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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCDT08"/>
<text>
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<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">ANCDT08</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT08.html">ANC.DT.08 HIV testing</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.08</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT08</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.08 HIV testing</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 23:02:59-0600</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;">Depending on the population prevalence, and woman's medical history, conduct HIV testing</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-ANCDT08.html">ANC.DT.08 HIV testing</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.08 HIV testing:</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>
In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all ANC settings
An HIV test is required for all pregnant women at the first contact in pregnancy if the HIV prevalence in the pregnant woman population is 5% or higher.<br/>
<b>If:</b> <i>Applicability:</i> (&quot;Population prevalence of HIV in pregnant women&quot; ≥ 5%)
AND (&quot;ANC contact number&quot; = 1) <i>(Should Conduct HIV test)</i><br/>
</td>
</tr>
<tr>
<td>
Another HIV test is required for all pregnant women at the first contact of the 3rd trimester (28 weeks), if the HIV prevalence in the pregnant woman population is 5% or higher<br/>
<b>If:</b> <i>Applicability:</i> (&quot;Population prevalence of HIV in pregnant women&quot; ≥ 5%)
AND (&quot;Gestational age&quot; ≥ 29 weeks)
AND (&quot;HIV status&quot; = &quot;HIV negative&quot;) <i>(Should Conduct HIV test 2)</i><br/>
</td>
</tr>
<tr>
<td>
In low-prevalence settings, provider-initiated testing and counselling (PITC) can be considered for pregnant women in ANC settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems<br/>
<b>If:</b> <i>Applicability:</i> &quot;Population prevalence of HIV in pregnant women&quot; &lt; 5% <i>(Should HIV test is optional)</i><br/>
</td>
</tr>
<tr>
<td>
A test is not required if the woman is already confirmed HIV positive<br/>
<b>If:</b> <i>Applicability:</i> &quot;HIV status&quot; = &quot;HIV positive&quot; <i>(Should HIV test is not required)</i><br/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT08"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.08"/>
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<version value="0.3.0"/>
<name value="ANCDT08"/>
<title value="ANC.DT.08 HIV testing"/>
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<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T23:02:59-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
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<description
value="Depending on the population prevalence, and woman's medical history, conduct HIV testing"/>
<useContext>
<code>
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<code value="task"/>
<display value="Workflow Task"/>
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<valueCodeableConcept>
<coding>
<system
value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
<code value="ANC.B9."/>
<display value="Conduct laboratory tests and imaging"/>
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<jurisdiction>
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<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
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<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT08"/>
<action>
<title value="ANC.DT.08 HIV testing"/>
<trigger>
<type value="named-event"/>
<name value="ANC.B9. Conduct laboratory tests and imaging"/>
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<title value="Conduct HIV test"/>
<description value="Conduct HIV test"/>
<textEquivalent
value="In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all ANC settings
An HIV test is required for all pregnant women at the first contact in pregnancy if the HIV prevalence in the pregnant woman population is 5% or higher."/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
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<condition>
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value="("Population prevalence of HIV in pregnant women" ≥ 5%)
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<expression value="Should Conduct HIV test"/>
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<action id="2">
<title value="Conduct HIV test"/>
<description value="Conduct HIV test 2"/>
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value="Another HIV test is required for all pregnant women at the first contact of the 3rd trimester (28 weeks), if the HIV prevalence in the pregnant woman population is 5% or higher"/>
<documentation>
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<expression value="Should Conduct HIV test 2"/>
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<action id="3">
<title value="HIV test is optional"/>
<description value="HIV test is optional"/>
<textEquivalent
value="In low-prevalence settings, provider-initiated testing and counselling (PITC) can be considered for pregnant women in ANC settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
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<action id="4">
<title value="HIV test is not required"/>
<description value="HIV test is not required"/>
<textEquivalent
value="A test is not required if the woman is already confirmed HIV positive"/>
<documentation>
<type value="citation"/>
<label
value="WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
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<language value="text/cql-identifier"/>
<expression value="Should HIV test is not required"/>
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</action>
</action>
</PlanDefinition>
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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