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Photo of the beneficiary

Name

Beneficiary ID


Age (years)/ Gender

Phone Number


Village Name

ABHA ID (ABHA registration)


S. No

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
  • If Gender is female and Age is 10 Years to less than 15 Years then also show in Adolescent section
  • If Gender is male and Age is 10 to 19 Years then also show in Adolescent section

 

Marital Status

Dropdown

  • Unmarried
  • Married
  • Divorced
  • Separated
  • Widow
  • Widower
  • Mandatory and single selection
  • Not Applicable for Newborn/ Child/ Adolescent (Age 0 to less than 15 Years)
  • Show this field once above Gender is selected
  • Editable, if there is any change in the
marital
  • Marital status in future.
  • If
marital
  • Marital status = "Married" then enable field "Spouse Name"
  • If "Unmarried" is selected hide below field "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
    • "
    • If "Unmarried" is selected, 'Status of Woman' is based on the below condition (i.e. Adolescent/ No Applicable) 
    • Based on the 'Gender' values in this dropdown list should change as follows:
    • In case of 'Gender' = "Female" show "Widow" and hide "Widower"
    • In case of 'Gender' = "Male" show "Widower" and hide "Widow"
    • If "Married" is selected, show option to add Spouse Name (Husband/ Wife)
    • In case of "Unmarried", allow to edit this field and update, open/ add "Spouse" details

     

    Spouse Name

    Textbox

    Husband's/ Wife's Name

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

     

    Status of Women

    Dropdown

    • Eligible couple
    • Pregnant Woman
    • Postnatal Mother
    • Elderly Woman
    • Adolescent
    • Permanently Sterilised
    • Not applicable
    • Mandatory
    • Should enable if Gender = "Female"
    • The options in the "Status of Women" field should be based on Age criteria as per four conditions defined in the below table and based on 'Marital Status'.
    • If Marital status = "Married" and 'Status of Women' = "Eligible couple", then move the woman to 'Eligible Couple' due list
    • If Marital status = "Married" and 'Status of Women' = "Pregnant Woman", then move the woman to Pregnant Woman due list and capture details for "Pregnancy identification and registration" and move to ANC due list
    • If Marital status = "Married" and 'Status of Women' = "Postnatal Mother", then move the woman in PNC due list and capture details in the postnatal care module. 

      Acceptance Criteria:
    • Not Applicable” choice is applicable only in “unmarried” case
    • If Age is 15-19 Years and Marital Status= “Unmarried” then default value is “Adolescent Girl
    • If Age is 20-49 Years and Marital Status=
    "Unmarried" show only "Not Applicable"
    • Unmarried” then default value is “Not Applicable
    • If Age is 50 Years and above, then default value is “Elderly Woman” (Marital Status can be anything)
    • If Age is 15-49 Years and Marital Status= “Married” then show list as per below Condition-4
    • If Age is 20-49 Years and ‘Status of Women’ = “Not Applicable”, then in this case Edit of ‘Status of Women’ is allowed as per below age criteria conditions, in “Married” case
    • If Age is 15-19 Years then ‘Status of Women’ = “Adolescent Girl” and in this case Edit of ‘Status of Women’ is allowed as per below age criteria conditions, in “Married” case
    If Gender is female and Age is 20 and above, do not show Adolescent Girl option.

    ABHA ID

    Textbox

    • Mandatory if enabled
    • 14-digit unique numeric identifier
    • Accept numeric (integer) value only
    • If Gender is female andAge 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)
    • 15-19 Years then also show this record in Adolescent section


    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
    • from date of birth.


    The options in the "Status of Women" field should be based on Age criteria as defined in the below 4 conditions:

    Condition-1Condition-2Condition-3Condition-4
    Show only "Adolescent Girl" for age 15 to 19 years and 'Marital Status'= UnmarriedAfter Age 20 years, the "Adolescent Girl" option should be disabledElderly Women (Age 50 years and above)Women Age 20 to 49 Years and 'Marital Status' = “Married

    If Age is 15 to 49 years and 'Marital Status' = Marriedshow only below options:

    • Eligible Couple
    • Pregnant Woman
    • Postnatal Mother
    • Permanently Sterilised

    Display "Elderly Woman" only for individuals age 50 years and above.

    Show only below options:

    • Eligible Couple
    • Pregnant Woman
    • Postnatal Mother
    • Permanently Sterilised


    S No

    CPHC Services

    1

    Care in pregnancy and child-birth.

    2

    Neonatal and infant health care services.

    3

    Childhood and adolescent health care services.

    4

    Family planning, Contraceptive services and other Reproductive Health Care services.

    5

    Management of Communicable diseases including National Health Programmes.

    6

    Management of Common Communicable Diseases and Outpatient care for acute simple illnesses and minor ailments.

    7

    Screening, Prevention, Control and Management of Non-Communicable diseases.

    8

    Care for Common Ophthalmic and ENT problems.

    9

    Basic Oral health care.

    10

    Elderly and Palliative health care services.

    11

    Emergency Medical Services.

    12

    Screening and Basic management of Mental health ailments.



    • After the beneficiary registration and clicking the beneficiary card, CHO will have the option to select General OPD services or other CPHC services.
    • The RMNCH services are available under a separate section "RMNCH" tab adjacent to the home tab.
    • In RMNCH module there two categories of services are available based below condition:
    • Maternal services: Gender is Female , and Age >15 years and <49 between 15 years to 49 years and based on Status of Woman
    • Child Care services: Age <15 < 15 year
    • RMNCH module includes these services: Family planning, Contraceptive services and other Reproductive Health Care services, Care in pregnancy and child-birth, Neonatal and infant health care services
    • Maternal services include:
    • Family Planning services
      • Eligible couple Registration
      • Eligible couple Tracking
    • Maternal Health services
      • Pregnancy Identification and Registration
    • ANC Visits
      • Antenatal Care
      • Delivery
    • PNC Visits
      • Postnatal Care
    • Child Care services include:
      • Newborn Registration
      • HBNC
      Visits
      • Services
      HBYC Visits
      • HBYC Services
      • Routine Immunization
      • Adolescent Care
    • In On selecting Other CPHC services:
      • Subcategories: Based upon

    ...

      • Age and

    ...

      • Gender, show the following list of items.
      All age
      • for all Age groups, all
    • genders
      • Genders: Care for common ENT problems, Care for Common Ophthalmic problems, Basic Oral health care, Screening and Basic management of Mental health ailments.

    Other CPHC services are based on selection of items in the 'Subcategory', as follows:

    1. If "Care for common ENT problems" is selected then show the following list of items in 'reason for visit'

    • Ear
    • Nose
    • Throat

    After the reason for visit is selected, then add chief complaint.

    • If ear is selected, enable Ear diagnosis and Management form
    • If nose is selected, enable Nose diagnosis and Management form
    • If throat is selected, enable Throat diagnosis and Management form

    2. If "Care for common ophthalmology problems" is selected then show the following list of items in 'reason for visit'

    • Screening
    • Symptomatic
    • First aid for eye injury, trauma

    After the reason for visit is selected, then add chief complaint.

    • If Screening is selected enable module on "Screening for blindness and refractive errors"
    • If Symptomatic, "Case identification" and "Treatment and follow up" fields must be completed.
    • If First aid for eye injury, trauma is selected, enable "Screening for Injury and Trauma"If

    3. If "Basic Oral Health Care" is selected then show the following list of items in 'reason for visit'

    • Dental

    After the reason for visit is selected as "Dental" enable Oral Health form.

      • Mental Health- Age & Gender Flow

    If 4. If "Screening and Basic Management of Mental Health Ailments" is selected, then show the following list of items in 'reason for visit', based on age and status of the beneficiary.

    • Reason for Visit – Mental Health
    • Emotional or behavioural concerns- Fatigue/Sleep Disturbances/low mood
    • Substance use related concerns
    • Thoughts of self-harm or suicide
    • Memory loss or confusion
    • Seizures / fits or loss of consciousness
    • System Behaviour After Reason for Visit Selection

    After

    ...

    the reason for visit is selected, then add chief complaint.

      • If Emotional or behavioural concerns is selected, enable PHQ 9 form.
      • If Substance use related concerns is selected, enable Substance Use screening form.
      • If Thoughts of self-harm or suicide is selected, enable PHQ 9 form followed by Suicide Risk screening form.
      • If Memory loss or confusion is selected, enable Dementia screening checklist.
      • If Seizures / fits or loss of consciousness is selected, enable Epilepsy screening checklist.
    • Age & Gender Conditions
      • If Age < 11 years, Mental Health screening forms shall not open; system shall enable referral workflow only.
      • If Age 11–18 years, adolescent alcohol use mental health screening shall be enabled with referral to AFHC / RKSK as applicable
      • If Age ≥ 18 years, full mental health screening shall be enabled.
      • If Female and Post-partum (≤12 months), depression screening shall be auto-prompted when CMD screening is enabled.
      • Suicide risk screening shall apply to all beneficiaries aged ≥11 years, irrespective of gender.
    • Elderly and Palliative Health- Age & Gender Flow

    If "Elderly & Palliative Health Care" is selected, then show the following list of items in 'reason for visit', based on age and condition.

    • Reason for Visit – Elderly & Palliative Health
      • General geriatric complaints
      • Functional decline or dependency
      • Memory loss or confusion
      • Persistent pain
      • Distressing symptoms (breathlessness, nausea, fatigue, etc.)
      • Caregiver support or counselling needs
    • System Behaviour After Reason for Visit Selection
      • After the reason for visit is selected, then add chief complaint.
        • If General geriatric complaints are selected, enable Elderly Health Assessment form.
        • If Functional decline or dependency is selected, enable Functional assessment and counselling section.
        • If Memory loss or confusion is selected, enable Dementia screening checklist.
        • If Persistent pain or Distressing symptoms is selected, enable Palliative care assessment and symptom management section.
        • If Caregiver support or counselling needs are selected, enable Psychosocial and caregiver support section.
    • Age & Gender Conditions
        • Elderly Health components shall be enabled only if Age ≥ 60 years, irrespective of gender.
        • Palliative Care components shall be available for all age groups and all genders, based on clinical need.
        • Referral shall be enabled if symptoms are severe or beyond CPHC scope.


    Condition

    Sub Category

    Reason for Visit

    • All Gender
    • All age Group

    Care for common ENT problems

    • Ear (E)
    • Nose (N)
    • Throat (T)
    • All Gender
    • All age Group

    Care for Common Ophthalmic problems

    • Screening
    • Symptomatic
    • First aid for eye injury, trauma
    • All Gender
    • All age Group

    Basic Oral health care

    • Dental
    • All Gender
    • All age Group (except less than 11 years of age- only referral)

    Basic management of Mental health ailments.

    • Emotional or behavioural concerns
    • Substance use related concerns
    • Thoughts of self-harm or suicide
    • Memory loss or confusion
    • Seizures / fits or loss of consciousness
    • Age Greater than 60 Male/Female

    Elderly & Palliative Health Care

    • General geriatric complaints
    • Functional decline or dependency
    • Persistent pain
    • Distressing symptoms
    • Caregiver support / counselling
    • Age Greater than 30 Male/Female

    Screening, Prevention, Control and Management of Non-Communicable Diseases (NCD)


    • All Gender
    • All age Group

    Management of Communicable Diseases including National Health Programs


    ...