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

PlanDefinition: ANC.DT.27 Pre-eclampsia risk counselling

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT27 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT27
Other Identifiers: ANC.DT.27 (use: official, )

Usage:Workflow Task: Collect woman's profile & history

If the woman has risk factors for developing pre-eclampsia, provide counselling to reduce risk of developing pre-eclampsia

Id: ANCDT27
Url: ANC.DT.27 Pre-eclampsia risk counselling
Version: 0.3.0
Identifier:

value: ANC.DT.27

Name: ANCDT27
Title: ANC.DT.27 Pre-eclampsia risk counselling
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2021-06-11 23:42:28-0600
Publisher: World Health Organization (WHO)
Description: If the woman has risk factors for developing pre-eclampsia, provide counselling to reduce risk of developing pre-eclampsia
Use Context:
codevaluedisplay
task ANC.B6. Collect woman's profile & history
Jurisdiction: 001
Libraries:
ANC.DT.27 Pre-eclampsia risk counselling
Actions:
ANC.DT.27 Pre-eclampsia risk counselling:
When: Named Event: ANC.B6. Collect woman's profile & history
Then:
The woman is at risk of developing pre-eclampsia – provide counselling
If: Applicability: ((((((("Number of fetuses" ≥ 2 ) OR ("Past pregnancy complications" = "Pre-eclampsia")) OR ("Past pregnancy complications" = "Eclampsia")) OR ("Past pregnancy complications" = "Convulsions")) OR ("Existing chronic health conditions" = "Autoimmune disease")) OR ("Existing chronic health conditions" = "Diabetes")) OR ("Existing chronic health conditions" = "Hypertension")) OR ("Existing chronic health conditions" = "Kidney disease") (Should Provide counselling on pre-eclampsia risk)
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) for pre-eclampsia risk
If: Applicability: (((((((("Number of fetuses" ≥ 2 ) AND ("Gestational age" ≥ 12 weeks)) OR (("Past pregnancy complications" = "Pre-eclampsia") AND ("Gestational age" ≥ 12 weeks))) OR (("Past pregnancy complications" = "Eclampsia") AND ("Gestational age" ≥ 12 weeks))) OR (("Past pregnancy complications" = "Convulsions") AND ("Gestational age" ≥ 12 weeks))) OR (("Existing chronic health conditions" = "Autoimmune disease") AND ("Gestational age" ≥ 12 weeks))) OR (("Existing chronic health conditions" = "Diabetes") AND ("Gestational age" ≥ 12 weeks))) OR (("Existing chronic health conditions" = "Hypertension") AND ("Gestational age" ≥ 12 weeks))) OR (("Existing chronic health conditions" = "Kidney disease") AND ("Gestational age" ≥ 12 weeks)) (Should Provide counselling on pre-eclampsia risk 2)
Then:
Provide counselling on pre-eclampsia risk:
"Amount of daily aspirin prescribed until delivery" = 75 mg:
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) and ensure that she continues to take her daily calcium supplement of 1.5–2 g until delivery for pre-eclampsia risk
If: Applicability: (((((((("Number of fetuses" ≥ 2) AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE)) OR (("Past pregnancy complications" = "Pre-eclampsia") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Past pregnancy complications" = "Eclampsia") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Past pregnancy complications" = "Convulsions") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Existing chronic health conditions" = "Autoimmune disease") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Existing chronic health conditions" = "Diabetes") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Existing chronic health conditions" = "Hypertension") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE))) OR (("Existing chronic health conditions" = "Kidney disease") AND ("Gestational age" ≥ 12 weeks) AND ("Population with low dietary calcium intake" = TRUE)) (Should Provide counselling on pre-eclampsia risk 3)
Then:
Provide counselling on pre-eclampsia risk:
"Amount of daily aspirin prescribed until delivery" = 75 mg:
1.5 g ≤ "Amount of calcium supplements provided" ≤ 2 g: