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="ANCDT34"/>
<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;">ANCDT34</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT34.html">ANC.DT.34 Birth preparedness 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.34</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT34</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.34 Birth preparedness 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 23:49:11-0600</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;">General counselling to be provided/reviewed at every contact</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-ANCDT34.html">ANC.DT.34 Birth preparedness 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.34 Birth preparedness counselling:</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>
Encourage delivery at a health-care facility.
Risk factors necessitating a facility birth:
– Age 17 or under
– Primigravida
– Parity 6 or higher
– Prior caesarian section
– Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear
– Vaginal bleeding
– Multiple fetuses
– Abnormal fetal presentation
– HIV positive
– Wants IUD or tubal ligation following delivery<br/>
<b>If:</b> <i>Applicability:</i> (((((((((((((((Age&quot; ≤ 17 years)
OR (&quot;Fetal presentation&quot; = &quot;Transverse fetal presentation&quot;))
OR (&quot;Fetal presentation&quot; = &quot;Other fetal presentation (specify)&quot;))
OR (Number of caesarian sections&quot; &gt; 0))
OR (&quot;Number of fetuses&quot; &gt; 1))
OR (&quot;Family planning method provided&quot; = &quot;Copper-bearing intrauterine device (Cu-IUD)&quot;))
OR (&quot;Family planning method provided&quot; = &quot;Levonorgestrel intrauterine device (LNG-IUD)&quot;))
OR (&quot;Family planning method provided&quot; = &quot;Female sterilization&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;Convulsions&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;Heavy bleeding (during or after delivery)&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;Forceps or vacuum delivery&quot;))
OR (&quot;Past pregnancy complications&quot; = &quot;3rd or 4th degree tear&quot;))
OR (&quot;Current physiological symptoms&quot; = &quot;Vaginal bleeding&quot;))
OR (&quot;Number of pregnancies (gravida)&quot; = 1))
OR (&quot;Parity&quot; &gt; 5))
OR (&quot;HIV status&quot; = &quot;HIV positive&quot;) <i>(Should Conduct counselling on birth preparedness and complications readiness)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> Recommend woman to plan to give birth at a health-care facility:</b> <br/>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference<br/>
<b>If:</b> <i>Applicability:</i> &quot;Planned birth place&quot; = &quot;Home&quot; <i>(Should Conduct counselling on birth preparedness and complications readiness 2)</i><br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
<b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>
</td>
</tr>
<tr>
<td>
<b> Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference:</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/ANCDT34"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.34"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT34"/>
<title value="ANC.DT.34 Birth preparedness counselling"/>
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<system
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<code value="eca-rule"/>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T23:49:11-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description
value="General counselling to be provided/reviewed at every contact"/>
<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="ANC.B10."/>
<display value="Counselling, in-facility management & treatment"/>
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<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT34"/>
<action>
<title value="ANC.DT.34 Birth preparedness counselling"/>
<trigger>
<type value="named-event"/>
<name
value="ANC.B10. Counselling, in-facility management & treatment"/>
</trigger>
<action id="1">
<title
value="Conduct counselling on birth preparedness and complications readiness"/>
<description
value="Conduct counselling on birth preparedness and complications readiness"/>
<textEquivalent
value="Encourage delivery at a health-care facility.
Risk factors necessitating a facility birth:
– Age 17 or under
– Primigravida
– Parity 6 or higher
– Prior caesarian section
– Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear
– Vaginal bleeding
– Multiple fetuses
– Abnormal fetal presentation
– HIV positive
– Wants IUD or tubal ligation following delivery"/>
<documentation>
<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(((((((((((((((Age" ≤ 17 years)
OR ("Fetal presentation" = "Transverse fetal presentation"))
OR ("Fetal presentation" = "Other fetal presentation (specify)"))
OR (Number of caesarian sections" > 0))
OR ("Number of fetuses" > 1))
OR ("Family planning method provided" = "Copper-bearing intrauterine device (Cu-IUD)"))
OR ("Family planning method provided" = "Levonorgestrel intrauterine device (LNG-IUD)"))
OR ("Family planning method provided" = "Female sterilization"))
OR ("Past pregnancy complications" = "Convulsions"))
OR ("Past pregnancy complications" = "Heavy bleeding (during or after delivery)"))
OR ("Past pregnancy complications" = "Forceps or vacuum delivery"))
OR ("Past pregnancy complications" = "3rd or 4th degree tear"))
OR ("Current physiological symptoms" = "Vaginal bleeding"))
OR ("Number of pregnancies (gravida)" = 1))
OR ("Parity" > 5))
OR ("HIV status" = "HIV positive")"/>
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<expression
value="Should Conduct counselling on birth preparedness and complications readiness"/>
</expression>
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<action>
<title
value="Conduct counselling on birth preparedness and complications readiness"/>
</action>
<action>
<title
value="Recommend woman to plan to give birth at a health-care facility"/>
</action>
</action>
<action id="2">
<title
value="Conduct counselling on birth preparedness and complications readiness"/>
<description
value="Conduct counselling on birth preparedness and complications readiness 2"/>
<textEquivalent
value="Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference"/>
<documentation>
<type value="citation"/>
<label
value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value=""Planned birth place" = "Home""/>
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<expression
value="Should Conduct counselling on birth preparedness and complications readiness 2"/>
</expression>
</condition>
<action>
<title
value="Conduct counselling on birth preparedness and complications readiness"/>
</action>
<action>
<title
value="Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference"/>
</action>
</action>
</action>
</PlanDefinition>