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 |
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<id value="ANCDT28"/>
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<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCDT28</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT28.html">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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.28</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT28</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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 23:42:28-0600</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 has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM</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.B9.</td>
<td>Conduct laboratory tests and imaging</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-ANCDT28.html">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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.28 Gestational diabetes mellitus (GDM) risk counselling:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B9. Conduct laboratory tests and imaging<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
The woman is considered at risk for GDM if she has any of the following risk factors:
– BMI of 30 kg/m2 or more
– Previous GDM
– Previous macrosomia
– Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions
Please provide appropriate counseling for GDM risk mitigation, including:
– Reasserting dietary interventions
– Reasserting physical activity during pregnancy<br/>
<b>If:</b> <i>Applicability:</i> (((((((&quot;BMI&quot; ≥ 30)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;))
OR ((&quot;Past pregnancy complications&quot; = &quot;Gestational diabetes mellitus&quot;)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)))
OR ((&quot;Past pregnancy complications&quot; = &quot;Macrosomia&quot;)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)))
OR ((&quot;Urine dipstick result – glucose&quot; = &quot;++&quot;)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)))
OR ((&quot;Urine dipstick result – glucose&quot; = &quot;+++&quot;)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)))
OR ((&quot;Urine dipstick result – glucose&quot; = &quot;++++&quot;)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)))
OR ((&quot;Urine dipstick result – glucose&quot; = &quot;+&quot; ON MORE THAN ONE TEST ACROSS PREGNANCY)
AND (&quot;Gestational diabetes mellitus (GDM) diagnosis&quot; = &quot;GDM negative&quot;)
AND (&quot;Diabetes mellitus (DM) during pregnancy diagnosis&quot; = &quot;DM negative&quot;)) <i>(Should Provide counselling on gestational diabetes mellitus (GDM) risk)</i><br/>
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<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT28"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.28"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT28"/>
<title
value="ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling"/>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T23:42:28-06:00"/>
<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
value="If the woman has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM"/>
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<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT28"/>
<action>
<title
value="ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B9. Conduct laboratory tests and imaging"/>
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<action id="1">
<title
value="Provide counselling on gestational diabetes mellitus (GDM) risk"/>
<description
value="Provide counselling on gestational diabetes mellitus (GDM) risk"/>
<textEquivalent
value="The woman is considered at risk for GDM if she has any of the following risk factors:
– BMI of 30 kg/m2 or more
– Previous GDM
– Previous macrosomia
– Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions
Please provide appropriate counseling for GDM risk mitigation, including:
– Reasserting dietary interventions
– Reasserting physical activity during pregnancy"/>
<documentation>
<type value="citation"/>
<label value="WHO ANC recommendations (2016): B.1.4 (2)"/>
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<kind value="applicability"/>
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<description
value="((((((("BMI" ≥ 30)
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))
OR (("Past pregnancy complications" = "Gestational diabetes mellitus")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Past pregnancy complications" = "Macrosomia")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "+++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "++++")
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative")))
OR (("Urine dipstick result – glucose" = "+" ON MORE THAN ONE TEST ACROSS PREGNANCY)
AND ("Gestational diabetes mellitus (GDM) diagnosis" = "GDM negative")
AND ("Diabetes mellitus (DM) during pregnancy diagnosis" = "DM negative"))"/>
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