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

: ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis - JSON Representation

Active as of 2021-06-11

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  "resourceType" : "PlanDefinition",
  "id" : "ANCDT23",
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    "status" : "extensions",
    "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;\">ANCDT23</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT23.html\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</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.23</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;\">ANCDT23</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</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 23:25:04-0600</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's blood glucose test results are as follows, provide the necessary counselling and treatment</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.B10.4.</td>\n                        <td>Diagnosis and treatment</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-ANCDT23.html\">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</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.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B10.4. Diagnosis and treatment<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              – The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> 92 mg/dL ≤ &amp;quot;Fasting plasma glucose results&amp;quot; &amp;lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> 92 mg/dL ≤ &amp;quot;75 g OGTT – fasting glucose results&amp;quot; &amp;lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> 180 mg/dL ≤ &amp;quot;75 g OGTT – 1 hour results&amp;quot; &amp;lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> 153 mg/dL ≤ &amp;quot;75 g OGTT – 2 hours results&amp;quot; &amp;lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;Fasting plasma glucose results&amp;quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;75 g OGTT – fasting glucose results&amp;quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 2)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;75 g OGTT – 1 hour results&amp;quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 3)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;75 g OGTT – 2 hours results&amp;quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 4)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              – The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher\n– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care\n&amp;quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&amp;quot; (2)<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;Random plasma glucose test results&amp;quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 5)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                      </table>\n                    \n                  </td>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n    </table>\n</div>"
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