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Resource PlanDefinition/FHIR Server from package who.fhir.anc-cds#current (31 ms)

Package who.fhir.anc-cds
Type PlanDefinition
Id Id
FHIR Version R4
Source http://fhir.org/guides/who/anc-cds/https://build.fhir.org/ig/WorldHealthOrganization/smart-anc/PlanDefinition-ANCDT04.html
Url http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT04
Version 0.3.0
Status active
Date 2021-06-11T22:32:40-06:00
Name ANCDT04
Title ANC.DT.04 Conducting physical exams
Experimental False
Realm uv
Authority who
Description Depending on the results of some physical exams, additional examinations or repeat measurements are required

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: ANCDT04
Url: ANC.DT.04 Conducting physical exams
Version: 0.3.0
Identifier:

value: ANC.DT.04

Name: ANCDT04
Title: ANC.DT.04 Conducting physical exams
Status: active
Experimental: false
Type:

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

code: eca-rule

Date: 2021-06-11 22:32:40-0600
Publisher: World Health Organization (WHO)
Description: Depending on the results of some physical exams, additional examinations or repeat measurements are required
Use Context:
codevaluedisplay
task ANC.B8 Conduct physical exam
Jurisdiction: 001
Libraries:
ANC.DT.04 Conducting physical exams
Actions:
ANC.DT.04 Conducting physical exams:
When: Named Event: ANC.B8 Conduct physical exam
Then:
Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again
If: Applicability: ("Systolic blood pressure" ≥ 140 mmHg) OR ("Diastolic blood pressure" ≥ 90 mmHg) (Should Measure BP again after 10–15 minutes rest)
The health worker should retake the woman's temperature if the first reading is over 38°C
If: Applicability: "Body temperature" ≥ 38°C (Should Measure temperature again)
The health worker should retake the woman's pulse rate if the first reading is lower than 60 or higher than 100 beats per minute
If: Applicability: 60 > Pulse rate > 100 (Should Check again after 10 minutes rest)
If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test
If: Applicability: (((((("Respiratory exam result" = "Dyspnoea") OR ("Respiratory exam result" = "Cough")) OR ("Respiratory exam result" = "Rapid breathing")) OR ("Respiratory exam result" = "Slow breathing")) OR ("Respiratory exam result" = "Wheezing")) OR ("Respiratory exam result" = "Rales")) OR ("Respiratory exam result" = "Other abnormal respiratory exam result (specify)") (Should Conduct oximetry test)
Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again
If: Applicability: 100 bpm > Fetal heart rate > 180 bpm (Should Measure the fetal heart rate again)

Source

{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT04",
  "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;\">ANCDT04</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT04.html\">ANC.DT.04 Conducting physical exams</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.04</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;\">ANCDT04</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.04 Conducting physical exams</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 22:32:40-0600</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;\">Depending on the results of some physical exams, additional examinations or repeat measurements are required</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.B8</td>\n <td>Conduct physical exam</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-ANCDT04.html\">ANC.DT.04 Conducting physical exams</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.04 Conducting physical exams:</b> <br/>\n <b>When:</b> <i>Named Event:</i> ANC.B8 Conduct physical exam<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again<br/>\n \n <b>If:</b> <i>Applicability:</i> (&amp;quot;Systolic blood pressure&amp;quot; ≥ 140 mmHg)\n OR (&amp;quot;Diastolic blood pressure&amp;quot; ≥ 90 mmHg) <i>(Should Measure BP again after 10–15 minutes rest)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n The health worker should retake the woman's temperature if the first reading is over 38°C<br/>\n \n <b>If:</b> <i>Applicability:</i> &amp;quot;Body temperature&amp;quot; ≥ 38°C <i>(Should Measure temperature again)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n The health worker should retake the woman's pulse rate if the first reading is lower than 60 or higher than 100 beats per minute<br/>\n \n <b>If:</b> <i>Applicability:</i> 60 &amp;gt; Pulse rate &amp;gt; 100 <i>(Should Check again after 10 minutes rest)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test<br/>\n \n <b>If:</b> <i>Applicability:</i> ((((((&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Dyspnoea&amp;quot;)\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Cough&amp;quot;))\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Rapid breathing&amp;quot;))\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Slow breathing&amp;quot;))\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Wheezing&amp;quot;))\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Rales&amp;quot;))\n OR (&amp;quot;Respiratory exam result&amp;quot; = &amp;quot;Other abnormal respiratory exam result (specify)&amp;quot;) <i>(Should Conduct oximetry test)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again<br/>\n \n <b>If:</b> <i>Applicability:</i> 100 bpm &amp;gt; Fetal heart rate &amp;gt; 180 bpm <i>(Should Measure the fetal heart rate again)</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/ANCDT04",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.04"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT04",
  "title" : "ANC.DT.04 Conducting physical exams",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T22:32:40-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Depending on the results of some physical exams, additional examinations or repeat measurements are required",
  "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.B8",
            "display" : "Conduct physical exam"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    "http://fhir.org/guides/who/anc-cds/Library/ANCDT04"
  ],
  "action" : [
    {
      "title" : "ANC.DT.04 Conducting physical exams",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B8 Conduct physical exam"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Measure BP again after 10–15 minutes rest",
          "description" : "Measure BP again after 10–15 minutes rest",
          "textEquivalent" : "Given high values (SBP ≥ 140 or DBP ≥ 90) upon first measure, blood pressure should be measured again",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-51 (5)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(\"Systolic blood pressure\" ≥ 140 mmHg)\n OR (\"Diastolic blood pressure\" ≥ 90 mmHg)",
                "language" : "text/cql-identifier",
                "expression" : "Should Measure BP again after 10–15 minutes rest"
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Measure temperature again",
          "description" : "Measure temperature again",
          "textEquivalent" : "The health worker should retake the woman's temperature if the first reading is over 38°C",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-113 (5)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"Body temperature\" ≥ 38°C",
                "language" : "text/cql-identifier",
                "expression" : "Should Measure temperature again"
              }
            }
          ]
        },
        {
          "id" : "3",
          "title" : "Check again after 10 minutes rest",
          "description" : "Check again after 10 minutes rest",
          "textEquivalent" : "The health worker should retake the woman's pulse rate if the first reading is lower than 60 or higher than 100 beats per minute",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-1 (5)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "60 > Pulse rate > 100",
                "language" : "text/cql-identifier",
                "expression" : "Should Check again after 10 minutes rest"
              }
            }
          ]
        },
        {
          "id" : "4",
          "title" : "Conduct oximetry test",
          "description" : "Conduct oximetry test",
          "textEquivalent" : "If the woman has an abnormal respiratory exam result or respiratory distress, conduct oximetry test",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-149 (5)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "((((((\"Respiratory exam result\" = \"Dyspnoea\")\n OR (\"Respiratory exam result\" = \"Cough\"))\n OR (\"Respiratory exam result\" = \"Rapid breathing\"))\n OR (\"Respiratory exam result\" = \"Slow breathing\"))\n OR (\"Respiratory exam result\" = \"Wheezing\"))\n OR (\"Respiratory exam result\" = \"Rales\"))\n OR (\"Respiratory exam result\" = \"Other abnormal respiratory exam result (specify)\")",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct oximetry test"
              }
            }
          ]
        },
        {
          "id" : "5",
          "title" : "Measure the fetal heart rate again",
          "description" : "Measure the fetal heart rate again",
          "textEquivalent" : "Fetal heart rate out of normal range (100–180) – please have the woman lay on her left side for 15 minutes and check again",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): C-89 (5)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "100 bpm > Fetal heart rate > 180 bpm",
                "language" : "text/cql-identifier",
                "expression" : "Should Measure the fetal heart rate again"
              }
            }
          ]
        }
      ]
    }
  ]
}

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