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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-ANCDT12.html
Url http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT12
Version 0.3.0
Status active
Date 2021-06-11T23:02:59-06:00
Name ANCDT12
Title ANC.DT.12 Urine testing
Experimental False
Realm uv
Authority who
Description Conditions in which urine testing is required

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

Id: ANCDT12
Url: ANC.DT.12 Urine testing
Version: 0.3.0
Identifier:

value: ANC.DT.12

Name: ANCDT12
Title: ANC.DT.12 Urine testing
Status: active
Experimental: false
Type:

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

code: eca-rule

Date: 2021-06-11 23:02:59-0600
Publisher: World Health Organization (WHO)
Description: Conditions in which urine testing is required
Use Context:
codevaluedisplay
task ANC.B9. Conduct laboratory tests and imaging
Jurisdiction: 001
Libraries:
ANC.DT.12 Urine testing
Actions:
ANC.DT.12 Urine testing:
When: Named Event: ANC.B9. Conduct laboratory tests and imaging
Then:
Urine test is required any time the woman reports pain during urination (dysuria)
If: Applicability: "Current physiological symptoms" = "Pain during urination (dysuria)" (Should Conduct urine test)
Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia
If: Applicability: ("Repeat systolic blood pressure" ≥ 140 mmHg) OR ("Repeat diastolic blood pressure" ≥ 90mmHg) (Should Do urine dipstick test for protein)
The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick. Urine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia.
If: Applicability: (("ANC contact number" = 1) OR ("Gestational age" ≥ 26 weeks)) OR ("Gestational age" ≥ 34 weeks) (Should Conduct urine test 2)

Source

{
  "resourceType" : "PlanDefinition",
  "id" : "ANCDT12",
  "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;\">ANCDT12</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ANCDT12.html\">ANC.DT.12 Urine testing</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.12</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;\">ANCDT12</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">ANC.DT.12 Urine testing</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 23:02:59-0600</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;\">Conditions in which urine testing is 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.B9.</td>\n <td>Conduct laboratory tests and imaging</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-ANCDT12.html\">ANC.DT.12 Urine testing</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.12 Urine testing:</b> <br/>\n <b>When:</b> <i>Named Event:</i> ANC.B9. Conduct laboratory tests and imaging<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n Urine test is required any time the woman reports pain during urination (dysuria)<br/>\n \n <b>If:</b> <i>Applicability:</i> &amp;quot;Current physiological symptoms&amp;quot; = &amp;quot;Pain during urination (dysuria)&amp;quot; <i>(Should Conduct urine test)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia<br/>\n \n <b>If:</b> <i>Applicability:</i> (&amp;quot;Repeat systolic blood pressure&amp;quot; ≥ 140 mmHg)\n OR (&amp;quot;Repeat diastolic blood pressure&amp;quot; ≥ 90mmHg) <i>(Should Do urine dipstick test for protein)</i><br/>\n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick.\n\nUrine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia.<br/>\n \n <b>If:</b> <i>Applicability:</i> ((&amp;quot;ANC contact number&amp;quot; = 1)\n OR (&amp;quot;Gestational age&amp;quot; ≥ 26 weeks))\n OR (&amp;quot;Gestational age&amp;quot; ≥ 34 weeks) <i>(Should Conduct urine test 2)</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/ANCDT12",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.12"
    }
  ],
  "version" : "0.3.0",
  "name" : "ANCDT12",
  "title" : "ANC.DT.12 Urine testing",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2021-06-11T23:02:59-06:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Conditions in which urine testing is 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.B9.",
            "display" : "Conduct laboratory tests and imaging"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "library" : [
    "http://fhir.org/guides/who/anc-cds/Library/ANCDT12"
  ],
  "action" : [
    {
      "title" : "ANC.DT.12 Urine testing",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "ANC.B9. Conduct laboratory tests and imaging"
        }
      ],
      "action" : [
        {
          "id" : "1",
          "title" : "Conduct urine test",
          "description" : "Conduct urine test",
          "textEquivalent" : "Urine test is required any time the woman reports pain during urination (dysuria)",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-51 (3)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "\"Current physiological symptoms\" = \"Pain during urination (dysuria)\"",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct urine test"
              }
            }
          ]
        },
        {
          "id" : "2",
          "title" : "Do urine dipstick test for protein",
          "description" : "Do urine dipstick test for protein",
          "textEquivalent" : "Given high values (SBP ≥ 140 or DBP ≥ 90) upon second measure, urine dipstick test should be done to check for protein in the urine, a symptom of pre-eclampsia",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "Managing complications guide (IMPAC) (2017): Section S-51 (3)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "(\"Repeat systolic blood pressure\" ≥ 140 mmHg)\n OR (\"Repeat diastolic blood pressure\" ≥ 90mmHg)",
                "language" : "text/cql-identifier",
                "expression" : "Should Do urine dipstick test for protein"
              }
            }
          ]
        },
        {
          "id" : "3",
          "title" : "Conduct urine test",
          "description" : "Conduct urine test 2",
          "textEquivalent" : "The urine test checks for bacterial or other infections that can lead to adverse outcomes for the neonate. The urine dipstick test can check for proteins in the urine, which can be a sign of pre-eclampsia. Midstream urine culture is the preferred method for testing for asymptomatic bacteriuria (ASB) in pregnancy; if culture is not available, midstream urine Gram-staining is recommended over dipstick.\n\nUrine dipstick tests should only be used to diagnose ASB in pregnancy if midstream culture and Gram-staining are not possible. Dipstick tests are required to check for protein in the urine, a symptom of pre-eclampsia.",
          "documentation" : [
            {
              "type" : "citation",
              "label" : "WHO ANC recommendations (2016): B.1.2. Asymptomatic bacteriuria (ASB) (3)"
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "description" : "((\"ANC contact number\" = 1)\n OR (\"Gestational age\" ≥ 26 weeks))\n OR (\"Gestational age\" ≥ 34 weeks)",
                "language" : "text/cql-identifier",
                "expression" : "Should Conduct urine test 2"
              }
            }
          ]
        }
      ]
    }
  ]
}

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