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/dhes/smart-anc/PlanDefinition-ANCDT17.html |
Url | http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT17 |
Version | 0.3.0 |
Status | active |
Date | 2021-06-11T23:25:04-06:00 |
Name | ANCDT17 |
Title | ANC.DT.17 Pre-eclampsia, severe pre-eclampsia and hypertension diagnosis |
Experimental | False |
Realm | uv |
Authority | who |
Description | If the woman presents with any of the following symptoms and/or test results, conduct counselling and referral as needed |
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Id: | ANCDT17 | |||||
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Url: | ANC.DT.17 Pre-eclampsia, severe pre-eclampsia and hypertension diagnosis | |||||
Version: | 0.3.0 | |||||
Official |
ANC.DT.17 |
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Title: | ANC.DT.17 Pre-eclampsia, severe pre-eclampsia and hypertension diagnosis | |||||
Type: |
system: http://terminology.hl7.org/CodeSystem/plan-definition-type code: eca-rule |
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Date: | 2021-06-11 23:25:04-0600 | |||||
Publisher: | World Health Organization (WHO) | |||||
Description: | If the woman presents with any of the following symptoms and/or test results, conduct counselling and referral as needed |
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Use Context: |
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Jurisdiction: | 001 | |||||
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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 Symptom(s) of severe pre-eclampsia! Refer urgently to hospital!\nWoman has hypertension. If she is experiencing a symptom of severe pre-eclampsia, then refer urgently to the hospital for further investigation and management.\n\nProcedure\nâ Give magnesium sulphate\nâ Give appropriate anti-hypertensives\nâ Revise the birth plan\nâ Refer urgently to hospital\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n (((((((((((((((("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Severe headache"))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Severe headache")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Blurred vision")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Blurred vision")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Epigastric pain")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Epigastric pain")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Dizziness")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Dizziness")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Vomiting")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "Vomiting")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "++")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "++")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "+++")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "+++")))\n OR (("Systolic blood pressure" ⥠140 mmHg)\n AND ("Repeat systolic blood pressure" ⥠140 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "++++")))\n OR (("Diastolic blood pressure" ⥠90 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠90 mmHg)\n AND ("Symptoms of severe pre-eclampsia" = "None")\n AND ("Urine dipstick result â protein" = "++++"))\n \n <i>(Should Refer urgently to a hospital)</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Pre-eclampsia diagnosis! 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If SBP is 160 mmHg or higher and/or DBP is 110 mmHg or higher, then refer urgently to the hospital for further investigation and management.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n (((("Systolic blood pressure" ⥠160 mmHg)\n AND ("Repeat systolic blood pressure" ⥠160 mmHg)\n AND ("Urine dipstick result â protein" = "+"))\n OR (("Diastolic blood pressure" ⥠110 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠110 mmHg)\n AND ("Urine dipstick result â protein" = "+")))\n OR (("Systolic blood pressure" ⥠160 mmHg)\n AND ("Repeat systolic blood pressure" ⥠160 mmHg)\n AND ("Urine dipstick result â protein" = "None")))\n OR (("Diastolic blood pressure" ⥠110 mmHg)\n AND ("Repeat diastolic blood pressure" ⥠110 mmHg)\n AND ("Urine dipstick result â protein" = "None"))\n \n <i>(Should Refer urgently to a hospital 3)</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Woman has hypertension â SBP of 140 mmHg or higher and/or DBP of 90 mmHg or higher and no proteinuria.\n\nCounselling:\nâ Advice to reduce workload and to rest\nâ Advise on danger signs\nâ Reassess at the next contact or in 1 week if 8 months pregnant\nâ If hypertension persists after 1 week or at next contact, refer to hospital or discuss case with the doctor, if available\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n (((("Existing chronic health conditions" = "Hypertension")\n OR ((140 mmHg ⤠"Systolic blood pressure" < 160 mmHg)\n AND (140 mmHg ⤠"Repeat systolic blood pressure" < 160 mmHg)\n AND ("Urine dipstick result â protein" = "+")))\n OR ((90 mmHg ⤠"Diastolic blood pressure" < 110 mmHg)\n AND (90 mmHg ⤠"Repeat diastolic blood pressure" < 110 mmHg)\n AND ("Urine dipstick result â protein" = "+")))\n OR ((140 mmHg ⤠"Systolic blood pressure" < 160 mmHg)\n AND (140 mmHg ⤠"Repeat systolic blood pressure" < 160 mmHg)\n AND (Urine dipstick result â protein" = "None")))\n OR ((90 mmHg ⤠"Diastolic blood pressure" < 110 mmHg)\n AND (90 mmHg ⤠"Repeat diastolic blood pressure" < 110 mmHg)\n AND ("Urine dipstick result â protein" = "None"))\n \n <i>(Should Conduct hypertension 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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