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FHIR IG Statistics: PlanDefinition/ANCDT01

Packagesmart.who.int.anc
TypePlanDefinition
IdANCDT01
FHIR VersionR4
Sourcehttp://smart.who.int/anc/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/PlanDefinition-ANCDT01.html
URLhttp://smart.who.int/anc/PlanDefinition/ANCDT01
Version0.3.0
Statusactive
Date2025-06-24T13:58:48-06:00
NameANCDT01
TitleANC.DT.01 Danger signs
Realmuv
Authoritywho
DescriptionBefore 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

Resources that use this resource

No resources found

Resources that this resource uses

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Narrative

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

Id: ANCDT01
Url: ANC.DT.01 Danger signs
Version: 0.3.0
Official

ANC.DT.01

Title: ANC.DT.01 Danger signs
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:

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
Jurisdiction: 001
Libraries:
ANC.DT.01 Danger signs
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)

Source

{
  "resourceType": "PlanDefinition",
  "id": "ANCDT01",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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 ContactData",
          "resource": "http://smart.who.int/anc/Library/ANCContactDataElements"
        },
        {
          "type": "depends-on",
          "display": "Library Cx",
          "resource": "http://smart.who.int/anc/Library/ANCConcepts"
        },
        {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "http://smart.who.int/anc/Library/FHIRHelpers|4.0.1"
        },
        {
          "type": "depends-on",
          "display": "Library WC",
          "resource": "http://smart.who.int/anc/Library/WHOCommon"
        },
        {
          "type": "depends-on",
          "display": "Value set Danger signs",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b5-de48"
        },
        {
          "type": "depends-on",
          "display": "Value set Danger Signs - No danger signs Choices",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b5-de49"
        },
        {
          "type": "depends-on",
          "display": "Value set Danger signs Choices",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b5-de50"
        },
        {
          "type": "depends-on",
          "display": "Value set Danger Signs - Central cyanosis Choices",
          "resource": "http://smart.who.int/anc/ValueSet/anc-b5-de51"
        }
      ],
      "parameter": [
        {
          "name": "encounter",
          "use": "in",
          "min": 0,
          "max": "1",
          "type": "string"
        },
        {
          "name": "Should Proceed with ANC contact",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Should Proceed with ANC contact OR Referral",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Should Proceed with ANC contact OR Referral for Central cyanosis",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }
      ],
      "dataRequirement": [
        {
          "type": "Observation",
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/Observation"
          ],
          "mustSupport": [
            "code",
            "status",
            "encounter",
            "encounter.reference",
            "value"
          ],
          "codeFilter": [
            {
              "path": "code",
              "valueSet": "http://smart.who.int/anc/ValueSet/anc-b5-de48"
            }
          ]
        }
      ]
    }
  ],
  "extension": [
    {
      "extension": [
        {
          "url": "libraryName",
          "valueString": "ANCContactDataElements"
        },
        {
          "url": "name",
          "valueString": "Danger signs"
        },
        {
          "url": "statement",
          "valueString": "/*\n  @dataElement: ANC.B5.DE48 Danger signs\n  @activity: ANC.B5 Quick check\n  @description: Before each contact, the health worker should check whether the woman has any of the danger signs listed here – if yes, she should refer to the hospital urgently; if no, she should continue to the normal contact\n*/\ndefine \"Danger signs\":\n  [Observation: Cx.\"Danger signs\"] 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    return O.value as FHIR.CodeableConcept"
        },
        {
          "url": "displaySequence",
          "valueInteger": 0
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension": [
        {
          "url": "libraryName",
          "valueString": "ANCDT01"
        },
        {
          "url": "name",
          "valueString": "Should Proceed with ANC contact"
        },
        {
          "url": "statement",
          "valueString": "/*\n\"Danger signs\" = \"No danger signs\"\n*/\ndefine \"Should Proceed with ANC contact\":\n  ContactData.\"Danger signs\" in Cx.\"Danger Signs - No danger signs Choices\""
        },
        {
          "url": "displaySequence",
          "valueInteger": 1
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension": [
        {
          "url": "libraryName",
          "valueString": "ANCDT01"
        },
        {
          "url": "name",
          "valueString": "Should Proceed with ANC contact OR Referral"
        },
        {
          "url": "statement",
          "valueString": "/*\n(((((((((((\"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\")\n*/\ndefine \"Should Proceed with ANC contact OR Referral\":\n  ContactData.\"Danger signs\" in Cx.\"Danger signs Choices\""
        },
        {
          "url": "displaySequence",
          "valueInteger": 2
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension": [
        {
          "url": "libraryName",
          "valueString": "ANCDT01"
        },
        {
          "url": "name",
          "valueString": "Should Proceed with ANC contact OR Referral for Central cyanosis"
        },
        {
          "url": "statement",
          "valueString": "/*\n\"Danger signs\" = \"Central cyanosis\"\n*/\ndefine \"Should Proceed with ANC contact OR Referral for Central cyanosis\":\n  ContactData.\"Danger signs\" in Cx.\"Danger Signs - Central cyanosis Choices\""
        },
        {
          "url": "displaySequence",
          "valueInteger": 3
        }
      ],
      "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": 4
        }
      ],
      "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": 5
        }
      ],
      "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": 6
        }
      ],
      "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": 7
        }
      ],
      "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": 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 string): value.value"
        },
        {
          "url": "displaySequence",
          "valueInteger": 9
        }
      ],
      "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": 10
        }
      ],
      "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": 11
        }
      ],
      "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/ANCDT01",
  "identifier": [
    {
      "use": "official",
      "value": "ANC.DT.01"
    }
  ],
  "version": "0.3.0",
  "name": "ANCDT01",
  "title": "ANC.DT.01 Danger signs",
  "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": "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": {
        "coding": [
          {
            "system": "http://smart.who.int/anc/CodeSystem/activity-codes",
            "code": "ANC.B5",
            "display": "Quick check"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "library": [
    "http://smart.who.int/anc/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"
              }
            }
          ]
        }
      ]
    }
  ]
}