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

PlanDefinition: ANC.DT.26 Calcium and vitamin A supplementation

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT26 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT26
Other Identifiers: ANC.DT.26 (use: official, )

Usage:Workflow Task: ”Population with low dietary calcium intake” = TRUE AND/OR IF “Population with vitamin A deficiency” = TRUE

Depending on the population, additional calcium and/or vitamin A supplements maybe required

Id: ANCDT26
Url: ANC.DT.26 Calcium and vitamin A supplementation
Version: 0.3.0
Identifier:

value: ANC.DT.26

Name: ANCDT26
Title: ANC.DT.26 Calcium and vitamin A supplementation
Status: active
Experimental: false
Type:

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

code: eca-rule

Date: 2021-06-11 23:38:46-0600
Publisher: World Health Organization (WHO)
Description: Depending on the population, additional calcium and/or vitamin A supplements maybe required
Use Context:
codevaluedisplay
task IF "Population with low dietary calcium intake" = TRUE AND/OR IF "Population with vitamin A deficiency" = TRUE
Jurisdiction: 001
Libraries:
ANC.DT.26 Calcium and vitamin A supplementation
Actions:
ANC.DT.26 Calcium and vitamin A supplementation:
When: Named Event: IF "Population with low dietary calcium intake" = TRUE AND/OR IF "Population with vitamin A deficiency" = TRUE
Then:
In populations with low dietary calcium intake, daily calcium supplementation (1.5–2.0 g oral elemental calcium) is recommended for pregnant women to reduce the risk of pre-eclampsia. Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods. – Divide the total dose into three doses, preferably taken at meal-time. – Iron and calcium should preferably be administered several hours apart rather than concomitantly. Please refer to calcium sources listed below for additional guidance that can be provided.
If: Applicability: IF "Population with low dietary calcium intake" = TRUE (Should Provide calcium supplementation)
Then:
Provide calcium supplementation:
1.5 g ≤ "Amount of calcium supplements provided" ≤ 2 g :
Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods. Please refer to calcium sources listed below for additional guidance that can be provided.
If: Applicability: IF "Population with low dietary calcium intake" = FALSE (Should Do not provide calcium supplementation)
Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU. A single dose of a vitamin A supplement greater than 25,000 IU is not recommended as its safety is uncertain. Furthermore, a single dose of a vitamin A supplement greater than 25,000 IU might be teratogenic if consumed between day 15 and day 60 from conception. Please refer to vitaminA sources listed below for additional guidance that can be provided.
If: Applicability: IF "Population with vitamin A deficiency" = TRUE (Should Provide vitamin A supplementation)
Then:
Provide vitamin A supplementation:
"Amount of vitamin A supplementation provided" ≤ 10 000 IU:
Type of vitamin A supplement provided" = "Daily":