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="ANCDT21"/>
<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;">ANCDT21</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT21.html">ANC.DT.21 Syphilis diagnosis</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.21</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT21</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.21 Syphilis diagnosis</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 23:25:04-0600</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;">If the woman tests positive for syphilis, provide counselling and treatment as needed</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.B10.4.</td>
<td>Diagnosis and treatment</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-ANCDT21.html">ANC.DT.21 Syphilis diagnosis</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.21 Syphilis diagnosis:</b> <br/>
<b>When:</b> <i>named-event:</i> ANC.B10.4. Diagnosis and treatment<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Procedure: Provide first dose of treatment and refer for additional testing
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
– Proceed to further testing with an RPR test
&quot;In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems&quot; (2)<br/>
<b>If:</b> <i>applicability:</i> (&quot;Population prevalence of syphilis in pregnant women&quot; ≥ 5%)
AND (&quot;Syphilis test type&quot; = &quot;Rapid syphilis test (RST)&quot;)
AND (Syphilis test result&quot; = &quot;Syphilis positive&quot;) <i>(Should Conduct syphilis counselling and further testing)</i><br/>
</td>
</tr>
<tr>
<td>
Provide treatment according to the clinical phase of syphilis:
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
– Proceed to further testing with an RPR test
&quot;In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems&quot; (2)<br/>
<b>If:</b> <i>applicability:</i> (&quot;Population prevalence of syphilis in pregnant women&quot; ≥ 5%)
AND (&quot;Syphilis test type&quot; = &quot;Rapid plasma reagin (RPR) test&quot;)
AND (Syphilis test result&quot; = &quot;Syphilis positive&quot;) <i>(Should Conduct syphilis counselling and further testing 2)</i><br/>
</td>
</tr>
<tr>
<td>
Procedure:
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
&quot;In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems&quot; (2)<br/>
<b>If:</b> <i>applicability:</i> (&quot;Population prevalence of syphilis in pregnant women&quot; &lt; 5%)
AND (&quot;Syphilis test result&quot; = &quot;Syphilis positive&quot;) <i>(Should Conduct syphilis counselling and further testing 3)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT21"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.21"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT21"/>
<title value="ANC.DT.21 Syphilis diagnosis"/>
<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="2021-06-11T23:25:04-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="If the woman tests positive for syphilis, provide counselling and treatment as needed"/>
<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.B10.4."/>
<display value="Diagnosis and treatment"/>
</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/ANCDT21"/>
<action>
<title value="ANC.DT.21 Syphilis diagnosis"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B10.4. Diagnosis and treatment"/>
</trigger>
<action id="1">
<title value="Conduct syphilis counselling and further testing"/>
<description value="Conduct syphilis counselling and further testing"/>
<textEquivalent
value="Procedure: Provide first dose of treatment and refer for additional testing
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
– Proceed to further testing with an RPR test
"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Population prevalence of syphilis in pregnant women" ≥ 5%)
AND ("Syphilis test type" = "Rapid syphilis test (RST)")
AND (Syphilis test result" = "Syphilis positive")"/>
<language value="text/cql-identifier"/>
<expression
value="Should Conduct syphilis counselling and further testing"/>
</expression>
</condition>
</action>
<action id="2">
<title value="Conduct syphilis counselling and further testing"/>
<description
value="Conduct syphilis counselling and further testing 2"/>
<textEquivalent
value="Provide treatment according to the clinical phase of syphilis:
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
– Proceed to further testing with an RPR test
"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Population prevalence of syphilis in pregnant women" ≥ 5%)
AND ("Syphilis test type" = "Rapid plasma reagin (RPR) test")
AND (Syphilis test result" = "Syphilis positive")"/>
<language value="text/cql-identifier"/>
<expression
value="Should Conduct syphilis counselling and further testing 2"/>
</expression>
</condition>
</action>
<action id="3">
<title value="Conduct syphilis counselling and further testing"/>
<description
value="Conduct syphilis counselling and further testing 3"/>
<textEquivalent
value="Procedure:
– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU
– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks
– Advise on treating partner
– Encourage HIV testing and counselling
– Reinforce use of condoms
"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Population prevalence of syphilis in pregnant women" < 5%)
AND ("Syphilis test result" = "Syphilis positive")"/>
<language value="text/cql-identifier"/>
<expression
value="Should Conduct syphilis counselling and further testing 3"/>
</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 
|