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) - XML Representation

Active as of 2021-06-11

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="publishable-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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: ANC.DT.01 (use: OFFICIAL)</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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example"/>
  <identifier>
    <use value="official"/>
    <value value="ANC.DT.01"/>
  </identifier>
  <version value="1.0.0-ballot2"/>
  <name value="ANCDT01Publishable"/>
  <title value="ANC.DT.01 Danger signs (Publishable Example)"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2021-06-11T22:04:04-06:00"/>
  <publisher value="HL7 International / Clinical Decision Support"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description
               value="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
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="task"/>
      <display value="Workflow Task"/>
    </code>
    <valueCodeableConcept>
      <text value="Quick check"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <library value="http://fhir.org/guides/who/anc-cds/Library/ANCDT01"/>
  <action>
    <title value="ANC.DT.01 Danger signs"/>
    <trigger>
      <type value="named-event"/>
      <name value="ANC.B5 Quick check"/>
    </trigger>
    <action id="1">
      <title value="Proceed with ANC contact "/>
      <description value="Proceed with ANC contact "/>
      <textEquivalent
                      value="If no danger signs are present, the health worker can continue with the normal ANC contact"/>
      <documentation>
        <type value="citation"/>
        <label
               value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="&quot;Danger signs&quot; = &quot;No danger signs&quot;"/>
          <language value="text/cql-identifier"/>
          <expression value="Should Proceed with ANC contact"/>
        </expression>
      </condition>
    </action>
    <action id="2">
      <title
             value="Proceed with ANC contact OR Referral for Central cyanosis"/>
      <description
                   value="Proceed with ANC contact OR Referral for Central cyanosis"/>
      <textEquivalent
                      value="Bluish discolouration around the mucous membranes in the mouth, lips and tongue."/>
      <documentation>
        <type value="citation"/>
        <label
               value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="&quot;Danger signs&quot; = &quot;Central cyanosis&quot;"/>
          <language value="text/cql-identifier"/>
          <expression
                      value="Should Proceed with ANC contact OR Referral for Central cyanosis"/>
        </expression>
      </condition>
    </action>
    <action id="3">
      <title value="Proceed with ANC contact OR Referral"/>
      <description value="Proceed with ANC contact OR Referral"/>
      <textEquivalent
                      value="This is a danger sign that indicates that the woman needs urgent management"/>
      <documentation>
        <type value="citation"/>
        <label
               value="Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <description
                       value="(((((((((((&quot;Danger signs&quot; = &quot;Bleeding vaginally&quot;)
  OR (&quot;Danger signs&quot; = &quot;Convulsing&quot;))
  OR (&quot;Danger signs&quot; = &quot;Fever&quot;))
  OR (&quot;Danger signs&quot; = &quot;Severe headache&quot;))
  OR (&quot;Danger signs&quot; = &quot;Visual disturbance&quot;))
  OR (&quot;Danger signs&quot; = &quot;Imminent delivery&quot;))
  OR (&quot;Danger signs&quot; = &quot;Labour&quot;))
  OR (&quot;Danger signs&quot; = &quot;Looks very ill&quot;))
  OR (&quot;Danger signs&quot; = &quot;Severe vomiting&quot;))
  OR (&quot;Danger signs&quot; = &quot;Severe pain&quot;))
  OR (&quot;Danger signs&quot; = &quot;Severe abdominal pain&quot;))
  OR (&quot;Danger signs&quot; = &quot;Unconscious&quot;)"/>
          <language value="text/cql-identifier"/>
          <expression value="Should Proceed with ANC contact OR Referral"/>
        </expression>
      </condition>
    </action>
  </action>
</PlanDefinition>