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="ANCDT15"/>
<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;">ANCDT15</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT15.html">ANC.DT.15 Behaviour counselling required</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.15</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT15</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.15 Behaviour counselling required</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 23:21:39-0600</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 woman's behaviours reported during the first contact and the woman's reported persistent behaviours, additional counselling may or may not be 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.B10.</td>
<td>Counselling, in-facility management &amp; treatment </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-ANCDT15.html">ANC.DT.15 Behaviour counselling required</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.15 Behaviour counselling required:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10. Counselling, in-facility management &amp; treatment <br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Lowering daily caffeine intake during pregnancy is recommended to reduce the risk of pregnancy loss and low-birth-weight neonates.
This includes any product, beverage or food containing caffeine (e.g. brewed coffee, tea, cola-type soft drinks, caffeinated energy drinks, chocolate, caffeine tablets); caffeine-containing teas (black tea and green tea) and soft drinks (colas and iced tea) usually contain less than 50 mg per 250 ml serving<br/>
<b>If:</b> <i>Applicability:</i> ((((((((((&quot;Daily caffeine intake&quot; = &quot;More than 2 cups of coffee (brewed, filter, instant or espresso)&quot;)
OR (&quot;Daily caffeine intake&quot; = &quot;More than 4 cups of tea&quot;))
OR (&quot;Daily caffeine intake&quot; = &quot;More than 12 bars (50g) of chocolate&quot;))
OR (&quot;Daily caffeine intake&quot; = &quot;More than one can of soda or energy drink&quot;))
OR (&quot;Daily caffeine intake&quot; = &quot;None of the above daily caffeine intake&quot;))
OR (IF &quot;Daily caffeine intake&quot; = &quot;More than 2 cups of coffee (brewed, filter, instant, or espresso)&quot; ON MORE THAN ONE CONTACT))
OR (IF &quot;Daily caffeine intake&quot; = &quot;More than 4 cups of tea&quot; ON MORE THAN ONE CONTACT))
OR (IF &quot;Daily caffeine intake&quot; = &quot;More than 12 bars (50 g) of chocolate&quot; ON MORE THAN ONE CONTACT))
OR (IF &quot;Daily caffeine intake&quot; = &quot;More than one can of soda or energy drink&quot; ON MORE THAN ONE CONTACT))
OR (IF &quot;Daily caffeine intake&quot; = &quot;None of the above daily caffeine intake&quot; ON MORE THAN ONE CONTACT))
OR (&quot;Persistant behaviours&quot; = &quot;High caffeine intake&quot;) <i>(Should Conduct counselling on caffeine reduction)</i><br/>
</td>
</tr>
<tr>
<td>
Health-care providers should routinely offer advice and psychosocial interventions for tobacco cessation to all pregnant women who are either current tobacco users or recent tobacco quitters<br/>
<b>If:</b> <i>Applicability:</i> ((((&quot;Tobacco use&quot; = TRUE)
OR (IF &quot;Tobacco use&quot; = TRUE ON MORE THAN ONE CONTACT))
OR (&quot;Recently quit tobacco products&quot; = TRUE))
OR (IF &quot;Recently quit tobacco products&quot; = TRUE ON MORE THAN ONE CONTACT))
OR (&quot;Persistant behaviours&quot; = &quot;Current tobacco use or recently quit&quot;) <i>(Should Conduct counselling on tobacco cessation)</i><br/>
</td>
</tr>
<tr>
<td>
Provide pregnant women, their partners and other household members with advice and information about the risks of second-hand smoke (SHS) exposure from all forms of smoked tobacco, as well as strategies to reduce SHS in the home<br/>
<b>If:</b> <i>Applicability:</i> ((&quot;Exposure to second&quot;hand smoke&quot; = TRUE)
OR (IF &quot;Exposure to second-hand smoke&quot; = TRUE ON MORE THAN ONE CONTACT))
OR (&quot;Persistent behaviours&quot; = &quot;Exposure to second-hand smoke in the home&quot;) <i>(Should Conduct counselling on second-hand smoke)</i><br/>
</td>
</tr>
<tr>
<td>
Advise to use condoms to prevent Zika, HIV and other STIs; if necessary, reassure it is OK to continue to have sex during pregnancy<br/>
<b>If:</b> <i>Applicability:</i> ((((&quot;Contraceptive use of male condoms&quot; = FALSE)
OR (&quot;Contraceptive use of female condoms&quot; = FALSE))
OR (IF &quot;Contraceptive use of male condoms&quot; = FALSE ON MORE THAN ONE CONTACT))
OR (IF &quot;Contraceptive use of female condoms&quot; = FALSE ON MORE THAN ONE CONTACT))
OR (&quot;Persistent behaviours&quot; = &quot;No condom use during sex&quot;) <i>(Should Conduct counselling on condom use)</i><br/>
</td>
</tr>
<tr>
<td>
Health-care providers should at the earliest opportunity advise pregnant women dependent on alcohol or drugs to cease their alcohol or drug use and offer, or refer them to, detoxification services under medical supervision, where necessary and applicable<br/>
<b>If:</b> <i>Applicability:</i> (((((&quot;Current alcohol and/or other substance use&quot; = &quot;Alcohol&quot;)
OR (IF &quot;Current alcohol and/or other substance use&quot; = &quot;Alcohol&quot; ON MORE THAN ONE CONTACT))
OR (&quot;Persistent behaviours&quot; = &quot;Alcohol use&quot;))
OR (&quot;Current alcohol and/or other substance use&quot; = &quot;Marijuana&quot; AND/OR &quot;Cocaine&quot; AND/OR &quot;Crack&quot; AND/OR &quot;Injectable drugs&quot; AND/OR &quot;Other substance use (specify)&quot;))
OR (IF &quot;Current alcohol and/or other substance use&quot; = &quot;Marijuana&quot; AND/OR &quot;Cocaine&quot; AND/OR &quot;Crack&quot; AND/OR &quot;Injectable drugs&quot; AND/OR &quot;Other substance use (specify)&quot; ON MORE THAN ONE CONTACT))
OR (&quot;Persistent behaviours&quot; = &quot;Substance use&quot;) <i>(Should Conduct counselling on alcohol/substance use)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
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<use value="official"/>
<value value="ANC.DT.15"/>
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<name value="ANCDT15"/>
<title value="ANC.DT.15 Behaviour counselling required"/>
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<status value="active"/>
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<date value="2021-06-11T23:21:39-06:00"/>
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<description
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<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT15"/>
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<title value="ANC.DT.15 Behaviour counselling required"/>
<trigger>
<type value="named-event"/>
<name
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<action id="1">
<title value="Conduct counselling on caffeine reduction"/>
<description value="Conduct counselling on caffeine reduction"/>
<textEquivalent
value="Lowering daily caffeine intake during pregnancy is recommended to reduce the risk of pregnancy loss and low-birth-weight neonates.
This includes any product, beverage or food containing caffeine (e.g. brewed coffee, tea, cola-type soft drinks, caffeinated energy drinks, chocolate, caffeine tablets); caffeine-containing teas (black tea and green tea) and soft drinks (colas and iced tea) usually contain less than 50 mg per 250 ml serving"/>
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<label
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value="(((((((((("Daily caffeine intake" = "More than 2 cups of coffee (brewed, filter, instant or espresso)")
OR ("Daily caffeine intake" = "More than 4 cups of tea"))
OR ("Daily caffeine intake" = "More than 12 bars (50g) of chocolate"))
OR ("Daily caffeine intake" = "More than one can of soda or energy drink"))
OR ("Daily caffeine intake" = "None of the above daily caffeine intake"))
OR (IF "Daily caffeine intake" = "More than 2 cups of coffee (brewed, filter, instant, or espresso)" ON MORE THAN ONE CONTACT))
OR (IF "Daily caffeine intake" = "More than 4 cups of tea" ON MORE THAN ONE CONTACT))
OR (IF "Daily caffeine intake" = "More than 12 bars (50 g) of chocolate" ON MORE THAN ONE CONTACT))
OR (IF "Daily caffeine intake" = "More than one can of soda or energy drink" ON MORE THAN ONE CONTACT))
OR (IF "Daily caffeine intake" = "None of the above daily caffeine intake" ON MORE THAN ONE CONTACT))
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<title value="Conduct counselling on tobacco cessation"/>
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<textEquivalent
value="Health-care providers should routinely offer advice and psychosocial interventions for tobacco cessation to all pregnant women who are either current tobacco users or recent tobacco quitters"/>
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<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.5. Tobacco use (3)"/>
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<description
value="(((("Tobacco use" = TRUE)
OR (IF "Tobacco use" = TRUE ON MORE THAN ONE CONTACT))
OR ("Recently quit tobacco products" = TRUE))
OR (IF "Recently quit tobacco products" = TRUE ON MORE THAN ONE CONTACT))
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<action id="3">
<title value="Conduct counselling on second-hand smoke"/>
<description value="Conduct counselling on second-hand smoke"/>
<textEquivalent
value="Provide pregnant women, their partners and other household members with advice and information about the risks of second-hand smoke (SHS) exposure from all forms of smoked tobacco, as well as strategies to reduce SHS in the home"/>
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<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.5. Tobacco use (3)"/>
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<kind value="applicability"/>
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<description
value="(("Exposure to second"hand smoke" = TRUE)
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<expression
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<action id="4">
<title value="Conduct counselling on condom use"/>
<description value="Conduct counselling on condom use"/>
<textEquivalent
value="Advise to use condoms to prevent Zika, HIV and other STIs; if necessary, reassure it is OK to continue to have sex during pregnancy"/>
<documentation>
<type value="citation"/>
<label value="Pregnancy management with Zika (2017) (19)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(((("Contraceptive use of male condoms" = FALSE)
OR ("Contraceptive use of female condoms" = FALSE))
OR (IF "Contraceptive use of male condoms" = FALSE ON MORE THAN ONE CONTACT))
OR (IF "Contraceptive use of female condoms" = FALSE ON MORE THAN ONE CONTACT))
OR ("Persistent behaviours" = "No condom use during sex")"/>
<language value="text/cql-identifier"/>
<expression value="Should Conduct counselling on condom use"/>
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</condition>
</action>
<action id="5">
<title value="Conduct counselling on alcohol/substance use"/>
<description value="Conduct counselling on alcohol/substance use"/>
<textEquivalent
value="Health-care providers should at the earliest opportunity advise pregnant women dependent on alcohol or drugs to cease their alcohol or drug use and offer, or refer them to, detoxification services under medical supervision, where necessary and applicable"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.6. Substance use (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
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<description
value="((((("Current alcohol and/or other substance use" = "Alcohol")
OR (IF "Current alcohol and/or other substance use" = "Alcohol" ON MORE THAN ONE CONTACT))
OR ("Persistent behaviours" = "Alcohol use"))
OR ("Current alcohol and/or other substance use" = "Marijuana" AND/OR "Cocaine" AND/OR "Crack" AND/OR "Injectable drugs" AND/OR "Other substance use (specify)"))
OR (IF "Current alcohol and/or other substance use" = "Marijuana" AND/OR "Cocaine" AND/OR "Crack" AND/OR "Injectable drugs" AND/OR "Other substance use (specify)" ON MORE THAN ONE CONTACT))
OR ("Persistent behaviours" = "Substance use")"/>
<language value="text/cql-identifier"/>
<expression
value="Should Conduct counselling on alcohol/substance use"/>
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