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 |
{
"resourceType" : "PlanDefinition",
"id" : "ANCDT38",
"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;\">ANCDT38</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT38.html\">ANC.DT.38 Deworming and malaria prophylaxis</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.38</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;\">ANCDT38</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.38 Deworming and malaria prophylaxis</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;\">IF the woman is currently in a malaria-endemic setting, or in an area where there is greater than 20% prevalence of infection with any soil-transmitted helminths, THEN she should receive preventative treatment accordingly</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; 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-ANCDT38.html\">ANC.DT.38 Deworming and malaria prophylaxis</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.38 Deworming and malaria prophylaxis:</b> <br/>\n <b>When:</b> <i>Named Event:</i> ANC.B10. Counselling, in-facility management and treatment<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n Sleeping under an insecticide-treated bednet and the importance of seeking care and getting treatment as soon as she has any symptoms<br/>\n \n <b>If:</b> <i>Applicability:</i> Malaria-endemic setting = TRUE <i>(Should Provide malaria prophylaxis)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n IF the woman is currently taking co-trimoxazole, even in a malaria-endemic setting, she should not receive any dose of IPTp-SP. Women who are taking co-trimoxazole SHOULD NOT receive IPTp-SP. Taking both co-trimoxazole and IPTp-SP together can enhance side-effects, especially haematological side-effects such as anaemia.<br/>\n \n <b>If:</b> <i>Applicability:</i> (Malaria-endemic setting = TRUE)\n AND (Current medications&quot; = &quot;Co-trimoxazole&quot;) <i>(Should Do not give IPTp-SP, because woman is taking co-trimoxazole)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n In areas with a population prevalence of infection with any soil-transmitted helminths of 20% or higher OR a population anaemia prevalence 40% or higher, preventive anthelminthic treatment is recommended for pregnant women after the first trimester as part of worm infection reduction programmes<br/>\n \n <b>If:</b> <i>Applicability:</i> (&quot;Population prevalence of soil-transmitted helminth infection&quot; ≥ 20% )\n OR (&quot;Population prevalence of anaemia&quot; ≥ 40%) <i>(Should Conduct deworming)</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/ANCDT38",
"identifier" : [
{
"use" : "official",
"value" : "ANC.DT.38"
}
],
"version" : "0.3.0",
"name" : "ANCDT38",
"title" : "ANC.DT.38 Deworming and malaria prophylaxis",
"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" : "IF the woman is currently in a malaria-endemic setting, or in an area where there is greater than 20% prevalence of infection with any soil-transmitted helminths, THEN she should receive preventative treatment accordingly",
"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/ANCDT38"
],
"action" : [
{
"title" : "ANC.DT.38 Deworming and malaria prophylaxis",
"trigger" : [
{
"type" : "named-event",
"name" : "ANC.B10. Counselling, in-facility management and treatment"
}
],
"action" : [
{
"id" : "1",
"title" : "Provide malaria prophylaxis",
"description" : "Provide malaria prophylaxis",
"textEquivalent" : "Sleeping under an insecticide-treated bednet and the importance of seeking care and getting treatment as soon as she has any symptoms",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): C.6. Malaria prevention: intermittent preventive treatment in pregnancy (IPTp) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Malaria-endemic setting = TRUE",
"language" : "text/cql-identifier",
"expression" : "Should Provide malaria prophylaxis"
}
}
]
},
{
"id" : "2",
"title" : "Do not give IPTp-SP, because woman is taking co-trimoxazole",
"description" : "Do not give IPTp-SP, because woman is taking co-trimoxazole",
"textEquivalent" : "IF the woman is currently taking co-trimoxazole, even in a malaria-endemic setting, she should not receive any dose of IPTp-SP. Women who are taking co-trimoxazole SHOULD NOT receive IPTp-SP. Taking both co-trimoxazole and IPTp-SP together can enhance side-effects, especially haematological side-effects such as anaemia.",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): C.6. Malaria prevention: intermittent preventive treatment in pregnancy (IPTp) (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "(Malaria-endemic setting = TRUE)\n AND (Current medications\" = \"Co-trimoxazole\")",
"language" : "text/cql-identifier",
"expression" : "Should Do not give IPTp-SP, because woman is taking co-trimoxazole"
}
}
]
},
{
"id" : "3",
"title" : "Conduct deworming",
"description" : "Conduct deworming",
"textEquivalent" : "In areas with a population prevalence of infection with any soil-transmitted helminths of 20% or higher OR a population anaemia prevalence 40% or higher, preventive anthelminthic treatment is recommended for pregnant women after the first trimester as part of worm infection reduction programmes",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): C.4. Preventive anthelminthic treatment (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "(\"Population prevalence of soil-transmitted helminth infection\" ≥ 20% )\n OR (\"Population prevalence of anaemia\" ≥ 40%)",
"language" : "text/cql-identifier",
"expression" : "Should Conduct deworming"
}
}
]
}
]
}
]
}