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

PlanDefinition: ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT23 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT23
Other Identifiers: ANC.DT.23 (use: OFFICIAL)

Usage:Workflow Task: Diagnosis and treatment

If the woman’s blood glucose test results are as follows, provide the necessary counselling and treatment

Id: ANCDT23
Url: ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis
Version: 0.3.0
Identifier:

value: ANC.DT.23

Name: ANCDT23
Title: ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis
Status: active
Experimental: false
Type:

system: PlanDefinitionType

code: eca-rule

Date: 2021-06-11 23:25:04-0600
Publisher: World Health Organization (WHO)
Description: If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment
Use Context:
codevaluedisplay
task ANC.B10.4. Diagnosis and treatment
Jurisdiction: 001
Libraries:
ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis
Actions:
ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis:
When: named-event: ANC.B10.4. Diagnosis and treatment
Then:
– The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: 92 mg/dL ≤ "Fasting plasma glucose results" < 126 mg/dL (Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling)
– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: 92 mg/dL ≤ "75 g OGTT – fasting glucose results" < 126 mg/dL (Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2)
– The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: 180 mg/dL ≤ "75 g OGTT – 1 hour results" < 200 mg/dL (Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3)
– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: 153 mg/dL ≤ "75 g OGTT – 2 hours results" < 200 mg/dL (Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4)
– The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: "Fasting plasma glucose results" ≥ 126 mg/dL (Should Conduct REQUIRED diabetes mellitus (DM) counselling)
– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: "75 g OGTT – fasting glucose results" ≥ 126 mg/dL (Should Conduct REQUIRED diabetes mellitus (DM) counselling 2)
– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: "75 g OGTT – 1 hour results" ≥ 200 mg/dL (Should Conduct REQUIRED diabetes mellitus (DM) counselling 3)
– The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: "75 g OGTT – 2 hours results" ≥ 200 mg/dL (Should Conduct REQUIRED diabetes mellitus (DM) counselling 4)
– The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher – Woman with hyperglycemia, reassert dietary intervention and refer to high-level care "Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria" (2)
If: applicability: "Random plasma glucose test results" ≥ 200 mg/dL (Should Conduct REQUIRED diabetes mellitus (DM) counselling 5)