Page History

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Bridge Healthcare Gaps: Provide equitable access to quality healthcare services across urban and rural populations and support online/offline data capture with auto-sync on connectivity restoration.
Empower Citizens: Enable patients to take control of their health through easy appointment booking, teleconsultation, health tracking, and access to medical records
Enhance Healthcare Delivery: Equip healthcare workers and medical officers with digital tools for efficient service delivery, documentation, and patient management
Strengthen Health Systems: Provide administrators and policymakers with real-time data, analytics, and insights for evidence-based decision making
Ensure Interoperability: Integrate seamlessly with national health infrastructure (ABDM, Nikshay, PM-JAY) for unified health information exchange.

Scope of Work

Currently the scope of project is limited with high level below items planned in phase wise activities:

CPHC Modules
Comprehensive RMNCH+A Module
Disease control Module
Automating ASHA Incentive master claim form
ASHA Dashboard
ASHA Work Plan

Users of the system

S. No	Primary Actor	Role
1	ASHA	Household survey, Registration, Follow-ups and mobilization
2	ANM	Primary Care, Maternal Care and Immunization

HWC mHWC App Comprehensive Care workflow diagram:

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Maternal Health services include:
Family Planning services
- Eligible couple Tracking
Maternal care services
- Pregnancy Identification and Registration
- Antenatal Care
- Abortion Care
- Delivery
- Postnatal Care
Child Care services include:
- Newborn Registration
- Routine Immunization
- Adolescent Care
In Other CPHC services:
- Based on Age and Gender, services are available by selecting
- Subcategory and relevant
- Reason for visit and relevant specialty screening form is enabled

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After the pregnancy is registered in the app, beneficiary should be added to ASHA's due list for tracking and follow up.
ANC schedule (4 visits minimum as per WHO) should be auto generated after the pregnancy is registered.

Antenatal Care

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This module should be enabled after the woman is identified as a pregnant woman and registered in the application.
Lock the previous ANC visit form once new ANC visit form is started and give the option to "View" previous ANC visit form. Till the time new ANC visit form is not started the previous form can be edited.
This form will be enabled whenever the woman comes for her ANC visit which is minimum 4 times in her pregnancy.
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Data Field
Field Type
Value/Options
Validation / Logic
Date of ANC Visit
Date
dd-mm-yyyy
(to be chosen from calendar)
Mandatory
Cannot exceed current date
Default date should be null
Format dd-mm-yyyy
Accept Date after 5 weeks from LMP Date
Date less than 4 weeks from Last ANC Date must not be allowed.
Accept date greater than Last ANC Date.
And not greater than Date "42 weeks of Pregnancy"; i.e. maximum Date is 42 weeks from LMP Date
ANC Visit Number
Auto
1^st visit
2^nd visit
3^rd visit
4^th visit
Mandatory
Auto-populated based on the time when data entry happens as it should calculate the number of visit based on prior history but it should be editable.
Default Value is auto select based on below conditions
Display ANC 1, if "ANC Date" is within 12 weeks from LMP Date.
Display ANC 2, if "ANC Date" is between 14- 26 weeks from LMP Date.
Display ANC 3, if "ANC Date" is between 28-36 weeks from LMP Date.
Display ANC 4, if "ANC Date" is between 36 weeks up to EDD from LMP Date.
Gestational Age (Weeks)
Auto-calculated
Display as "X weeks Y days"
Auto-calculated and mandatory
Current date minus LMP date
Weight
Number
Number- kg
Mandatory
Accept numbers only
Values from 30 to 200
Character limit 3
BP(Systolic)
Number
Numeric- mmHg
Mandatory
Accept numeric (integer) value only
Values from 50 to 300
Default value 0
If value is < 90 or ≥140 mmHg → show alert for HRP (High Risk Pregnancy)
BP(Diastolic)
Number
Numeric- mmHg
Mandatory
Accept numeric (integer) value only
Values from 30 to 200
Default Value 0
If value is < 60 or >= 90 mm Hg → show alert for HRP (High Risk Pregnancy)
Blood Sugar (Fasting)
Number
Numeric- mg/dl
Mandatory
Range 40-400 mg/dL
Show alert if >95mg/dl
Urine Sugar
Dropdown
Negative
Trace
+
++
+++
Mandatory
If selected negative or trace, move to the next question without any alert.
+ or more → show alert for HRP (High Risk Pregnancy)
Fundal Height
Custom Number Picker
Must accept numeric (integer) value only
Character limit 2 Default value null

Optional
Disable field up to 12 Weeks of Pregnancy.
Accept numeric (integer) value only
Accept values up to 2 digits
Do not allow decimals
Fetal Heart Rate (FHR)
Number
BPM

Optional
Accept decimal numbers only, up to one decimal place
Accept values up to 3 digits
Allow range minimum 40.0 to maximum 200.0 bpm
If FHR<110 bpm→ show alert for bradycardia
If FHR>160 bpm→ show alert for tachycardia
If <110 or >160 → show alert for HRP (High Risk Pregnancy)
Urine Albumin
Dropdown
Negative
Trace
+
++
+++
Mandatory
If selected negative or trace, move to the next question without any alert.
+ or more → show alert for HRP (High Risk Pregnancy)
Hb Level
Number
g/dL
Mandatory
If <7 → Severe Anemia → show alert for HRP (High Risk Pregnancy)
Date of TD dose 1
Date Picker
dd-mm-yyyy
Choose the date from the calendar

Optional
TD= Tetanus Diphtheria
Format dd-mm-yyyy
Accept date between 5 weeks from LMP Date up to 36 Week of LMP
Not greater than Today's Date
Default Value: to be null if no data is entered.
Disable this data field if

"TD dose 2" or '"Date of TT Booster Dose" is entered in the Last ANC Visit.
TD dose 2 given
Date Picker
dd-mm-yyyy
Choose the date from the calendar

Enable only if TD dose 1 date is documented
Accept date after 4 weeks from TD dose 1 given to date up to 36 weeks of LMP
Enable this data field if "Date of TD 1^st Dose" is entered in the Last ANC Visit.
If "TD 2^nd Dose" is given in the Last ANC Visit, then display a message "All TD doses are given"
Not greater than Today's Date
Disable this data field if "Date of TD Booster Dose" is entered in the Last ANC Visit.
If "TD 2^nd Dose" is given in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.
TT booster dose given
Date Picker
dd-mm-yyyy
Choose the date from the calendar

Mandatory
Enable only if TT dose 2 given date is documented
Accept date between 5 weeks from LMP Date up to up to 36 Week of LMP
Not greater than Today's Date
Default Value: to be null if no data is entered.
Disable this data field if "Date of TD 1^st Dose" is entered in the Last ANC Visit.
If "Date of TD Booster Dose" is entered in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.
No. of IFA tabs given
Custom Number Picker
Must accept numeric (integer) value only
Default Value 0

Disable field up to 12 Weeks of Pregnancy.
Default Value: to be null if no data is entered
Accept value up to 400
Calcium Given
Custom Number Picker
Must accept numeric (integer) value only
Default Value 0

Disable field up to 14 Weeks of Pregnancy.
Default Value: to be null if no data is entered
Accept value up to 400
Danger Signs
Multi-select
Vaginal Bleeding
Swelling of hands, feet or face
Severe Headache
Blurred Vision
Convulsions/ seizures
Severe abdominal pain
Fever > 38°C
Painful urination/ Burning
Reduced fetal movement
Vaginal fluid leakage
Persistent vomiting
Breathlessness/ chest pain
None
Mandatory
Multiple selection should be possible
If selected “None” then only single selection should be enabled.
On any selection→ show alert for HRP (High Risk Pregnancy)
Counselling Provided
Dropdown
Yes
No

If "Yes"→ enable next question
Which counselling was provided?

Nutrition
Birth Preparedness and Complication readiness
Identification of danger signs
Medication compliance (IFA/ Calcium/ other medications)
Immunization
Hygiene and Infection Prevention
Mandatory if enabled
Multiselect
Should be enabled if above question is "Yes"

Next ANC Visit Date
Calendar
Choose the date from the calendar
Format: dd-mm-yyyy
Greater than Today's Date
Should be < = EDD
Next Button

Proceed to vital screen and prescription.

Delivery Outcome

Data Field	Field Type	Value/Options	Validation / Logic
Details of the woman	Auto-populated	From pregnancy registration	Auto populate Display only (non-editable) Should show: Name, Age, Case ID Should link to full ANC history
Date of Delivery	Date picker	dd/mm/yyyy	Mandatory Cannot be future date Must be ≥ EDD minus 4 weeks (premature) and ≤ EDD plus 2 weeks (post-term) If >14 days from EDD → Show alert: "Post-term delivery" If <37 weeks gestation → Auto-flag as "Preterm delivery"
Time of Delivery	Time picker	HH:MM (12-hour format)	Optional
Gestational Age at Delivery	Auto-calculated	Weeks + Days (e.g., 38w 5d)	Auto-calculated from LMP/EDD Non editable Display only Based on the classification below show alert- <28 weeks: Extremely Preterm 28-32 weeks: Very Preterm 32-37 weeks: Moderate to Late Preterm 37-42 weeks: Term >42 weeks: Post-term
Place of Delivery	Dropdown (Single select)	Sub-Centre Primary Health Centre (PHC) Community Health Centre (CHC) District Hospital (DH) Medical College Hospital Referral/Tertiary Hospital Private Hospital Home delivery On the way to facility	Mandatory If "Home delivery" → Show alert: "Home delivery occurred. Provide counselling on risks. Ensure immediate PNC visit." If "Private Hospital" → Enable field for hospital name If "Home delivery" or "On the way" → Show alert for urgent PNC home visit within 24 hours

Delivery conducted by	Dropdown	Doctor (MBBS/Specialist) Nurse/ANM CHO Skilled Birth Attendant (SBA) Dai/TBA (Traditional Birth Attendant) Family member Self/Unassisted	Mandatory Single selection If "Dai/TBA", "Family member", or "Self" → Show alert: "Unskilled delivery. High-risk PNC needed."
Mode of Delivery	Dropdown	Normal Vaginal Delivery (NVD) Vacuum/ Forceps Assisted Lower Segment Cesarean Section (LSCS) Emergency LSCS Vaginal Birth After Cesarean (VBAC)	Single selection If LSCS/ emergency LSCS/ Assisted→ Enable "Indication for LSCS" field
Indication for LSCS/Emergency LSCS/Assisted	Multi-select checkbox	Fetal distress Cephalopelvic disproportion (CPD) Previous LSCS Malpresentation (Breech/Transverse) Prolonged/Obstructed labor Antepartum hemorrhage (APH) Pre-eclampsia/Eclampsia Cord prolapse Failed induction Multiple pregnancies Maternal request Other (specify)	Enable only if Mode of Delivery = LSCS/Assisted Mandatory if enabled Multiple selections allowed If "Other" → Enable text field (200 char)
Mother's Condition Immediately Post-Delivery	Radio button	Healthy/ Stable Complication (specify) Critical/ICU admission Maternal Death	Mandatory If selected "Complications" or "Critical" → Enable maternal complications field. If "Maternal Death" → open maternal death audit form If "Maternal Death" → Show alert "Inform District Nodal Officer" automatically
Maternal Complications	Multi-select checkbox	Post-Partum Hemorrhage (PPH) Retained placenta Perineal tear (1st/2nd degree) Perineal tear (3rd/4th degree) Uterine rupture Sepsis/ Infection Pre-eclampsia/Eclampsia Blood transfusion required Hysterectomy performed Anesthesia complication Other	Mandatory if enabled Enable if Mother's Condition Immediately Post-Delivery= "Complications" or "Critical" Multiple selections allowed If "PPH" or "Uterine rupture" → show alert for PNC monitoring If "Hysterectomy" → Automatic family planning counseling adjustment (permanent method done) or take in eligible couple tracking form Make it editable, for cases if any further complications occur in future.
Mother currently admitted?	Radio button	Yes (Still in hospital) No (Discharged)	If "No" → Enable discharge date field
Date of Discharge	Date picker	DD/MM/YYYY	To be enabled if Mother currently admitted? = "No" Mandatory if discharged Cannot be before delivery date Should be used to calculate first PNC home visit timing
Next Button			Proceed to vital screen and prescription.

Postnatal Care

Condition

This module will open only when the date of discharge is filled in the delivery outcome module and woman will be moved to PNC due list.
This module will be enabled if marital status = "Married" and status of woman = "Post Natal mother", then move the woman in PNC due list for ASHAs and capture details in the post-natal care module.

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S.No.	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Name	Auto-populated	From delivery outcome	Auto-populate form Delivery outcome Display only Links to ANC & Delivery history Non-editable.
2	Date of Delivery	Auto-populated	From delivery outcome	Auto-populate form Delivery outcome Non editable
3	PNC Visit	Spinner	1st Day 3rd Day 7th Day 14th Day 21st Day 28th Day 42nd Day/ 6th Week	Mandatory Single selection If any 'Visit Day' or previous visit is submitted, then don't show that 'Visit Day' in the spinner for next visit. eg- if last PNC visit was done on 3^rd day, remove options 1^st and 3^rd day when next PNC visit is conducted. Selection should be incremental i.e. 1,3,7,14,21,28,42 days
4	PNC Visit Date	Calendar picker	Format: dd-mm-yyyy	Auto-populate this due date by calculating using below logic After selecting above 'PNC Visit' and calculate this date from 'date of Delivery' Not greater than Today's Date Not less than Date of Delivery Date of 'next visit' should be incremental Date of 'next visit' should not be less than 'previous visit' date (always should be greater than 'previous visit' date) 1st Day - Accept date equal to Date of Delivery 3rd Day – date should be equal to 3^rd day after delivery 7th Day – date should be between Delivery + 7 (-3 and +3 ) in days 14th Day - date should be between Delivery + 14 (-3 and +3) in days. 21st Day - date should be between Delivery + 21 (-3 and +3 ) in days. 28th Day - date should be between Delivery + 28 (-3 and +3 ) in days 42nd Day - date should be between Delivery + 42 (-3 and +3 ) in days
5	Maternal Death	Radio Button	Yes No	Mandatory Default value is "No" If "Yes" is selected, enable Q.6 to Q.10 and close the case by directly going to the submit option. If "No" is selected, disable Q.6 to Q.10 and enable from Q.11 onwards If "Yes" is selected, enable below three fields and mark it mandatory Probable Cause of Death Date of Death Place of Death If "Yes" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with "Death Date", "Place of Death" and "Reason for Death" in Beneficiary table and sync to AMRIT If "Yes" is selected, then disable below fields from S. No. 11 to 20 (are Not applicable)
6	Date of Death	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Mandatory if enabled Enable if 'Maternal Death' = "Yes" Not greater than Today's Date Not less than Delivery Date
7	Cause of maternal death	Spinner	Eclampsia Hemorrhage (PPH) Anaemia High fever Sepsis Accident Other	Mandatory if enabled Enable if 'Maternal Death' = "Yes" Open "Other Death Cause" Text Box on selection of "Any Other" option and is mandatory. If "Accident" is selected mark it as "Non-maternal death"
8	Other	Text		Enable only if "cause of maternal death" = "Other" Accept alphabets only Character limit 50
9	Place of Death	Spinner	Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other	Mandatory if enabled. Enable if 'Maternal Death' = "Yes" If 'Place of Death' is selected as "Other" then enable next field, otherwise don't.
10	Other Place of Death	Textbox		Mandatory if enabled. Enable If 'Place of Death' = "Other" Accept alphabets only Character limit 50
11	Maternal Symptoms	Dropdown	Excessive bleeding Foul-smelling discharge Fever Severe abdominal pain Breast pain Painful urination Severe headache Dizziness Difficulty breathing Swelling Wound pain Mood changes None Other	Mandatory. Multiple selection If 2 or more symptoms selected → show alert for referral to facility If "other" is selected enable next field, otherwise don't.
12	Other maternal symptoms	Text		To be enabled if "Maternal Symptoms" = "Other" Accept alphabets only Character limit 50
13	Pallor (Anemia check)	Dropdown	None Mild Moderate Severe	Optional If pallor= "Severe" → show alert for referral to facility
14	Vaginal Bleeding	Dropdown	Normal Heavy bleeding Foul-smelling discharge Scanty Stopped	Optional Heavy bleeding or foul smell → show alert for referral to facility
15	Family planning method used by the couple after delivery to avoid pregnancy?	Spinner	Choose: Post partum iucd (PPIUCD) Condom Male sterilization Female sterilization Post partum sterilization (PPS) Minilap None Other	Default value is select If "Other" is selected then enable " Other contraception method " Text Box below and is mandatory. If 'Method of Contraception' = "MALE STERILIZATION" or "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap", then from next PNC visits fields 'Any Method of Postpartum Contraception (PPC)', 'Method of Contraception' and 'Date of Sterilisation' should be disables and show last visit details. If 'Method of Contraception' is "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilized" after submission of 42nd Day PNC visit or after 60 Days from Date of Delivery
16	Other contraception method	Text Box		Mandatory if enabled Accept alphabets, numeric and special character Character limit 50
17	Date of Sterilization	Calendar	dd-mm-yyyy	Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" or "POST PARTUM STERILIZATION (PPS)" Mandatory Not greater than Today's Date Accept date not less than Date of Delivery
18	No. of IFA Tablets given	Custom Number Picker		Default value 0 IFA supplementation- 180 days postpartum recommended Accept numeric (integer) value only Accept value greater than 0 Accept value up to 400
19	Calcium supplementation	Custom Number Picker		Must accept numeric (integer) value only Default Value 0 Default Value: to be null if no data is entered Accept value up to 400
20	Next Button			Proceed to vital screen and prescription.

Neonatal Outcome

S. No.	Data Field	Field Type	Value/Options	Validation / Logic
1	Number of neonates	Dropdown	Single (1) Twins (2) Triplets (3) Quadruplets+ (4+)	Mandatory If >1 → Duplicate baby outcome section for each baby Multiple births flagged for special PNC attention This module should be filled separately for each live neonate and generate unique ID for each neonate linked to the same Delivery ID
2	Outcome at Birth	Radio button	Live Birth Still Birth (Macerated) Still Birth (Fresh) Died during delivery	Mandatory If stillbirth/died → open stillbirth audit form and disable remaining fields If stillbirth/ died → Skip growth parameters, go to complications section
3	Sex	Radio button	Male Female Ambiguous	Mandatory If "Ambiguous" → Show alert for pediatric specialist referral
4	Cried immediately after birth?	Radio button	Immediate cry Cried after resuscitation Not applicable (Stillbirth)	To be enabled if Q.2 = "Live Birth" Mandatory If "cried after resuscitation" enable "type of resuscitation" field.
5	Type of resuscitation	Dropdown	Stimulation Suctioning Bag and mask ventilation Oxygen Intubation Chest compressions Medications	Optional To be enabled if Q.4 = "cried after resuscitation" Multiple selections allowed
6	Birth Weight	Number	Capture in grams	Mandatory Validation: Must be between 500-6000g If <2500g → show alert for "Low Birth Weight (LBW)" If <1500g → show alert for "Very Low Birth Weight (VLBW)" If <1000g → show alert for "Extremely Low Birth Weight (ELBW)" If >4000g → show alert for "Macrosomia" (flag for maternal GDM screening)
7	Any congenital anomaly detected?	Radio button	Yes No Suspected (under evaluation)	Optional If "Yes" or "Suspected" → Enable type of congenital anomaly field
8	Type of congenital anomaly	Dropdown	Neural tube defect (Spina bifida/Anencephaly) Cleft lip/palate Club foot Down syndrome (suspected) Congenital heart defect (suspected) Limb defects Abdominal wall defect Genital abnormality Other	Mandatory if enabled To be enabled if Q7. = "Yes" or "Suspected" Multiple selections to be allowed Enable text field for "Other" specification
9	Other	Textbox	Free text (300 character limit)	Mandatory if enabled To be enabled if type of congenital anomaly= "Other"
10	Newborn Complications	Dropdown	Birth asphyxia Respiratory distress Neonatal jaundice (visible at birth) Sepsis (suspected) Hypothermia Hypoglycemia Bleeding Convulsions None	Multiple selections allowed Any complication → show alert for immediate pediatric/ specialist review
11	Current Status of Baby	Radio button	Healthy and with mother Admitted (SNCU/NICU) Admitted (General ward) Died	Mandatory If "Died" → open neonatal death audit form If "Died" enable Q.12 and disable Q.14 to Q.18 If admitted → show alert for PNC counseling If "Healthy and with mother" enable directly Q. 14
12	If baby died, cause of death	Multi-select checkbox	Birth asphyxia Prematurity Low birth weight complications Sepsis Congenital anomaly Respiratory distress Unknown Other (specify)	Enabled if Current Status of Baby = "Died" Mandatory if enabled Multiple causes can contribute Enable text field for "Other" specification
13	Other	Textbox	Free text (300 character limit)	To be enabled if cause of death of baby= "Other"
14	Birth dose vaccines given?	Dropdown	BCG Hepatitis B (Birth dose) OPV-0 None	Mandatory Multiple selections allowed If "None" → enable Q.15 to capture the reason for not giving birth dose vaccines
15	Reason for not giving birth dose vaccines	Text field	Free text (200 char)	Mandatory if enabled To be enabled if Q14 = "None" Common reasons: Baby unstable, SNCU admission, vaccine unavailable
16	Vitamin K injection given?	Radio button	Yes No	Mandatory If "No" → Enable Q.17 to capture reason for not giving Vitamin K injection
17	Reason for not giving Vitamin K injection	Text field	Free text (200 char)	To be enabled if Q16 = "No" Mandatory if enabled Common reasons: Baby unstable, SNCU admission, vaccine unavailable
18	Birth Certificate issued?	Radio button	Yes In process No (Not applied)	Mandatory If "No (Not applied)" → show alert to provide information to family stating that birth registration is a legal requirement
19	Next Button			Proceed to vital screen and prescription.

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