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 2021-06-11 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCDT01"/>
<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;">ANCDT01</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT01.html">ANC.DT.01 Danger signs</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.DT.01</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT01</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.01 Danger signs</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>eca-rule</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2021-06-11 22:04:04-0600</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;">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</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>task</td>
<td>ANC.B5</td>
<td>Quick check</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>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><td><a href="Library-ANCDT01.html">ANC.DT.01 Danger signs</a></td></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Actions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td>
<b> ANC.DT.01 Danger signs:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B5 Quick check<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
If no danger signs are present, the health worker can continue with the normal ANC contact<br/>
<b>If:</b> <i>Applicability:</i> &quot;Danger signs&quot; = &quot;No danger signs&quot; <i>(Should Proceed with ANC contact)</i><br/>
</td>
</tr>
<tr>
<td>
Bluish discolouration around the mucous membranes in the mouth, lips and tongue.<br/>
<b>If:</b> <i>Applicability:</i> &quot;Danger signs&quot; = &quot;Central cyanosis&quot; <i>(Should Proceed with ANC contact OR Referral for Central cyanosis)</i><br/>
</td>
</tr>
<tr>
<td>
This is a danger sign that indicates that the woman needs urgent management<br/>
<b>If:</b> <i>Applicability:</i> (((((((((((&quot;Danger signs&quot; = &quot;Bleeding vaginally&quot;)
OR (&quot;Danger signs&quot; = &quot;Convulsing&quot;))
OR (&quot;Danger signs&quot; = &quot;Fever&quot;))
OR (&quot;Danger signs&quot; = &quot;Severe headache&quot;))
OR (&quot;Danger signs&quot; = &quot;Visual disturbance&quot;))
OR (&quot;Danger signs&quot; = &quot;Imminent delivery&quot;))
OR (&quot;Danger signs&quot; = &quot;Labour&quot;))
OR (&quot;Danger signs&quot; = &quot;Looks very ill&quot;))
OR (&quot;Danger signs&quot; = &quot;Severe vomiting&quot;))
OR (&quot;Danger signs&quot; = &quot;Severe pain&quot;))
OR (&quot;Danger signs&quot; = &quot;Severe abdominal pain&quot;))
OR (&quot;Danger signs&quot; = &quot;Unconscious&quot;) <i>(Should Proceed with ANC contact OR Referral)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT01"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.01"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT01"/>
<title value="ANC.DT.01 Danger signs"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T22:04:04-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="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
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="task"/>
<display value="Workflow Task"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
<code value="ANC.B5"/>
<display value="Quick check"/>
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</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
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<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT01"/>
<action>
<title value="ANC.DT.01 Danger signs"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B5 Quick check"/>
</trigger>
<action id="1">
<title value="Proceed with ANC contact "/>
<description value="Proceed with ANC contact "/>
<textEquivalent
value="If no danger signs are present, the health worker can continue with the normal ANC contact"/>
<documentation>
<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value=""Danger signs" = "No danger signs""/>
<language value="text/cql-identifier"/>
<expression value="Should Proceed with ANC contact"/>
</expression>
</condition>
</action>
<action id="2">
<title
value="Proceed with ANC contact OR Referral for Central cyanosis"/>
<description
value="Proceed with ANC contact OR Referral for Central cyanosis"/>
<textEquivalent
value="Bluish discolouration around the mucous membranes in the mouth, lips and tongue."/>
<documentation>
<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
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<condition>
<kind value="applicability"/>
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<description
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<language value="text/cql-identifier"/>
<expression
value="Should Proceed with ANC contact OR Referral for Central cyanosis"/>
</expression>
</condition>
</action>
<action id="3">
<title value="Proceed with ANC contact OR Referral"/>
<description value="Proceed with ANC contact OR Referral"/>
<textEquivalent
value="This is a danger sign that indicates that the woman needs urgent management"/>
<documentation>
<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="((((((((((("Danger signs" = "Bleeding vaginally")
OR ("Danger signs" = "Convulsing"))
OR ("Danger signs" = "Fever"))
OR ("Danger signs" = "Severe headache"))
OR ("Danger signs" = "Visual disturbance"))
OR ("Danger signs" = "Imminent delivery"))
OR ("Danger signs" = "Labour"))
OR ("Danger signs" = "Looks very ill"))
OR ("Danger signs" = "Severe vomiting"))
OR ("Danger signs" = "Severe pain"))
OR ("Danger signs" = "Severe abdominal pain"))
OR ("Danger signs" = "Unconscious")"/>
<language value="text/cql-identifier"/>
<expression value="Should Proceed with ANC contact OR Referral"/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>