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="ANCDT36"/>
<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;">ANCDT36</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT36.html">ANC.DT.36 Intimate partner violence (IPV) clinical inquiry</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.36</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT36</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.36 Intimate partner violence (IPV) clinical inquiry</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;">You may suspect that a woman has been subjected to intimiate partner violence if she has any of the following risk factors</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.B10.8.</td>
<td>Intimate partner violence counselling</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-ANCDT36.html">ANC.DT.36 Intimate partner violence (IPV) clinical inquiry</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.36 Intimate partner violence (IPV) clinical inquiry:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10.8. Intimate partner violence counselling<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Cultures and communities have ways of referring to the problem with other words. It is important to use the words that women themselves use.<br/>
<b>If:</b> <i>Applicability:</i> (Minimum requirements for IPV assessment = TRUE
)
AND (Woman discloses or is suspected to be subjected to intimate partner violence = TRUE) <i>(Should Conduct clinical enquiry)</i><br/>
</td>
</tr>
<tr>
<td>
WHO does not recommend universal screening for violence against women attending health care. WHO does encourage health-care providers to raise the topic with women who have injuries or conditions that they suspect may be related to violence.
Never raise the issue of partner violence unless a woman is alone. Even if she is with another woman, that woman could be the mother or sister of an abuser.
If you do ask her about violence, do it in an empathic, non-judgemental manner. Use language that is appropriate and relevant to the culture and community you are working in. Some women may not like the words “violence” and “abuse”<br/>
<b>If:</b> <i>Applicability:</i> (Minimum requirements for IPV assessment = TRUE)
AND (&quot;Presenting signs and symptoms that trigger suspicion of IPV and clinical inquiry&quot; = &quot;Ongoing stress&quot;) <i>(Should Conduct clinical enquiry and provide first-line support and care if IPV confirmed)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT36"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.36"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT36"/>
<title value="ANC.DT.36 Intimate partner violence (IPV) clinical inquiry"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<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="You may suspect that a woman has been subjected to intimiate partner violence if she has any of the following risk factors"/>
<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.B10.8."/>
<display value="Intimate partner violence counselling"/>
</coding>
</valueCodeableConcept>
</useContext>
<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/ANCDT36"/>
<action>
<title
value="ANC.DT.36 Intimate partner violence (IPV) clinical inquiry"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B10.8. Intimate partner violence counselling"/>
</trigger>
<action id="1">
<title value="Conduct clinical enquiry"/>
<description value="Conduct clinical enquiry"/>
<textEquivalent
value="Cultures and communities have ways of referring to the problem with other words. It is important to use the words that women themselves use."/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B1.3 (2)
IPV handbook (2014) (12)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(Minimum requirements for IPV assessment = TRUE
)
AND (Woman discloses or is suspected to be subjected to intimate partner violence = TRUE)"/>
<language value="text/cql-identifier"/>
<expression value="Should Conduct clinical enquiry"/>
</expression>
</condition>
</action>
<action id="2">
<title
value="Conduct clinical enquiry and provide first-line support and care if IPV confirmed"/>
<description
value="Conduct clinical enquiry and provide first-line support and care if IPV confirmed"/>
<textEquivalent
value="WHO does not recommend universal screening for violence against women attending health care. WHO does encourage health-care providers to raise the topic with women who have injuries or conditions that they suspect may be related to violence.
Never raise the issue of partner violence unless a woman is alone. Even if she is with another woman, that woman could be the mother or sister of an abuser.
If you do ask her about violence, do it in an empathic, non-judgemental manner. Use language that is appropriate and relevant to the culture and community you are working in. Some women may not like the words “violence” and “abuse”"/>
<documentation>
<type value="citation"/>
<label value="IPV handbook (2014) (15)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="(Minimum requirements for IPV assessment = TRUE)
AND ("Presenting signs and symptoms that trigger suspicion of IPV and clinical inquiry" = "Ongoing stress")"/>
<language value="text/cql-identifier"/>
<expression
value="Should Conduct clinical enquiry and provide first-line support and care if IPV confirmed"/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>