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.28 Gestational diabetes mellitus (GDM) risk counselling - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT28",
  "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;\">ANCDT28</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT28.html\">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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.28</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;\">ANCDT28</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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 23:42:28-0600</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 has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM</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.B9.</td>\n                        <td>Conduct laboratory tests and imaging</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-ANCDT28.html\">ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling</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.28 Gestational diabetes mellitus (GDM) risk counselling:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B9. Conduct laboratory tests and imaging<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              The woman is considered at risk for GDM if she has any of the following risk factors: \n– BMI of 30 kg/m2 or more\n– Previous GDM\n– Previous macrosomia \n– Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions\n\nPlease provide appropriate counseling for GDM risk mitigation, including: \n– Reasserting dietary interventions\n– Reasserting physical activity during pregnancy<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> (((((((&amp;quot;BMI&amp;quot; ≥ 30)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;))\n  OR ((&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;Gestational diabetes mellitus&amp;quot;)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)))\n  OR ((&amp;quot;Past pregnancy complications&amp;quot; = &amp;quot;Macrosomia&amp;quot;)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)))\n  OR ((&amp;quot;Urine dipstick result – glucose&amp;quot; = &amp;quot;++&amp;quot;)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)))\n  OR ((&amp;quot;Urine dipstick result – glucose&amp;quot; = &amp;quot;+++&amp;quot;)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)))\n  OR ((&amp;quot;Urine dipstick result – glucose&amp;quot; = &amp;quot;++++&amp;quot;)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)))\n  OR ((&amp;quot;Urine dipstick result – glucose&amp;quot; = &amp;quot;+&amp;quot; ON MORE THAN ONE TEST ACROSS PREGNANCY)\n  AND (&amp;quot;Gestational diabetes mellitus (GDM) diagnosis&amp;quot; = &amp;quot;GDM negative&amp;quot;)\n  AND (&amp;quot;Diabetes mellitus (DM) during pregnancy diagnosis&amp;quot; = &amp;quot;DM negative&amp;quot;)) <i>(Should Provide counselling on gestational diabetes mellitus (GDM) risk)</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>"
  },
  "url" : "http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT28",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.28"
    }
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  "version" : "0.3.0",
  "name" : "ANCDT28",
  "title" : "ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling",
  "type" : {
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  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:42:28-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
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  "description" : "If the woman has risk factors for developing gestational diabetes mellitus (GDM), provide counselling to reduce risk of developing GDM",
  "useContext" : [
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      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
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      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
            "code" : "ANC.B9.",
            "display" : "Conduct laboratory tests and imaging"
          }
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  "jurisdiction" : [
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          "code" : "001"
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  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT28"
  ],
  "action" : [
    {
      "title" : "ANC.DT.28 Gestational diabetes mellitus (GDM) risk counselling",
      "trigger" : [
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          "name" : "ANC.B9. Conduct laboratory tests and imaging"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Provide counselling on gestational diabetes mellitus (GDM) risk",
          "description" : "Provide counselling on gestational diabetes mellitus (GDM) risk",
          "textEquivalent" : "The woman is considered at risk for GDM if she has any of the following risk factors: \n– BMI of 30 kg/m2 or more\n– Previous GDM\n– Previous macrosomia \n– Glycosuria on dipstick testing is ++ or above on one occasion OR + on two or more occasions\n\nPlease provide appropriate counseling for GDM risk mitigation, including: \n– Reasserting dietary interventions\n– Reasserting physical activity during pregnancy",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): B.1.4 (2)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(((((((\"BMI\" ≥ 30)\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\"))\n  OR ((\"Past pregnancy complications\" = \"Gestational diabetes mellitus\")\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\")))\n  OR ((\"Past pregnancy complications\" = \"Macrosomia\")\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\")))\n  OR ((\"Urine dipstick result – glucose\" = \"++\")\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\")))\n  OR ((\"Urine dipstick result – glucose\" = \"+++\")\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\")))\n  OR ((\"Urine dipstick result – glucose\" = \"++++\")\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\")))\n  OR ((\"Urine dipstick result – glucose\" = \"+\" ON MORE THAN ONE TEST ACROSS PREGNANCY)\n  AND (\"Gestational diabetes mellitus (GDM) diagnosis\" = \"GDM negative\")\n  AND (\"Diabetes mellitus (DM) during pregnancy diagnosis\" = \"DM negative\"))",
                "language" : "text/cql-identifier",
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              }
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}