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

Library: ANC.DT.17 Pre-eclampsia, severe pre-eclampsia and hypertension diagnosis

Official URL: http://smart.who.int/anc/Library/ANCDT17 Version: 0.3.0
Active as of 2026-10-16 Computable Name: ANCDT17
Other Identifiers: ANC.DT.17 (use: official)

If the woman presents with any of the following symptoms and/or test results, conduct counselling and referral as needed

Exception parsing generated Narrative (see /tmp/liquid-2051becf-b711-42f5-a525-b795eecefde9.html): Unable to Parse HTML - node 'code' has unexpected content ' ' (last text = 'library ANCDT17 using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' include ANCConfig called Config include ANCConcepts called Cx include ANCDataElements called PatientData include ANCContactDataElements called ContactData context Patient /* (((((((((((((((("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Severe headache")) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Severe headache"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Blurred vision"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Blurred vision"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Epigastric pain"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Epigastric pain"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Dizziness"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Dizziness"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Vomiting"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "Vomiting"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "++"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "++"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "+++"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "+++"))) OR (("Systolic blood pressure" ≥ 140 mmHg) AND ("Repeat systolic blood pressure" ≥ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "++++"))) OR (("Diastolic blood pressure" ≥ 90 mmHg) AND ("Repeat diastolic blood pressure" ≥ 90 mmHg) AND ("Symptoms of severe pre-eclampsia" = "None") AND ("Urine dipstick result – protein" = "++++")) */ define "Should Refer urgently to a hospital": ( ContactData."Systolic blood pressure" >= 140 'mm[Hg]' and ContactData."Repeat systolic blood pressure" >= 140 'mm[Hg]' and ContactData."Symptoms of severe pre-eclampsia" in Cx."Symptoms of severe pre-eclampsia Choices" ) or ( ContactData."Diastolic blood pressure" >= 90 'mm[Hg]' and ContactData."Repeat diastolic blood pressure" >= 90 'mm[Hg]' and ContactData."Symptoms of severe pre-eclampsia" in Cx."Symptoms of severe pre-eclampsia Choices" ) or ( ContactData."Systolic blood pressure" >= 140 'mm[Hg]' and ContactData."Repeat systolic blood pressure" >= 140 'mm[Hg]' and ContactData."Symptoms of severe pre-eclampsia" in Cx."Symptoms of severe pre-eclampsia - No symptoms Choices" and ( ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 2 plus Choices" or ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 3 plus Choices" or ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 4 plus Choices" ) ) or ( ContactData."Diastolic blood pressure" >= 90 'mm[Hg]' and ContactData."Repeat diastolic blood pressure" >= 90 'mm[Hg]' and ContactData."Symptoms of severe pre-eclampsia" in Cx."Symptoms of severe pre-eclampsia - No symptoms Choices" and ( ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 2 plus Choices" or ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 3 plus Choices" or ContactData."Urine dipstick result - protein" in Cx."Urine dipstick result - protein - 4 plus Choices" ) ) /* ((((((("Systolic blood pressure" ≤ 140 mmHg) AND ("Repeat systolic blood pressure" ≤ 140 mmHg) AND ("Symptoms of severe pre-eclampsia" = "No symptoms of severe pre-eclampsia") AND ("Urine dipstick result – protein" = "++")) OR (("Systolic blood pressure" > 160 mmHg) AND ("Repeat systolic blood pressure" > 160 mmHg) AND ("Symptoms of severe pre-eclampsia" = "No symptoms of severe pre-eclampsia") AND ("Urine dipstick result – protein" = "++"))) OR ((90 mmHg ≤ "Diastolic blood pressure" ' at line 324 column 47