WHO Antenatal Care Guideline Implementation Guide
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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

: ANC.DT.30 General risk reduction counselling - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT30",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">ANCDT30</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT30.html\">ANC.DT.30 General risk reduction counselling</a></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.3.0</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Identifier: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p style=\"margin-bottom: 5px;\">\n                    <b>value: </b> <span>ANC.DT.30</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">ANCDT30</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.30 General risk reduction counselling</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">active</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">false</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <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>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>eca-rule</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2021-06-11 23:42:28-0600</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">World Health Organization (WHO)</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">Depending on a variety of risk factors and/or gestational age, provide additional counselling accordingly</td>\n        </tr>\n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Use Context: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>\n                    \n                      <tr>\n                        <td>task</td>\n                        <td>ANC.B9.</td>\n                        <td>Conduct laboratory tests and imaging</td>\n                      </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">001</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Libraries: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr><td><a href=\"Library-ANCDT30.html\">ANC.DT.30 General risk reduction counselling</a></td></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Actions: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr>\n                  <td>\n                    <b> ANC.DT.30 General risk reduction counselling:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B9. Conduct laboratory tests and imaging<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              – Woman is at risk of alloimmunization if the baby's father is Rh positive or unknown\n– Proceed with local protocol to investigate sensitization and the need for referral \n– If non-sensitized, woman should receive anti-D prophylaxis postnatally if the baby is Rh positive<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> Rh factor&amp;quot; = &amp;quot;Rh negative&amp;quot; <i>(Should Provide counselling on Rh factor negative)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              Pregnant women with GBS colonization should receive intrapartum antibiotic administration to prevent early neonatal GBS infection<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> Midstream urine culture (recommended)&amp;quot; = &amp;quot;Positive – Group B Streptococcus (GBS)&amp;quot; <i>(Should Provide counselling on intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                      </table>\n                    \n                  </td>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n    </table>\n</div>"
  },
  "url" : "http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT30",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.30"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT30",
  "title" : "ANC.DT.30 General risk reduction counselling",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:42:28-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Depending on a variety of risk factors and/or gestational age, provide additional counselling accordingly",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
            "code" : "ANC.B9.",
            "display" : "Conduct laboratory tests and imaging"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT30"
  ],
  "action" : [
    {
      "title" : "ANC.DT.30 General risk reduction counselling",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B9. Conduct laboratory tests and imaging"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Provide counselling on Rh factor negative",
          "description" : "Provide counselling on Rh factor negative",
          "textEquivalent" : "– Woman is at risk of alloimmunization if the baby's father is Rh positive or unknown\n– Proceed with local protocol to investigate sensitization and the need for referral \n– If non-sensitized, woman should receive anti-D prophylaxis postnatally if the baby is Rh positive",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): C.3. Antenatal anti-D immunoglobulin administration (2)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "Rh factor\" = \"Rh negative\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Provide counselling on Rh factor negative"
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Provide counselling on intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection",
          "description" : "Provide counselling on intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection",
          "textEquivalent" : "Pregnant women with GBS colonization should receive intrapartum antibiotic administration to prevent early neonatal GBS infection",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): C.1: Antibiotics for asymptomatic bacteriuria (ASB) (2)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "Midstream urine culture (recommended)\" = \"Positive – Group B Streptococcus (GBS)\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Provide counselling on intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection"
              }
            }
          ]
        }
      ]
    }
  ]
}