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

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

Active as of 2021-06-11

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ANCDT23"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">ANCDT23</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <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>
        </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.23</span>
                </p>
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">ANCDT23</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</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 23:25:04-0600</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;">If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment</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.B10.4.</td>
                        <td>Diagnosis and treatment</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-ANCDT23.html">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</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.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis:</b> <br/>
                    <b>When:</b> <i>Named Event:</i> ANC.B10.4. Diagnosis and treatment<br/>
                    
                    
                      <b>Then:</b>
                      <table class="grid-dict">
                        
                          <tr>
                            <td>
                              – The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                          <tr>
                            <td>
                              – The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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/>
                              
                              <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/>
                              
                                
                              
                            </td>
                          </tr>
                        
                      </table>
                    
                  </td>
                </tr>
              
            </table>
          </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT23"/>
  <identifier>
    <use value="official"/>
    <value value="ANC.DT.23"/>
  </identifier>
  <version value="0.3.0"/>
  <name value="ANCDT23"/>
  <title
         value="ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis"/>
  <type>
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              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
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  <status value="active"/>
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  <date value="2021-06-11T23:25:04-06:00"/>
  <publisher value="World Health Organization (WHO)"/>
  <contact>
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  <description
               value="If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment"/>
  <useContext>
    <code>
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        <system
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        <code value="ANC.B10.4."/>
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  <action>
    <title
           value="ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis"/>
    <trigger>
      <type value="named-event"/>
      <name value="ANC.B10.4. Diagnosis and treatment"/>
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    <action id="1">
      <title
             value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"/>
      <description
                   value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"/>
      <textEquivalent
                      value="– The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
      <documentation>
        <type value="citation"/>
        <label
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    <action id="2">
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             value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"/>
      <description
                   value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2"/>
      <textEquivalent
                      value="– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
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             value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"/>
      <description
                   value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3"/>
      <textEquivalent
                      value="– The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
      <documentation>
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      <title
             value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling"/>
      <description
                   value="Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4"/>
      <textEquivalent
                      value="– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
      <documentation>
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      <title value="Conduct REQUIRED diabetes mellitus (DM) counselling"/>
      <description
                   value="Conduct REQUIRED diabetes mellitus (DM) counselling"/>
      <textEquivalent
                      value="– The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
      <documentation>
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      <description
                   value="Conduct REQUIRED diabetes mellitus (DM) counselling 2"/>
      <textEquivalent
                      value="– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
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      <description
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                      value="– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
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      <description
                   value="Conduct REQUIRED diabetes mellitus (DM) counselling 4"/>
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                      value="– The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
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      <title value="Conduct REQUIRED diabetes mellitus (DM) counselling"/>
      <description
                   value="Conduct REQUIRED diabetes mellitus (DM) counselling 5"/>
      <textEquivalent
                      value="– The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&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&quot; (2)"/>
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                       value="&quot;Random plasma glucose test results&quot; ≥ 200 mg/dL"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Conduct REQUIRED diabetes mellitus (DM) counselling 5"/>
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</PlanDefinition>