Generated Narrative: PlanDefinition

url : http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCB

identifier : id: ANC.B (use: OFFICIAL)

version : 0.3.0

name : ANCB

title : ANC.B Routine contact

type : workflow-definition (plan-definition-type#workflow-definition)

status : ACTIVE

experimental : false

date : 2021-06-08T16:08:55-06:00

publisher : World Health Organization (WHO)

contact : https://www.who.int

description : To counsel and provide ANC services to a pregnant woman

UseContexts

-	Code	Value[x]
*	Workflow Setting (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code workflow = 'workflow', stated as 'Workflow Setting')	Routine contact (activity-codes#ANC.B)

jurisdiction : Global (Whole world) (m49.htm#001)

action

id

4

title : Confirm pregnancy

description : Confirm the woman is pregnant using a urine dipstick test or by a blood test.

code : Confirm pregnancy (activity-codes#ANC.B4; cpg-common-process#history-and-physical "History and Physical")

RelatedActions

-	TargetId	Relationship
*	5	BEFORESTART

definition : ANC.B4 Confirm pregnancy

action

id

5

title : Quick check

description : Health worker assesses woman to see whether there are any danger signs that warrant in-facility management or referral, or if possible, to proceed with the routine ANC contact.

code : Quick check (activity-codes#ANC.B5; cpg-common-process#triage "Triage")

RelatedActions

-	TargetId	Relationship
*	6	BEFORESTART

definition : ANC.B5 Quick check

action

id

6

title : Collect woman's profile and history

description : If this is the woman’s first ANC contact, the health worker records information on her current pregnancy, past medical and obstetric history, medications, behaviour, immunization status and other background information.

code : Collect woman's profile and history (activity-codes#ANC.B6; cpg-common-process#history-and-physical "History and Physical")

RelatedActions

-	TargetId	Relationship
*	7	BEFORESTART

definition : ANC.B6 Collect woman's profile and history

action

id

7

title : Check symptoms and follow up

description : Health worker follows up on any previously reported behaviours, medications and symptoms. Steps 8–10 below are all conducted within the ANC assessment.

code : Check symptoms and follow up (activity-codes#ANC.B7; cpg-common-process#guideline-based-care "Guideline-based Care")

RelatedActions

-	TargetId	Relationship
*	8	BEFORESTART

definition : ANC.B7 Check symptoms and follow up

action

id

8

title : Conduct physical exam

description : Health worker conducts a physical exam for weight, height (if first contact), maternal exam and fetal assessment.

code : Conduct physical exam (activity-codes#ANC.B8; cpg-common-process#history-and-physical "History and Physical")

RelatedActions

-	TargetId	Relationship
*	9	BEFORESTART

definition : ANC.B8 Conduct physical exam

action

id

9

title : Conduct laboratory test and imaging

description : Health worker orders or follows up on required laboratory tests and ultrasound, as necessary. Health worker informs woman of all tests ordered and explains why.

code : Conduct laboratory test and imaging (activity-codes#ANC.B9; cpg-common-process#diagnostic-testing "Conduct Diagnostic Tests")

RelatedActions

-	TargetId	Relationship
*	10	BEFORESTART

definition : ANC.B9 Conduct laboratory test and imaging

action

id

10

title : Counselling, in-facility management and treatment

description : Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility.

code : Counselling, in-facility management and treatment (activity-codes#ANC.B10; cpg-common-process#provide-counseling "Provide Counseling"; cpg-common-process#guideline-based-care "Guideline-based Care")

RelatedActions

-	TargetId	Relationship
*	11	BEFORESTART

definition : ANC.B10 Counselling, in-facility management and treatment

action

id

11

title : Referral needed?

description : If there are any diagnoses requiring referral or services that cannot be provided at the facility, health worker refers pregnant woman based on findings during counselling.

code : Referral needed? (activity-codes#ANC.B11; cpg-common-process#discharge-referral-of-patient "Discharge/Referral of Patient")

RelatedActions

-	TargetId	Relationship
*	12	BEFORESTART

definition : ANC.B11 Referral needed?

action

id

12

title : Scheduling

description : If a referral is not required, health worker schedules follow-up contact.

code : Scheduling (activity-codes#ANC.B12; cpg-common-process#discharge-referral-of-patient "Discharge/Referral of Patient")

definition : ANC.B12 Scheduling