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

ValueSet: ANC Activity Codes

Official URL: http://fhir.org/guides/who/anc-cds/ValueSet/anc-activity-codes Version: 0.3.0
Active as of 2024-09-10 Computable Name: ANCActivityCodes

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Generated Narrative: ValueSet anc-activity-codes

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem ANC Activity Codes v0.3.0 (CodeSystem)

This value set contains 29 concepts

CodeSystemDisplayDefinition
  ANC.Ahttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesRegistration

The registration process performed to identify and register a pregnant woman so that she can proceed to the antenatal care consultation.

  ANC.A4http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesGather client details

Gathering basic information and available identifiers to enable determination of patient identity

  ANC.A7http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesCreate client record?OR?ANC.A8. Validate client details

Issue a unique identifier is used and possible at the facility. Review and update client record.

  ANC.Bhttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesRoutine contact

A routine antenatal care contact to counsel and provide antenatal care services to a pregnant woman.

  ANC.B4http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesConfirm pregnancy

Confirm the woman is pregnant using a urine dipstick test or by a blood test.

  ANC.B5http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesQuick check

Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact.

  ANC.B6http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesProfile

If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.

  ANC.B7http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesSymptoms & follow-up

Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.

  ANC.B8http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesPhysical exam

Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.

  ANC.B9http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesLab tests & imaging

Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why.

  ANC.B10http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesCounselling & treatment

Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility.

  ANC.B10.1http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesBehaviour counselling
  ANC.B10.2http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesPhysiological symptoms counselling
  ANC.B10.3http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesDiet counselling
  ANC.B10.4http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesDiagnosis & treatment
  ANC.B10.5http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesNutrition supplementation
  ANC.B10.6http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesRisk reduction & general counselling
  ANC.B10.7http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesImmunizations
  ANC.B10.8http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesIntimate partner violence first-line support and care
  ANC.B10.9http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesDeworming & malaria prophylaxis
  ANC.B11http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesUrgent referral needed?

If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling.

  ANC.B12http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesScheduling

If a referral is not required, health worker schedules follow-up contact.

  ANC.Chttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesReferral

An antenatal care referral to provide timely and appropriate referrals to a higher-level facility or health-care provider.

  ANC.C1http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesEmergency referral?
  ANC.C6http://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesProvide information to referral facility
  ANC.Dhttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesAntenatal health promotion, follow-up in the community

The process followed to provide routine health promotion and follow-up within the community.

  ANC.Ehttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesReporting on aggregate indicators

The process followed to compile and submit relevant data contributing to indicators and other reporting needs on a routine basis.

  ANC.Confirugationhttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesConfiguration

Configuration settings for decision logic and indicators that may vary by setting

  ANC.Endhttp://fhir.org/guides/who/anc-cds/CodeSystem/anc-activity-codesEnd

The activity of gathering information about the end of a pregnancy and closing an antenatal care record.


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code