Canonical Resource Management Infrastructure Implementation Guide
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Canonical Resource Management Infrastructure Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/crmi-ig/ and changes regularly. See the Directory of published versions

: ANC.DT.01 Danger signs (Shareable Example) - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "shareable-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">shareable-example</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-shareable-example.html\">ANC.DT.01 Danger signs (Shareable Example)</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.1.0-cibuild</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        Official\n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>ANC.DT.01</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        \n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>urn:oid:2.16.840.1.113883.4.642.40.38.34.2</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.01 Danger signs (Shareable Example)</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \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\">http://terminology.hl7.org/CodeSystem/plan-definition-type</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\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2021-06-11 22:04:04-0600</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / Clinical Decision Support</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>Before each contact, during the Quick Check, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should be referred to the hospital urgently; if no, the normal contact should be continued as normal</p>\n</div></td>\n        </tr>\n        \n\n        \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>\n                        <th><b>code</b></th>\n                        <th><b>value</b></th>\n                    </tr>\n                    \n                        <tr>\n                            <td>task</td>\n                            <td>Quick check</td>\n                        </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \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        \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>\n                        <td><code>http://fhir.org/guides/who/anc-cds/Library/ANCDT01</code></td>\n                    </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                            \n                            <b> ANC.DT.01 Danger signs:</b> \n                            \n                            <br/>\n                            \n                            <b>When:</b>\n                            \n                            <i>Named Event:</i> ANC.B5 Quick check\n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b>\n                            <table class=\"grid-dict\">\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        If no danger signs are present, the health worker can continue with the normal ANC contact\n                                        \n                                        <br/>\n                                        \n                                        \n                                        <b>If:</b>\n                                        \n                                        <i>Applicability:</i>\n                                        \n                                        &quot;Danger signs&quot; = &quot;No danger signs&quot;\n                                        \n                                        <i>(Should Proceed with ANC contact)</i>\n                                        <br/>\n                                        \n                                        \n                                        \n                                        \n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        Bluish discolouration around the mucous membranes in the mouth, lips and tongue.\n                                        \n                                        <br/>\n                                        \n                                        \n                                        <b>If:</b>\n                                        \n                                        <i>Applicability:</i>\n                                        \n                                        &quot;Danger signs&quot; = &quot;Central cyanosis&quot;\n                                        \n                                        <i>(Should Proceed with ANC contact OR Referral for Central cyanosis)</i>\n                                        <br/>\n                                        \n                                        \n                                        \n                                        \n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        This is a danger sign that indicates that the woman needs urgent management\n                                        \n                                        <br/>\n                                        \n                                        \n                                        <b>If:</b>\n                                        \n                                        <i>Applicability:</i>\n                                        \n                                        (((((((((((&quot;Danger signs&quot; = &quot;Bleeding vaginally&quot;)\n  OR (&quot;Danger signs&quot; = &quot;Convulsing&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Fever&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Severe headache&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Visual disturbance&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Imminent delivery&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Labour&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Looks very ill&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Severe vomiting&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Severe pain&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Severe abdominal pain&quot;))\n  OR (&quot;Danger signs&quot; = &quot;Unconscious&quot;)\n                                        \n                                        <i>(Should Proceed with ANC contact OR Referral)</i>\n                                        <br/>\n                                        \n                                        \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>\n</div>"
  },
  "url" : "http://hl7.org/fhir/uv/crmi/PlanDefinition/shareable-example",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.01"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.38.34.2"
    }
  ],
  "version" : "1.1.0-cibuild",
  "name" : "ANCDT01Shareable",
  "title" : "ANC.DT.01 Danger signs (Shareable Example)",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : true,
  "date" : "2021-06-11T22:04:04-06:00",
  "publisher" : "HL7 International / Clinical Decision Support",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss"
        }
      ]
    }
  ],
  "description" : "Before each contact, during the Quick Check, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should be referred to the hospital urgently; if no, the normal contact should be continued as normal",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
      },
      "valueCodeableConcept" : {
        "text" : "Quick check"
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "library" : [
    "http://fhir.org/guides/who/anc-cds/Library/ANCDT01"
  ],
  "action" : [
    {
      "title" : "ANC.DT.01 Danger signs",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B5 Quick check"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Proceed with ANC contact",
          "description" : "Proceed with ANC contact",
          "textEquivalent" : "If no danger signs are present, the health worker can continue with the normal ANC contact",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"Danger signs\" = \"No danger signs\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Proceed with ANC contact"
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Proceed with ANC contact OR Referral for Central cyanosis",
          "description" : "Proceed with ANC contact OR Referral for Central cyanosis",
          "textEquivalent" : "Bluish discolouration around the mucous membranes in the mouth, lips and tongue.",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"Danger signs\" = \"Central cyanosis\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Proceed with ANC contact OR Referral for Central cyanosis"
              }
            }
          ]
        },
        {
          "id" : "3",
          "title" : "Proceed with ANC contact OR Referral",
          "description" : "Proceed with ANC contact OR Referral",
          "textEquivalent" : "This is a danger sign that indicates that the woman needs urgent management",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(((((((((((\"Danger signs\" = \"Bleeding vaginally\")\n  OR (\"Danger signs\" = \"Convulsing\"))\n  OR (\"Danger signs\" = \"Fever\"))\n  OR (\"Danger signs\" = \"Severe headache\"))\n  OR (\"Danger signs\" = \"Visual disturbance\"))\n  OR (\"Danger signs\" = \"Imminent delivery\"))\n  OR (\"Danger signs\" = \"Labour\"))\n  OR (\"Danger signs\" = \"Looks very ill\"))\n  OR (\"Danger signs\" = \"Severe vomiting\"))\n  OR (\"Danger signs\" = \"Severe pain\"))\n  OR (\"Danger signs\" = \"Severe abdominal pain\"))\n  OR (\"Danger signs\" = \"Unconscious\")",
                "language" : "text/cql-identifier",
                "expression" : "Should Proceed with ANC contact OR Referral"
              }
            }
          ]
        }
      ]
    }
  ]
}