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="ANCDT27"/>
<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;">ANCDT27</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT27.html">ANC.DT.27 Pre-eclampsia risk counselling</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.27</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT27</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.27 Pre-eclampsia risk counselling</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 23:42:28-0600</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;">If the woman has risk factors for developing pre-eclampsia, provide counselling to reduce risk of developing pre-eclampsia</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.B6.</td>
<td>Collect woman's profile &amp; history</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-ANCDT27.html">ANC.DT.27 Pre-eclampsia risk counselling</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.27 Pre-eclampsia risk counselling:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B6. Collect woman's profile &amp; history<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
The woman is at risk of developing pre-eclampsia – provide counselling<br/>
<b>If:</b> <i>Applicability:</i> (((((((&quot;Number of fetuses&quot; ≥ 2 )
OR (&quot;Past pregnancy complications&quot; = &quot;Pre-eclampsia&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;Eclampsia&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;Convulsions&quot;))
OR (&quot;Existing chronic health conditions&quot; = &quot;Autoimmune disease&quot;))
OR (&quot;Existing chronic health conditions&quot; = &quot;Diabetes&quot;))
OR (&quot;Existing chronic health conditions&quot; = &quot;Hypertension&quot;))
OR (&quot;Existing chronic health conditions&quot; = &quot;Kidney disease&quot;) <i>(Should Provide counselling on pre-eclampsia risk)</i><br/>
</td>
</tr>
<tr>
<td>
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) for pre-eclampsia risk<br/>
<b>If:</b> <i>Applicability:</i> ((((((((&quot;Number of fetuses&quot; ≥ 2 )
AND (&quot;Gestational age&quot; ≥ 12 weeks))
OR ((&quot;Past pregnancy complications&quot; = &quot;Pre-eclampsia&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Past pregnancy complications&quot; = &quot;Eclampsia&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Past pregnancy complications&quot; = &quot;Convulsions&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Autoimmune disease&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Diabetes&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Hypertension&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Kidney disease&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)) <i>(Should Provide counselling on pre-eclampsia risk 2)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Provide counselling on pre-eclampsia risk:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> &quot;Amount of daily aspirin prescribed until delivery&quot; = 75 mg:</b> <br/>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) and ensure that she continues to take her daily calcium supplement of 1.5–2 g until delivery for pre-eclampsia risk <br/>
<b>If:</b> <i>Applicability:</i> ((((((((&quot;Number of fetuses&quot; ≥ 2)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE))
OR ((&quot;Past pregnancy complications&quot; = &quot;Pre-eclampsia&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Past pregnancy complications&quot; = &quot;Eclampsia&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Past pregnancy complications&quot; = &quot;Convulsions&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Autoimmune disease&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Diabetes&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Hypertension&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)))
OR ((&quot;Existing chronic health conditions&quot; = &quot;Kidney disease&quot;)
AND (&quot;Gestational age&quot; ≥ 12 weeks)
AND (&quot;Population with low dietary calcium intake&quot; = TRUE)) <i>(Should Provide counselling on pre-eclampsia risk 3)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Provide counselling on pre-eclampsia risk:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> &quot;Amount of daily aspirin prescribed until delivery&quot; = 75 mg:</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>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
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<use value="official"/>
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<version value="0.3.0"/>
<name value="ANCDT27"/>
<title value="ANC.DT.27 Pre-eclampsia risk counselling"/>
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<date value="2021-06-11T23:42:28-06:00"/>
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<action>
<title value="ANC.DT.27 Pre-eclampsia risk counselling"/>
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<type value="named-event"/>
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<title value="Provide counselling on pre-eclampsia risk"/>
<description value="Provide counselling on pre-eclampsia risk"/>
<textEquivalent
value="The woman is at risk of developing pre-eclampsia – provide counselling"/>
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<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (2015): C3 (1)
WHO pre-eclampsia and eclampsia recommendations (2011): 1, 2 (5)"/>
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<description
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<label
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WHO pre-eclampsia and eclampsia recommendations (2011): 1, 10 (5)"/>
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OR (("Past pregnancy complications" = "Convulsions")
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AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Diabetes")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Hypertension")
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<action>
<title
value=""Amount of daily aspirin prescribed until delivery" = 75 mg"/>
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<action id="3">
<title value="Provide counselling on pre-eclampsia risk"/>
<description value="Provide counselling on pre-eclampsia risk 3"/>
<textEquivalent
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<type value="citation"/>
<label
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WHO pre-eclampsia and eclampsia recommendations (2011): 1, 18 (5)"/>
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<description
value="(((((((("Number of fetuses" ≥ 2)
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE))
OR (("Past pregnancy complications" = "Pre-eclampsia")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Past pregnancy complications" = "Eclampsia")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Past pregnancy complications" = "Convulsions")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Autoimmune disease")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Diabetes")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Hypertension")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Kidney disease")
AND ("Gestational age" ≥ 12 weeks)
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<action>
<title
value=""Amount of daily aspirin prescribed until delivery" = 75 mg"/>
</action>
<action>
<title
value="1.5 g ≤ "Amount of calcium supplements provided" ≤ 2 g"/>
</action>
</action>
</action>
</PlanDefinition>