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.26 Calcium and vitamin A supplementation - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT26",
  "text" : {
    "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;\">ANCDT26</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT26.html\">ANC.DT.26 Calcium and vitamin A supplementation</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.26</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;\">ANCDT26</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.26 Calcium and vitamin A supplementation</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 23:38:46-0600</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;\">Depending on the population, additional calcium and/or vitamin A supplements maybe required</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>IF</td>\n                        <td>&amp;quot;Population with low dietary calcium intake&amp;quot; = TRUE AND/OR IF &amp;quot;Population with vitamin A deficiency&amp;quot; = TRUE</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-ANCDT26.html\">ANC.DT.26 Calcium and vitamin A supplementation</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.26 Calcium and vitamin A supplementation:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> IF &amp;quot;Population with low dietary calcium intake&amp;quot; = TRUE AND/OR IF &amp;quot;Population with vitamin A deficiency&amp;quot; = TRUE<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              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. \n\nDietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.\n\n– Divide the total dose into three doses, preferably taken at meal-time.\n– Iron and calcium should preferably be administered several hours apart rather than concomitantly.\n\nPlease refer to calcium sources listed below for additional guidance that can be provided. <br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> IF &amp;quot;Population with low dietary calcium intake&amp;quot; = TRUE <i>(Should Provide calcium supplementation)</i><br/>\n                              \n                                <b>Then:</b>\n                                <table class=\"grid-dict\">\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Provide calcium supplementation:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> 1.5 g ≤ &amp;quot;Amount of calcium supplements provided&amp;quot; ≤ 2 g :</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                </table>\n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.\n\nPlease refer to calcium sources listed below for additional guidance that can be provided. <br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> IF &amp;quot;Population with low dietary calcium intake&amp;quot; = FALSE <i>(Should Do not provide calcium supplementation)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU.\n\nA 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.\n\nPlease refer to vitaminA sources listed below for additional guidance that can be provided. <br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> IF &amp;quot;Population with vitamin A deficiency&amp;quot; = TRUE <i>(Should Provide vitamin A supplementation)</i><br/>\n                              \n                                <b>Then:</b>\n                                <table class=\"grid-dict\">\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Provide vitamin A supplementation:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> &amp;quot;Amount of vitamin A supplementation provided&amp;quot; ≤ 10 000 IU:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                    <tr>\n                                      <td>\n                                        <b> Type of vitamin A supplement provided&amp;quot; = &amp;quot;Daily&amp;quot;:</b> <br/>\n                                        \n                                        \n                                        \n                                          \n                                        \n                                      </td>\n                                    </tr>\n                                  \n                                </table>\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>"
  },
  "url" : "http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT26",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.26"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT26",
  "title" : "ANC.DT.26 Calcium and vitamin A supplementation",
  "type" : {
    "coding" : [
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        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
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    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:38:46-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
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      "telecom" : [
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          "system" : "url",
          "value" : "https://www.who.int"
        }
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    }
  ],
  "description" : "Depending on the population, additional calcium and/or vitamin A supplements maybe required",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
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      "valueCodeableConcept" : {
        "coding" : [
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            "system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
            "code" : "IF",
            "display" : "\"Population with low dietary calcium intake\" = TRUE AND/OR IF \"Population with vitamin A deficiency\" = TRUE"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
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      "coding" : [
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          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
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  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT26"
  ],
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      "title" : "ANC.DT.26 Calcium and vitamin A supplementation",
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          "title" : "Provide calcium supplementation",
          "description" : "Provide calcium supplementation",
          "textEquivalent" : "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. \n\nDietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.\n\n– Divide the total dose into three doses, preferably taken at meal-time.\n– Iron and calcium should preferably be administered several hours apart rather than concomitantly.\n\nPlease refer to calcium sources listed below for additional guidance that can be provided. ",
          "documentation" : [
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              "label" : "WHO ANC recommendations (2016): A.3. Calcium supplements (3)"
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          "action" : [
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              "title" : "Provide calcium supplementation"
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              "title" : "1.5 g ≤ \"Amount of calcium supplements provided\" ≤ 2 g "
            }
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          "title" : "Do not provide calcium supplementation",
          "description" : "Do not provide calcium supplementation",
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          "title" : "Provide vitamin A supplementation",
          "description" : "Provide vitamin A supplementation",
          "textEquivalent" : "Give a dose of up to 10,000 IU vitamin A per day, or a weekly dose of up to 25,000 IU.\n\nA 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.\n\nPlease refer to vitaminA sources listed below for additional guidance that can be provided. ",
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}