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 |
{
"resourceType" : "PlanDefinition",
"id" : "ANCDT23",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">ANCDT23</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT23.html\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</a></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.3.0</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>ANC.DT.23</span>\n </p>\n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">ANCDT23</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">active</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">false</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2021-06-11 23:25:04-0600</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">World Health Organization (WHO)</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment</td>\n </tr>\n \n \n \n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>\n \n <tr>\n <td>task</td>\n <td>ANC.B10.4.</td>\n <td>Diagnosis and treatment</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">001</td>\n </tr>\n \n \n \n \n \n \n \n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr><td><a href=\"Library-ANCDT23.html\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</a></td></tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n <b> ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis:</b> <br/>\n <b>When:</b> <i>named-event:</i> ANC.B10.4. Diagnosis and treatment<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n – The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> 92 mg/dL ≤ &quot;Fasting plasma glucose results&quot; &lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> 92 mg/dL ≤ &quot;75 g OGTT – fasting glucose results&quot; &lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> 180 mg/dL ≤ &quot;75 g OGTT – 1 hour results&quot; &lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> 153 mg/dL ≤ &quot;75 g OGTT – 2 hours results&quot; &lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> &quot;Fasting plasma glucose results&quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> &quot;75 g OGTT – fasting glucose results&quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 2)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> &quot;75 g OGTT – 1 hour results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 3)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> &quot;75 g OGTT – 2 hours results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 4)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n – The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>\n \n <b>If:</b> <i>applicability:</i> &quot;Random plasma glucose test results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 5)</i><br/>\n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>"
},
"url" : "http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT23",
"identifier" : [
{
"use" : "official",
"value" : "ANC.DT.23"
}
],
"version" : "0.3.0",
"name" : "ANCDT23",
"title" : "ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "active",
"experimental" : false,
"date" : "2021-06-11T23:25:04-06:00",
"publisher" : "World Health Organization (WHO)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.who.int"
}
]
}
],
"description" : "If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "task",
"display" : "Workflow Task"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
"code" : "ANC.B10.4.",
"display" : "Diagnosis and treatment"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"library" : [
🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT23"
],
"action" : [
{
"title" : "ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis",
"trigger" : [
{
"type" : "named-event",
"name" : "ANC.B10.4. Diagnosis and treatment"
}
],
"action" : [
{
"id" : "1",
"title" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling",
"description" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling",
"textEquivalent" : "– The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "92 mg/dL ≤ \"Fasting plasma glucose results\" < 126 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"
}
}
]
},
{
"id" : "2",
"title" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling",
"description" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2",
"textEquivalent" : "– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "92 mg/dL ≤ \"75 g OGTT – fasting glucose results\" < 126 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2"
}
}
]
},
{
"id" : "3",
"title" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling",
"description" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3",
"textEquivalent" : "– The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "180 mg/dL ≤ \"75 g OGTT – 1 hour results\" < 200 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3"
}
}
]
},
{
"id" : "4",
"title" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling",
"description" : "Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4",
"textEquivalent" : "– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "153 mg/dL ≤ \"75 g OGTT – 2 hours results\" < 200 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4"
}
}
]
},
{
"id" : "5",
"title" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"description" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"textEquivalent" : "– The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "\"Fasting plasma glucose results\" ≥ 126 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED diabetes mellitus (DM) counselling"
}
}
]
},
{
"id" : "6",
"title" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"description" : "Conduct REQUIRED diabetes mellitus (DM) counselling 2",
"textEquivalent" : "– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "\"75 g OGTT – fasting glucose results\" ≥ 126 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED diabetes mellitus (DM) counselling 2"
}
}
]
},
{
"id" : "7",
"title" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"description" : "Conduct REQUIRED diabetes mellitus (DM) counselling 3",
"textEquivalent" : "– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "\"75 g OGTT – 1 hour results\" ≥ 200 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED diabetes mellitus (DM) counselling 3"
}
}
]
},
{
"id" : "8",
"title" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"description" : "Conduct REQUIRED diabetes mellitus (DM) counselling 4",
"textEquivalent" : "– The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "\"75 g OGTT – 2 hours results\" ≥ 200 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED diabetes mellitus (DM) counselling 4"
}
}
]
},
{
"id" : "9",
"title" : "Conduct REQUIRED diabetes mellitus (DM) counselling",
"description" : "Conduct REQUIRED diabetes mellitus (DM) counselling 5",
"textEquivalent" : "– The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n\"Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.4. Gestational diabetes mellitus (GDM) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "\"Random plasma glucose test results\" ≥ 200 mg/dL",
"language" : "text/cql-identifier",
"expression" : "Should Conduct REQUIRED diabetes mellitus (DM) counselling 5"
}
}
]
}
]
}
]
}
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 
|