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="ANCDT04"/>
<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;">ANCDT04</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT04.html">ANC.DT.04 Conducting physical exams</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.04</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT04</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.04 Conducting physical exams</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 22:32:40-0600</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;">Depending on the results of some physical exams, additional examinations or repeat measurements are required</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.B8</td>
<td>Conduct physical exam</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-ANCDT04.html">ANC.DT.04 Conducting physical exams</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.04 Conducting physical exams:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B8 Conduct physical exam<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again<br/>
<b>If:</b> <i>Applicability:</i> (&quot;Systolic blood pressure&quot; ≥ 140 mmHg)
OR (&quot;Diastolic blood pressure&quot; ≥ 90 mmHg) <i>(Should Measure BP again after 10–15 minutes rest)</i><br/>
</td>
</tr>
<tr>
<td>
The health worker should retake the woman's temperature if the first reading is over 38°C<br/>
<b>If:</b> <i>Applicability:</i> &quot;Body temperature&quot; ≥ 38°C <i>(Should Measure temperature again)</i><br/>
</td>
</tr>
<tr>
<td>
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<br/>
<b>If:</b> <i>Applicability:</i> 60 &gt; Pulse rate &gt; 100 <i>(Should Check again after 10 minutes rest)</i><br/>
</td>
</tr>
<tr>
<td>
If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test<br/>
<b>If:</b> <i>Applicability:</i> ((((((&quot;Respiratory exam result&quot; = &quot;Dyspnoea&quot;)
OR (&quot;Respiratory exam result&quot; = &quot;Cough&quot;))
OR (&quot;Respiratory exam result&quot; = &quot;Rapid breathing&quot;))
OR (&quot;Respiratory exam result&quot; = &quot;Slow breathing&quot;))
OR (&quot;Respiratory exam result&quot; = &quot;Wheezing&quot;))
OR (&quot;Respiratory exam result&quot; = &quot;Rales&quot;))
OR (&quot;Respiratory exam result&quot; = &quot;Other abnormal respiratory exam result (specify)&quot;) <i>(Should Conduct oximetry test)</i><br/>
</td>
</tr>
<tr>
<td>
Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again<br/>
<b>If:</b> <i>Applicability:</i> 100 bpm &gt; Fetal heart rate &gt; 180 bpm <i>(Should Measure the fetal heart rate again)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT04"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.04"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT04"/>
<title value="ANC.DT.04 Conducting physical exams"/>
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<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="2021-06-11T22:32:40-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="Depending on the results of some physical exams, additional examinations or repeat measurements are required"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="task"/>
<display value="Workflow Task"/>
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<valueCodeableConcept>
<coding>
<system
value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
<code value="ANC.B8"/>
<display value="Conduct physical exam"/>
</coding>
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<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
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<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT04"/>
<action>
<title value="ANC.DT.04 Conducting physical exams"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B8 Conduct physical exam"/>
</trigger>
<action id="1">
<title value="Measure BP again after 10–15 minutes rest"/>
<description value="Measure BP again after 10–15 minutes rest"/>
<textEquivalent
value="Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-51 (5)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Systolic blood pressure" ≥ 140 mmHg)
OR ("Diastolic blood pressure" ≥ 90 mmHg)"/>
<language value="text/cql-identifier"/>
<expression
value="Should Measure BP again after 10–15 minutes rest"/>
</expression>
</condition>
</action>
<action id="2">
<title value="Measure temperature again"/>
<description value="Measure temperature again"/>
<textEquivalent
value="The health worker should retake the woman's temperature if the first reading is over 38°C"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-113 (5)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description value=""Body temperature" ≥ 38°C"/>
<language value="text/cql-identifier"/>
<expression value="Should Measure temperature again"/>
</expression>
</condition>
</action>
<action id="3">
<title value="Check again after 10 minutes rest"/>
<description value="Check again after 10 minutes rest"/>
<textEquivalent
value="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"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-1 (5)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description value="60 > Pulse rate > 100"/>
<language value="text/cql-identifier"/>
<expression value="Should Check again after 10 minutes rest"/>
</expression>
</condition>
</action>
<action id="4">
<title value="Conduct oximetry test"/>
<description value="Conduct oximetry test"/>
<textEquivalent
value="If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test"/>
<documentation>
<type value="citation"/>
<label
value="Managing complications guide (IMPAC) (2017): Section S-149 (5)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(((((("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)")"/>
<language value="text/cql-identifier"/>
<expression value="Should Conduct oximetry test"/>
</expression>
</condition>
</action>
<action id="5">
<title value="Measure the fetal heart rate again"/>
<description value="Measure the fetal heart rate again"/>
<textEquivalent
value="Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again"/>
<documentation>
<type value="citation"/>
<label value="Managing complications guide (IMPAC) (2017): C-89 (5)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description value="100 bpm > Fetal heart rate > 180 bpm"/>
<language value="text/cql-identifier"/>
<expression value="Should Measure the fetal heart rate again"/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>