Data Field

Field Type

Value/ Options

Validations/ Logic

Patient Registration

Text

Header

Photo

Image

• On clicking Tap to take photo it must enable the camera to click the photo of the Beneficiary
• This should have the ability to retrieve the patients data associated with the photo already registered
• This should have Face detection feature

Village Name

Dropdown

• Mandatory
• Single selection allowed
• This must auto fetch the dropdown values (Villages) with which the user is aligned.

First Name

Text

• Mandatory
• Speech to Text Feature
• Allow alphabets, space, hyphen

Last Name

Text

• Optional
• Speech to Text Feature
• Allow alphabets, space, hyphens
• Make it editable with pencil icon, if there is change in the status of woman (un married to married)

Father's Name

Text

• Mandatory if '"Status of Women"= "Adolescent", "Unmarried"
• Speech to Text Feature
• Allow alphabets, space, hyphens

Phone number

Number

• Optional
• Allow Numerical values only
• Speech to Text Feature
• Should be a 10 digit Mobile number starting with 6,7,8,9 number

Date of Birth

Calendar

• DD-MM-YYYY

• Optional (if someone does not remember/ know their DOB as in elderlies)
• Calendar date picker
• On selecting the date of Birth it must auto calculate the age in Years
• Auto populate the age in Age Field

Age

Date Picker

Years (mandatory), months and days (optional if manually filled)

• Mandatory
• Editable by CHO/Registrar
• Should be auto calculated and auto filled from date of birth but if it is not available then it should have an option for the CHO to manually enter age
• Format should be Years, Months, Days.
• Years should be mandatory, months and days if filled manually can be optional.

Gender

Drop down

• Female
• Male
• Transgender

• Mandatory
• Single selection
• Default is Select

Marital Status

Dropdown

• Unmarried
• Married
• Divorced
• Separated
• Widow

• Mandatory and single selection
• Editable, if there is any change in the marital status in future.
• If marital status = "Married" then enable field "Spouse Name"

Spouse Name

Text

• Mandatory
• Speech to Text Feature
• Allow alphabets, space, hyphens
• Should be enabled if marital status = "Married"

Status of Women

Dropdown

• Eligible couple (EC)
• Pregnant Woman (PW)
• Post Natal Mother
• Elderly
• Adolescent
• Permanent sterilization
• Not applicable

• Mandatory
• Should be enabled if Gender= "Female"
• If marital status = "Married" and pregnancy status = "Eligible couple", move the woman in eligible couple due list
• If marital status = "Married" and pregnancy status = "Pregnant Woman", move the woman in ANC due list and capture details in "Pregnancy identification and registration" module
• If marital status = "Married" and pregnancy status = "Post Natal mother", move the woman in PNC due list for ASHAs and capture details in the postnatal care module.
  
  Acceptance Criteria:
  
  
• If Gender is female, Age is 10-19 Years and Marital Status = "Unmarried" enable only Adolescent Girl option
• If Gender is female, Age is >=15 Years and Marital Status = "Married" enable EC, PW, Postnatal Mother and Permanently Sterilized options
• If gender is female, age is 15-19 years and marital status is married then enable EC, PW, post natal mother, permanent sterilization options
• If Gender is female, Age is 20-49 Years and Marital Status = "Married" show EC, PW, Postnatal Mother and Permanently Sterilized
• If Gender is female, Age is 20-49 Years and Marital Status = "Unmarried" show only "Not Applicable"
• If Gender is female and Age is 20 and above, do not show Adolescent Girl option.
• If Gender is female and Age is 50 and above, show only Elderly Woman.

Does the beneficiary have ABHA ID

• Yes
• No

• Mandatory
• If yes, enable next field where ABHA number can be input
• If no, show alert to counsel the beneficiary to enroll and get an ABHA (Ayushman Bharat Health Account)

ABHA ID

Textbox

• Mandatory if enabled
• 14-digit unique numeric identifier
• Accept numeric (integer) value only

Cancel

Button

• If cancel is selected, a pop up message "Are you Sure?" with options "Yes" and "No" will come.
• If selected "yes" navigate back to home page
• If selected "no" then do not erase the patient health data and let the page remain open so it can be submitted by CHO as sometime by mistake cancel button is clicked.

Submit

Button

• On clicking this, it must display the Pop up msg "Patient Registered successfully"
• This must store the data of the patient and display the required fields over the Beneficiary card
• This Beneficiary Card must be visible in CHO and Staff Nurse role.
• Ensure that data should go to server.

Edit
Edit option after Registration details of beneficiary is submitted.

Pencil Button
(click to edit)

• On clicking this, it must navigate to the Page filled by CHO to edit and at the end "OK" button.
• On clicking "OK" it must display the Pop up msg "Patient details edited successfully"
• Make the following fields editable with a pencil icon-
• Last name (If status of woman changes in future)
• Phone number
• Status of woman
• Age if CHO has to manually enter it instead of being auto calculated from date of birth.