This page is part of the SMART DAK CCC (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) v4.3.0. This is the current published version. For a full list of available versions, see the Directory of published versions

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Official URL: http://smart.who.int/dak-ccc/ImplementationGuide/smart.who.int.dak-ccc				Version: 1.0.0
Active as of 2024-07-15				Computable Name: DakCcc

Summary

Emergency settings create unique challenges for the delivery of clinical care according to WHO’s recommended guidelines.

Clinical Care in Crises (CCC) is one of WHO’s responses to the current situation. It is a digital platform which delivers clinical decision support to frontline health workers in emergency settings.

Our vision is to improve health outcomes in emergencies by making WHO’s established clinical guidelines available whenever, wherever and by whomever.​ To achieve this Clinical Care in Crises will create a digital solution for healthcare workers using WHO’s SMART guidelines ​to better serve maternal and child care in an emergency setting

Project objectives:

• Be a digital platform through which WHO recommendations can be delivered at the point of care and regularly updated
• Initially improve health outcomes for mothers and children in emergency settings by presenting IMCI in a digital format. This will be expanded to more age groups and health conditions in the future
• Ensure that IMCI digital content is made available to frontline health workers via a mobile reference app, maintaining fidelity with original guidance
• Promote a modular, reusable ecosystem to which member states and external partners can collaborate and contribute

Health care workers can use the Frontline app on their tablet or mobile phone to access WHO guidance at the point of care and better assess, treat and/or refer a patient. The aim is to improve the quality of clinical care and, ultimately, lead to better patient outcomes.

Clinical Care in Crises promotes a modular, reusable ecosystem to which member states and external partners can contribute. It ensures the digital content maintains fidelity with original WHO guidance, whilst also making appropriate adaptations to emergency settings.

L1 Narrative guidelines

The current phase of the CCC project focuses on reducing mortality in emergency settings in three priority areas:

1. integrated management of childhood illness (IMCI)
2. malnutrition, and
3. newborn care

These will act as the pathfinder for expansion to more age groups and health conditions in a second phase.

L2 Operational guidelines

The child health in humanitarian emergencies digital adaptation kit publications and implementations tools can be found here:

• Published DAK Document

• Link to core data dictionary

• Link to decision support logic

• Link to indicators table

• Link to functional and non functional requirements

L3 Machine readable guidelines

The L3 FHIR Implementation Guide for the child health in humanitarian emergencies is available here CCC FHIR Implementation Guide

L4 Executable guidelines

The reference implementation (L4) for the child health in humanitarian emergencies SMART Guideline is called “Frontline”. The open-source code is available here Frontline app

L5 Dynamic guidelines

Content representing the L5 layer for the child health in humanitarian emergencies SMART Guideline is not yet available. Links will be published here as soon as they’re available.

News

Contact Us

Please let us know about your experience in using the DAK and questions you may have by contacting us at SMART@who.int

License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO License.

Providing Feedback

Feedback specific to this specification can provided through:

• Clicking on one of the Feedbacks link to the right of any section header
• Sending an email to SMART@who.int
• Creating an issue on GitHub dak-ccc repository

Disclaimer

The specification herewith documented is a demo working specification and may not be used for any implementation purposes. This draft is provided without warranty of completeness or consistency and the official publication supersedes this draft. No liability can be inferred from the use or misuse of this specification or its consequences.