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

: ANC.DT.07 Ultrasound recommendation - XML Representation

Active as of 2021-06-11

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ANCDT07"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">ANCDT07</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT07.html">ANC.DT.07 Ultrasound recommendation</a></td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.3.0</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Identifier: </b></th>
            <td style="padding-left: 4px;">
                
                
                <p style="margin-bottom: 5px;">
                    <b>value: </b> <span>ANC.DT.07</span>
                </p>
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">ANCDT07</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">ANC.DT.07 Ultrasound recommendation</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">active</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Experimental: </b></th>
            <td style="padding-left: 4px;">false</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html">PlanDefinitionType</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>eca-rule</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2021-06-11 23:02:59-0600</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">World Health Organization (WHO)</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;">An ultrasound is recommended for all pregnant women before 24 weeks of gestation (early ultrasound). If there's no ultrasound available at that health-carte facility, the woman should be referred to another facility in which she can receive an ultrasound.</td>
        </tr>
        
        
        
        
        <tr>
            <th scope="row"><b>Use Context: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>
                    
                      <tr>
                        <td>task</td>
                        <td>During</td>
                        <td>woman’s history/profile or lab and imaging tests</td>
                      </tr>
                    
                </table>
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 4px;">001</td>
        </tr>
        
        
        
        
        
        
        
        

        
        <tr>
          <th scope="row"><b>Libraries: </b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              
                <tr><td><a href="Library-ANCDT07.html">ANC.DT.07 Ultrasound recommendation</a></td></tr>
              
            </table>
          </td>
        </tr>
        

        
        <tr>
          <th scope="row"><b>Actions: </b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              
                <tr>
                  <td>
                    <b> ANC.DT.07 Ultrasound recommendation:</b> <br/>
                    <b>When:</b> <i>named-event:</i> During woman’s history/profile or lab and imaging tests<br/>
                    
                    
                      <b>Then:</b>
                      <table class="grid-dict">
                        
                          <tr>
                            <td>
                              An ultrasound is recommended for all women before 24 weeks gestation<br/>
                              
                              <b>If:</b> <i>applicability:</i> &amp;quot;Gestational age&amp;quot; &amp;lt; 24 weeks <i>(Should Conduct ultrasound at the health-care facility or the referral facility)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              An ultrasound is recommended for all women even after 24 weeks gestation if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)<br/>
                              
                              <b>If:</b> <i>applicability:</i> &amp;quot;Gestational age&amp;quot; ≥ 24 weeks <i>(Should Conduct ultrasound at the health-care facility or the referral facility optional if deemed necessary by the health worker)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location). 
An early ultrasound is key to estimate gestational age, improve detection of fetal anomalies and multiple fetuses, reduce induction of labour for post-term pregnancy, and improve a woman’s pregnancy experience.<br/>
                              
                              <b>If:</b> <i>applicability:</i> (&amp;quot;Ultrasound scan conducted&amp;quot; = FALSE)
  AND (&amp;quot;Ultrasound available at the health-care facility&amp;quot; = TRUE)
  AND (&amp;quot;Gestational age&amp;quot; &amp;lt; 24 weeks) <i>(Should Conduct ultrasound scan)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              If an ultrasound cannot be conducted at the health-care facility, the woman should be referred to another health-care facility in which she can receive an ultrasound. 
An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location). 
An early U/S is key to estimate gestational age, improve detection of fetal anomalies and multiple fetuses, reduce induction of labour for post-term pregnancy, and improve a woman’s pregnancy experience.<br/>
                              
                              <b>If:</b> <i>applicability:</i> (&amp;quot;Ultrasound scan conducted&amp;quot; = FALSE)
  AND (&amp;quot;Ultrasound available at the health-care facility&amp;quot; = FALSE)
  AND (&amp;quot;Gestational age&amp;quot; &amp;lt; 24 weeks) <i>(Should Refer to a facility with ultrasound equipment)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)<br/>
                              
                              <b>If:</b> <i>applicability:</i> (&amp;quot;Ultrasound scan conducted&amp;quot; = FALSE)
  AND (&amp;quot;Ultrasound available at the health-care facility&amp;quot; = TRUE)
  AND (&amp;quot;Gestational age&amp;quot; ≥ 24 weeks) <i>(Should Ultrasound scan is optional)</i><br/>
                              
                                <b>Then:</b>
                                <table class="grid-dict">
                                  
                                    <tr>
                                      <td>
                                        <b> Ultrasound scan is optional:</b> <br/>
                                        
                                        
                                        
                                          
                                        
                                      </td>
                                    </tr>
                                  
                                    <tr>
                                      <td>
                                        <b> Conduct ultrasound if deemed necessary by the health worker:</b> <br/>
                                        
                                        
                                        
                                          
                                        
                                      </td>
                                    </tr>
                                  
                                </table>
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)<br/>
                              
                              <b>If:</b> <i>applicability:</i> (&amp;quot;Ultrasound scan conducted&amp;quot; = FALSE)
  AND (&amp;quot;Ultrasound available at the health-care facility&amp;quot; = FALSE)
  AND (&amp;quot;Gestational age&amp;quot; ≥ 24 weeks) <i>(Should Ultrasound scan is optional 2)</i><br/>
                              
                                <b>Then:</b>
                                <table class="grid-dict">
                                  
                                    <tr>
                                      <td>
                                        <b> Ultrasound scan is optional:</b> <br/>
                                        
                                        
                                        
                                          
                                        
                                      </td>
                                    </tr>
                                  
                                    <tr>
                                      <td>
                                        <b> Refer for ultrasound if deemed necessary by the health worker:</b> <br/>
                                        
                                        
                                        
                                          
                                        
                                      </td>
                                    </tr>
                                  
                                </table>
                              
                            </td>
                          </tr>
                        
                      </table>
                    
                  </td>
                </tr>
              
            </table>
          </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT07"/>
  <identifier>
    <use value="official"/>
    <value value="ANC.DT.07"/>
  </identifier>
  <version value="0.3.0"/>
  <name value="ANCDT07"/>
  <title value="ANC.DT.07 Ultrasound recommendation"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-06-11T23:02:59-06:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.who.int"/>
    </telecom>
  </contact>
  <description
               value="An ultrasound is recommended for all pregnant women before 24 weeks of gestation (early ultrasound). If there's no ultrasound available at that health-carte facility, the woman should be referred to another facility in which she can receive an ultrasound."/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="task"/>
      <display value="Workflow Task"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
        <code value="During"/>
        <display value="woman’s history/profile or lab and imaging tests"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT07"/>
  <action>
    <title value="ANC.DT.07 Ultrasound recommendation"/>
    <trigger>
      <type value="named-event"/>
      <name value="During woman’s history/profile or lab and imaging tests"/>
    </trigger>
    <action id="1">
      <title
             value="Conduct ultrasound at the health-care facility or the referral facility"/>
      <description
                   value="Conduct ultrasound at the health-care facility or the referral facility"/>
      <textEquivalent
                      value="An ultrasound is recommended for all women before 24 weeks gestation"/>
      <documentation>
        <type value="citation"/>
        <label
               value="WHO ANC recommendations (2016): B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description value="&quot;Gestational age&quot; &lt; 24 weeks"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Conduct ultrasound at the health-care facility or the referral facility"/>
        </expression>
      </condition>
    </action>
    <action id="2">
      <title
             value="Conduct ultrasound at the health-care facility or the referral facility optional if deemed necessary by the health worker"/>
      <description
                   value="Conduct ultrasound at the health-care facility or the referral facility optional if deemed necessary by the health worker"/>
      <textEquivalent
                      value="An ultrasound is recommended for all women even after 24 weeks gestation if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)"/>
      <documentation>
        <type value="citation"/>
        <label
               value="WHO ANC recommendations (2016): B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description value="&quot;Gestational age&quot; ≥ 24 weeks"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Conduct ultrasound at the health-care facility or the referral facility optional if deemed necessary by the health worker"/>
        </expression>
      </condition>
    </action>
    <action id="3">
      <title value="Conduct ultrasound scan"/>
      <description value="Conduct ultrasound scan"/>
      <textEquivalent
                      value="An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location). 
An early ultrasound is key to estimate gestational age, improve detection of fetal anomalies and multiple fetuses, reduce induction of labour for post-term pregnancy, and improve a woman’s pregnancy experience."/>
      <documentation>
        <type value="citation"/>
        <label
               value="WHO ANC recommendations (2016): B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(&quot;Ultrasound scan conducted&quot; = FALSE)
  AND (&quot;Ultrasound available at the health-care facility&quot; = TRUE)
  AND (&quot;Gestational age&quot; &lt; 24 weeks)"/>
          <language value="text/cql-identifier"/>
          <expression value="Should Conduct ultrasound scan"/>
        </expression>
      </condition>
    </action>
    <action id="4">
      <title value="Refer to a facility with ultrasound equipment"/>
      <description value="Refer to a facility with ultrasound equipment"/>
      <textEquivalent
                      value="If an ultrasound cannot be conducted at the health-care facility, the woman should be referred to another health-care facility in which she can receive an ultrasound. 
An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location). 
An early U/S is key to estimate gestational age, improve detection of fetal anomalies and multiple fetuses, reduce induction of labour for post-term pregnancy, and improve a woman’s pregnancy experience."/>
      <documentation>
        <type value="citation"/>
        <label
               value="WHO ANC recommendations (2016): B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(&quot;Ultrasound scan conducted&quot; = FALSE)
  AND (&quot;Ultrasound available at the health-care facility&quot; = FALSE)
  AND (&quot;Gestational age&quot; &lt; 24 weeks)"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Refer to a facility with ultrasound equipment"/>
        </expression>
      </condition>
    </action>
    <action id="5">
      <title value="Ultrasound scan is optional"/>
      <description value="Ultrasound scan is optional"/>
      <textEquivalent
                      value="An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)"/>
      <documentation>
        <type value="citation"/>
        <label
               value="WHO ANC recommendations (2016): B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(&quot;Ultrasound scan conducted&quot; = FALSE)
  AND (&quot;Ultrasound available at the health-care facility&quot; = TRUE)
  AND (&quot;Gestational age&quot; ≥ 24 weeks)"/>
          <language value="text/cql-identifier"/>
          <expression value="Should Ultrasound scan is optional"/>
        </expression>
      </condition>
      <action>
        <title value="Ultrasound scan is optional"/>
      </action>
      <action>
        <title
               value="Conduct ultrasound if deemed necessary by the health worker"/>
      </action>
    </action>
    <action id="6">
      <title value="Ultrasound scan is optional"/>
      <description value="Ultrasound scan is optional 2"/>
      <textEquivalent
                      value="An ultrasound is recommended for all women before 24 weeks gestation or even after if deemed necessary (e.g. to identify the number of fetuses, fetal presentation or placenta location)"/>
      <documentation>
        <type value="citation"/>
        <label value="WHO ANC recommendations: B.2.4. Ultrasound scan (3)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(&quot;Ultrasound scan conducted&quot; = FALSE)
  AND (&quot;Ultrasound available at the health-care facility&quot; = FALSE)
  AND (&quot;Gestational age&quot; ≥ 24 weeks)"/>
          <language value="text/cql-identifier"/>
          <expression value="Should Ultrasound scan is optional 2"/>
        </expression>
      </condition>
      <action>
        <title value="Ultrasound scan is optional"/>
      </action>
      <action>
        <title
               value="Refer for ultrasound if deemed necessary by the health worker"/>
      </action>
    </action>
  </action>
</PlanDefinition>