WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

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

Library: ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis

Official URL: http://fhir.org/guides/who/anc-cds/Library/ANCDT22 Version: 0.3.0
Active as of 2024-09-10 Computable Name: ANCDT22
Other Identifiers: ANC.DT.22 (use: official, )

If the woman tests positive for ASB, provide counselling and treatment as needed.

Id: ANCDT22
Url: ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis
Version: 0.3.0
Identifier:

value: ANC.DT.22

Name: ANCDT22
Title: ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2024-09-10 13:23:00+0000
Publisher: World Health Organization (WHO)
Description: If the woman tests positive for ASB, provide counselling and treatment as needed.
Jurisdiction: 001
Related Artifacts:

Dependencies
Parameters:
NameTypeMinMaxIn/Out
encounterstring01In
PatientPatient01Out
Should Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB)boolean01Out
Should Provide intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection counsellingboolean01Out
Data Requirements:
TypeProfileMSCode Filter
Patient http://hl7.org/fhir/StructureDefinition/Patient
Observation http://hl7.org/fhir/StructureDefinition/Observation ;;;; code filter:
path: code
value set: http://fhir.org/guides/who/anc-cds/ValueSet/anc-b9-de124
Observation http://hl7.org/fhir/StructureDefinition/Observation ;;;; code filter:
path: code
value set: http://fhir.org/guides/who/anc-cds/ValueSet/anc-b9-de129
Observation http://hl7.org/fhir/StructureDefinition/Observation ;;;; code filter:
path: code
value set: http://fhir.org/guides/who/anc-cds/ValueSet/anc-b9-de132
Observation http://hl7.org/fhir/StructureDefinition/Observation ;;;; code filter:
path: code
value set: http://fhir.org/guides/who/anc-cds/ValueSet/anc-b9-de138
Content: text/cql
library ANCDT22

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1'

include ANCConfig called Config
include ANCConcepts called Cx
include ANCDataElements called PatientData
include ANCContactDataElements called ContactData

context Patient

/*
(((((((((("Midstream urine culture (recommended)" = "Positive – any agent")
  OR ("Midstream urine culture (recommended)" = "Positive – Group B Streptococcus (GBS)"))
  OR ("Midstream urine Gram-staining" = "Positive"))
  OR ("Urine dipstick result – nitrites" = "+"))
  OR ("Urine dipstick result – nitrites" = "++"))
  OR ("Urine dipstick result – nitrites" = "+++"))
  OR ("Urine dipstick result – nitrites" = "++++"))
  OR ("Urine dipstick result – leukocytes" = "+"))
  OR ("Urine dipstick result – leukocytes" = "++"))
  OR ("Urine dipstick result – leukocytes" = "+++"))
  OR ("Urine dipstick result – leukocytes" = "++++")
*/
define "Should Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB)":
  ContactData."Midstream urine culture (recommended)" in Cx."Midstream urine culture (recommended) - Positive - Any agent Choices"
    or ContactData."Midstream urine culture (recommended)" in Cx."Midstream urine culture (recommended) - Positive - Group B Strep (GBS) Choices"
    or ContactData."Midstream urine Gram-staining" in Cx."Midstream urine Gram-staining - Positive Choices"
    or ContactData."Urine dipstick result - nitrites" in Cx."Urine dipstick result - nitrites Choices"
    or ContactData."Urine dipstick result - leukocytes" in Cx."Urine dipstick result - leukocytes Choices"

/*
"Midstream urine culture (recommended)" = "Positive – Group B Streptococcus (GBS)"
*/
define "Should Provide intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection counselling":
  ContactData."Midstream urine culture (recommended)" in Cx."Midstream urine culture (recommended) - Positive - Group B Strep (GBS) Choices"
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