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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 |
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| Village Name | Dropdown |
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| First Name | Text |
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| Last Name | Text |
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| Father's Name | Text |
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| Phone number | Number |
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| Date of Birth | Calendar |
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| Age | Date Picker | Years (mandatory), months and days (optional if manually filled) |
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| Gender | Drop down |
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| Marital Status | Dropdown |
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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
Acceptance Criteria:
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| Spouse Name | Textbox | Husband's/ Wife's Name |
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| Status of Women | Dropdown |
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ABHA ID
Textbox
- Mandatory if enabled
- 14-digit unique numeric identifier
- Accept numeric (integer) value only
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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)
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Cancel | Button |
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Submit | Button |
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| Edit | Pencil Button |
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The options in the "Status of Women" field should be based on Age criteria as defined in the below 4 conditions:
| Condition-1 | Condition-2 | Condition-3 | Condition-4 |
|---|---|---|---|
| Show only "Adolescent Girl" for age 15 to 19 years and 'Marital Status'= “Unmarried” | After Age 20 years, the "Adolescent Girl" option should be disabled | Elderly 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' = “Married”show only below options:
| Display "Elderly Woman" only for individuals age 50 years and above. | Show only below options:
|
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
- Services
- HBYC Services
- Routine Immunization
- Adolescent Care
- In On selecting Other CPHC services:
- Subcategories: Based upon
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- Age and
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- Gender, show the following list of items.
- 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
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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.
- After the reason for visit is selected, then add chief complaint.
- 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 |
| Care for common ENT problems |
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| Care for Common Ophthalmic problems |
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| Basic Oral health care |
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| Basic management of Mental health ailments. |
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| Elderly & Palliative Health Care |
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| Screening, Prevention, Control and Management of Non-Communicable Diseases (NCD) | |
| Management of Communicable Diseases including National Health Programs |
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