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 2025-06-24 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCDT37"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div>
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCDT37</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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>
Official
</b>
</th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>ANC.DT.37</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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://terminology.hl7.org/6.4.0/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;">2025-06-24 13:58:48-0600</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;"><div><p>Woman has been subjected to IPV</p>
</div></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>
</tr>
<tr>
<td>task</td>
<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-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37 Intimate partner violence (IPV) first-line support and treatment:</b>
<br/>
<b>When:</b>
<i>Named Event:</i> ANC.B10. Counselling, in-facility management & treatment – 8. IPV first-line support and care
<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Conduct the following 5 tasks:
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support.
<br/>
<b>If:</b>
<i>Applicability:</i>
"Has the woman been subjected to intimate partner violence"=TRUE
<i>(Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.)</i>
<br/>
</td>
</tr>
<tr>
<td>
If woman answers "yes" to at least 3 of the questions, the woman may be at high risk of violence /danger
<br/>
<b>If:</b>
<i>Applicability:</i>
"Safety assessement conducted"=TRUE
<i>(Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? )</i>
<br/>
</td>
</tr>
<tr>
<td>
If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).
<br/>
<b>If:</b>
<i>Applicability:</i>
("Has the physical violence happened more often or gotten worse over the past 6 months?" = TRUE )
AND ("Has he ever used a weapon or threatened you with a weapon?" = TRUE )
AND ("Has he ever tried to strangle you?" = TRUE )
<i>(Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).)</i>
<br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library ContactData"/>
<resource
value="http://smart.who.int/anc/Library/ANCContactDataElements"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library WC"/>
<resource value="http://smart.who.int/anc/Library/WHOCommon"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Cx"/>
<resource value="http://smart.who.int/anc/Library/ANCConcepts"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource value="http://smart.who.int/anc/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Has the physical violence happened more often or gotten worse over the past 6 months"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de217"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Has he ever used a weapon or threatened you with a weapon"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de218"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Has he ever tried to strangle you"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de219"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Do you believe he could kill you"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de222"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Has he ever beaten you when you were pregnant"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de220"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Is he violently and constantly jealous of you"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de221"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Has the woman been subjected to intimate partner violence"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b8-de128"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Safety assessement"/>
<resource value="http://smart.who.int/anc/ValueSet/anc-b10-de216"/>
</relatedArtifact>
<parameter>
<name value="encounter"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="string"/>
</parameter>
<parameter>
<name
value="Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name
value="Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name
value="Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de217"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de218"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de219"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de222"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de220"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de221"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b8-de128"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="code"/>
<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="encounter.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://smart.who.int/anc/ValueSet/anc-b10-de216"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString
value="Has the physical violence happened more often or gotten worse over the past 6 months"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE217 Has the physical violence happened more often or gotten worse over the past 6 months
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Has the physical violence happened more often or gotten worse over the past 6 months?
*/
define "Has the physical violence happened more often or gotten worse over the past 6 months":
WC.Only(
[Observation: Cx."Has the physical violence happened more often or gotten worse over the past 6 months"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString
value="Has he ever used a weapon or threatened you with a weapon"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE218 Has he ever used a weapon or threatened you with a weapon
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Has he ever used a weapon or threatened you with a weapon?
*/
define "Has he ever used a weapon or threatened you with a weapon":
WC.Only(
[Observation: Cx."Has he ever used a weapon or threatened you with a weapon"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Has he ever tried to strangle you"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE219 Has he ever tried to strangle you
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Has he ever tried to strangle you?
*/
define "Has he ever tried to strangle you":
WC.Only(
[Observation: Cx."Has he ever tried to strangle you"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Do you believe he could kill you"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE222 Do you believe he could kill you
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Do you believe he could kill you?
*/
define "Do you believe he could kill you":
WC.Only(
[Observation: Cx."Do you believe he could kill you"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Has he ever beaten you when you were pregnant"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE220 Has he ever beaten you when you were pregnant
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Has he ever beaten you when you were pregnant?
*/
define "Has he ever beaten you when you were pregnant":
WC.Only(
[Observation: Cx."Has he ever beaten you when you were pregnant"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Is he violently and constantly jealous of you"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE221 Is he violently and constantly jealous of you
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Is he violently and constantly jealous of you?
*/
define "Is he violently and constantly jealous of you":
WC.Only(
[Observation: Cx."Is he violently and constantly jealous of you"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCDT37"/>
</extension>
<extension url="name">
<valueString
value="Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
</extension>
<extension url="statement">
<valueString
value="/*
("Has the physical violence happened more often or gotten worse over the past 6 months?" = TRUE )
AND ("Has he ever used a weapon or threatened you with a weapon?" = TRUE )
AND ("Has he ever tried to strangle you?" = TRUE )
*/
define "Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).":
Count(({
ContactData."Has the physical violence happened more often or gotten worse over the past 6 months",
ContactData."Has he ever used a weapon or threatened you with a weapon",
ContactData."Has he ever tried to strangle you",
ContactData."Do you believe he could kill you",
ContactData."Has he ever beaten you when you were pregnant",
ContactData."Is he violently and constantly jealous of you"
}) O where O is true) >= 3"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString
value="Has the woman been subjected to intimate partner violence"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B8.DE128 Has the woman been subjected to intimate partner violence
@activity: ANC.B7 Symptoms & Follow-up
@description: Whether the woman has been subjected to intimate partner violence
*/
define "Has the woman been subjected to intimate partner violence":
WC.Only(
[Observation: Cx."Has the woman been subjected to intimate partner violence"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCDT37"/>
</extension>
<extension url="name">
<valueString
value="Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
</extension>
<extension url="statement">
<valueString
value="/*
"Has the woman been subjected to intimate partner violence"=TRUE
*/
define "Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.":
ContactData."Has the woman been subjected to intimate partner violence" is true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCContactDataElements"/>
</extension>
<extension url="name">
<valueString value="Safety assessement"/>
</extension>
<extension url="statement">
<valueString
value="/*
@dataElement: ANC.B10.DE216 Safety assessement
@activity: ANC.B10.8 Intimate partner violence first-line support and care
@description: Assess immediate risk of violence/danger
*/
define "Safety assessement":
WC.Only(
[Observation: Cx."Safety assessement"] O
where O.status in { 'final', 'amended', 'corrected' }
and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false
and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))
).value as FHIR.boolean"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="ANCDT37"/>
</extension>
<extension url="name">
<valueString
value="Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
</extension>
<extension url="statement">
<valueString
value="/*
"Safety assessement conducted"=TRUE
*/
define "Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? ":
ContactData."Safety assessement" is true"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="Only"/>
</extension>
<extension url="statement">
<valueString
value="define function Only(observations List<Observation>):
singleton from observations"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value ObservationStatus): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToBoolean"/>
</extension>
<extension url="statement">
<valueString
value="define function ToBoolean(value boolean): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="ModifierExtension"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns the single WHO core modifier extension (if present) on the given resource with the specified id.
@comment: This function uses singleton from to ensure that a run-time exception is thrown if there
is more than one extension on the given resource with the specified url.
*/
define function ModifierExtension(domainResource DomainResource, id String):
singleton from ModifierExtensions(domainResource, id)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="WHOCommon"/>
</extension>
<extension url="name">
<valueString value="ModifierExtensions"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns any WHO core modifier extensions defined on the given resource with the specified id.
@comment: NOTE: Extensions are not the preferred approach, but are used as a way to access
content that is defined by extensions but not yet surfaced in the
CQL model info.
*/
define function ModifierExtensions(domainResource DomainResource, id String):
domainResource.modifierExtension E
where E.url = ('http://fhir.org/guides/who/core/StructureDefinition/' + id)
return E"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString value="define function ToString(value uri): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value string): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" id="effective-data-requirements">
<valueCanonical value="#effective-data-requirements"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
<valueReference>🔗
<reference value="Device/cqf-tooling"/>
</valueReference>
</extension>
<url value="http://smart.who.int/anc/PlanDefinition/ANCDT37"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.37"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT37"/>
<title
value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
<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="2025-06-24T13:58:48-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description value="Woman has been subjected to IPV"/>
<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://smart.who.int/anc/CodeSystem/activity-codes"/>
<code value="ANC.B10."/>
<display value="Counselling, in-facility management & treatment"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<library value="http://smart.who.int/anc/Library/ANCDT37"/>
<action>
<title
value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
<trigger>
<type value="named-event"/>
<name
value="ANC.B10. Counselling, in-facility management & treatment – 8. IPV first-line support and care"/>
</trigger>
<action id="1">
<title
value="Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
<description
value="Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
<textEquivalent
value="Conduct the following 5 tasks:
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support."/>
<documentation>
<type value="citation"/>
<label value="IPV handbook (2014) (15)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value=""Has the woman been subjected to intimate partner violence"=TRUE"/>
<language value="text/cql-identifier"/>
<expression
value="Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
</expression>
</condition>
</action>
<action id="2">
<title
value="Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
<description
value="Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
<textEquivalent
value="If woman answers "yes" to at least 3 of the questions, the woman may be at high risk of violence /danger
"/>
<documentation>
<type value="citation"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description value=""Safety assessement conducted"=TRUE"/>
<language value="text/cql-identifier"/>
<expression
value="Should Ask the following questions: -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
</expression>
</condition>
</action>
<action id="3">
<title
value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
<description
value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
<textEquivalent
value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
<documentation>
<type value="citation"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Has the physical violence happened more often or gotten worse over the past 6 months?" = TRUE )
AND ("Has he ever used a weapon or threatened you with a weapon?" = TRUE )
AND ("Has he ever tried to strangle you?" = TRUE )"/>
<language value="text/cql-identifier"/>
<expression
value="Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>