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="ANCDT22"/>
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<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCDT22</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT22.html">ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis</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.22</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT22</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis</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 23:25:04-0600</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;">If the woman tests positive for ASB, provide counselling and treatment as needed.</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.B10.4</td>
<td>Diagnosis and 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-ANCDT22.html">ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis</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.22 Asymptomatic bacteriuria (ASB) diagnosis:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10.4 Diagnosis and treatment<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
A woman is considered to have ASB if she has one of the following test results:
– Positive culture (&gt; 100,000 bacteria/ml)
– Gram-staining positive
– Urine dipstick test positive (nitrites or leukocytes)
Seven-day antibiotic regimen is recommended for all pregnant women with asymptomatic bacteriuria (ASB) to prevent persistent bacteriuria, preterm birth and low birth weight.
&quot;Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> ((((((((((&quot;Midstream urine culture (recommended)&quot; = &quot;Positive – any agent&quot;)
OR (&quot;Midstream urine culture (recommended)&quot; = &quot;Positive – Group B Streptococcus (GBS)&quot;))
OR (&quot;Midstream urine Gram-staining&quot; = &quot;Positive&quot;))
OR (&quot;Urine dipstick result – nitrites&quot; = &quot;+&quot;))
OR (&quot;Urine dipstick result – nitrites&quot; = &quot;++&quot;))
OR (&quot;Urine dipstick result – nitrites&quot; = &quot;+++&quot;))
OR (&quot;Urine dipstick result – nitrites&quot; = &quot;++++&quot;))
OR (&quot;Urine dipstick result – leukocytes&quot; = &quot;+&quot;))
OR (&quot;Urine dipstick result – leukocytes&quot; = &quot;++&quot;))
OR (&quot;Urine dipstick result – leukocytes&quot; = &quot;+++&quot;))
OR (&quot;Urine dipstick result – leukocytes&quot; = &quot;++++&quot;) <i>(Should Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB))</i><br/>
</td>
</tr>
<tr>
<td>
Pregnant women with Group B Streptococcus (GBS) colonization should receive intrapartum antibiotic administration to prevent early neonatal GBS infection.
&quot;Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;Midstream urine culture (recommended)&quot; = &quot;Positive – Group B Streptococcus (GBS)&quot; <i>(Should Provide intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection counselling)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
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<identifier>
<use value="official"/>
<value value="ANC.DT.22"/>
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<version value="0.3.0"/>
<name value="ANCDT22"/>
<title value="ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis"/>
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<date value="2021-06-11T23:25:04-06:00"/>
<publisher value="World Health Organization (WHO)"/>
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<telecom>
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<value value="https://www.who.int"/>
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<description
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<action>
<title value="ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B10.4 Diagnosis and treatment"/>
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<action id="1">
<title
value="Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB)"/>
<description
value="Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB)"/>
<textEquivalent
value="A woman is considered to have ASB if she has one of the following test results:
– Positive culture (> 100,000 bacteria/ml)
– Gram-staining positive
– Urine dipstick test positive (nitrites or leukocytes)
Seven-day antibiotic regimen is recommended for all pregnant women with asymptomatic bacteriuria (ASB) to prevent persistent bacteriuria, preterm birth and low birth weight.
"Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy" (2)"/>
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<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.2. Asymptomatic bacteriuria (ASB) (3)"/>
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OR ("Urine dipstick result – nitrites" = "+"))
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OR ("Urine dipstick result – nitrites" = "+++"))
OR ("Urine dipstick result – nitrites" = "++++"))
OR ("Urine dipstick result – leukocytes" = "+"))
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<description
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<textEquivalent
value="Pregnant women with Group B Streptococcus (GBS) colonization should receive intrapartum antibiotic administration to prevent early neonatal GBS infection.
"Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy" (2)"/>
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<label
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