WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
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
Active as of 2021-06-11 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="ANCDT37"/>
<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;">ANCDT37</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT37</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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 23:49:11-0600</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;">Woman has been subjected to IPV</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.</td>
<td>Counselling, in-facility management &amp; 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-ANCDT37.html">ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment</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.37 Intimate partner violence (IPV) first-line support and treatment:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10. Counselling, in-facility management &amp; treatment – 8. IPV first-line support and care<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
Conduct the following 5 tasks:
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support.<br/>
<b>If:</b> <i>Applicability:</i> &quot;Has the woman been subjected to intimate partner violence&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/>
</td>
</tr>
<tr>
<td>
If woman answers &quot;yes&quot; to at least 3 of the questions, the woman may be at high risk of violence /danger
<br/>
<b>If:</b> <i>Applicability:</i> &quot;Safety assessement conducted&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/>
</td>
</tr>
<tr>
<td>
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/>
<b>If:</b> <i>Applicability:</i> (&quot;Has the physical violence happened more often or gotten worse over the past 6 months?&quot; = TRUE )
AND (&quot;Has he ever used a weapon or threatened you with a weapon?&quot; = TRUE )
AND (&quot;Has he ever tried to strangle you?&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/>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url value="http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT37"/>
<identifier>
<use value="official"/>
<value value="ANC.DT.37"/>
</identifier>
<version value="0.3.0"/>
<name value="ANCDT37"/>
<title
value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="active"/>
<experimental value="false"/>
<date value="2021-06-11T23:49:11-06:00"/>
<publisher value="World Health Organization (WHO)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.who.int"/>
</telecom>
</contact>
<description value="Woman has been subjected to IPV"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="task"/>
<display value="Workflow Task"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://fhir.org/guides/who/anc-cds/CodeSystem/activity-codes"/>
<code value="ANC.B10."/>
<display value="Counselling, in-facility management & treatment"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT37"/>
<action>
<title
value="ANC.DT.37 Intimate partner violence (IPV) first-line support and treatment"/>
<trigger>
<type value="named-event"/>
<name
value="ANC.B10. Counselling, in-facility management & treatment – 8. IPV first-line support and care"/>
</trigger>
<action id="1">
<title
value="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
value="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
value="Conduct the following 5 tasks:
– Listen to the woman closely, with empathy, and without judging
– Inquire about needs and concerns: assess and respond to her various needs and concerns – emotional, physical, social and practical (e.g. childcare)
– Validate: show her that you understand and believe her; assure her that she is not to blame
– Enhance saftey: discuss a plan to protect herself from further harm if violence occurs again
– Support her by helping her connect to information, services and social support."/>
<documentation>
<type value="citation"/>
<label value="IPV handbook (2014) (15)"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value=""Has the woman been subjected to intimate partner violence"=TRUE"/>
<language value="text/cql-identifier"/>
<expression
value="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."/>
</expression>
</condition>
</action>
<action id="2">
<title
value="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
value="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
value="If woman answers "yes" to at least 3 of the questions, the woman may be at high risk of violence /danger
"/>
<documentation>
<type value="citation"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description value=""Safety assessement conducted"=TRUE"/>
<language value="text/cql-identifier"/>
<expression
value="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? "/>
</expression>
</condition>
</action>
<action id="3">
<title
value="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
value="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
value="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 value="citation"/>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<description
value="("Has the physical violence happened more often or gotten worse over the past 6 months?" = TRUE )
AND ("Has he ever used a weapon or threatened you with a weapon?" = TRUE )
AND ("Has he ever tried to strangle you?" = TRUE )"/>
<language value="text/cql-identifier"/>
<expression
value="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)."/>
</expression>
</condition>
</action>
</action>
</PlanDefinition>