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Packagehl7.fhir.uv.crmi.r4
Resource TypePlanDefinition
IdPlanDefinition-shareable-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Id: shareable-example
Url: ANC.DT.01 Danger signs (Shareable Example)
Version: 2.0.0-ballot
Official

ANC.DT.01

urn:oid:2.16.840.1.113883.4.642.40.38.34.2

Title: ANC.DT.01 Danger signs (Shareable Example)
Experimental: true
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2021-06-11 22:04:04-0600
Publisher: HL7 International / Clinical Decision Support
Description:

Before each contact, during the Quick Check, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should be referred to the hospital urgently; if no, the normal contact should be continued as normal

Use Context:
code value
task Quick check
Jurisdiction: 001
Libraries:
http://example.org/guides/who/anc-cds/Library/ANCDT01
Actions:
ANC.DT.01 Danger signs:
When: Named Event: ANC.B5 Quick check
Then:
If no danger signs are present, the health worker can continue with the normal ANC contact
If: Applicability: "Danger signs" = "No danger signs" (Should Proceed with ANC contact)
Bluish discolouration around the mucous membranes in the mouth, lips and tongue.
If: Applicability: "Danger signs" = "Central cyanosis" (Should Proceed with ANC contact OR Referral for Central cyanosis)
This is a danger sign that indicates that the woman needs urgent management
If: Applicability: ((((((((((("Danger signs" = "Bleeding vaginally") OR ("Danger signs" = "Convulsing")) OR ("Danger signs" = "Fever")) OR ("Danger signs" = "Severe headache")) OR ("Danger signs" = "Visual disturbance")) OR ("Danger signs" = "Imminent delivery")) OR ("Danger signs" = "Labour")) OR ("Danger signs" = "Looks very ill")) OR ("Danger signs" = "Severe vomiting")) OR ("Danger signs" = "Severe pain")) OR ("Danger signs" = "Severe abdominal pain")) OR ("Danger signs" = "Unconscious") (Should Proceed with ANC contact OR Referral)

Source1

{
  "resourceType": "PlanDefinition",
  "id": "shareable-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/uv/crmi/PlanDefinition/shareable-example",
  "identifier": [
    {
      "use": "official",
      "value": "ANC.DT.01"
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.38.34.2"
    }
  ],
  "version": "2.0.0-ballot",
  "name": "ANCDT01Shareable",
  "title": "ANC.DT.01 Danger signs (Shareable Example)",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "eca-rule"
      }
    ]
  },
  "status": "active",
  "experimental": true,
  "date": "2021-06-11T22:04:04-06:00",
  "publisher": "HL7 International / Clinical Decision Support",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/dss"
        }
      ]
    }
  ],
  "description": "Before each contact, during the Quick Check, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should be referred to the hospital urgently; if no, the normal contact should be continued as normal",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "task",
        "display": "Workflow Task"
      },
      "valueCodeableConcept": {
        "text": "Quick check"
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "library": [
    "http://example.org/guides/who/anc-cds/Library/ANCDT01"
  ],
  "action": [
    {
      "title": "ANC.DT.01 Danger signs",
      "trigger": [
        {
          "type": "named-event",
          "name": "ANC.B5 Quick check"
        }
      ],
      "action": [
        {
          "id": "1",
          "title": "Proceed with ANC contact",
          "description": "Proceed with ANC contact",
          "textEquivalent": "If no danger signs are present, the health worker can continue with the normal ANC contact",
          "documentation": [
            {
              "type": "citation",
              "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition": [
            {
              "kind": "applicability",
              "expression": {
                "description": "\"Danger signs\" = \"No danger signs\"",
                "language": "text/cql-identifier",
                "expression": "Should Proceed with ANC contact"
              }
            }
          ]
        },
        {
          "id": "2",
          "title": "Proceed with ANC contact OR Referral for Central cyanosis",
          "description": "Proceed with ANC contact OR Referral for Central cyanosis",
          "textEquivalent": "Bluish discolouration around the mucous membranes in the mouth, lips and tongue.",
          "documentation": [
            {
              "type": "citation",
              "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition": [
            {
              "kind": "applicability",
              "expression": {
                "description": "\"Danger signs\" = \"Central cyanosis\"",
                "language": "text/cql-identifier",
                "expression": "Should Proceed with ANC contact OR Referral for Central cyanosis"
              }
            }
          ]
        },
        {
          "id": "3",
          "title": "Proceed with ANC contact OR Referral",
          "description": "Proceed with ANC contact OR Referral",
          "textEquivalent": "This is a danger sign that indicates that the woman needs urgent management",
          "documentation": [
            {
              "type": "citation",
              "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
            }
          ],
          "condition": [
            {
              "kind": "applicability",
              "expression": {
                "description": "(((((((((((\"Danger signs\" = \"Bleeding vaginally\")\n  OR (\"Danger signs\" = \"Convulsing\"))\n  OR (\"Danger signs\" = \"Fever\"))\n  OR (\"Danger signs\" = \"Severe headache\"))\n  OR (\"Danger signs\" = \"Visual disturbance\"))\n  OR (\"Danger signs\" = \"Imminent delivery\"))\n  OR (\"Danger signs\" = \"Labour\"))\n  OR (\"Danger signs\" = \"Looks very ill\"))\n  OR (\"Danger signs\" = \"Severe vomiting\"))\n  OR (\"Danger signs\" = \"Severe pain\"))\n  OR (\"Danger signs\" = \"Severe abdominal pain\"))\n  OR (\"Danger signs\" = \"Unconscious\")",
                "language": "text/cql-identifier",
                "expression": "Should Proceed with ANC contact OR Referral"
              }
            }
          ]
        }
      ]
    }
  ]
}