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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


Vital Screen 

Vitals 

Normal Range (Green Code) 

Borderline (Yellow code) 

High/ Low than the normal range(Red code) 

Weight (Kgs) 

- 

- 

- 

Height (cms) 

- 

- 

- 

BMI=Weight/(Height/100) ²  

18.5-24.9 

 25-29.9 (Overweight) 

  

<18.5 (Underweight)  

≥30 ( Obese ) 

  

Temperature (Degree Fahrenheit) 

98.6 F 

99.6 F 

>= 100 F 

Rate of Respiration (Breaths per minute) 

16-20 

20-24 

>24 

Pulse Rate (beats per minute) 

70-80 

- 

<60- >90 

Systolic Blood Pressure (mm Hg) 

120 

Upto 130 

>140 (High BP) 

<90 (Low BP) 

Diastolic blood Pressure (mm Hg) 

80 

Upto 90 

>90 (High BP) 

<60 (Low BP) 


List of 12 Comprehensive Primary Health Care (CPHC) Services

...

S No

Name of Data Field

Field Type

Value / Options

Validation / Logic


Injury Type

Multi-select

  • Mechanical foreign body
  • Blunt trauma
  • Penetrating injury suspected
  • Chemical (acid/alkali/other)
  • Mandatory
    .


Foreign Body Removal Attempted

Dropdown

  • Not attempted
  • Attempted from conjunctival sac
  • Foreign body lodged in cornea
  • Optional
  • If selected Foreign body lodged in cornea - show alert for referral to Ophthalmologist at the secondary level.


Chemical Exposure – Thorough Wash Performed


  • Yes
  • No
  • Optional
  • Show alert for referral to Ophthalmologist at the secondary level.


Next Button



  • Proceed to vital screen and prescription.

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S No

Data Field

Field type

Value/ Options

Validation/ Logic


Tooth Decay Present


  • Yes
  • No
  • MandatoryOptional
  • If selected Yes, enable the field "Symptoms of tooth decay"


Symptoms of tooth decay

Dropdown

  • Black spot
  • Discoloration of tooth Cavity
  • Hole in the tooth
  • Sensitivity to hot and cold, sweet and sour
  • Food lodgment in the cavity/

    between teeth
  • Pain
  • Swelling
  • Pus discharge
  • To be enabled if Tooth Decay present= "Yes"
  • Multiple selection
  • Mandatory if enabled
  • If yes, Show alert show for referral to Dentist at the secondary level.


Gum Diseases Present


  • Yes
  • No
  • MandatoryOptional
  • If selected Yes, enable the field "Symptoms of Gum diseases"


Symptoms of Gum diseases

Dropdown

  • Foul smell
  • Bleeding gums
  • Deposits and discoloration of tooth
  • Loose teeth
  • Widening gap between teeth
  • Swollen gums
  • To be enabled if Gum diseases present= "Yes"
  • Multiple selection
  • Mandatory if enabled
  • Show alert for referral to Dentist at the secondary level.


Irregular Teeth/Jaws


  • Yes
  • No
  • Optional
  • If yes, Show alert for referral to Dentist at the secondary level.


Abnormal Growth/Ulcer


  • Yes
  • No
  • Optional
  • If yes, Show alert for referral to Dentist at the secondary level.


Cleft Lip/Palate


  • Yes
  • No
  • Optional
  • If yes, Show alert for referral to Dentist at the secondary level.


Dental Fluorosis


  • Yes
  • No
  • Optional
  • If yes, Show alert for referral to Dentist at the secondary level.


Dental Emergency

Dropdown

  • Pain
  • Abscess
  • Swelling
  • Tooth Injury
  • Avulsion
  • Non-Healing Ulcer
  • Uncontrolled Bleeding
  • Trauma (Fractured jaw/mobile teeth)
  • Optional
  • Show alert for referral to Dentist at the secondary level.


Next Button



  • Proceed to vital screen and prescription.

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