WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

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

PlanDefinition: ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT28 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT28
Other Identifiers: ANC.DT.28 (use: OFFICIAL)

Usage:Workflow Task: Conduct laboratory tests and imaging

If the woman has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM

Id: ANCDT28
Url: ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling
Version: 0.3.0
Identifier:

value: ANC.DT.28

Name: ANCDT28
Title: ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling
Status: active
Experimental: false
Type:

system: PlanDefinitionType

code: eca-rule

Date: 2021-06-11 23:42:28-0600
Publisher: World Health Organization (WHO)
Description: If the woman has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM
Use Context:
codevaluedisplay
task ANC.B9. Conduct laboratory tests and imaging
Jurisdiction: 001
Libraries:
ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling
Actions:
ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling:
When: named-event: ANC.B9. Conduct laboratory tests and imaging
Then:
The woman is considered at risk for GDM if she has any of the following risk factors: – BMI of 30 kg/m2 or more – Previous GDM – Previous macrosomia – Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions Please provide appropriate counseling for GDM risk mitigation, including: – Reasserting dietary interventions – Reasserting physical activity during pregnancy
If: applicability: ((((((("BMI" ≥ 30) AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")) OR (("Past pregnancy complications" = "Gestational diabetes mellitus") AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))) OR (("Past pregnancy complications" = "Macrosomia") AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))) OR (("Urine dipstick result – glucose" = "++") AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))) OR (("Urine dipstick result – glucose" = "+++") AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))) OR (("Urine dipstick result – glucose" = "++++") AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))) OR (("Urine dipstick result – glucose" = "+" ON MORE THAN ONE TEST ACROSS PREGNANCY) AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative") AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")) (Should Provide counselling on gestational diabetes mellitus (GDM) risk)