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-ANCDT22.html |
Url | http://smart.who.int/anc/PlanDefinition/ANCDT22 |
Version | 0.3.0 |
Status | active |
Date | 2025-06-24T13:58:48-06:00 |
Name | ANCDT22 |
Title | ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis |
Experimental | False |
Realm | uv |
Authority | who |
Description | If the woman tests positive for ASB, provide counselling and treatment as needed. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Id: | ANCDT22 | ||||
---|---|---|---|---|---|
Url: | ANC.DT.22 Asymptomatic bacteriuria (ASB) diagnosis | ||||
Version: | 0.3.0 | ||||
Official |
ANC.DT.22 |
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Title: | ANC.DT.22 Asymptomatic bacteriuria (ASB) 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 ASB, provide counselling and treatment as needed. |
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Use Context: |
|
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Jurisdiction: | 001 | ||||
Libraries: |
|
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Actions: |
|
{
"resourceType" : "PlanDefinition",
"id" : "ANCDT22",
"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;\">ANCDT22</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-ANCDT22.html\">ANC.DT.22 Asymptomatic bacteriuria (ASB) 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.22</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.22 Asymptomatic bacteriuria (ASB) 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 ASB, 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-ANCDT22.html\">ANC.DT.22 Asymptomatic bacteriuria (ASB) 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.22 Asymptomatic bacteriuria (ASB) 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 A woman is considered to have ASB if she has one of the following test results:\n– Positive culture (> 100,000 bacteria/ml)\n– Gram-staining positive\n– Urine dipstick test positive (nitrites or leukocytes)\n\nSeven-day antibiotic regimen is recommended for all pregnant women with asymptomatic bacteriuria (ASB) to prevent persistent bacteriuria, preterm birth and low birth weight.\n"Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy" (2)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n (((((((((("Midstream urine culture (recommended)" = "Positive – any agent")\n OR ("Midstream urine culture (recommended)" = "Positive – Group B Streptococcus (GBS)"))\n OR ("Midstream urine Gram-staining" = "Positive"))\n OR ("Urine dipstick result – nitrites" = "+"))\n OR ("Urine dipstick result – nitrites" = "++"))\n OR ("Urine dipstick result – nitrites" = "+++"))\n OR ("Urine dipstick result – nitrites" = "++++"))\n OR ("Urine dipstick result – leukocytes" = "+"))\n OR ("Urine dipstick result – leukocytes" = "++"))\n OR ("Urine dipstick result – leukocytes" = "+++"))\n OR ("Urine dipstick result – leukocytes" = "++++")\n \n <i>(Should Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB))</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Pregnant women with Group B Streptococcus (GBS) colonization should receive intrapartum antibiotic administration to prevent early neonatal GBS infection.\n"Midstream urine culture is the recommended method for diagnosing asymptomatic bacteriuria (ASB) in pregnancy. In settings where urine culture is not available, on-site midstream urine Gramstaining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy" (2)\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n "Midstream urine culture (recommended)" = "Positive – Group B Streptococcus (GBS)"\n \n <i>(Should Provide intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection counselling)</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>"
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},
{
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},
{
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{
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},
{
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},
{
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{
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},
{
"type" : "depends-on",
"display" : "Value set Midstream urine Gram-staining - Positive Choices",
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},
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},
{
"type" : "depends-on",
"display" : "Value set Urine dipstick result - nitrites Choices",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de134"
},
{
"type" : "depends-on",
"display" : "Value set Urine dipstick result - leukocytes",
"resource" : "http://smart.who.int/anc/ValueSet/anc-b9-de138"
},
{
"type" : "depends-on",
"display" : "Value set Urine dipstick result - leukocytes Choices",
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}
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{
"url" : "name",
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},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B9.DE129 Midstream urine Gram-staining\n @activity: ANC.B9 Lab tests & imaging\n @description: On-site midstream urine Gram-staining is recommended over the use of dipstick tests as the method for diagnosing ASB in pregnancy if midstream culture is not possible\n*/\ndefine \"Midstream urine Gram-staining\":\n WC.Only(\n [Observation: Cx.\"Midstream urine Gram-staining\"] 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"
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"valueInteger" : 1
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCContactDataElements"
},
{
"url" : "name",
"valueString" : "Urine dipstick result - nitrites"
},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B9.DE132 Urine dipstick result - nitrites\n @activity: ANC.B9 Lab tests & imaging\n @description: Dipstick test results – nitrites\n*/\ndefine \"Urine dipstick result - nitrites\":\n WC.Only(\n [Observation: Cx.\"Urine dipstick result - nitrites\"] 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" : 2
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "ANCContactDataElements"
},
{
"url" : "name",
"valueString" : "Urine dipstick result - leukocytes"
},
{
"url" : "statement",
"valueString" : "/*\n @dataElement: ANC.B9.DE138 Urine dipstick result - leukocytes\n @activity: ANC.B9 Lab tests & imaging\n @description: Dipstick test results – leukocytes\n*/\ndefine \"Urine dipstick result - leukocytes\":\n WC.Only(\n [Observation: Cx.\"Urine dipstick result - leukocytes\"] 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"
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}
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},
{
"url" : "statement",
"valueString" : "/*\n((((((((((\"Midstream urine culture (recommended)\" = \"Positive – any agent\")\n OR (\"Midstream urine culture (recommended)\" = \"Positive – Group B Streptococcus (GBS)\"))\n OR (\"Midstream urine Gram-staining\" = \"Positive\"))\n OR (\"Urine dipstick result – nitrites\" = \"+\"))\n OR (\"Urine dipstick result – nitrites\" = \"++\"))\n OR (\"Urine dipstick result – nitrites\" = \"+++\"))\n OR (\"Urine dipstick result – nitrites\" = \"++++\"))\n OR (\"Urine dipstick result – leukocytes\" = \"+\"))\n OR (\"Urine dipstick result – leukocytes\" = \"++\"))\n OR (\"Urine dipstick result – leukocytes\" = \"+++\"))\n OR (\"Urine dipstick result – leukocytes\" = \"++++\")\n*/\ndefine \"Should Provide 7-day antibiotic regimen for asymptomatic bacteriuria (ASB)\":\n ContactData.\"Midstream urine culture (recommended)\" in Cx.\"Midstream urine culture (recommended) - Positive - Any agent Choices\"\n or ContactData.\"Midstream urine culture (recommended)\" in Cx.\"Midstream urine culture (recommended) - Positive - Group B Strep (GBS) Choices\"\n or ContactData.\"Midstream urine Gram-staining\" in Cx.\"Midstream urine Gram-staining - Positive Choices\"\n or ContactData.\"Urine dipstick result - nitrites\" in Cx.\"Urine dipstick result - nitrites Choices\"\n or ContactData.\"Urine dipstick result - leukocytes\" in Cx.\"Urine dipstick result - leukocytes Choices\""
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},
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},
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{
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}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
},
{
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{
"url" : "libraryName",
"valueString" : "WHOCommon"
},
{
"url" : "name",
"valueString" : "ModifierExtension"
},
{
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},
{
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}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
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{
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},
{
"url" : "name",
"valueString" : "ModifierExtensions"
},
{
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"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"
},
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