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
| Draft as of 2024-09-10 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="anc-activity-codes"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem anc-activity-codes</b></p><a name="anc-activity-codes"> </a><a name="hcanc-activity-codes"> </a><a name="anc-activity-codes-en-US"> </a><p>This case-sensitive code system <code>http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codes</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">ANC.A<a name="anc-activity-codes-ANC.46A"> </a></td><td>Registration</td><td>The registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation.</td></tr><tr><td style="white-space:nowrap">ANC.A4<a name="anc-activity-codes-ANC.46A4"> </a></td><td>Gather client details</td><td>Gathering basic information and available identifiers to enable determination of patient identity</td></tr><tr><td style="white-space:nowrap">ANC.A7<a name="anc-activity-codes-ANC.46A7"> </a></td><td>Create client record?OR?ANC.A8. Validate client details</td><td>Issue a unique identifier is used and possible at the facility. Review and update client record.</td></tr><tr><td style="white-space:nowrap">ANC.B<a name="anc-activity-codes-ANC.46B"> </a></td><td>Routine contact</td><td>A routine antenatal care contact to counsel and provide antenatal care services to a pregnant woman.</td></tr><tr><td style="white-space:nowrap">ANC.B4<a name="anc-activity-codes-ANC.46B4"> </a></td><td>Confirm pregnancy</td><td>Confirm the woman is pregnant using a urine dipstick test or by a blood test.</td></tr><tr><td style="white-space:nowrap">ANC.B5<a name="anc-activity-codes-ANC.46B5"> </a></td><td>Quick check</td><td>Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact.</td></tr><tr><td style="white-space:nowrap">ANC.B6<a name="anc-activity-codes-ANC.46B6"> </a></td><td>Profile</td><td>If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.</td></tr><tr><td style="white-space:nowrap">ANC.B7<a name="anc-activity-codes-ANC.46B7"> </a></td><td>Symptoms & follow-up</td><td>Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.</td></tr><tr><td style="white-space:nowrap">ANC.B8<a name="anc-activity-codes-ANC.46B8"> </a></td><td>Physical exam</td><td>Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.</td></tr><tr><td style="white-space:nowrap">ANC.B9<a name="anc-activity-codes-ANC.46B9"> </a></td><td>Lab tests & imaging</td><td>Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why.</td></tr><tr><td style="white-space:nowrap">ANC.B10<a name="anc-activity-codes-ANC.46B10"> </a></td><td>Counselling & treatment</td><td>Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility.</td></tr><tr><td style="white-space:nowrap">ANC.B10.1<a name="anc-activity-codes-ANC.46B10.461"> </a></td><td>Behaviour counselling</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.2<a name="anc-activity-codes-ANC.46B10.462"> </a></td><td>Physiological symptoms counselling</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.3<a name="anc-activity-codes-ANC.46B10.463"> </a></td><td>Diet counselling</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.4<a name="anc-activity-codes-ANC.46B10.464"> </a></td><td>Diagnosis & treatment</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.5<a name="anc-activity-codes-ANC.46B10.465"> </a></td><td>Nutrition supplementation</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.6<a name="anc-activity-codes-ANC.46B10.466"> </a></td><td>Risk reduction & general counselling</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.7<a name="anc-activity-codes-ANC.46B10.467"> </a></td><td>Immunizations</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.8<a name="anc-activity-codes-ANC.46B10.468"> </a></td><td>Intimate partner violence first-line support and care</td><td/></tr><tr><td style="white-space:nowrap">ANC.B10.9<a name="anc-activity-codes-ANC.46B10.469"> </a></td><td>Deworming & malaria prophylaxis</td><td/></tr><tr><td style="white-space:nowrap">ANC.B11<a name="anc-activity-codes-ANC.46B11"> </a></td><td>Urgent referral needed?</td><td>If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling.</td></tr><tr><td style="white-space:nowrap">ANC.B12<a name="anc-activity-codes-ANC.46B12"> </a></td><td>Scheduling</td><td>If a referral is not required, health worker schedules follow-up contact.</td></tr><tr><td style="white-space:nowrap">ANC.C<a name="anc-activity-codes-ANC.46C"> </a></td><td>Referral</td><td>An antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider.</td></tr><tr><td style="white-space:nowrap">ANC.C1<a name="anc-activity-codes-ANC.46C1"> </a></td><td>Emergency referral?</td><td/></tr><tr><td style="white-space:nowrap">ANC.C6<a name="anc-activity-codes-ANC.46C6"> </a></td><td>Provide information to referral facility</td><td/></tr><tr><td style="white-space:nowrap">ANC.D<a name="anc-activity-codes-ANC.46D"> </a></td><td>Antenatal health promotion, follow-up in the community</td><td>The process followed to provide routine health promotion and follow-up within the community.</td></tr><tr><td style="white-space:nowrap">ANC.E<a name="anc-activity-codes-ANC.46E"> </a></td><td>Reporting on aggregate indicators</td><td>The process followed to compile and submit relevant data contributing to indicators and other reporting needs on a routine basis.</td></tr><tr><td style="white-space:nowrap">ANC.Confirugation<a name="anc-activity-codes-ANC.46Confirugation"> </a></td><td>Configuration</td><td>Configuration settings for decision logic and indicators that may vary by setting</td></tr><tr><td style="white-space:nowrap">ANC.End<a name="anc-activity-codes-ANC.46End"> </a></td><td>End</td><td>The activity of gathering information about the end of a pregnancy and closing an antenatal care record.</td></tr></table></div>
</text>
<url
value="http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codes"/>
<version value="0.3.0"/>
<name value="ANCActivityCodes"/>
<title value="ANC Activity Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2024-09-10T13:23:00+00:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
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<description
value="Activity codes are codes to identify the types of activities that are performed as part of the delivery of antenatal care"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<valueSet
value="http://fhir.org/guides/who/anc-cds/ValueSet/anc-activity-codes"/>
<content value="complete"/>
<concept>
<code value="ANC.A"/>
<display value="Registration"/>
<definition
value="The registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation."/>
</concept>
<concept>
<code value="ANC.A4"/>
<display value="Gather client details"/>
<definition
value="Gathering basic information and available identifiers to enable determination of patient identity"/>
</concept>
<concept>
<code value="ANC.A7"/>
<display value="Create client record?OR?ANC.A8. Validate client details"/>
<definition
value="Issue a unique identifier is used and possible at the facility. Review and update client record."/>
</concept>
<concept>
<code value="ANC.B"/>
<display value="Routine contact"/>
<definition
value="A routine antenatal care contact to counsel and provide antenatal care services to a pregnant woman."/>
</concept>
<concept>
<code value="ANC.B4"/>
<display value="Confirm pregnancy"/>
<definition
value="Confirm the woman is pregnant using a urine dipstick test or by a blood test."/>
</concept>
<concept>
<code value="ANC.B5"/>
<display value="Quick check"/>
<definition
value="Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact."/>
</concept>
<concept>
<code value="ANC.B6"/>
<display value="Profile"/>
<definition
value="If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information."/>
</concept>
<concept>
<code value="ANC.B7"/>
<display value="Symptoms & follow-up"/>
<definition
value="Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment."/>
</concept>
<concept>
<code value="ANC.B8"/>
<display value="Physical exam"/>
<definition
value="Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment."/>
</concept>
<concept>
<code value="ANC.B9"/>
<display value="Lab tests & imaging"/>
<definition
value="Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why."/>
</concept>
<concept>
<code value="ANC.B10"/>
<display value="Counselling & treatment"/>
<definition
value="Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility."/>
</concept>
<concept>
<code value="ANC.B10.1"/>
<display value="Behaviour counselling"/>
</concept>
<concept>
<code value="ANC.B10.2"/>
<display value="Physiological symptoms counselling"/>
</concept>
<concept>
<code value="ANC.B10.3"/>
<display value="Diet counselling"/>
</concept>
<concept>
<code value="ANC.B10.4"/>
<display value="Diagnosis & treatment"/>
</concept>
<concept>
<code value="ANC.B10.5"/>
<display value="Nutrition supplementation"/>
</concept>
<concept>
<code value="ANC.B10.6"/>
<display value="Risk reduction & general counselling"/>
</concept>
<concept>
<code value="ANC.B10.7"/>
<display value="Immunizations"/>
</concept>
<concept>
<code value="ANC.B10.8"/>
<display value="Intimate partner violence first-line support and care"/>
</concept>
<concept>
<code value="ANC.B10.9"/>
<display value="Deworming & malaria prophylaxis"/>
</concept>
<concept>
<code value="ANC.B11"/>
<display value="Urgent referral needed?"/>
<definition
value="If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling."/>
</concept>
<concept>
<code value="ANC.B12"/>
<display value="Scheduling"/>
<definition
value="If a referral is not required, health worker schedules follow-up contact."/>
</concept>
<concept>
<code value="ANC.C"/>
<display value="Referral"/>
<definition
value="An antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider."/>
</concept>
<concept>
<code value="ANC.C1"/>
<display value="Emergency referral?"/>
</concept>
<concept>
<code value="ANC.C6"/>
<display value="Provide information to referral facility"/>
</concept>
<concept>
<code value="ANC.D"/>
<display value="Antenatal health promotion, follow-up in the community"/>
<definition
value="The process followed to provide routine health promotion and follow-up within the community."/>
</concept>
<concept>
<code value="ANC.E"/>
<display value="Reporting on aggregate indicators"/>
<definition
value="The process followed to compile and submit relevant data contributing to indicators and other reporting needs on a routine basis."/>
</concept>
<concept>
<code value="ANC.Confirugation"/>
<display value="Configuration"/>
<definition
value="Configuration settings for decision logic and indicators that may vary by setting"/>
</concept>
<concept>
<code value="ANC.End"/>
<display value="End"/>
<definition
value="The activity of gathering information about the end of a pregnancy and closing an antenatal care record."/>
</concept>
</CodeSystem>