"
          }
        ]
      },
      "title": "National input series are source-linked but bounded",
      "statement": "World Development Indicators supply national input time series, which should not be treated as facility-level delivery or patient-flow evidence.",
      "excerpt": "Hospital beds (per 1,000 people)",
      "citation": "World Bank, World Development Indicators API series for Türkiye.",
      "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
      "locator": "API series SH.MED.BEDS.ZS, SH.MED.PHYS.ZS, SH.MED.NUMW.P3 and SH.XPD.CHEX.GD.ZS.",
      "period": "World Development Indicators time series returned 2026-08-22",
      "territory": "Türkiye",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "official",
      "coverage_domains": [
        "facility_data",
        "utilization",
        "patient_flows",
        "hospital_organization",
        "primary_care",
        "market_structure"
      ],
      "source_version": {
        "response_sha256": "f44d22faff2b66c41b99de537f2dac1ee82118092b4d87bdf26224a62d2ec2fc",
        "detected_media_type": "application/json",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Hospital beds (per 1,000 people), Türkiye",
          "citation": "World Bank. Hospital beds (per 1,000 people), Türkiye (SH.MED.BEDS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.BEDS.ZS",
            "source_word_anchor": "Hospital beds per 1000 people",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "f44d22faff2b66c41b99de537f2dac1ee82118092b4d87bdf26224a62d2ec2fc",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-beds-series-2026",
          "display_source_id": "display-source:TUR:cbacfa97a46309214d191a38",
          "source_version_id": "display-source-version:487b501c7cdd85fc3114a7ac"
        },
        {
          "title": "Physicians (per 1,000 people), Türkiye",
          "citation": "World Bank. Physicians (per 1,000 people), Türkiye (SH.MED.PHYS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.PHYS.ZS",
            "source_word_anchor": "Physicians per 1000 people",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "36c856009cfe06f720072d9f336fe0958b0f2f1dcf1c2f6b0e3d8b6313e672eb",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-physicians-series-2026",
          "display_source_id": "display-source:TUR:6e60d9c87221465b3df15eeb",
          "source_version_id": "display-source-version:ed688719fe71f2cf945448e4"
        },
        {
          "title": "Nurses and midwives (per 1,000 people), Türkiye",
          "citation": "World Bank. Nurses and midwives (per 1,000 people), Türkiye (SH.MED.NUMW.P3), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.NUMW.P3",
            "source_word_anchor": "Nurses and midwives per 1000 people",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "bd43a24ce8725a401839ede61b13f5eb18738eda6a67bc15b19d3e0070a9f8c6",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-nurses-series-2026",
          "display_source_id": "display-source:TUR:4e793f109673840247a58aa9",
          "source_version_id": "display-source-version:166cde2d6226b87812a1bb26"
        },
        {
          "title": "Current health expenditure (% of GDP), Türkiye",
          "citation": "World Bank. Current health expenditure (% of GDP), Türkiye (SH.XPD.CHEX.GD.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.XPD.CHEX.GD.ZS",
            "source_word_anchor": "Current health expenditure percent of GDP",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "672ce878f09ec76cba657b73f1565f4d849c8265347b187939b5c2d147045361",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026",
          "display_source_id": "display-source:TUR:a2323ca27f9745c3734c26ac",
          "source_version_id": "display-source-version:adf2601eac759db58d99e31d"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:cbacfa97a46309214d191a38",
        "display-source:TUR:6e60d9c87221465b3df15eeb",
        "display-source:TUR:4e793f109673840247a58aa9",
        "display-source:TUR:a2323ca27f9745c3734c26ac"
      ],
      "source_version_ids": [
        "display-source-version:487b501c7cdd85fc3114a7ac",
        "display-source-version:ed688719fe71f2cf945448e4",
        "display-source-version:166cde2d6226b87812a1bb26",
        "display-source-version:adf2601eac759db58d99e31d"
      ],
      "display_claim_ids": [
        "display-claim:14ebc5a6dec359992cfa8bf3",
        "display-claim:49185cc128e5b5a9b929c269",
        "display-claim:34ae1617f2f622a19b66d755"
      ],
      "display_evidence_object_id": "display-claim:14ebc5a6dec359992cfa8bf3",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:delivery-referrals:official-statistical-boundary",
      "country_id": "TUR",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "official-statistical-boundary",
      "support_state": "candidate_supported",
      "mapping_basis": "Türkiye Ministry of Health Health Statistics Yearbook 2023 publication page",
      "source_projection_ids": [
        "country-improvement-source:TUR:moh-health-statistics-yearbook-2023"
      ],
      "typed_fields": {
        "delivery": "The Ministry formally publishes a 2023 health-statistics yearbook.",
        "boundary": "The publication page does not itself supply a facility-level delivery, ownership, autonomy, or referral map."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "National health-statistics yearbook",
            "observation": "Official publication page links an English 2023 yearbook",
            "scope": "National statistical publication; values require the linked tables",
            "display_claim_ids": [
              "display-claim:1d09e5b0e1b8b34e64f4d431"
            ],
            "display_source_ids": [
              "display-source:TUR:2d259489775bac0b6d0d1302"
            ],
            "source_version_ids": [
              "display-source-version:e0cfb874a8e0ab6649534138"
            ],
            "display_evidence_object_id": "display-claim:1d09e5b0e1b8b34e64f4d431"
          }
        ],
        "provider_organizations": [
          {
            "label": "Republic of Türkiye Ministry of Health",
            "ownership": "Public national authority",
            "scope": "Official health-statistics publication",
            "display_claim_ids": [
              "display-claim:8c30bea95b97dee4a8357ad0"
            ],
            "display_source_ids": [
              "display-source:TUR:2d259489775bac0b6d0d1302"
            ],
            "source_version_ids": [
              "display-source-version:e0cfb874a8e0ab6649534138"
            ],
            "display_evidence_object_id": "display-claim:8c30bea95b97dee4a8357ad0"
          }
        ]
      },
      "title": "Official delivery statistics are available as a bounded source",
      "statement": "The Ministry's 2023 yearbook publication page identifies a national statistical source but does not itself establish a delivery-network or referral model.",
      "excerpt": "Health Statistics Yearbook 2023",
      "citation": "Republic of Türkiye Ministry of Health, Health Statistics Yearbook 2023.",
      "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
      "locator": "Health Statistics Yearbook 2023 page.",
      "period": "Statistics year 2023; publication page 2025",
      "territory": "Türkiye",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "facility_data",
        "utilization",
        "primary_care",
        "hospital_organization",
        "patient_flows"
      ],
      "source_version": {
        "response_sha256": "498e9134f2662d880b827f2ad2c4093f50603efe39f7e24d043cbefbd09c052d",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Health Statistics Yearbook 2023",
          "citation": "Republic of Türkiye Ministry of Health, General Directorate of Health Information Systems. Health Statistics Yearbook 2023. 2025. https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
          "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
          "locator": {
            "locator_type": "web_page",
            "sections": [
              "Health Statistics Yearbook 2023"
            ],
            "source_word_anchor": "Health Statistics Yearbook 2023",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "498e9134f2662d880b827f2ad2c4093f50603efe39f7e24d043cbefbd09c052d",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:moh-health-statistics-yearbook-2023",
          "display_source_id": "display-source:TUR:2d259489775bac0b6d0d1302",
          "source_version_id": "display-source-version:e0cfb874a8e0ab6649534138"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:2d259489775bac0b6d0d1302"
      ],
      "source_version_ids": [
        "display-source-version:e0cfb874a8e0ab6649534138"
      ],
      "display_claim_ids": [
        "display-claim:ca43b049a409d19dfe08df15",
        "display-claim:1d09e5b0e1b8b34e64f4d431",
        "display-claim:8c30bea95b97dee4a8357ad0"
      ],
      "display_evidence_object_id": "display-claim:ca43b049a409d19dfe08df15",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:relationships-networks:mixed-provider-contracting",
      "country_id": "TUR",
      "mapping_group": "relationships_and_networks",
      "target_view": "public-private",
      "target_slot": "mixed-provider-contracting",
      "support_state": "candidate_supported",
      "mapping_basis": "European Observatory Türkiye country overview",
      "source_projection_ids": [
        "country-improvement-source:TUR:who-observatory-country-overview-2022"
      ],
      "typed_fields": {
        "relationship": "The overview reports predominantly public delivery and private providers that either contract with SSI or serve direct-paying patients.",
        "boundary": "It does not establish individual ownership, contracts, networks, or market shares."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tur:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:62f51bdf78f5accf1269be6c"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:62f51bdf78f5accf1269be6c"
          },
          {
            "node_id": "tur:private-providers",
            "label": "Private providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:fe94f4b1fc271b78a12092de"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:fe94f4b1fc271b78a12092de"
          },
          {
            "node_id": "tur:ssi",
            "label": "Social Security Institution",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:bc2a9bdf480e805492e99219"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:bc2a9bdf480e805492e99219"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tur:ssi",
            "target_node_id": "tur:private-providers",
            "relationship": "is reported to contract with some",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:733e4a79743568767b3def38"
            ],
            "display_source_ids": [
              "display-source:TUR:da91c788637e3d1e6b42810f"
            ],
            "source_version_ids": [
              "display-source-version:b3e289df57465ad0f0dc8ff0"
            ],
            "display_evidence_object_id": "display-claim:733e4a79743568767b3def38"
          }
        ]
      },
      "title": "Mixed public-private provision is reported",
      "statement": "The 2022 overview reports public delivery alongside private providers contracting with SSI or serving direct-paying patients.",
      "excerpt": "Private providers operate within the health system",
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "url": "https://eurohealthobservatory.who.int/countries/turkiye",
      "locator": "Country overview.",
      "period": "Country overview published 2022",
      "territory": "Türkiye",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "ownership",
        "market_structure",
        "hospital_organization",
        "primary_care",
        "networks",
        "governance"
      ],
      "source_version": {
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Türkiye health system information",
          "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye",
          "locator": {
            "locator_type": "web_page_sections",
            "sections": [
              "Country overview",
              "Health systems in transition"
            ],
            "source_word_anchor": "the Ministry of Health and provincial directorates implement",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "display_source_id": "display-source:TUR:da91c788637e3d1e6b42810f",
          "source_version_id": "display-source-version:b3e289df57465ad0f0dc8ff0"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:da91c788637e3d1e6b42810f"
      ],
      "source_version_ids": [
        "display-source-version:b3e289df57465ad0f0dc8ff0"
      ],
      "display_claim_ids": [
        "display-claim:153ea870ccc9dc5d90d263e2",
        "display-claim:62f51bdf78f5accf1269be6c",
        "display-claim:fe94f4b1fc271b78a12092de",
        "display-claim:bc2a9bdf480e805492e99219",
        "display-claim:733e4a79743568767b3def38"
      ],
      "display_evidence_object_id": "display-claim:153ea870ccc9dc5d90d263e2",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:time-reform:health-transition-project-review",
      "country_id": "TUR",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "health-transition-project-review",
      "support_state": "candidate_supported",
      "mapping_basis": "World Bank Turkey Health Transition Project completion review",
      "source_projection_ids": [
        "country-improvement-source:TUR:world-bank-health-transition-project-icr"
      ],
      "typed_fields": {
        "reform": "The World Bank record identifies a historical implementation-completion review for the Turkey Health Transition Project.",
        "boundary": "The record supports historical reform documentation only and is not evidence of current implementation."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "tur:health-transition-project-icr",
            "label": "Health Transition Project implementation-completion review",
            "year": 2011,
            "status": "Historical World Bank completion review record",
            "display_claim_ids": [
              "display-claim:d7aa8afa762dae8c58895331"
            ],
            "display_source_ids": [
              "display-source:TUR:218cff7c4577f081d1e1b690"
            ],
            "source_version_ids": [
              "display-source-version:48755c2cf574dfb8145db4ed"
            ],
            "display_evidence_object_id": "display-claim:d7aa8afa762dae8c58895331"
          }
        ]
      },
      "title": "A historical Health Transition Project review is source-linked",
      "statement": "The World Bank record documents a 2011 implementation-completion review for the Turkey Health Transition Project, not a current performance judgment.",
      "excerpt": "Turkey - Health Transition Project",
      "citation": "World Bank, Turkey - Health Transition Project: Implementation Completion Report Review.",
      "url": "https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195",
      "locator": "Document title and Implementation Completion Report Review record.",
      "period": "Implementation Completion Report Review published 2011",
      "territory": "Turkey",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "official",
      "coverage_domains": [
        "reform_history",
        "government_responsibilities",
        "governance",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "21cabffa070a729cb00b9da4a7f5e7c5c3686361f51adfcda60d70da18ea993f",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Turkey - Health Transition Project",
          "citation": "World Bank. Turkey - Health Transition Project: Implementation Completion Report Review. 2011. https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195",
          "url": "https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195",
          "locator": {
            "locator_type": "web_page",
            "sections": [
              "Turkey - Health Transition Project",
              "Implementation Completion Report Review"
            ],
            "source_word_anchor": "Turkey Health Transition Project",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "21cabffa070a729cb00b9da4a7f5e7c5c3686361f51adfcda60d70da18ea993f",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-health-transition-project-icr",
          "display_source_id": "display-source:TUR:218cff7c4577f081d1e1b690",
          "source_version_id": "display-source-version:48755c2cf574dfb8145db4ed"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:218cff7c4577f081d1e1b690"
      ],
      "source_version_ids": [
        "display-source-version:48755c2cf574dfb8145db4ed"
      ],
      "display_claim_ids": [
        "display-claim:c942cf874f44cabaf1274a1a",
        "display-claim:d7aa8afa762dae8c58895331"
      ],
      "display_evidence_object_id": "display-claim:c942cf874f44cabaf1274a1a",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TUR:time-reform:time-separated-evidence",
      "country_id": "TUR",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "time-separated-evidence",
      "support_state": "candidate_supported",
      "mapping_basis": "2011 HiT, 2022 Observatory overview, 2023 Ministry statistics and time-series sources",
      "source_projection_ids": [
        "country-improvement-source:TUR:who-hit-2011-publication-page",
        "country-improvement-source:TUR:who-observatory-country-overview-2022",
        "country-improvement-source:TUR:moh-health-statistics-yearbook-2023",
        "country-improvement-source:TUR:world-bank-beds-series-2026",
        "country-improvement-source:TUR:world-bank-physicians-series-2026",
        "country-improvement-source:TUR:world-bank-nurses-series-2026",
        "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026"
      ],
      "typed_fields": {
        "time": "The source set deliberately separates a 2011 review, a 2022 country overview, 2023 statistics and retrieved indicator series.",
        "boundary": "No causal reform effect, current practice, or trend interpretation is derived across these unlike sources."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "tur:administrative-restructuring-described",
            "label": "Public-administration restructuring described in the 2022 overview",
            "year": 2019,
            "status": "Reported historical context; not independently verified as a complete reform register",
            "display_claim_ids": [
              "display-claim:1e64fa8bb4d41a70f4346212"
            ],
            "display_source_ids": [
              "display-source:TUR:7f706af83baab14df07240f1",
              "display-source:TUR:da91c788637e3d1e6b42810f",
              "display-source:TUR:2d259489775bac0b6d0d1302",
              "display-source:TUR:cbacfa97a46309214d191a38",
              "display-source:TUR:6e60d9c87221465b3df15eeb",
              "display-source:TUR:4e793f109673840247a58aa9",
              "display-source:TUR:a2323ca27f9745c3734c26ac"
            ],
            "source_version_ids": [
              "display-source-version:e7d5c3f11052c101e96bb569",
              "display-source-version:b3e289df57465ad0f0dc8ff0",
              "display-source-version:e0cfb874a8e0ab6649534138",
              "display-source-version:487b501c7cdd85fc3114a7ac",
              "display-source-version:ed688719fe71f2cf945448e4",
              "display-source-version:166cde2d6226b87812a1bb26",
              "display-source-version:adf2601eac759db58d99e31d"
            ],
            "display_evidence_object_id": "display-claim:1e64fa8bb4d41a70f4346212"
          }
        ]
      },
      "title": "Evidence is intentionally separated by period and method",
      "statement": "Historical reviews, later country synthesis, official statistics and indicator series are shown as time-separated evidence rather than a single current-system claim.",
      "excerpt": "Turkey: health system review 2011",
      "citation": "European Observatory, Ministry of Health and World Bank sources listed in this mapping.",
      "url": "https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011",
      "locator": "2011 publication page; 2022 country overview; 2023 yearbook page; listed APIs.",
      "period": "2011, 2019 context, 2022 overview, 2023 statistics and 2026 retrieval",
      "territory": "Turkey and Türkiye, as named by the respective sources",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "reform_history",
        "authoritative_review",
        "actors",
        "government_responsibilities",
        "facility_data",
        "utilization",
        "patient_flows",
        "governance",
        "market_structure"
      ],
      "source_version": {
        "response_sha256": "6d64307f848f7ba5d950a46a0e6fa9346c04343b2e8119161054c3344e10c1e6",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "source_references": [
        {
          "title": "Turkey: health system review 2011",
          "citation": "Tatar M, Mollahaliloğlu S, Şahin B, Aydın S, Maresso A, Hernández-Quevedo C. Turkey: health system review 2011. Health Systems in Transition. 2011;13(6). European Observatory on Health Systems and Policies. https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011",
          "url": "https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011",
          "locator": {
            "locator_type": "web_page",
            "sections": [
              "Turkey: health system review 2011",
              "Publication details"
            ],
            "source_word_anchor": "Turkey health system review 2011",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "6d64307f848f7ba5d950a46a0e6fa9346c04343b2e8119161054c3344e10c1e6",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-hit-2011-publication-page",
          "display_source_id": "display-source:TUR:7f706af83baab14df07240f1",
          "source_version_id": "display-source-version:e7d5c3f11052c101e96bb569"
        },
        {
          "title": "Türkiye health system information",
          "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye",
          "locator": {
            "locator_type": "web_page_sections",
            "sections": [
              "Country overview",
              "Health systems in transition"
            ],
            "source_word_anchor": "the Ministry of Health and provincial directorates implement",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "display_source_id": "display-source:TUR:da91c788637e3d1e6b42810f",
          "source_version_id": "display-source-version:b3e289df57465ad0f0dc8ff0"
        },
        {
          "title": "Health Statistics Yearbook 2023",
          "citation": "Republic of Türkiye Ministry of Health, General Directorate of Health Information Systems. Health Statistics Yearbook 2023. 2025. https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
          "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
          "locator": {
            "locator_type": "web_page",
            "sections": [
              "Health Statistics Yearbook 2023"
            ],
            "source_word_anchor": "Health Statistics Yearbook 2023",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "498e9134f2662d880b827f2ad2c4093f50603efe39f7e24d043cbefbd09c052d",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:moh-health-statistics-yearbook-2023",
          "display_source_id": "display-source:TUR:2d259489775bac0b6d0d1302",
          "source_version_id": "display-source-version:e0cfb874a8e0ab6649534138"
        },
        {
          "title": "Hospital beds (per 1,000 people), Türkiye",
          "citation": "World Bank. Hospital beds (per 1,000 people), Türkiye (SH.MED.BEDS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.BEDS.ZS",
            "source_word_anchor": "Hospital beds per 1000 people",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "f44d22faff2b66c41b99de537f2dac1ee82118092b4d87bdf26224a62d2ec2fc",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-beds-series-2026",
          "display_source_id": "display-source:TUR:cbacfa97a46309214d191a38",
          "source_version_id": "display-source-version:487b501c7cdd85fc3114a7ac"
        },
        {
          "title": "Physicians (per 1,000 people), Türkiye",
          "citation": "World Bank. Physicians (per 1,000 people), Türkiye (SH.MED.PHYS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.PHYS.ZS",
            "source_word_anchor": "Physicians per 1000 people",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "36c856009cfe06f720072d9f336fe0958b0f2f1dcf1c2f6b0e3d8b6313e672eb",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-physicians-series-2026",
          "display_source_id": "display-source:TUR:6e60d9c87221465b3df15eeb",
          "source_version_id": "display-source-version:ed688719fe71f2cf945448e4"
        },
        {
          "title": "Nurses and midwives (per 1,000 people), Türkiye",
          "citation": "World Bank. Nurses and midwives (per 1,000 people), Türkiye (SH.MED.NUMW.P3), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.MED.NUMW.P3",
            "source_word_anchor": "Nurses and midwives per 1000 people",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "bd43a24ce8725a401839ede61b13f5eb18738eda6a67bc15b19d3e0070a9f8c6",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-nurses-series-2026",
          "display_source_id": "display-source:TUR:4e793f109673840247a58aa9",
          "source_version_id": "display-source-version:166cde2d6226b87812a1bb26"
        },
        {
          "title": "Current health expenditure (% of GDP), Türkiye",
          "citation": "World Bank. Current health expenditure (% of GDP), Türkiye (SH.XPD.CHEX.GD.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_response",
            "series": "SH.XPD.CHEX.GD.ZS",
            "source_word_anchor": "Current health expenditure percent of GDP",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "672ce878f09ec76cba657b73f1565f4d849c8265347b187939b5c2d147045361",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026",
          "display_source_id": "display-source:TUR:a2323ca27f9745c3734c26ac",
          "source_version_id": "display-source-version:adf2601eac759db58d99e31d"
        }
      ],
      "display_source_ids": [
        "display-source:TUR:7f706af83baab14df07240f1",
        "display-source:TUR:da91c788637e3d1e6b42810f",
        "display-source:TUR:2d259489775bac0b6d0d1302",
        "display-source:TUR:cbacfa97a46309214d191a38",
        "display-source:TUR:6e60d9c87221465b3df15eeb",
        "display-source:TUR:4e793f109673840247a58aa9",
        "display-source:TUR:a2323ca27f9745c3734c26ac"
      ],
      "source_version_ids": [
        "display-source-version:e7d5c3f11052c101e96bb569",
        "display-source-version:b3e289df57465ad0f0dc8ff0",
        "display-source-version:e0cfb874a8e0ab6649534138",
        "display-source-version:487b501c7cdd85fc3114a7ac",
        "display-source-version:ed688719fe71f2cf945448e4",
        "display-source-version:166cde2d6226b87812a1bb26",
        "display-source-version:adf2601eac759db58d99e31d"
      ],
      "display_claim_ids": [
        "display-claim:0525c8894b8152871df6a1e4",
        "display-claim:1e64fa8bb4d41a70f4346212"
      ],
      "display_evidence_object_id": "display-claim:0525c8894b8152871df6a1e4",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    }
  ],
  "displayed_evidence": {
    "candidate_sources": [
      {
        "candidate_source_id": "candidate-source:TUR:507a05d0a607ed686474",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Türkiye - Health System Strengthening and Support Project",
        "citation": "World Bank Documents and Reports. Türkiye - Health System Strengthening and Support Project. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
        "citation_string": "World Bank Documents and Reports. Türkiye - Health System Strengthening and Support Project. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
        "publication_year": 2024,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "primary_care"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      }
    ],
    "candidate_facts": [],
    "exact_contexts": []
  },
  "evidence_scorecard": {
    "country_id": "TUR",
    "audit_passed": true,
    "preparation_stage": "direct_typed_mapping",
    "preparation_stage_label": "Explicit analytical mappings",
    "scores": {
      "analytical_mapping_groups": {
        "denominator": 5,
        "numerator": 5,
        "score": 100,
        "unit": "explicit analytical object groups"
      },
      "controlled_domain_leads": {
        "denominator": 17,
        "numerator": 17,
        "score": 100,
        "unit": "controlled domains with displayed candidate leads"
      },
      "material_locator_coverage": {
        "denominator": 24,
        "numerator": 23,
        "score": 96,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 24,
        "numerator": 24,
        "score": 100,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 24,
        "numerator": 23,
        "score": 96,
        "unit": "material records with an immutable source version"
      },
      "source_layer_presence": {
        "denominator": 3,
        "numerator": 3,
        "score": 100,
        "unit": "displayed candidate-source layers"
      }
    },
    "represented_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "missing_domain_ids": [],
    "direct_typed_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "priority_actions": [
      {
        "action_id": "capture-source-versions",
        "detail": "1 of 24 displayed materials do not yet carry a source-version field.",
        "label": "Capture immutable source versions"
      }
    ],
    "review_ready_material_ids": [
      "material:fdff029503b65f4c7eaa685b",
      "material:f26af8d6e5268276e92eeb97",
      "material:e76851d76917f66a2a2796ab",
      "material:e6e82acc3b720a8a43a37628",
      "material:d4192c06e7aeb325b03174e6"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Turkey Health Transition Project completion review",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:TUR:time-reform:health-transition-project-review",
        "source_projection_ids": [
          "country-improvement-source:TUR:world-bank-health-transition-project-icr"
        ],
        "support_state": "candidate_supported",
        "target_slot": "health-transition-project-review",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "The record supports historical reform documentation only and is not evidence of current implementation.",
          "reform": "The World Bank record identifies a historical implementation-completion review for the Turkey Health Transition Project."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Turkey - Health Transition Project: Implementation Completion Report Review.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "authoritative_review",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Turkey - Health Transition Project",
      "institution": null,
      "locator": {
        "description": "Document title and Implementation Completion Report Review record."
      },
      "material_id": "material:b86f78e3c315491335bc6710",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Implementation Completion Report Review published 2011",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "21cabffa070a729cb00b9da4a7f5e7c5c3686361f51adfcda60d70da18ea993f"
      },
      "statement": "The World Bank record documents a 2011 implementation-completion review for the Turkey Health Transition Project, not a current performance judgment.",
      "tags": [],
      "territory": "Turkey",
      "title": "A historical Health Transition Project review is source-linked",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Ankara primary-care emergency medical services referral study",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:TUR:delivery-referrals:ankara-ems-referral-observation",
        "source_projection_ids": [
          "country-improvement-source:TUR:ankara-primary-care-referrals-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "ankara-ems-referral-observation",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "This local retrospective sample is not a national referral design or performance estimate.",
          "referral": "The study analyzes emergency medical services referrals from Ankara primary-care centers to tertiary institutions during 2019-23."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "hospital_organization",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "primary care centers located in Ankara, Türkiye",
      "institution": null,
      "locator": {
        "description": "Abstract; Materials and methods; Results."
      },
      "material_id": "material:f26af8d6e5268276e92eeb97",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Ankara emergency medical services referral data, 2019-2023",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "ed56588b82fca88e231b57b84d6ca003e5610a5649d232542d848791a352cdfb"
      },
      "statement": "A 2019-23 Ankara study observes emergency-transfer referrals from primary-care centers to tertiary institutions and does not establish national practice.",
      "tags": [],
      "territory": "Ankara, Türkiye",
      "title": "Ankara emergency-transfer referrals are observed in a bounded study",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "2011 HiT, 2022 Observatory overview, 2023 Ministry statistics and time-series sources",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:TUR:time-reform:time-separated-evidence",
        "source_projection_ids": [
          "country-improvement-source:TUR:who-hit-2011-publication-page",
          "country-improvement-source:TUR:who-observatory-country-overview-2022",
          "country-improvement-source:TUR:moh-health-statistics-yearbook-2023",
          "country-improvement-source:TUR:world-bank-beds-series-2026",
          "country-improvement-source:TUR:world-bank-physicians-series-2026",
          "country-improvement-source:TUR:world-bank-nurses-series-2026",
          "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "time-separated-evidence",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "No causal reform effect, current practice, or trend interpretation is derived across these unlike sources.",
          "time": "The source set deliberately separates a 2011 review, a 2022 country overview, 2023 statistics and retrieved indicator series."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory, Ministry of Health and World Bank sources listed in this mapping.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "market_structure",
        "patient_flows",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Turkey: health system review 2011",
      "institution": null,
      "locator": {
        "description": "2011 publication page; 2022 country overview; 2023 yearbook page; listed APIs."
      },
      "material_id": "material:82fb774e9e948c70142cfdb9",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2011, 2019 context, 2022 overview, 2023 statistics and 2026 retrieval",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "6d64307f848f7ba5d950a46a0e6fa9346c04343b2e8119161054c3344e10c1e6"
      },
      "statement": "Historical reviews, later country synthesis, official statistics and indicator series are shown as time-separated evidence rather than a single current-system claim.",
      "tags": [],
      "territory": "Turkey and Türkiye, as named by the respective sources",
      "title": "Evidence is intentionally separated by period and method",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011"
        },
        {
          "kind": "source_reference",
          "source": "Türkiye health system information",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        },
        {
          "kind": "source_reference",
          "source": "Health Statistics Yearbook 2023",
          "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html"
        },
        {
          "kind": "source_reference",
          "source": "Hospital beds (per 1,000 people), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Physicians (per 1,000 people), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Nurses and midwives (per 1,000 people), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Current health expenditure (% of GDP), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory Türkiye country overview",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:TUR:relationships-networks:mixed-provider-contracting",
        "source_projection_ids": [
          "country-improvement-source:TUR:who-observatory-country-overview-2022"
        ],
        "support_state": "candidate_supported",
        "target_slot": "mixed-provider-contracting",
        "target_view": "public-private",
        "typed_fields": {
          "boundary": "It does not establish individual ownership, contracts, networks, or market shares.",
          "relationship": "The overview reports predominantly public delivery and private providers that either contract with SSI or serve direct-paying patients."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "governance",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Private providers operate within the health system",
      "institution": null,
      "locator": {
        "description": "Country overview."
      },
      "material_id": "material:e76851d76917f66a2a2796ab",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Country overview published 2022",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c"
      },
      "statement": "The 2022 overview reports public delivery alongside private providers contracting with SSI or serving direct-paying patients.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Mixed public-private provision is reported",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Development Indicators API series",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:TUR:delivery-referrals:national-input-series",
        "source_projection_ids": [
          "country-improvement-source:TUR:world-bank-beds-series-2026",
          "country-improvement-source:TUR:world-bank-physicians-series-2026",
          "country-improvement-source:TUR:world-bank-nurses-series-2026",
          "country-improvement-source:TUR:world-bank-current-health-expenditure-series-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "national-input-series",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "National time series are not a provider census, service-delivery assessment, referral-flow measure, or organizational network.",
          "delivery": "The APIs provide national beds, physician, nurse-midwife and expenditure series."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, World Development Indicators API series for Türkiye.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Hospital beds (per 1,000 people)",
      "institution": null,
      "locator": {
        "description": "API series SH.MED.BEDS.ZS, SH.MED.PHYS.ZS, SH.MED.NUMW.P3 and SH.XPD.CHEX.GD.ZS."
      },
      "material_id": "material:fdff029503b65f4c7eaa685b",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "World Development Indicators time series returned 2026-08-22",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/json",
        "response_sha256": "f44d22faff2b66c41b99de537f2dac1ee82118092b4d87bdf26224a62d2ec2fc"
      },
      "statement": "World Development Indicators supply national input time series, which should not be treated as facility-level delivery or patient-flow evidence.",
      "tags": [],
      "territory": "Türkiye",
      "title": "National input series are source-linked but bounded",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Physicians (per 1,000 people), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Nurses and midwives (per 1,000 people), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100"
        },
        {
          "kind": "source_reference",
          "source": "Current health expenditure (% of GDP), Türkiye",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory Türkiye country overview",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:TUR:decision-autonomy:reported-national-policy",
        "source_projection_ids": [
          "country-improvement-source:TUR:who-observatory-country-overview-2022"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-national-policy",
        "target_view": "decisions",
        "typed_fields": {
          "boundary": "No complete legal hierarchy or current implementation test is inferred.",
          "decision": "The overview reports policy-setting under the President and Ministry regulation of medicines and devices."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "decision_rights",
        "governance",
        "government_responsibilities"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "regulation of medicines and medical devices",
      "institution": null,
      "locator": {
        "description": "Country overview."
      },
      "material_id": "material:cc09c22d88e01afb398a6a78",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Country overview published 2022; describes 2019 restructuring",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c"
      },
      "statement": "The overview reports national policy-setting and Ministry regulation roles, without converting that summary into a complete decision-rights map.",
      "tags": [],
      "territory": "Türkiye",
      "title": "National policy and regulation roles are reported",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Türkiye Ministry of Health Health Statistics Yearbook 2023 publication page",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:TUR:delivery-referrals:official-statistical-boundary",
        "source_projection_ids": [
          "country-improvement-source:TUR:moh-health-statistics-yearbook-2023"
        ],
        "support_state": "candidate_supported",
        "target_slot": "official-statistical-boundary",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "The publication page does not itself supply a facility-level delivery, ownership, autonomy, or referral map.",
          "delivery": "The Ministry formally publishes a 2023 health-statistics yearbook."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Republic of Türkiye Ministry of Health, Health Statistics Yearbook 2023.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "Health Statistics Yearbook 2023",
      "institution": null,
      "locator": {
        "description": "Health Statistics Yearbook 2023 page."
      },
      "material_id": "material:2ee221a3b21c1b151dee8a2d",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Statistics year 2023; publication page 2025",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "498e9134f2662d880b827f2ad2c4093f50603efe39f7e24d043cbefbd09c052d"
      },
      "statement": "The Ministry's 2023 yearbook publication page identifies a national statistical source but does not itself establish a delivery-network or referral model.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Official delivery statistics are available as a bounded source",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory Türkiye country overview",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:TUR:actors-functions:policy-and-implementation",
        "source_projection_ids": [
          "country-improvement-source:TUR:who-observatory-country-overview-2022"
        ],
        "support_state": "candidate_supported",
        "target_slot": "policy-and-implementation",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "Reported country-overview description; not a complete current allocation of statutory powers.",
          "function": "The overview reports presidential policy-setting and Ministry and provincial implementation."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "decision_rights",
        "governance",
        "government_responsibilities"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "the Ministry of Health and provincial directorates implement",
      "institution": null,
      "locator": {
        "description": "Country overview."
      },
      "material_id": "material:e6e82acc3b720a8a43a37628",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Country overview published 2022; describes 2019 restructuring",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c"
      },
      "statement": "The 2022 Observatory overview reports policy-setting by the Health and Food Policies Council and implementation by the Ministry and provincial directorates.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Policy setting and implementation are reported as separated roles",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Kringos et al. Primary Care Evaluation Tool study",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:TUR:decision-autonomy:pcet-bounded-autonomy",
        "source_projection_ids": [
          "country-improvement-source:TUR:pcet-primary-care-study-2011"
        ],
        "support_state": "candidate_supported",
        "target_slot": "pcet-bounded-autonomy",
        "target_view": "autonomy",
        "typed_fields": {
          "autonomy": "The two-province PCET study recorded primary-care organization in 2007-08, but it is not a current autonomy classification.",
          "boundary": "No provider-level workforce, finance, procurement, capital, operations, or service-mix authority is inferred."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kringos et al., A snapshot of the organization and provision of primary care in Turkey.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "organization and provision of primary care",
      "institution": null,
      "locator": {
        "description": "Methods; Primary Care Evaluation Tool fieldwork, 2007-08."
      },
      "material_id": "material:ab9f2b28395b3451b40bfa2b",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Bolu and Eskişehir fieldwork, 2007-08",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "622019e16f944809c4707d71effcfbc024c833ab6c32649d04006c32db736182"
      },
      "statement": "The 2007-08 PCET study supports a bounded account of primary-care organization, not a current provider-autonomy classification.",
      "tags": [],
      "territory": "Bolu and Eskişehir, Turkey",
      "title": "Primary-care autonomy remains unclassified by this evidence",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://link.springer.com/article/10.1186/1472-6963-11-90"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory Türkiye country overview",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:TUR:actors-functions:ssi-purchasing",
        "source_projection_ids": [
          "country-improvement-source:TUR:who-observatory-country-overview-2022"
        ],
        "support_state": "candidate_supported",
        "target_slot": "ssi-purchasing",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "This source does not specify every contract, tariff, or purchaser decision.",
          "function": "The overview reports that SSI collects and pools premiums, contracts with providers, and sets health-service tariffs."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Systems and Policies, Türkiye health system information.",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "government_responsibilities",
        "market_structure"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "contracts with providers and sets tariffs",
      "institution": null,
      "locator": {
        "description": "Country overview."
      },
      "material_id": "material:d4192c06e7aeb325b03174e6",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Country overview published 2022",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c"
      },
      "statement": "The Observatory overview reports SSI premium pooling, provider contracting and tariff setting, without deriving all purchaser decision rules.",
      "tags": [],
      "territory": "Türkiye",
      "title": "SSI purchasing functions are reported",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kringos DS, Boerma WGW, Spaan E, Pellny M. A snapshot of the organization and provision of primary care in Turkey. BMC Health Services Research. 2011;11:90. https://link.springer.com/article/10.1186/1472-6963-11-90",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "autonomy",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "There were no mechanisms to promote coordination",
      "institution": "BMC Health Services Research",
      "locator": {
        "locator_type": "article_section",
        "source_word_anchor": "There were no mechanisms to promote coordination",
        "source_word_count": 7
      },
      "material_id": "material:9fec2282e869c60b6e3a75dc",
      "notes": [
        "The observations are limited to two provinces and 2007-08; they must not be generalized to current national practice."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Primary Care Evaluation Tool fieldwork, 2007-08",
      "publication_date": null,
      "publication_year": 2011,
      "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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "622019e16f944809c4707d71effcfbc024c833ab6c32649d04006c32db736182"
      },
      "statement": "The study reports survey and checklist findings from two provinces in 2007-08, including primary-care coordination and referral practices.",
      "tags": [],
      "territory": "Bolu and Eskişehir, Turkey",
      "title": "A snapshot of the organization and provision of primary care in Turkey",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://link.springer.com/article/10.1186/1472-6963-11-90"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions. 2024. PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "hospital_organization",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "primary care centers located in Ankara, Türkiye",
      "institution": "PubMed Central",
      "locator": {
        "locator_type": "article_section",
        "source_word_anchor": "primary care centers located in Ankara Türkiye",
        "source_word_count": 7
      },
      "material_id": "material:5e91fd7ea3cc2d633e77847e",
      "notes": [
        "This is an Ankara emergency-transfer sample, not a national referral rate, pathway map, or estimate of referral effectiveness."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Retrospective emergency medical services referral data, 2019-2023",
      "publication_date": null,
      "publication_year": 2024,
      "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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "ed56588b82fca88e231b57b84d6ca003e5610a5649d232542d848791a352cdfb"
      },
      "statement": "This retrospective Ankara study describes referrals from primary-care centers to tertiary institutions using emergency medical services data from 2019-2023.",
      "tags": [],
      "territory": "Ankara, Türkiye",
      "title": "An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11237368/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Current health expenditure (% of GDP), Türkiye (SH.XPD.CHEX.GD.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "governance",
        "market_structure",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Current health expenditure (% of GDP)",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_response",
        "source_word_anchor": "Current health expenditure percent of GDP",
        "source_word_count": 6
      },
      "material_id": "material:03a88fae35c876e01b31d7dd",
      "notes": [
        "This aggregate expenditure series cannot establish benefit design, purchasing rules, provider ownership, or financial autonomy."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "World Development Indicators time series returned on 2026-08-22",
      "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": "672ce878f09ec76cba657b73f1565f4d849c8265347b187939b5c2d147045361"
      },
      "statement": "The API returns a national current-health-expenditure-share-of-GDP series for Türkiye; it does not identify purchaser decisions or provider payment terms.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Current health expenditure (% of GDP), Türkiye",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.XPD.CHEX.GD.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Republic of Türkiye Ministry of Health, General Directorate of Health Information Systems. Health Statistics Yearbook 2023. 2025. https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "Health Statistics Yearbook 2023",
      "institution": "Republic of Türkiye Ministry of Health",
      "locator": {
        "locator_type": "web_page",
        "source_word_anchor": "Health Statistics Yearbook 2023",
        "source_word_count": 4
      },
      "material_id": "material:042b7e36bf8fd37a53a8964f",
      "notes": [
        "Use the linked yearbook tables for values; this landing page alone does not identify facility ownership, autonomy, or referral completion."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Statistics year 2023; English yearbook page published 2025",
      "publication_date": null,
      "publication_year": 2025,
      "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": "498e9134f2662d880b827f2ad2c4093f50603efe39f7e24d043cbefbd09c052d"
      },
      "statement": "The Ministry page formally publishes an English Health Statistics Yearbook for 2023; it is a national statistical source, not a referral audit.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Health Statistics Yearbook 2023",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023.html"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Hospital beds (per 1,000 people), Türkiye (SH.MED.BEDS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Hospital beds (per 1,000 people)",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_response",
        "source_word_anchor": "Hospital beds per 1000 people",
        "source_word_count": 5
      },
      "material_id": "material:865ff9064abf976e80da9dd4",
      "notes": [
        "Use the returned year-value pairs only; no provider-network, ownership, capacity-use, or quality inference is licensed by this series."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "World Development Indicators time series returned on 2026-08-22",
      "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": "f44d22faff2b66c41b99de537f2dac1ee82118092b4d87bdf26224a62d2ec2fc"
      },
      "statement": "The API returns a national hospital-beds-per-1,000 series for Türkiye; it does not allocate beds by owner, level, network, or locality.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Hospital beds (per 1,000 people), Türkiye",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Nurses and midwives (per 1,000 people), Türkiye (SH.MED.NUMW.P3), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Nurses and midwives (per 1,000 people)",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_response",
        "source_word_anchor": "Nurses and midwives per 1000 people",
        "source_word_count": 6
      },
      "material_id": "material:1028db9363afb1284a965300",
      "notes": [
        "This aggregate series cannot establish professional roles, team integration, referral behavior, or provider-level autonomy."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "World Development Indicators time series returned on 2026-08-22",
      "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": "bd43a24ce8725a401839ede61b13f5eb18738eda6a67bc15b19d3e0070a9f8c6"
      },
      "statement": "The API returns a national nurses-and-midwives-per-1,000 series for Türkiye; it does not identify care-team organization or facility authority.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Nurses and midwives (per 1,000 people), Türkiye",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.NUMW.P3?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Physicians (per 1,000 people), Türkiye (SH.MED.PHYS.ZS), World Development Indicators API. Retrieved 2026-08-22. https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Physicians (per 1,000 people)",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_response",
        "source_word_anchor": "Physicians per 1000 people",
        "source_word_count": 4
      },
      "material_id": "material:4fadfd5fb8fb597307dc291e",
      "notes": [
        "This aggregate series cannot establish workforce deployment, autonomy, service mix, or a primary-care referral mechanism."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "World Development Indicators time series returned on 2026-08-22",
      "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": "36c856009cfe06f720072d9f336fe0958b0f2f1dcf1c2f6b0e3d8b6313e672eb"
      },
      "statement": "The API returns a national physicians-per-1,000 series for Türkiye; it does not identify employer, specialty, provider authority, or placement.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Physicians (per 1,000 people), Türkiye",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TUR/indicator/SH.MED.PHYS.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Turkey - Health Transition Project: Implementation Completion Report Review. 2011. https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "authoritative_review",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Turkey - Health Transition Project",
      "institution": "World Bank",
      "locator": {
        "locator_type": "web_page",
        "source_word_anchor": "Turkey Health Transition Project",
        "source_word_count": 4
      },
      "material_id": "material:a6350a7e5553fe9d6e482dd9",
      "notes": [
        "This completion review identifies a historical project and does not establish subsequent implementation or current service performance."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Implementation Completion Report Review published 2011",
      "publication_date": null,
      "publication_year": 2011,
      "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": "21cabffa070a729cb00b9da4a7f5e7c5c3686361f51adfcda60d70da18ea993f"
      },
      "statement": "The World Bank document record identifies an implementation-completion review for the Turkey Health Transition Project, providing historical reform documentation.",
      "tags": [],
      "territory": "Turkey",
      "title": "Turkey - Health Transition Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/en/publication/documents-reports/documentdetail/358901475080327195"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Tatar M, Mollahaliloğlu S, Şahin B, Aydın S, Maresso A, Hernández-Quevedo C. Turkey: health system review 2011. Health Systems in Transition. 2011;13(6). European Observatory on Health Systems and Policies. https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Turkey: health system review 2011",
      "institution": "European Observatory on Health Systems and Policies and WHO Regional Office for Europe",
      "locator": {
        "locator_type": "web_page",
        "source_word_anchor": "Turkey health system review 2011",
        "source_word_count": 5
      },
      "material_id": "material:2e27478c45209108aef03be4",
      "notes": [
        "This 2011 review is historical context and cannot establish post-2011 arrangements, present authority, or current referral performance."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Health-system review published 2011",
      "publication_date": null,
      "publication_year": 2011,
      "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": "text/html",
        "response_sha256": "6d64307f848f7ba5d950a46a0e6fa9346c04343b2e8119161054c3344e10c1e6"
      },
      "statement": "The dated HiT is a structured review of Turkey's organization, financing, provision, governance and reform history for its study period.",
      "tags": [],
      "territory": "Turkey",
      "title": "Turkey: health system review 2011",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/publications/i/turkey-health-system-review-2011"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Systems and Policies. Türkiye health system information. Health Systems in Action country overview. 2022. https://eurohealthobservatory.who.int/countries/turkiye",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "the Ministry of Health and provincial directorates implement",
      "institution": "European Observatory on Health Systems and Policies and WHO Regional Office for Europe",
      "locator": {
        "locator_type": "web_page_sections",
        "source_word_anchor": "the Ministry of Health and provincial directorates implement",
        "source_word_count": 8
      },
      "material_id": "material:53b6d8e49e951a8aed8583fb",
      "notes": [
        "This country overview is a reported synthesis, not a current statutory decision register or facility census."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Country overview published 2022; describes the 2019 public-administration restructuring",
      "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": "text/html",
        "response_sha256": "7609c8b7abcdaae8b35653eff7532cfcbebda0d9dab0ee94079605bf2ff8e38c"
      },
      "statement": "The Observatory overview reports presidential policy-setting, Ministry and provincial implementation, SSI purchasing, and mixed public-private provision.",
      "tags": [],
      "territory": "Türkiye",
      "title": "Türkiye health system information",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/countries/turkiye"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Türkiye - Health System Strengthening and Support Project. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 12,
        "source_word_anchor": "enhanced financial and managerial autonomy and with flexibility in resource use The",
        "source_word_count": 12
      },
      "material_id": "candidate-source:TUR:507a05d0a607ed686474",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 67,
        "response_sha256": "3b9613e4ef6d49544902bfc813f94c2ec0475a65f2b78595914149e02de20b54"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Türkiye - Health System Strengthening and Support Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Türkiye - Health System Strengthening and Support Project. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 12,
        "source_word_anchor": "enhanced financial and managerial autonomy and with flexibility in resource use The",
        "source_word_count": 12
      },
      "material_id": "material:abdd617a57217395901f260b",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_system.",
        "Published in 2020 or later.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-grey-source-leads",
      "period": null,
      "publication_date": "2024-08-27",
      "publication_year": 2024,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_priority_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 67,
        "response_sha256": "3b9613e4ef6d49544902bfc813f94c2ec0475a65f2b78595914149e02de20b54"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Published in 2020 or later.",
        "Source family: global_literature.",
        "Title signal: health_system.",
        "catalogue_iso3_match",
        "catalogue_topic:primary_care",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_system",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Türkiye - Health System Strengthening and Support Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/099082724130015386/text/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/099082724130015386"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Türkiye - Earthquake Recovery and Reconstruction Project : Additional Financing. 2025. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:ee2a918d2057456a50447822",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2025-03-12",
      "publication_year": 2025,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {},
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Türkiye - Earthquake Recovery and Reconstruction Project : Additional Financing",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099031825135524987/text/BOSIB-d3144a8f-d55c-4d63-82a9-5605c976b816.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099031825135524987"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099031825135524987/pdf/BOSIB-d3144a8f-d55c-4d63-82a9-5605c976b816.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Türkiye - Health System Strengthening and Support Project. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf",
      "country_ids": [
        "TUR"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 12,
        "source_word_anchor": "enhanced financial and managerial autonomy and with flexibility in resource use The",
        "source_word_count": 12
      },
      "material_id": "material:4f78ccf31e5be47c91ae2525",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 67,
        "response_sha256": "3b9613e4ef6d49544902bfc813f94c2ec0475a65f2b78595914149e02de20b54"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Türkiye - Health System Strengthening and Support Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/099082724130015386/pdf/BOSIB-f226705b-c1eb-4c3d-9a38-04c3887aa30e.pdf"
        }
      ]
    }
  ]
}
