WHO Antenatal Care Guideline Implementation Guide
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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

: ANC.DT.18 HIV diagnosis - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT18",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">ANCDT18</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT18.html\">ANC.DT.18 HIV diagnosis</a></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.3.0</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Identifier: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p style=\"margin-bottom: 5px;\">\n                    <b>value: </b> <span>ANC.DT.18</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">ANCDT18</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.18 HIV diagnosis</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">active</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">false</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <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>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>eca-rule</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2021-06-11 23:25:04-0600</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">World Health Organization (WHO)</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">If the woman tests positive for HIV, provide counselling and referral as needed</td>\n        </tr>\n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Use Context: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>\n                    \n                      <tr>\n                        <td>task</td>\n                        <td>ANC.B10.4.</td>\n                        <td>Diagnosis and treatment</td>\n                      </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">001</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Libraries: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr><td><a href=\"Library-ANCDT18.html\">ANC.DT.18 HIV diagnosis</a></td></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Actions: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr>\n                  <td>\n                    <b> ANC.DT.18 HIV diagnosis:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B10.4. Diagnosis and treatment<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              HIV test inconclusive, refer for further testing.\n&amp;quot;In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;HIV test result&amp;quot; = &amp;quot;Inconclusive&amp;quot; <i>(Should Refer for further testing)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – Counsel for HIV positive test \n– Refer for further testing and confirmation\n– Refer for HIV services \n– Advise on opportunistic infections and need to seek medical help\n– Proceed with systematic screening for active TB\n&amp;quot;In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;HIV test result&amp;quot; = &amp;quot;HIV positive&amp;quot; <i>(Should Conduct HIV positive counselling)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                      </table>\n                    \n                  </td>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n    </table>\n</div>"
  },
  "url" : "http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT18",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.18"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT18",
  "title" : "ANC.DT.18 HIV diagnosis",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:25:04-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "If the woman tests positive for HIV, provide counselling and referral as needed",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
            "code" : "ANC.B10.4.",
            "display" : "Diagnosis and treatment"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT18"
  ],
  "action" : [
    {
      "title" : "ANC.DT.18 HIV diagnosis",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B10.4. Diagnosis and treatment"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Refer for further testing",
          "description" : "Refer for further testing",
          "textEquivalent" : "HIV test inconclusive, refer for further testing.\n\"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems\" (2)",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"HIV test result\" = \"Inconclusive\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Refer for further testing"
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Conduct HIV positive counselling",
          "description" : "Conduct HIV positive counselling",
          "textEquivalent" : "– Counsel for HIV positive test \n– Refer for further testing and confirmation\n– Refer for HIV services \n– Advise on opportunistic infections and need to seek medical help\n– Proceed with systematic screening for active TB\n\"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems\" (2)",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"HIV test result\" = \"HIV positive\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct HIV positive counselling"
              }
            }
          ]
        }
      ]
    }
  ]
}