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.37 Intimate partner violence (IPV) first-line support and treatment - XML Representation

Active as of 2021-06-11

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ANCDT37"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">ANCDT37</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37</span>
                </p>
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">ANCDT37</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html">PlanDefinitionType</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 23:49:11-0600</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;">Woman has been subjected to IPV</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.</td>
                        <td>Counselling, in-facility management &amp;amp; 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-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37 Intimate partner violence (IPV) first-line support and treatment:</b> <br/>
                    <b>When:</b> <i>named-event:</i> ANC.B10. Counselling, in-facility management &amp;amp; treatment – 8. IPV first-line support and care<br/>
                    
                    
                      <b>Then:</b>
                      <table class="grid-dict">
                        
                          <tr>
                            <td>
                              Conduct the following 5 tasks: 
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support.<br/>
                              
                              <b>If:</b> <i>applicability:</i> &amp;quot;Has the woman  been subjected to intimate partner violence&amp;quot;=TRUE <i>(Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              If woman answers &amp;quot;yes&amp;quot; to at least 3 of the questions, the woman may be at high risk of violence /danger
<br/>
                              
                              <b>If:</b> <i>applicability:</i> &amp;quot;Safety assessement conducted&amp;quot;=TRUE <i>(Should Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? )</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).<br/>
                              
                              <b>If:</b> <i>applicability:</i> (&amp;quot;Has the physical violence happened more often or gotten worse over the past 6 months?&amp;quot;  = TRUE )
  AND (&amp;quot;Has he ever used a weapon or threatened you with a weapon?&amp;quot;  = TRUE )
  AND (&amp;quot;Has he ever tried to strangle you?&amp;quot;  = TRUE ) <i>(Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).)</i><br/>
                              
                                
                              
                            </td>
                          </tr>
                        
                      </table>
                    
                  </td>
                </tr>
              
            </table>
          </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT37"/>
  <identifier>
    <use value="official"/>
    <value value="ANC.DT.37"/>
  </identifier>
  <version value="0.3.0"/>
  <name value="ANCDT37"/>
  <title
         value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-06-11T23:49:11-06:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.who.int"/>
    </telecom>
  </contact>
  <description value="Woman has been subjected to IPV"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="task"/>
      <display value="Workflow Task"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
        <code value="ANC.B10."/>
        <display value="Counselling, in-facility management &amp; treatment"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT37"/>
  <action>
    <title
           value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
    <trigger>
      <type value="named-event"/>
      <name
            value="ANC.B10. Counselling, in-facility management &amp; treatment – 8. IPV first-line support and care"/>
    </trigger>
    <action id="1">
      <title
             value="Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
      <description
                   value="Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
      <textEquivalent
                      value="Conduct the following 5 tasks: 
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support."/>
      <documentation>
        <type value="citation"/>
        <label value="IPV handbook (2014) (15)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="&quot;Has the woman  been subjected to intimate partner violence&quot;=TRUE"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."/>
        </expression>
      </condition>
    </action>
    <action id="2">
      <title
             value="Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
      <description
                   value="Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
      <textEquivalent
                      value="If woman answers &quot;yes&quot; to at least 3 of the questions, the woman may be at high risk of violence /danger
"/>
      <documentation>
        <type value="citation"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description value="&quot;Safety assessement conducted&quot;=TRUE"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "/>
        </expression>
      </condition>
    </action>
    <action id="3">
      <title
             value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
      <description
                   value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
      <textEquivalent
                      value="If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
      <documentation>
        <type value="citation"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(&quot;Has the physical violence happened more often or gotten worse over the past 6 months?&quot;  = TRUE )
  AND (&quot;Has he ever used a weapon or threatened you with a weapon?&quot;  = TRUE )
  AND (&quot;Has he ever tried to strangle you?&quot;  = TRUE )"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."/>
        </expression>
      </condition>
    </action>
  </action>
</PlanDefinition>