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/costateixeira/smart-anc/ and changes regularly. See the Directory of published versions

PlanDefinition: ANC.DT.12 Urine testing

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT12 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT12
Other Identifiers: ANC.DT.12 (use: official, )

Usage:Workflow Task: Conduct laboratory tests and imaging

Conditions in which urine testing is required

Id: ANCDT12
Url: ANC.DT.12 Urine testing
Version: 0.3.0
Identifier:

value: ANC.DT.12

Name: ANCDT12
Title: ANC.DT.12 Urine testing
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2021-06-11 23:02:59-0600
Publisher: World Health Organization (WHO)
Description: Conditions in which urine testing is required
Use Context:
codevaluedisplay
task ANC.B9. Conduct laboratory tests and imaging
Jurisdiction: 001
Libraries:
ANC.DT.12 Urine testing
Actions:
ANC.DT.12 Urine testing:
When: Named Event: ANC.B9. Conduct laboratory tests and imaging
Then:
Urine test is required any time the woman reports pain during urination (dysuria)
If: Applicability: "Current physiological symptoms" = "Pain during urination (dysuria)" (Should Conduct urine test)
Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia
If: Applicability: ("Repeat systolic blood pressure" ≥ 140 mmHg) OR ("Repeat diastolic blood pressure" ≥ 90mmHg) (Should Do urine dipstick test for protein)
The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick. Urine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia.
If: Applicability: (("ANC contact number" = 1) OR ("Gestational age" ≥ 26 weeks)) OR ("Gestational age" ≥ 34 weeks) (Should Conduct urine test 2)