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 2021-06-08 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCB"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCB</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCB.html">ANC.B Routine contact</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.3.0</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>value: </b> <span>ANC.B</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCB</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.B Routine contact</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">active</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">false</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://hl7.org/fhir/R4/codesystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>workflow-definition</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2021-06-08 16:08:55-0600</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">World Health Organization (WHO)</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;">To counsel and provide ANC services to a pregnant woman</td>
</tr>
<tr>
<th scope="row"><b>Use Context: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>
<tr>
<td>workflow</td>
<td>ANC.B</td>
<td>Routine contact</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">001</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> Confirm pregnancy:</b> Confirm the woman is pregnant using a urine dipstick test or by a blood test.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB4.html">ANC.B4 Confirm pregnancy</a><br/>
</td>
</tr>
<tr>
<td>
<b> Quick check:</b> 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.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB5.html">ANC.B5 Quick check</a><br/>
</td>
</tr>
<tr>
<td>
<b> Collect woman's profile and history:</b> 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.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB6.html">ANC.B6 Collect woman's profile and history</a><br/>
</td>
</tr>
<tr>
<td>
<b> Check symptoms and follow up:</b> Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB7.html">ANC.B7 Check symptoms and follow up</a><br/>
</td>
</tr>
<tr>
<td>
<b> Conduct physical exam:</b> Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB8.html">ANC.B8 Conduct physical exam</a><br/>
</td>
</tr>
<tr>
<td>
<b> Conduct laboratory test and imaging:</b> 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.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB9.html">ANC.B9 Conduct laboratory test and imaging</a><br/>
</td>
</tr>
<tr>
<td>
<b> Counselling, in-facility management and treatment:</b> 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.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB10.html">ANC.B10 Counselling, in-facility management and treatment</a><br/>
</td>
</tr>
<tr>
<td>
<b> Referral needed?:</b> 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.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB11.html">ANC.B11 Referral needed?</a><br/>
</td>
</tr>
<tr>
<td>
<b> Scheduling:</b> If a referral is not required, health worker schedules follow-up contact.<br/>
<b>Then:</b> <i>Definition:</i> <a href="ActivityDefinition-ANCB12.html">ANC.B12 Scheduling</a><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCB"/>
<identifier>
<use value="official"/>
<value value="ANC.B"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCB"/>
<title value="ANC.B Routine contact"/>
<type>
<coding>
<system
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<code value="workflow-definition"/>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-08T16:08:55-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
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<description
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<useContext>
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<system
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<code value="workflow"/>
<display value="Workflow Setting"/>
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<system
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<code value="ANC.B"/>
<display value="Routine contact"/>
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<jurisdiction>
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<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
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<action id="4">
<title value="Confirm pregnancy"/>
<description
value="Confirm the woman is pregnant using a urine dipstick test or by a blood test."/>
<code>
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<system
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<code value="ANC.B4"/>
<display value="Confirm pregnancy"/>
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<coding>
<system
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<code value="history-and-physical"/>
<display value="History and Physical"/>
</coding>
</code>
<relatedAction>
<actionId value="5"/>
<relationship value="before-start"/>
</relatedAction>
<definitionCanonical
value="http://fhir.org/guides/who/anc-cds/ActivityDefinition/ANCB4"/>
</action>
<action id="5">
<title value="Quick check"/>
<description
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."/>
<code>
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<system
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<code value="ANC.B5"/>
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<coding>
<system
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<code value="triage"/>
<display value="Triage"/>
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<relatedAction>
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<relationship value="before-start"/>
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<definitionCanonical
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<action id="6">
<title value="Collect woman's profile and history"/>
<description
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."/>
<code>
<coding>
<system
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<code value="ANC.B6"/>
<display value="Collect woman's profile and history"/>
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<coding>
<system
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<code value="history-and-physical"/>
<display value="History and Physical"/>
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<relatedAction>
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<relationship value="before-start"/>
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<definitionCanonical
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<action id="7">
<title value="Check symptoms and follow up"/>
<description
value="Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment."/>
<code>
<coding>
<system
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<code value="ANC.B7"/>
<display value="Check symptoms and follow up"/>
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<coding>
<system
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<code value="guideline-based-care"/>
<display value="Guideline-based Care"/>
</coding>
</code>
<relatedAction>
<actionId value="8"/>
<relationship value="before-start"/>
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<definitionCanonical
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</action>
<action id="8">
<title value="Conduct physical exam"/>
<description
value="Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment."/>
<code>
<coding>
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<system
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<code value="history-and-physical"/>
<display value="History and Physical"/>
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<relatedAction>
<actionId value="9"/>
<relationship value="before-start"/>
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<definitionCanonical
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<action id="9">
<title value="Conduct laboratory test and imaging"/>
<description
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."/>
<code>
<coding>
<system
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<code value="ANC.B9"/>
<display value="Conduct laboratory test and imaging"/>
</coding>
<coding>
<system
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<code value="diagnostic-testing"/>
<display value="Conduct Diagnostic Tests"/>
</coding>
</code>
<relatedAction>
<actionId value="10"/>
<relationship value="before-start"/>
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<definitionCanonical
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<action id="10">
<title value="Counselling, in-facility management and treatment"/>
<description
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."/>
<code>
<coding>
<system
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<code value="ANC.B10"/>
<display value="Counselling, in-facility management and treatment"/>
</coding>
<coding>
<system
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<code value="provide-counseling"/>
<display value="Provide Counseling"/>
</coding>
<coding>
<system
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<code value="guideline-based-care"/>
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<relationship value="before-start"/>
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<action id="11">
<title value="Referral needed?"/>
<description
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."/>
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<display value="Referral needed?"/>
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<coding>
<system
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<code value="discharge-referral-of-patient"/>
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<action id="12">
<title value="Scheduling"/>
<description
value="If a referral is not required, health worker schedules follow-up contact."/>
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<display value="Scheduling"/>
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</PlanDefinition>