{"resourceType":"PlanDefinition","id":"shareable-example","meta":{"profile":["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"]},"url":"http://hl7.org/fhir/uv/crmi/PlanDefinition/shareable-example","identifier":[{"use":"official","value":"ANC.DT.01"},{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.40.38.34.2"}],"version":"1.0.0","name":"ANCDT01Shareable","title":"ANC.DT.01 Danger signs (Shareable 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"}}]}]}]}