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="ANCDT32"/>
<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;">ANCDT32</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT32.html">ANC.DT.32 Tetanus toxoid-containing vaccination</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.32</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT32</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.32 Tetanus toxoid-containing vaccination</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 not yet been fully immunized against tetanus, she should be immunized </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.B10.7.</td>
<td>Immunizations</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-ANCDT32.html">ANC.DT.32 Tetanus toxoid-containing vaccination</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.32 Tetanus toxoid-containing vaccination:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10.7. Immunizations<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Tetanus toxoid (TT) vaccination is recommended for all pregnant women who are not fully immunised against TT to prevent neonatal mortality from tetanus<br/>
<b>If:</b> <i>Applicability:</i> ((&quot;Tetanus toxoid-containing vaccine (TTCV) immunization history&quot; = &quot;Under-immunized&quot;)
OR (&quot;Tetanus toxoid-containing vaccine (TTCV) immunization history&quot; = &quot;No doses&quot;))
OR (&quot;Tetanus toxoid-containing vaccine (TTCV) immunization history&quot; = &quot;Unknown&quot;) <i>(Should Provide tetanus toxoid immunizations – using the \&quot;Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS\&quot; schedule (3 dose scheme))</i><br/>
</td>
</tr>
<tr>
<td>
1–4 doses of TTCV in the past:
– 1 dose scheme: Woman should receive one dose of TTCV during each subsequent pregnancy to a total of five doses (five doses protects throughout the childbearing years)<br/>
<b>If:</b> <i>Applicability:</i> ((((&quot;Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 4 immunization provided&quot; = TRUE))
OR ((&quot;Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided&quot; = TRUE)))
OR ((&quot;Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided&quot; = TRUE)
AND (&quot;Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided&quot; = TRUE)))
OR (&quot;Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided&quot; = TRUE) <i>(Should Provide tetanus toxoid immunizations – using the \&quot;Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\&quot; schedule (1 dose scheme))</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT32"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.32"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT32"/>
<title value="ANC.DT.32 Tetanus toxoid-containing vaccination"/>
<type>
<coding>
<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="2021-06-11T23:42:28-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="If the woman has not yet been fully immunized against tetanus, she should be immunized "/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="task"/>
<display value="Workflow Task"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
<code value="ANC.B10.7."/>
<display value="Immunizations"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
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</jurisdiction>
<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT32"/>
<action>
<title value="ANC.DT.32 Tetanus toxoid-containing vaccination"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B10.7. Immunizations"/>
</trigger>
<action id="1">
<title
value="Provide tetanus toxoid immunizations – using the "Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS" schedule (3 dose scheme)"/>
<description
value="Provide tetanus toxoid immunizations – using the "Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS" schedule (3 dose scheme)"/>
<textEquivalent
value="Tetanus toxoid (TT) vaccination is recommended for all pregnant women who are not fully immunised against TT to prevent neonatal mortality from tetanus"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): C.5. Tetanus toxoid vaccination (3)
Maternal immunization against tetanus (IMPAC) (2006) (11)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "Under-immunized")
OR ("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "No doses"))
OR ("Tetanus toxoid-containing vaccine (TTCV) immunization history" = "Unknown")"/>
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<expression
value="Should Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – NO PREVIOUS\" schedule (3 dose scheme)"/>
</expression>
</condition>
</action>
<action id="2">
<title
value="Provide tetanus toxoid immunizations – using the "Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS" schedule (1 dose scheme)"/>
<description
value="Provide tetanus toxoid immunizations – using the "Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS" schedule (1 dose scheme)"/>
<textEquivalent
value="1–4 doses of TTCV in the past:
– 1 dose scheme: Woman should receive one dose of TTCV during each subsequent pregnancy to a total of five doses (five doses protects throughout the childbearing years)"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): C.5. Tetanus toxoid vaccination (3)
Maternal immunization against tetanus (IMPAC) (2006) (11)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(((("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 4 immunization provided" = TRUE))
OR (("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 3 immunization provided" = TRUE)))
OR (("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE)
AND ("Tetanus toxoid-containing vaccine (TTCV) 2 immunization provided" = TRUE)))
OR ("Tetanus toxoid-containing vaccine (TTCV) 1 immunization provided" = TRUE)"/>
<language value="text/cql-identifier"/>
<expression
value="Should Provide tetanus toxoid immunizations – using the \"Tetanus toxoid-containing vaccine (TTCV) immunization – WITH PREVIOUS\" schedule (1 dose scheme)"/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>