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.37 Intimate partner violence (IPV) first-line support and treatment - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT37",
  "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;\">ANCDT37</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT37.html\">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37</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;\">ANCDT37</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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 23:49:11-0600</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;\">Woman has been subjected to IPV</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.</td>\n                        <td>Counselling, in-facility management &amp;amp; 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-ANCDT37.html\">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37 Intimate partner violence (IPV) first-line support and treatment:</b> <br/>\n                    <b>When:</b> <i>Named Event:</i> ANC.B10. Counselling, in-facility management &amp;amp; treatment – 8. IPV first-line support and care<br/>\n                    \n                    \n                      <b>Then:</b>\n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              Conduct the following 5 tasks: \n– Listen to the woman closely, with empathy, and without judging\n– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)\n– Validate: show her that you understand and believe her; assure her that she is not to blame\n– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again\n– Support her by helping her connect to information, services and social support.<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;Has the woman  been subjected to intimate partner violence&amp;quot;=TRUE <i>(Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.)</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              If woman answers &amp;quot;yes&amp;quot; to at least 3 of the questions, the woman may be at high risk of violence /danger\n<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> &amp;quot;Safety assessement conducted&amp;quot;=TRUE <i>(Should Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? )</i><br/>\n                              \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).<br/>\n                              \n                              <b>If:</b> <i>Applicability:</i> (&amp;quot;Has the physical violence happened more often or gotten worse over the past 6 months?&amp;quot;  = TRUE )\n  AND (&amp;quot;Has he ever used a weapon or threatened you with a weapon?&amp;quot;  = TRUE )\n  AND (&amp;quot;Has he ever tried to strangle you?&amp;quot;  = TRUE ) <i>(Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).)</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/ANCDT37",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.37"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT37",
  "title" : "ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:49:11-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Woman has been subjected to IPV",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task",
        "display" : "Workflow Task"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes",
            "code" : "ANC.B10.",
            "display" : "Counselling, in-facility management & treatment"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    🔗 "http://fhir.org/guides/who/anc-cds/Library/ANCDT37"
  ],
  "action" : [
    {
      "title" : "ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B10. Counselling, in-facility management & treatment – 8. IPV first-line support and care"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.",
          "description" : "Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs.",
          "textEquivalent" : "Conduct the following 5 tasks: \n– Listen to the woman closely, with empathy, and without judging\n– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)\n– Validate: show her that you understand and believe her; assure her that she is not to blame\n– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again\n– Support her by helping her connect to information, services and social support.",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "IPV handbook (2014) (15)"
            }
          ],
          "condition" : [
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              "kind" : "applicability",
              "expression" : {
                "description" : "\"Has the woman  been subjected to intimate partner violence\"=TRUE",
                "language" : "text/cql-identifier",
                "expression" : "Should Provide first-line support. Four (4) kinds of needs deserve attention:– Immediate emotional/psychological health needs– Immediate physical health needs– Ongoing safety needs– Ongoing support and mental health needs."
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? ",
          "description" : "Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? ",
          "textEquivalent" : "If woman answers \"yes\" to at least 3 of the questions, the woman may be at high risk of violence /danger\n",
          "documentation" : [
            {
              "type" : "citation"
            }
          ],
          "condition" : [
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              "kind" : "applicability",
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                "description" : "\"Safety assessement conducted\"=TRUE",
                "language" : "text/cql-identifier",
                "expression" : "Should Ask the following questions:  -Has the physical violence happened more often or gotten worse over the past 6 months? - Has he ever used a weapon or threatened you with a weapon? - Has he ever tried to strangle you? - Do you believe he could kill you? - Has he ever beaten you when you were pregnant? - Is he violently and constantly jealous of you? "
              }
            }
          ]
        },
        {
          "id" : "3",
          "title" : "If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).",
          "description" : "If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).",
          "textEquivalent" : "If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church).",
          "documentation" : [
            {
              "type" : "citation"
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          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(\"Has the physical violence happened more often or gotten worse over the past 6 months?\"  = TRUE )\n  AND (\"Has he ever used a weapon or threatened you with a weapon?\"  = TRUE )\n  AND (\"Has he ever tried to strangle you?\"  = TRUE )",
                "language" : "text/cql-identifier",
                "expression" : "Should If it is not safe for the woman to return home, make appropriate referrals for shelter or safe housing, or work with her to identify a safe place she can go to (such as a friend’s home or church)."
              }
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    }
  ]
}