WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
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
| Active as of 2021-06-11 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCDT12"/>
<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;">ANCDT12</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT12.html">ANC.DT.12 Urine testing</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.12</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT12</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.12 Urine testing</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;">Conditions in which urine testing is required</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>ANC.B9.</td>
<td>Conduct laboratory tests and imaging</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-ANCDT12.html">ANC.DT.12 Urine testing</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.12 Urine testing:</b> <br/>
<b>When:</b> <i>named-event:</i> ANC.B9. Conduct laboratory tests and imaging<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Urine test is required any time the woman reports pain during urination (dysuria)<br/>
<b>If:</b> <i>applicability:</i> &quot;Current physiological symptoms&quot; = &quot;Pain during urination (dysuria)&quot; <i>(Should Conduct urine test)</i><br/>
</td>
</tr>
<tr>
<td>
Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia<br/>
<b>If:</b> <i>applicability:</i> (&quot;Repeat systolic blood pressure&quot; ≥ 140 mmHg)
OR (&quot;Repeat diastolic blood pressure&quot; ≥ 90mmHg) <i>(Should Do urine dipstick test for protein)</i><br/>
</td>
</tr>
<tr>
<td>
The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick.
Urine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia.<br/>
<b>If:</b> <i>applicability:</i> ((&quot;ANC contact number&quot; = 1)
OR (&quot;Gestational age&quot; ≥ 26 weeks))
OR (&quot;Gestational age&quot; ≥ 34 weeks) <i>(Should Conduct urine test 2)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT12"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.12"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT12"/>
<title value="ANC.DT.12 Urine testing"/>
<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="Conditions in which urine testing is required"/>
<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="ANC.B9."/>
<display value="Conduct laboratory tests and imaging"/>
</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/ANCDT12"/>
<action>
<title value="ANC.DT.12 Urine testing"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B9. Conduct laboratory tests and imaging"/>
</trigger>
<action id="1">
<title value="Conduct urine test"/>
<description value="Conduct urine test"/>
<textEquivalent
value="Urine test is required any time the woman reports pain during urination (dysuria)"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-51 (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value=""Current physiological symptoms" = "Pain during urination (dysuria)""/>
<language value="text/cql-identifier"/>
<expression value="Should Conduct urine test"/>
</expression>
</condition>
</action>
<action id="2">
<title value="Do urine dipstick test for protein"/>
<description value="Do urine dipstick test for protein"/>
<textEquivalent
value="Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-51 (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Repeat systolic blood pressure" ≥ 140 mmHg)
OR ("Repeat diastolic blood pressure" ≥ 90mmHg)"/>
<language value="text/cql-identifier"/>
<expression value="Should Do urine dipstick test for protein"/>
</expression>
</condition>
</action>
<action id="3">
<title value="Conduct urine test"/>
<description value="Conduct urine test 2"/>
<textEquivalent
value="The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick.
Urine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia."/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.2. Asymptomatic bacteriuria (ASB) (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(("ANC contact number" = 1)
OR ("Gestational age" ≥ 26 weeks))
OR ("Gestational age" ≥ 34 weeks)"/>
<language value="text/cql-identifier"/>
<expression value="Should Conduct urine test 2"/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>
IG © 2019+ World Health Organization (WHO). Package who.fhir.anc-cds#0.3.0 based on FHIR 4.0.1. Generated 2024-04-09
Links: Table of Contents |
QA Report
| Version History 
|