Canonical Resource Management Infrastructure Implementation Guide
1.0.0 - STU1

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## : ANC.DT.01 Danger signs (Shareable Example) - XML Representation

Active as of 2021-06-11

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    <PlanDefinition xmlns="http://hl7.org/fhir">
      <id value="shareable-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableplandefinition"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PlanDefinition </b><a name="shareable-example"> </a><a name="hcshareable-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;shareable-example&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-crmi-shareableplandefinition.html">CRMI Shareable PlanDefinition</a></p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/crmi/PlanDefinition/shareable-example</code></p><p><b>identifier</b>: ANC.DT.01 (use: official), <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

    This 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:

    Note 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.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.38.34.2</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: ANCDT01Shareable</p><p><b>title</b>: ANC.DT.01 Danger signs (Shareable 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>
      </text>
      <url value="http://hl7.org/fhir/uv/crmi/PlanDefinition/shareable-example"/>
      <identifier>
        <use value="official"/>
        <value value="ANC.DT.01"/>
      </identifier>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.38.34.2"/>
      </identifier>
      <version value="1.0.0"/>
      <name value="ANCDT01Shareable"/>
      <title value="ANC.DT.01 Danger signs (Shareable 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>