Page History

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Date	Version Number	Author	Approved By	Document change reference
	1.0			Initial Draft
		Dr Vanshika		RMRNCHRMNCH- Reproductive, Maternal, Neonatal, Child Health modules
		Dr Vanshika		ENT- Ear, Nose, Throat module, Ophthalmic
		Dr Vanshika		Oral Health

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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.

mHWC App Comprehensive Care workflow diagram:

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Scope of Work

Current scope of project is limited:

CPHC Modules
- General OPD Module
- Comprehensive RMNCH+A Module
- Remining other CPHC Modules
NCD screening Module
Pharmacy Module
Lab Module
User Dashboard

Users of the system

S. No	Primary Actor	Role
1	CHO
2	Registrar	Registration and Data Entry
3	Nurse	Primary Care, Maternal Care and Immunization
4	Medical Officer (MO/Doctor)
5	Pharmacist
6	Lab Technician

Role-Based Access to Applications

Users with roles CHO, Medical Officer (MO/Doctor), Nurse, Pharmacist, Lab Technician, Registrar, or any combination of these roles, should have access to the HWC application.

Users with the CHO role must be able to log in to both FLW and HWC applications.

HWC App Comprehensive Care workflow diagram:

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Mobile App mockup screens

Mockup for landing page Home, Dashboard and RMNCH sections:
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General OPD workflow diagram

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Beneficiary Registration

On clicking Registration button the user will be navigated to Beneficiary Registration Page
This page has Beneficiary Registration Text displayed on top with "Home" Icon on the right corner to Navigate to Home page in the 1^st row
The Page will end with "Cancel" and "Submit" button at the bottom
The card below should be visible after the registration of beneficiary.
If the beneficiary does not have ABHA ID, give one clickable button on the ABHA ID area of the card to initiate ABHA ID generation

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 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 status in future. If Marital status = "Married" then enable field "Spouse Name" If "Unmarried" is selected hide below field "Spouse Name" 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” 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 andAge is 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

Mockup for landing page Home, Dashboard and RMNCH sections:
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General OPD workflow diagram

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Beneficiary Registration

On clicking Registration button the user will be navigated to Beneficiary Registration Page
This page has Beneficiary Registration Text displayed on top with "Home" Icon on the right corner to Navigate to Home page in the 1^st row
The Page will end with "Cancel" and "Submit" button at the bottom
The card below should be visible after the registration of beneficiary.
If the beneficiary does not have ABHA ID, give one clickable button on the ABHA ID area of the card to initiate ABHA ID generation

Photo of the beneficiary

Name

Beneficiary ID

Age (years)/ Gender

Phone Number

Village Name

ABHA ID (ABHA registration)

Spouse Name

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” 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 andAge is 15-19 Years then also show this record in Adolescent section

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
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 status in future.
If Marital status = "Married" then enable field "Spouse Name"
If "Unmarried" is selected hide below field "Spouse Name"
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

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

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.

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

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.

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:

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)

Condition-1Condition-2Condition-3Condition-4Show only "Adolescent Girl" for age 15 to 19 years and 'Marital Status'= “Unmarried”After 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' = “Married”show 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

List of 12 Comprehensive Primary Health Care (CPHC) Services

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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

...

S No	Data Field	Field Type	Value/Options	Validation / Logic
	RCH ID No. of Woman	Text Box	Default as 0	· Auto-populate from beneficiary details, if id is available or enter here and update in the beneficiary record/ table · 12-digit unique number · Accept numeric (integer) value only · Character limit up to 12
	Is the pregnancy test conducted at facility?	Dropdown	· Yes · No	· If “yes” enable next question · If “No”- show alert to conduct UPT (urine pregnancy test)
	Result of UPT	Dropdown	· Positive · Negative	· If positive → enable LMP and EDD fields · If negative → take the woman to Eligible couple tracking form
	LMP	Date	DD/MM/YYYY	· Mandatory if enabled · LMP is Last Menstrual Period · Cannot be future date · Should be within last 42 weeks
	EDD	Auto-calculated	LMP+ 280 days	· Mandatory if enabled · Cannot be past or current date, will always be in future. · Should be auto calculated · EDD is Expected Date of delivery · Based on Naegele’s rule (First day of LMP + 9 months + 7 days) i.e (LMP+280 days)
	Blood Group	Spinner	Choose: · A +ve · B +ve · AB +ve · O +ve · A -ve · B -ve · AB -ve · O -ve	Optional
	Gestational Age (Weeks)	Auto-calculated	Display as "X weeks Y days"	· Mandatory · Auto-calculated · Current date minus LMP date
	Trimester	Auto-selection	· First · Second · Third	· Auto-calculated based on gestational age · Should be classified based on the gestational age in weeks above i.e. Ø First to be chosen if gestational age is in between 0-12 weeks Ø Second to be chosen if gestational age is in between 13-26 weeks Ø Third to be chosen if gestational age is in between 27-40 weeks
	Gravida	Number	Numeric· Mandatory	Optional · Total number of pregnancies including current · Minimum value will be 1
	Para	Number	Numeric· Mandatory	Optional · Cannot exceed gravida · Auto select “0” if Gravida is 1 · Para is number of deliveries if the fetus reaches a viable gestational age of ≥ 20–24 weeks regardless of the fetus was born alive or stillborn
	History of abortions	Number	· Yes · No· Mandatory	Optional · Enable if gravida is more than 1 otherwise the field will be disabled · If Yes → show alert for HRP (High Risk Pregnancy)
	History of previous LSCS	Radio	· Yes · No· Mandatory	Optional · Enable if gravida is more than 1 otherwise the field will be disabled · If Yes → show alert for HRP (High Risk Pregnancy)
	Any complications in previous pregnancy	Dropdown	· Gestational Diabetes · Pre-eclampsia · Eclampsia · Hemorrhage · Preterm Birth · Stillbirth · None	· Mandatory · Multiple selection · If selected “None” then only single selection should be enabled. · Show alert for HRP (High Risk Pregnancy) if any option is selected except none · Enable if gravida is more than 1 otherwise the field will be disabled · If Yes → show alert for HRP (High Risk Pregnancy)
	Height (cm)	Number	Numeric Value	· Mandatory · Range to be kept = 100-220 cm · Use for BMI calculation · If <145 cm → show alert for HRP (High Risk Pregnancy
	Weight (Kgs)	Number	Decimal Value	· Mandatory · Range 30-150 kg · Use for BMI calculation
	BMI	Auto calculated and single selection	· Under weight · Normal · Overweight · Obese	· Single selection of the option · Auto-calculated using formula Weight/(Height/100) ² · Weight is in Kgs · Height is in cms · Display category according : Ø Underweight (<18.5) Ø Normal (18.5-24.9) Overweight (25-29.9) Ø Obese (≥30)
	Pre-existing conditions	Multi-select	· Hypertension · Diabetes Mellitus · Thyroid · Heart disease · Epilepsy · Tuberculosis · HIV · Sexually transmitted Infections · Severe Malnutrition · Kidney disease · Auto Immune disorders	· Mandatory · Any selection → show alert for HRP (High Risk Pregnancy)
	VDRL/RPR Test result	Spinner	Choose: · Reactive · Non-Reactive · Test Not Done· Mandatory	Optional · Reactive → show alert for HRP (High Risk Pregnancy)
	Date of VDRL/RPR Test done	Calendar	· Choose the date from the calendar · Date Format: dd-mm-yyyy	· Accept date equal to or greater than Date of PW Registration. · Accept Date of PW registration minus one year · Not greater than Today's Date · Disable if "Test Not Done"
	HIV Test result	Spinner	Choose: · Reactive · Non-Reactive · Test Not Done· Mandatory	Optional · Reactive → show alert for HRP (High Risk Pregnancy)
	Date of HIV Test done	Calendar	· Choose the date from the calendar · Date Format: dd-mm-yyyy	· Accept date equal to or greater than Date of PW Registration. · Not greater than Today's Date · Disable if "Test Not Done" · Accept Date of PW registration minus one year
	HBsAg Test result	Spinner	Choose: · Positive · Negative · Test Not Done· Mandatory	Optional · Reactive → show alert for HRP (High Risk Pregnancy)
	Date of HBsAg Test done	Calendar	· Choose the date from the calendar · Date Format: dd-mm-yyyy	· Accept date equal to or greater than Date of PW Registration. · Not greater than Today's Date · Disable if "Test Not Done" · Accept Date of PW registration minus one year
	High-Risk Conditions Present?	Auto selected	· Yes · No	· Auto-selection based on algorithm · HRP if any of the condition is present: age <18 yrs or >35 yrs, Height <145 cm, History of abortion, Previous LSCS, Any pre-existing condition selected
	Next Button			· Proceed to vital screen and prescription.

...

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
Name 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	If Private Hospital, specify name	Text field	text	Enable only if place of delivery = "Private Hospital" Optional Free text (100 char limit) -

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)	Mandatory 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	Mandatory if enabledOptional 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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Data Field	Field Type	Values / Options	Validation / Logic
Difficulty Hearing		Yes No	Mandatory If Difficulty Hearing= "yes" then enable next field "Whisper test response"
Whisper Test Response	Dropdown	Correct Incorrect	Mandatory if enabled To be enabled if Difficulty Hearing= "yes".
Hearing Test Outcome	Dropdown	Normal Slight Loss Moderate Severe Deaf	Any option other than normal is selected show alert for referral to specialist at the secondary level.
Earache/Ear Pain		Yes No	MandatoryOptional
Ear Discharge Present		Yes NoMandatory	Optional
Foreign Body present in Ear		Yes (superficial) Yes (Deep) No	Optional If selected Yes (Deep) then show alert for referral to specialist at the secondary level.
Type of Ear Condition	Dropdown	Otomycosis Otitis Externa Acute Ear Discharge Chronic Ear Discharge Ear WaxMandatory	Optional Multiple selection
Congenital Ear Malformation		Yes No	Optional If selected Yes then show alert for referral to specialist at the secondary level.
Next Button			Proceed to vital screen and prescription.

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Data Field	Field Type	Values / Options	Validation / Logic
Difficulty in breathing		Yes No	Mandatory If Yes, show alert to diagnose URI/rhinitis/sinusitis and refer to specialist if not manageable at HWC.
Open Mouth Breathing		Yes No	MandatoryOptional If Yes, show alert to diagnose URI/rhinitis/sinusitis and refer to specialist if not manageable at HWC.
Nose Bleed (Epistaxis)		Yes No	Optional If Yes, enable fields, "Systolic BP" and "Diastolic BP"
Systolic BP	Textbox	mmHg	To be enabled if nose bleed= "yes" Mandatory if enabled If more than 120 mm Hg then show alert for referral to specialist at the secondary level.
Diastolic BP	Textbox	MmHg	To be enabled if nose bleed= "yes" Mandatory if enabled If more than 80 mm Hg then show alert for referral to specialist at the secondary level.
Foreign Body Nose	Yes/No	Yes (anterior visible) Yes (posterior visible) No	Optional If Yes (posterior visible) is selected show alert for referral to specialist at the secondary level.
Sinusitis		Yes (facial pain/tenderness)/ NoMandatory	Optional show alert for referral to specialist at the secondary level for chronic cases.
Next Button			Proceed to vital screen and prescription.

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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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Key

Scope of Work

Users of the system

Antenatal Care

Delivery Outcome

Postnatal Care

Neonatal Outcome