Canonical Resource Management Infrastructure Implementation Guide
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: 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" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition </b><a name=\"publishable-example\"> </a><a name=\"hcpublishable-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\">ResourcePlanDefinition &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>url</b>: <code>http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example</code></p><p><b>identifier</b>: ANC.DT.01\u00a0(use:\u00a0official), <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.38.34.1</p><p><b>version</b>: 1.0.0</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/5.5.0/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: UsageContextType 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>"
  },
  "url" : "http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ANC.DT.01"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.38.34.1"
    }
  ],
  "version" : "1.0.0",
  "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"
              }
            }
          ]
        }
      ]
    }
  ]
}