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="ANCDT26"/>
<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;">ANCDT26</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT26.html">ANC.DT.26 Calcium and vitamin A supplementation</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.26</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT26</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.26 Calcium and vitamin A supplementation</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 23:38:46-0600</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 population, additional calcium and/or vitamin A supplements maybe 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>IF</td>
<td>&quot;Population with low dietary calcium intake&quot; = TRUE AND/OR IF &quot;Population with vitamin A deficiency&quot; = TRUE</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-ANCDT26.html">ANC.DT.26 Calcium and vitamin A supplementation</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.26 Calcium and vitamin A supplementation:</b> <br/>
<b>When:</b> <i>Named Event:</i> IF &quot;Population with low dietary calcium intake&quot; = TRUE AND/OR IF &quot;Population with vitamin A deficiency&quot; = TRUE<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
In populations with low dietary calcium intake, daily calcium supplementation (1.5–2.0 g oral elemental calcium) is recommended for pregnant women to reduce the risk of pre-eclampsia.
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
– Divide the total dose into three doses, preferably taken at meal-time.
– Iron and calcium should preferably be administered several hours apart rather than concomitantly.
Please refer to calcium sources listed below for additional guidance that can be provided. <br/>
<b>If:</b> <i>Applicability:</i> IF &quot;Population with low dietary calcium intake&quot; = TRUE <i>(Should Provide calcium supplementation)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Provide calcium supplementation:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> 1.5 g ≤ &quot;Amount of calcium supplements provided&quot; ≤ 2 g :</b> <br/>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
Please refer to calcium sources listed below for additional guidance that can be provided. <br/>
<b>If:</b> <i>Applicability:</i> IF &quot;Population with low dietary calcium intake&quot; = FALSE <i>(Should Do not provide calcium supplementation)</i><br/>
</td>
</tr>
<tr>
<td>
Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU.
A single dose of a vitamin A supplement greater than 25,000 IU is not recommended as its safety is uncertain. Furthermore, a single dose of a vitamin A supplement greater than 25,000 IU might be teratogenic if consumed between day 15 and day 60 from conception.
Please refer to vitaminA sources listed below for additional guidance that can be provided. <br/>
<b>If:</b> <i>Applicability:</i> IF &quot;Population with vitamin A deficiency&quot; = TRUE <i>(Should Provide vitamin A supplementation)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Provide vitamin A supplementation:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> &quot;Amount of vitamin A supplementation provided&quot; ≤ 10 000 IU:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> Type of vitamin A supplement provided&quot; = &quot;Daily&quot;:</b> <br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT26"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.26"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT26"/>
<title value="ANC.DT.26 Calcium and vitamin A supplementation"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T23:38:46-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="Depending on the population, additional calcium and/or vitamin A supplements maybe 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="IF"/>
<display
value=""Population with low dietary calcium intake" = TRUE AND/OR IF "Population with vitamin A deficiency" = TRUE"/>
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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/ANCDT26"/>
<action>
<title value="ANC.DT.26 Calcium and vitamin A supplementation"/>
<trigger>
<type value="named-event"/>
<name
value="IF "Population with low dietary calcium intake" = TRUE AND/OR IF "Population with vitamin A deficiency" = TRUE"/>
</trigger>
<action id="1">
<title value="Provide calcium supplementation"/>
<description value="Provide calcium supplementation"/>
<textEquivalent
value="In populations with low dietary calcium intake, daily calcium supplementation (1.5–2.0 g oral elemental calcium) is recommended for pregnant women to reduce the risk of pre-eclampsia.
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
– Divide the total dose into three doses, preferably taken at meal-time.
– Iron and calcium should preferably be administered several hours apart rather than concomitantly.
Please refer to calcium sources listed below for additional guidance that can be provided. "/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): A.3. Calcium supplements (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
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<expression value="Should Provide calcium supplementation"/>
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<action>
<title value="Provide calcium supplementation"/>
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<action>
<title
value="1.5 g ≤ "Amount of calcium supplements provided" ≤ 2 g "/>
</action>
</action>
<action id="2">
<title value="Do not provide calcium supplementation"/>
<description value="Do not provide calcium supplementation"/>
<textEquivalent
value="Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
Please refer to calcium sources listed below for additional guidance that can be provided. "/>
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<type value="citation"/>
<label
value="WHO ANC recommendations (2016): A.3. Calcium supplements (3)"/>
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<expression value="Should Do not provide calcium supplementation"/>
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</condition>
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<action id="3">
<title value="Provide vitamin A supplementation"/>
<description value="Provide vitamin A supplementation"/>
<textEquivalent
value="Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU.
A single dose of a vitamin A supplement greater than 25,000 IU is not recommended as its safety is uncertain. Furthermore, a single dose of a vitamin A supplement greater than 25,000 IU might be teratogenic if consumed between day 15 and day 60 from conception.
Please refer to vitaminA sources listed below for additional guidance that can be provided. "/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): A.4. Vitamin A supplements (3)"/>
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<expression value="Should Provide vitamin A supplementation"/>
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<action>
<title value="Provide vitamin A supplementation"/>
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<action>
<title
value=""Amount of vitamin A supplementation provided" ≤ 10 000 IU"/>
</action>
<action>
<title
value="Type of vitamin A supplement provided" = "Daily""/>
</action>
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</action>
</PlanDefinition>