Package | smart.who.int.anc |
Type | PlanDefinition |
Id | Id |
FHIR Version | R4 |
Source | http://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/PlanDefinition-ANCDT21.html |
Url | http://smart.who.int/anc/PlanDefinition/ANCDT21 |
Version | 0.3.0 |
Status | active |
Date | 2025-06-24T13:58:48-06:00 |
Name | ANCDT21 |
Title | ANC.DT.21 Syphilis diagnosis |
Experimental | False |
Realm | uv |
Authority | who |
Description | If the woman tests positive for syphilis, provide counselling and treatment as needed |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Id: | ANCDT21 | ||||
---|---|---|---|---|---|
Url: | ANC.DT.21 Syphilis diagnosis | ||||
Version: | 0.3.0 | ||||
Official |
ANC.DT.21 |
||||
Title: | ANC.DT.21 Syphilis diagnosis | ||||
Type: |
system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule |
||||
Date: | 2025-06-24 13:58:48-0600 | ||||
Publisher: | World Health Organization (WHO) | ||||
Description: | If the woman tests positive for syphilis, provide counselling and treatment as needed |
||||
Use Context: |
|
||||
Jurisdiction: | 001 | ||||
Libraries: |
|
||||
Actions: |
|
{
"resourceType" : "PlanDefinition",
"id" : "ANCDT21",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">ANCDT21</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT21.html\">ANC.DT.21 Syphilis diagnosis</a></td>\n </tr>\n \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 \n <tr>\n <th scope=\"row\">\n <b>\n \n Official\n \n </b>\n </th>\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>ANC.DT.21</span>\n </p>\n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.21 Syphilis diagnosis</td>\n </tr>\n \n\n \n\n \n\n \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://terminology.hl7.org/6.4.0/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\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2025-06-24 13:58:48-0600</td>\n </tr>\n \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 \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>If the woman tests positive for syphilis, provide counselling and treatment as needed</p>\n</div></td>\n </tr>\n \n\n \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>\n <th><b>code</b></th>\n <th><b>value</b></th>\n </tr>\n \n <tr>\n <td>task</td>\n <td/>\n </tr>\n \n </table>\n </td>\n </tr>\n \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 \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>\n <td><a href=\"Library-ANCDT21.html\">ANC.DT.21 Syphilis diagnosis</a></td>\n </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 \n <b> ANC.DT.21 Syphilis diagnosis:</b> \n \n <br/>\n \n <b>When:</b>\n \n <i>Named Event:</i> ANC.B10.4. Diagnosis and treatment\n <br/>\n \n \n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Procedure: Provide first dose of treatment and refer for additional testing\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n– Proceed to further testing with an RPR test\n"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n ("Population prevalence of syphilis in pregnant women" ≥ 5%)\n AND ("Syphilis test type" = "Rapid syphilis test (RST)")\n AND (Syphilis test result" = "Syphilis positive")\n \n <i>(Should Conduct syphilis counselling and further testing)</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Provide treatment according to the clinical phase of syphilis:\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n– Proceed to further testing with an RPR test\n"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n ("Population prevalence of syphilis in pregnant women" ≥ 5%)\n AND ("Syphilis test type" = "Rapid plasma reagin (RPR) test")\n AND (Syphilis test result" = "Syphilis positive")\n \n <i>(Should Conduct syphilis counselling and further testing 2)</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Procedure:\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems" (2)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n ("Population prevalence of syphilis in pregnant women" < 5%)\n AND ("Syphilis test result" = "Syphilis positive")\n \n <i>(Should Conduct syphilis counselling and further testing 3)</i>\n <br/>\n \n \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>\n</div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library Config",
"resource" : "http://smart.who.int/anc/Library/ANCConfig"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://smart.who.int/anc/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library ContactData",
"resource" : "http://smart.who.int/anc/Library/ANCContactDataElements"
},
{
"type" : "depends-on",
"display" : "Library WC",
"resource" : "http://smart.who.int/anc/Library/WHOCommon"
},
{
"type" : "depends-on",
"display" : "Library Cx",
"resource" : "http://smart.who.int/anc/Library/ANCConcepts"
},
{
"type" : "depends-on",
"display" : "Value set Syphilis test result",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de107"
},
{
"type" : "depends-on",
"display" : "Value set Syphilis test result - Positive Choices",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de108"
},
{
"type" : "depends-on",
"display" : "Value set Syphilis test type",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de98"
},
{
"type" : "depends-on",
"display" : "Value set Syphilis test type - Rapidd plasma reagin (RPR) test Choices",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de100"
},
{
"type" : "depends-on",
"display" : "Value set Syphilis test type - Rapid syphilis test (RST) Choices",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de99"
}
],
"parameter" : [
{
"name" : "encounter",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "string"
},
{
"name" : "Should Conduct syphilis counselling and further testing 3",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Should Conduct syphilis counselling and further testing 2",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Should Conduct syphilis counselling and further testing",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "Observation",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"status",
"encounter",
"encounter.reference"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://smart.who.int/anc/ValueSet/anc-b9-de107"
}
]
},
{
"type" : "Observation",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Observation"
],
"mustSupport" : [
"code",
"status",
"encounter",
"encounter.reference"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://smart.who.int/anc/ValueSet/anc-b9-de98"
}
]
}
]
}
],
"extension" : [
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCConfig"
},
{
"url" : "name",
"valueString" : "Population prevalence of syphilis in pregnant women"
},
{
"url" : "statement",
"valueString" : "/*\n Description: The proportion of pregnant women in the population with syphilis\n*/\ndefine \"Population prevalence of syphilis in pregnant women\":\n 6 '%'"
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCContactDataElements"
},
{
"url" : "name",
"valueString" : "Syphilis test result"
},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B9.DE107 Syphilis test result\n @activity: ANC.B9 Lab tests & imaging\n @description: Syphilis test result\n*/\ndefine \"Syphilis test result\":\n WC.Only(\n [Observation: Cx.\"Syphilis test result\"] O\n where O.status in { 'final', 'amended', 'corrected' }\n and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false\n and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))\n ).value as FHIR.CodeableConcept"
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCDT21"
},
{
"url" : "name",
"valueString" : "Should Conduct syphilis counselling and further testing 3"
},
{
"url" : "statement",
"valueString" : "/*\n(\"Population prevalence of syphilis in pregnant women\" < 5%)\n AND (\"Syphilis test result\" = \"Syphilis positive\")\n*/\ndefine \"Should Conduct syphilis counselling and further testing 3\":\n Config.\"Population prevalence of syphilis in pregnant women\" < 5 '%'\n and ContactData.\"Syphilis test result\" in Cx.\"Syphilis test result - Positive Choices\""
},
{
"url" : "displaySequence",
"valueInteger" : 2
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCContactDataElements"
},
{
"url" : "name",
"valueString" : "Syphilis test type"
},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B9.DE98 Syphilis test type\n @activity: ANC.B9 Lab tests & imaging\n @description: Select the type of syphilis test that was done\n*/\ndefine \"Syphilis test type\":\n WC.Only(\n [Observation: Cx.\"Syphilis test type\"] O\n where O.status in { 'final', 'amended', 'corrected' }\n and Coalesce(WC.ModifierExtension(O, 'who-notDone').value, false) is false\n and Last(Split(O.encounter.reference, '/')) = Last(Split(encounter, '/'))\n ).value as FHIR.CodeableConcept"
},
{
"url" : "displaySequence",
"valueInteger" : 3
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCDT21"
},
{
"url" : "name",
"valueString" : "Should Conduct syphilis counselling and further testing 2"
},
{
"url" : "statement",
"valueString" : "/*\n(\"Population prevalence of syphilis in pregnant women\" ≥ 5%)\n AND (\"Syphilis test type\" = \"Rapid plasma reagin (RPR) test\")\n AND (Syphilis test result\" = \"Syphilis positive\")\n*/\ndefine \"Should Conduct syphilis counselling and further testing 2\":\n Config.\"Population prevalence of syphilis in pregnant women\" >= 5 '%'\n and ContactData.\"Syphilis test type\" in Cx.\"Syphilis test type - Rapidd plasma reagin (RPR) test Choices\"\n and ContactData.\"Syphilis test result\" in Cx.\"Syphilis test result - Positive Choices\""
},
{
"url" : "displaySequence",
"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCDT21"
},
{
"url" : "name",
"valueString" : "Should Conduct syphilis counselling and further testing"
},
{
"url" : "statement",
"valueString" : "/*\n(\"Population prevalence of syphilis in pregnant women\" ≥ 5%)\n AND (\"Syphilis test type\" = \"Rapid syphilis test (RST)\")\n AND (Syphilis test result\" = \"Syphilis positive\")\n*/\ndefine \"Should Conduct syphilis counselling and further testing\":\n Config.\"Population prevalence of syphilis in pregnant women\" >= 5 '%'\n and ContactData.\"Syphilis test type\" in Cx.\"Syphilis test type - Rapid syphilis test (RST) Choices\"\n and ContactData.\"Syphilis test result\" in Cx.\"Syphilis test result - Positive Choices\""
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToConcept"
},
{
"url" : "statement",
"valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n if concept is null then\n null\n else\n System.Concept {\n codes: concept.coding C return ToCode(C),\n display: concept.text.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "define function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "Only"
},
{
"url" : "statement",
"valueString" : "define function Only(observations List<Observation>):\n singleton from observations"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value ObservationStatus): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToBoolean"
},
{
"url" : "statement",
"valueString" : "define function ToBoolean(value boolean): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "ModifierExtension"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns the single WHO core modifier extension (if present) on the given resource with the specified id.\n@comment: This function uses singleton from to ensure that a run-time exception is thrown if there\nis more than one extension on the given resource with the specified url.\n*/\ndefine function ModifierExtension(domainResource DomainResource, id String):\n singleton from ModifierExtensions(domainResource, id)"
},
{
"url" : "displaySequence",
"valueInteger" : 11
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "ModifierExtensions"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns any WHO core modifier extensions defined on the given resource with the specified id.\n@comment: NOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function ModifierExtensions(domainResource DomainResource, id String):\n domainResource.modifierExtension E\n\t where E.url = ('http://fhir.org/guides/who/core/StructureDefinition/' + id)\n\t\treturn E"
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value uri): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 13
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value string): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 14
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"id" : "effective-data-requirements",
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements"
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
"valueReference" : {
"reference" : "Device/cqf-tooling"
}
}
],
"url" : "http://smart.who.int/anc/PlanDefinition/ANCDT21",
"identifier" : [
{
"use" : "official",
"value" : "ANC.DT.21"
}
],
"version" : "0.3.0",
"name" : "ANCDT21",
"title" : "ANC.DT.21 Syphilis diagnosis",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "active",
"experimental" : false,
"date" : "2025-06-24T13:58:48-06:00",
"publisher" : "World Health Organization (WHO)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.who.int"
}
]
}
],
"description" : "If the woman tests positive for syphilis, provide counselling and treatment as needed",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "task",
"display" : "Workflow Task"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://smart.who.int/anc/CodeSystem/activity-codes",
"code" : "ANC.B10.4.",
"display" : "Diagnosis and treatment"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"library" : [
"http://smart.who.int/anc/Library/ANCDT21"
],
"action" : [
{
"title" : "ANC.DT.21 Syphilis diagnosis",
"trigger" : [
{
"type" : "named-event",
"name" : "ANC.B10.4. Diagnosis and treatment"
}
],
"action" : [
{
"id" : "1",
"title" : "Conduct syphilis counselling and further testing",
"description" : "Conduct syphilis counselling and further testing",
"textEquivalent" : "Procedure: Provide first dose of treatment and refer for additional testing\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n– Proceed to further testing with an RPR test\n\"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "(\"Population prevalence of syphilis in pregnant women\" ≥ 5%)\n AND (\"Syphilis test type\" = \"Rapid syphilis test (RST)\")\n AND (Syphilis test result\" = \"Syphilis positive\")",
"language" : "text/cql-identifier",
"expression" : "Should Conduct syphilis counselling and further testing"
}
}
]
},
{
"id" : "2",
"title" : "Conduct syphilis counselling and further testing",
"description" : "Conduct syphilis counselling and further testing 2",
"textEquivalent" : "Provide treatment according to the clinical phase of syphilis:\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n– Proceed to further testing with an RPR test\n\"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "(\"Population prevalence of syphilis in pregnant women\" ≥ 5%)\n AND (\"Syphilis test type\" = \"Rapid plasma reagin (RPR) test\")\n AND (Syphilis test result\" = \"Syphilis positive\")",
"language" : "text/cql-identifier",
"expression" : "Should Conduct syphilis counselling and further testing 2"
}
}
]
},
{
"id" : "3",
"title" : "Conduct syphilis counselling and further testing",
"description" : "Conduct syphilis counselling and further testing 3",
"textEquivalent" : "Procedure:\n– If primary or secondary stage of syphilis, give single dose of benzathine penicillin 2,400,000 IU\n– If late or unknown stage of syphilis, give one dose of benzathine penicillin 2,400,000 IU weekly for 3 consecutive weeks\n– Advise on treating partner\n– Encourage HIV testing and counselling\n– Reinforce use of condoms\n\"In high-prevalence settings, provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnant women in all antenatal care settings. In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems\" (2)",
"documentation" : [
{
"type" : "citation",
"label" : "WHO ANC recommendations (2016): B.1.7. Human immunodeficiency virus (HIV) and syphilis (3)"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "(\"Population prevalence of syphilis in pregnant women\" < 5%)\n AND (\"Syphilis test result\" = \"Syphilis positive\")",
"language" : "text/cql-identifier",
"expression" : "Should Conduct syphilis counselling and further testing 3"
}
}
]
}
]
}
]
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.