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/costateixeira/smart-anc/ and changes regularly. See the Directory of published versions
| Active as of 2021-06-11 |
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"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;\">ANCDT06</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT06.html\">ANC.DT.06 Physical symptoms and exam results requiring referral</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.06</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;\">ANCDT06</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.06 Physical symptoms and exam results requiring referral</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 22:32:40-0600</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;\">If the woman has any of the following physical exam results, refer to the hospital</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.B8.</td>\n <td>Conduct physical exam</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-ANCDT06.html\">ANC.DT.06 Physical symptoms and exam results requiring referral</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.06 Physical symptoms and exam results requiring referral:</b> <br/>\n <b>When:</b> <i>Named Event:</i> ANC.B8. Conduct physical exam<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n Woman has a fever – provide treatment and refer urgently to hospital!\nProcedure:\n– Insert an IV line\n– Give fluids slowly<br/>\n \n <b>If:</b> <i>Applicability:</i> (&quot;Body temperature&quot; ≥ 38°C)\n AND (&quot;Second body temperature&quot; ≥ 38°C) <i>(Should Conduct further investigation and, if necessary, refer urgently if treatment not available at your facility )</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Abnormal pulse rate – refer for further investigation\nProcedure:\n– Check for fever, infection, respiratory distress, arrhythmia\n– Refer for further investigation<br/>\n \n <b>If:</b> <i>Applicability:</i> 60 bpm &gt; &quot;Second pulse rate&quot; &gt; 100 bpm <i>(Should Refer to a hospital)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Woman has respiratory distress – refer urgently to the hospital!<br/>\n \n <b>If:</b> <i>Applicability:</i> ((((((&quot;Respiratory exam result&quot; = &quot;Dyspnoea&quot;)\n OR (&quot;Respiratory exam result&quot; = &quot;Cough&quot;))\n OR (&quot;Respiratory exam result&quot; = &quot;Rapid breathing&quot;))\n OR (&quot;Respiratory exam result&quot; = &quot;Slow breathing&quot;))\n OR (&quot;Respiratory exam result&quot; = &quot;Wheezing&quot;))\n OR (&quot;Respiratory exam result&quot; = &quot;Rales&quot;))\n OR (&quot;Respiratory exam result&quot; = &quot;Other abnormal respiratory exam result (specify)&quot;) <i>(Should Refer urgently to a hospital)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Woman has low oximetry (&lt;92%) – she should be referred urgently to the hospital<br/>\n \n <b>If:</b> <i>Applicability:</i> &quot;Oximetry&quot; &lt; 92% <i>(Should Refer urgently to a hospital 2)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Woman's cardiac condition is abnormal and she should be referred urgently to the hospital<br/>\n \n <b>If:</b> <i>Applicability:</i> (((((((&quot;Cardiac exam result&quot; = &quot;Heart murmur&quot;)\n OR (&quot;Cardiac exam result&quot; 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= &quot;Increased temperature&quot;))\n OR (&quot;Breast exam result&quot; = &quot;Other breast exam result (specify)&quot;) <i>(Should Conduct further investigation and, if necessary, refer urgently to a hospital)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Woman's abdominal exam was abnormal and she should be referred or further evaluated<br/>\n \n <b>If:</b> <i>Applicability:</i> (((((((((((((((((&quot;Abdominal exam result&quot; = &quot;Mass/tumour&quot;)\n OR (&quot;Abdominal exam result&quot; = &quot;Pain on superficial palpation&quot;))\n OR (&quot;Abdominal exam result&quot; = &quot;Pain on deep palpation&quot;))\n OR (&quot;Abdominal exam result&quot; = &quot;Painful decompression&quot;))\n OR (&quot;Abdominal exam result&quot; = &quot;Other abnormal abdominal exam result (specify)&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Abnormal vaginal discharge&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Evidence of amniotic fluid&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Foul-smelling vaginal discharge&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Clusters of erythematous papules&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Vesicles&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Genital ulcer&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Genital pain&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Tender bilateral inguinal and femoral lymphadenopathy&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Cervical friability&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Mucopurulent cervicitis&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Tender unilateral lymphadenopathy&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Curd-like vaginal discharge&quot;))\n OR (&quot;Pelvic exam result (visual)&quot; = &quot;Other abnormal pelvic exam (visual) result (specify)&quot;) <i>(Should Refer to a hospital 2)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Woman should be referred urgently if there is evidence of amniotic fluid, which could indicate the start of labour<br/>\n \n <b>If:</b> <i>Applicability:</i> (&quot;Pelvic exam result (visual)&quot; 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IG © 2019+ World Health Organization (WHO). Package who.fhir.anc-cds#0.3.0 based on FHIR 4.0.1. Generated 2024-09-10
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