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.34 Birth preparedness counselling - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT34",
  "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;\">ANCDT34</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT34.html\">ANC.DT.34 Birth preparedness counselling</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.34</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;\">ANCDT34</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.34 Birth preparedness counselling</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 23:49:11-0600</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;\">General counselling to be provided/reviewed at every contact</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.</td>\n                        <td>Counselling, in-facility management &amp;amp; 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-ANCDT34.html\">ANC.DT.34 Birth preparedness counselling</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.34 Birth preparedness counselling:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B10. Counselling, in-facility management &amp;amp; treatment<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              Encourage delivery at a health-care facility.\n\nRisk factors necessitating a facility birth:\n– Age 17 or under\n– Primigravida\n– Parity 6 or higher\n– Prior caesarian section\n– Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear\n– Vaginal bleeding\n– Multiple fetuses\n– Abnormal fetal presentation\n– HIV positive\n– Wants IUD or tubal ligation following delivery<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> (((((((((((((((Age&amp;quot; ≤ 17 years)\n  OR (&amp;quot;Fetal presentation&amp;quot; = &amp;quot;Transverse fetal presentation&amp;quot;))\n  OR (&amp;quot;Fetal presentation&amp;quot; = &amp;quot;Other fetal presentation (specify)&amp;quot;))\n  OR (Number of caesarian sections&amp;quot; &amp;gt; 0))\n  OR (&amp;quot;Number of fetuses&amp;quot; &amp;gt; 1))\n  OR (&amp;quot;Family planning method provided&amp;quot; = &amp;quot;Copper-bearing intrauterine device (Cu-IUD)&amp;quot;))\n  OR (&amp;quot;Family planning method provided&amp;quot; = &amp;quot;Levonorgestrel intrauterine device (LNG-IUD)&amp;quot;))\n  OR (&amp;quot;Family planning method provided&amp;quot; = &amp;quot;Female sterilization&amp;quot;))\n  OR (&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;Convulsions&amp;quot;))\n  OR (&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;Heavy bleeding (during or after delivery)&amp;quot;))\n  OR (&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;Forceps or vacuum delivery&amp;quot;))\n  OR (&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;3rd or 4th degree tear&amp;quot;))\n  OR (&amp;quot;Current physiological symptoms&amp;quot; = &amp;quot;Vaginal bleeding&amp;quot;))\n  OR (&amp;quot;Number of pregnancies (gravida)&amp;quot; = 1))\n  OR (&amp;quot;Parity&amp;quot; &amp;gt; 5))\n  OR (&amp;quot;HIV status&amp;quot; = &amp;quot;HIV positive&amp;quot;) <i>(Should Conduct counselling on birth preparedness and complications readiness)</i><br/>\n                              \n                                <b>Then:</b>\n                                <table class=\"grid-dict\">\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Recommend woman to plan to give birth at a health-care facility:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                </table>\n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;Planned birth place&amp;quot; = &amp;quot;Home&amp;quot; <i>(Should Conduct counselling on birth preparedness and complications readiness 2)</i><br/>\n                              \n                                <b>Then:</b>\n                                <table class=\"grid-dict\">\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                </table>\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/ANCDT34",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.34"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT34",
  "title" : "ANC.DT.34 Birth preparedness counselling",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:49:11-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "General counselling to be provided/reviewed at every contact",
  "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.",
            "display" : "Counselling, in-facility management & treatment"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT34"
  ],
  "action" : [
    {
      "title" : "ANC.DT.34 Birth preparedness counselling",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B10. Counselling, in-facility management & treatment"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Conduct counselling on birth preparedness and complications readiness",
          "description" : "Conduct counselling on birth preparedness and complications readiness",
          "textEquivalent" : "Encourage delivery at a health-care facility.\n\nRisk factors necessitating a facility birth:\n– Age 17 or under\n– Primigravida\n– Parity 6 or higher\n– Prior caesarian section\n– Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear\n– Vaginal bleeding\n– Multiple fetuses\n– Abnormal fetal presentation\n– HIV positive\n– Wants IUD or tubal ligation following delivery",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(((((((((((((((Age\" ≤ 17 years)\n  OR (\"Fetal presentation\" = \"Transverse fetal presentation\"))\n  OR (\"Fetal presentation\" = \"Other fetal presentation (specify)\"))\n  OR (Number of caesarian sections\" > 0))\n  OR (\"Number of fetuses\" > 1))\n  OR (\"Family planning method provided\" = \"Copper-bearing intrauterine device (Cu-IUD)\"))\n  OR (\"Family planning method provided\" = \"Levonorgestrel intrauterine device (LNG-IUD)\"))\n  OR (\"Family planning method provided\" = \"Female sterilization\"))\n  OR (\"Past pregnancy complications\" = \"Convulsions\"))\n  OR (\"Past pregnancy complications\" = \"Heavy bleeding (during or after delivery)\"))\n  OR (\"Past pregnancy complications\" = \"Forceps or vacuum delivery\"))\n  OR (\"Past pregnancy complications\" = \"3rd or 4th degree tear\"))\n  OR (\"Current physiological symptoms\" = \"Vaginal bleeding\"))\n  OR (\"Number of pregnancies (gravida)\" = 1))\n  OR (\"Parity\" > 5))\n  OR (\"HIV status\" = \"HIV positive\")",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct counselling on birth preparedness and complications readiness"
              }
            }
          ],
          "action" : [
            {
              "title" : "Conduct counselling on birth preparedness and complications readiness"
            },
            {
              "title" : "Recommend woman to plan to give birth at a health-care facility"
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Conduct counselling on birth preparedness and complications readiness",
          "description" : "Conduct counselling on birth preparedness and complications readiness 2",
          "textEquivalent" : "Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"Planned birth place\" = \"Home\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct counselling on birth preparedness and complications readiness 2"
              }
            }
          ],
          "action" : [
            {
              "title" : "Conduct counselling on birth preparedness and complications readiness"
            },
            {
              "title" : "Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference"
            }
          ]
        }
      ]
    }
  ]
}