WHO Antenatal Care Guideline Implementation Guide
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WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

CodeSystem: ANC Activity Codes

Official URL: http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codes Version: 0.3.0
Draft as of 2024-02-13 Computable Name: ANCActivityCodes

Activity codes are codes to identify the types of activities that are performed as part of the delivery of antenatal care

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codes defines the following codes:

CodeDisplayDefinition
ANC.A RegistrationThe registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation.
ANC.A4 Gather client detailsGathering basic information and available identifiers to enable determination of patient identity
ANC.A7 Create client record?OR?ANC.A8. Validate client detailsIssue a unique identifier is used and possible at the facility. Review and update client record.
ANC.B Routine contactA routine antenatal care contact to counsel and provide antenatal care services to a pregnant woman.
ANC.B4 Confirm pregnancyConfirm the woman is pregnant using a urine dipstick test or by a blood test.
ANC.B5 Quick checkHealth worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact.
ANC.B6 ProfileIf this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.
ANC.B7 Symptoms & follow-upHealth worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.
ANC.B8 Physical examHealth worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.
ANC.B9 Lab tests & imagingHealth worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why.
ANC.B10 Counselling & treatmentBased on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility.
ANC.B10.1 Behaviour counselling
ANC.B10.2 Physiological symptoms counselling
ANC.B10.3 Diet counselling
ANC.B10.4 Diagnosis & treatment
ANC.B10.5 Nutrition supplementation
ANC.B10.6 Risk reduction & general counselling
ANC.B10.7 Immunizations
ANC.B10.8 Intimate partner violence first-line support and care
ANC.B10.9 Deworming & malaria prophylaxis
ANC.B11 Urgent referral needed?If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling.
ANC.B12 SchedulingIf a referral is not required, health worker schedules follow-up contact.
ANC.C ReferralAn antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider.
ANC.C1 Emergency referral?
ANC.C6 Provide information to referral facility
ANC.D Antenatal health promotion, follow-up in the communityThe process followed to provide routine health promotion and follow-up within the community.
ANC.E Reporting on aggregate indicatorsThe process followed to compile and submit relevant data contributing to indicators and other reporting needs on a routine basis.
ANC.Confirugation ConfigurationConfiguration settings for decision logic and indicators that may vary by setting
ANC.End EndThe activity of gathering information about the end of a pregnancy and closing an antenatal care record.