Canonical Resource Management Infrastructure Implementation Guide
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This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v1.0.0-ballot2: STU1 Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: ANC.DT.01 Danger signs (Publishable Example) - JSON Representation

Active as of 2021-06-11

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{
  "resourceType" : "PlanDefinition",
  "id" : "publishable-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"publishable-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition &quot;publishable-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-crmi-publishableplandefinition.html\">CRMI Publishable PlanDefinition</a></p></div><p><b>StructureDefinition Work Group</b>: cds</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example</code></p><p><b>identifier</b>: id:\u00a0ANC.DT.01\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 1.0.0-ballot2</p><p><b>name</b>: ANCDT01Publishable</p><p><b>title</b>: ANC.DT.01 Danger signs (Publishable Example)</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#eca-rule)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2021-06-11 22:04:04-0600</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: 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</p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Workflow Task (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code task = 'Workflow Task', stated as 'Workflow Task')</td><td>Quick check <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>library</b>: <a href=\"http://fhir.org/guides/who/anc-cds/Library/ANCDT01\">http://fhir.org/guides/who/anc-cds/Library/ANCDT01</a></p><blockquote><p><b>action</b></p><p><b>title</b>: ANC.DT.01 Danger signs</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td>named-event</td><td>ANC.B5 Quick check</td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>1</blockquote><p><b>title</b>: Proceed with ANC contact </p><p><b>description</b>: Proceed with ANC contact </p><p><b>textEquivalent</b>: If no danger signs are present, the health worker can continue with the normal ANC contact</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>2</blockquote><p><b>title</b>: Proceed with ANC contact OR Referral for Central cyanosis</p><p><b>description</b>: Proceed with ANC contact OR Referral for Central cyanosis</p><p><b>textEquivalent</b>: Bluish discolouration around the mucous membranes in the mouth, lips and tongue.</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>3</blockquote><p><b>title</b>: Proceed with ANC contact OR Referral</p><p><b>description</b>: Proceed with ANC contact OR Referral</p><p><b>textEquivalent</b>: This is a danger sign that indicates that the woman needs urgent management</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote></blockquote></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cds"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.01"
    }
  ],
  "version" : "1.0.0-ballot2",
  "name" : "ANCDT01Publishable",
  "title" : "ANC.DT.01 Danger signs (Publishable 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://fhir.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"
              }
            }
          ]
        }
      ]
    }
  ]
}