{
  "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",
  "_filename": "example/PlanDefinition-publishable-example.json",
  "package_name": "hl7.fhir.uv.crmi",
  "date": "2021-06-11T22:04:04-06:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableplandefinition" ]
  },
  "publisher": "Clinical Decision Support WG",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "ANCDT01",
  "useContext": [ {
    "code": {
      "code": "task",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
      "display": "Workflow Task"
    },
    "valueCodeableConcept": {
      "text": "Quick check"
    }
  } ],
  "type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/plan-definition-type\\\", :code \\\"eca-rule\\\"}]}",
  "experimental": "false",
  "resourceType": "PlanDefinition",
  "title": "ANC.DT.01 Danger signs",
  "library": [ "http://fhir.org/guides/who/anc-cds/Library/ANCDT01" ],
  "package_version": "1.0.0-ballot",
  "status": "active",
  "id": "72b4f450-005f-46f8-8123-60dd06d20af7",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example",
  "identifier": [ {
    "use": "official",
    "value": "ANC.DT.01"
  } ],
  "action": [ {
    "title": "ANC.DT.01 Danger signs",
    "action": [ {
      "id": "1",
      "title": "Proceed with ANC contact ",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql-identifier",
          "expression": "Should Proceed with ANC contact",
          "description": "\"Danger signs\" = \"No danger signs\""
        }
      } ],
      "description": "Proceed with ANC contact ",
      "documentation": [ {
        "type": "citation",
        "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
      } ],
      "textEquivalent": "If no danger signs are present, the health worker can continue with the normal ANC contact"
    }, {
      "id": "2",
      "title": "Proceed with ANC contact OR Referral for Central cyanosis",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql-identifier",
          "expression": "Should Proceed with ANC contact OR Referral for Central cyanosis",
          "description": "\"Danger signs\" = \"Central cyanosis\""
        }
      } ],
      "description": "Proceed with ANC contact OR Referral for Central cyanosis",
      "documentation": [ {
        "type": "citation",
        "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
      } ],
      "textEquivalent": "Bluish discolouration around the mucous membranes in the mouth, lips and tongue."
    }, {
      "id": "3",
      "title": "Proceed with ANC contact OR Referral",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql-identifier",
          "expression": "Should Proceed with ANC contact OR Referral",
          "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\")"
        }
      } ],
      "description": "Proceed with ANC contact OR Referral",
      "documentation": [ {
        "type": "citation",
        "label": "Pregnancy, childbirth, postpartum and newborn care guide (IMPAC) (2015) (1)"
      } ],
      "textEquivalent": "This is a danger sign that indicates that the woman needs urgent management"
    } ],
    "trigger": [ {
      "name": "ANC.B5 Quick check",
      "type": "named-event"
    } ]
  } ],
  "version": "1.0.0-ballot",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/dss",
      "system": "url"
    } ]
  } ]
}