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

PlanDefinition: ANC.DT.04 Conducting physical exams

Official URL: http://smart.who.int/anc/PlanDefinition/ANCDT04 Version: 0.3.0
Active as of 2025-06-24 Computable Name: ANCDT04
Other Identifiers: ANC.DT.04 (use: official, )

Usage:Workflow Task: Conduct physical exam

Depending on the results of some physical exams, additional examinations or repeat measurements are required

Id: ANCDT04
Url: ANC.DT.04 Conducting physical exams
Version: 0.3.0
Official

ANC.DT.04

Title: ANC.DT.04 Conducting physical exams
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2025-06-24 13:58:48-0600
Publisher: World Health Organization (WHO)
Description:

Depending on the results of some physical exams, additional examinations or repeat measurements are required
Use Context:
code value
task
Jurisdiction: 001
Libraries:
ANC.DT.04 Conducting physical exams
Actions:
ANC.DT.04 Conducting physical exams:
When: Named Event: ANC.B8 Conduct physical exam
Then:
Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again
If: Applicability: ("Systolic blood pressure" ≥ 140 mmHg) OR ("Diastolic blood pressure" ≥ 90 mmHg) (Should Measure BP again after 10–15 minutes rest)
The health worker should retake the woman's temperature if the first reading is over 38°C
If: Applicability: "Body temperature" ≥ 38°C (Should Measure temperature again)
The health worker should retake the woman's pulse rate if the first reading is lower than 60 or higher than 100 beats per minute
If: Applicability: 60 > Pulse rate > 100 (Should Check again after 10 minutes rest)
If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test
If: Applicability: (((((("Respiratory exam result" = "Dyspnoea") OR ("Respiratory exam result" = "Cough")) OR ("Respiratory exam result" = "Rapid breathing")) OR ("Respiratory exam result" = "Slow breathing")) OR ("Respiratory exam result" = "Wheezing")) OR ("Respiratory exam result" = "Rales")) OR ("Respiratory exam result" = "Other abnormal respiratory exam result (specify)") (Should Conduct oximetry test)
Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again
If: Applicability: 100 bpm > Fetal heart rate > 180 bpm (Should Measure the fetal heart rate again)