Business Requirement Document
HWC MOBILE APPLICATION
V1.0
Document History
Document Version |
Description of changes made |
Created/Updated by |
Reviewed by |
1.0 |
BRD HWC MOBILE APPLICATION REQIOREMENTS |
DEEPSHIKHA & SHRESHTHA |
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1. Administrative Data
2. Context and Justification
3. Functional analysis
3.1. Data Requirements
3.2. Data flow / API details
3.3. Users/Actors and Description of Responsibilities
3.4. Process flow
3.5. Industry examples
3.6. Mockups/ Wireframes
3.7. Use cases
3.8. Impact Analysis
3.8.1. Backward compatibility
3.8.2. Impact on DB structure
3.9. Impact on Platform
3.9.1. State specific change or platform specific
3.9.2. Impact on web system and/or mobility system
3.9.3. Impact on other components or modules
3.10. Risk, Impact and Mitigation
3.11. Feedback
3.12. Reports to be integrated/developed
3.13. Additional documents
4. Acronyms…………………………………………………………………………………………………………………………………..7
Administrative Data
Parameter |
Value |
Build version |
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State |
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Feature Code |
Not applicable at this point, can quote JIRA IDs later |
Customer (if done for any particular stakeholder) |
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CR |
CR number |
Related Defect IDs (if any) |
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Context and Justification
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- Summary
Need to Develop Mobile Application for HWC , PHC and Namma Clinic staff including Registrar ,
Nurse , Doctor ,Lab technician, Pharmacist
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- Purpose
- Need to Develop Mobile Application for HWC , PHC including Registrar , Nurse , Doctor ,Lab technician, Pharmacist ,to reduce the paper work ,time management, health record maintenance and access, communications and consulting, reference and information gathering; patient management and monitoring.
- HWC App, should be single platform to cater the need of Mobile Medical Unit (MMU) service line, so in User Login based on the service lines App should switch to service line need (HWC/MMU
- Interoperable between both App FLW and HWC to exchange data, whatever data has been filled by ASHA in CBAC form, those details should be visible in HWC.
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- Assumptions
This is an optional section. Please omit only if not applicable.
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- General Constraints
If there are any system constraints that need to be kept in mind by the dev or QA team while
developing or testing the requirement. This is an optional section.
Functional analysis
Data Requirements
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- Clinical Data
- Data fields and description
- Security Requirements
- Non clinical data
- Data fields and description
- Security/Encryption requirements
- NDHM specific requirements
- Data sharing requirements over secure network
- No network scenarios (Sync/Unsync)
- Technical/API details
- Clinical Data
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Industry examples
1.HWC Web Application: Reference to understand the applicaion so that development and QA team can understand the same better.
2.Ayushman Arogya Mandir : Reference to understand the applicaion so that development and QA team can understand the same better
Login Page
Login Page :
- Login Page Name should be HWC/MMU.
- It must be followed by "HWC/MMU" Logo.
- It must have both Online and Offline capabilities. ("Offline CapabilityOffline capabilities feature to exchange data between Mobile devices in a closed environment in real-time without internet")
- It must have Multilingual Feature with English, Hindi and other Indian languages enabled, and must be configurable to accommodate all the Indian languages as and when required in future.
- Finger Print Authentication , on Clicking this must navigate to Get Location page,
- Followed by "Next" button
- Page must end with "Powered by Piramal Foundation"
UI Field Name |
Field Type |
Options |
Validations |
HWC Logo |
<Placeholder> |
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Please Select your Language |
Radio Button |
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Username |
Free Text |
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Remember Me |
Checkbox |
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Next |
Button |
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Biometric Authentication |
Finger Print sensor Button |
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Powered by Piramal Foundation |
Text |
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Get Location
Get Location
- It must capture the State and District/Town/City and Taluk/Tehsil and Street/Panchayat/Village
- It is one time activity to collect the facilities accurate Lat and Long values for Master records.
- It must Capture GPS Locations with Master Latitude and Master Longitude.
- Login and Logout with time stamp should get captured, and there should be functionality of force logout at 4 PM from the App with pop-up "User Logout/System Logout".
- And Submit the Data to Navigate to "HWC" Page
UI Field Name |
Field Type |
Options |
Validations |
State |
Drop Down |
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District/Town/City |
Drop Down |
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Taluk/Tehsil |
Drop Down |
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Street/Panchayat/Village |
Drop Down |
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Get GPS Location |
Button |
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Master Latitude |
Text |
Auto- Populate |
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Master Longitude |
Text |
Auto- Populate |
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Submit |
Button |
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HWC Page:
- HWC page must have "HWC" mentioned on Top
- It must follow "Facility" and "Outreach" Workflow
- "Facility" Workflow involves the 12 CPHC services rendered to the Beneficiaries in the HWC and PHC Facilities
- "Outreach" Workflow involves the services rendered to Beneficiaries either during Home Visit or In the Camps
UI Field Name |
Field Type |
Options |
Validations |
HWC (Page) |
Text |
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Facility |
Radio Button |
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Password |
Text |
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Login |
Button |
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Outreach |
Radio Button |
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Camera |
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Outreach |
Drop Down |
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Proceed to Home |
Button |
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It must navigate to the "Home" page |
Home Page:
Home Page has "Hamburger icon(Side Drawer)", "CPHC Text" ,"Refresh Button", "Sync Button" , "Language Translation" button on the Top row.
- It has "Home" and "Dashboard" Flip Feature in the 2nd row
- It has Search icon, which has the capacity to retrieve the data with "Name", "Beneficiary id" ,"Phone Number" of the Beneficiary in the 3rd row
- It shows the total count of the "patients" registered till date in number i.e "100 Patients" in the 4th row
- It shows the Beneficiary cards with newest on Top alignment, that has "Name", "Beneficiary Id" ,"Phone Number", "Village name"," Visit date", "Age" , "Gender", "ABHA "Button, "eSanjeevani" Button , "Sync" Button in the 4th row
- It has "Registration" Button on the 5th row
- It has Role based Icon populating on the last last 6th row
Home Page-Hamburger Icon
Ham burger icon is a side Drawer with basic demographics of the User
- Hamburger icon is a side Drawer with basic demographics of the User
- It has "Create ABHA Number" field which must link with Beneficiary and display over the beneficiary card
- It has "Outreach Activity" field which allows the user to add the Outreach activity data conducted based on the Timetable
- It has "Help" option to guide the user
- It has logout
UI Field Name |
Field Type |
Options |
Validations |
Hamburger Icon |
Side Drawer |
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Create ABHA Number |
Button |
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Outreach Activity |
Button |
It must Navigate to Previous Activity Page |
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Help |
Button |
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Logout |
Button |
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Version number |
Text |
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Home Page- Main Screen
UI Field Name |
Field Type |
Options |
Validations |
CPHC |
Text |
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Refresh Icon |
<Placeholder> |
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Sync icon |
<Placeholder> |
It opens the table with Sync , Unsync, Pending Sync icon for the below rows:
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Kannada Language Translation icon |
<Placeholder> |
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Face Recognition Face recognition technique in Registration page |
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<Placeholder> |
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Home Page- Home
- Home is a Flip Feature
- It must search the already registered beneficiaries with "Name" , "Phone number ", "Beneficiary Id"
- Total number of Patients registered must appear
- Beneficiary card must appear
- Registration Button must appear
- Role based icon must populate on the bottom
UI Field Name |
Field Type |
Options |
Validations |
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Tap to Search |
Text |
Auto-Complete feature |
It has Speech to Text feature
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<Placeholder> Patients |
Placeholder is the number |
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<Beneficiary card> |
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It has below Field on Card |
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Name |
Text |
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Beneficiary Name must be Auto-populated and displayed over card
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Beneficiary ID |
Text |
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Phone number |
Text |
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Village Name |
Text |
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Visit Date |
Text |
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Age |
Text |
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Gender |
Text |
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ABHA |
Button |
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eSanjeevani |
Button |
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Sync icon |
<Placeholder> |
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Registration |
Button |
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<User Specific> Icon |
Button |
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]]></ac:plain-text-body></ac:structured-macro> |
Home Page- Dashboard
- Dashboard is a Flip Feature
- This Select Field on the 1st row
- All Modules cards on the 2nd row
- This Should allow to View Today's Patient Footfall and Month wise Patient Footfall
- This shows the total number of patients registered under each the Module Like OPD Count , eSanjeevani Count ,NCD Count ,ANC Count, PNC Count, Family Count, Immunization Count ,HBNC Count , HBYC Count.
- Under Construction
- Dashboard should be User role-based Indicator.
- In dashboard separate card for referral beneficiary at sub centre & PHC.
- In Dashboard where counts are visible that should be clickable to see the beneficiary details.
- Process team input
UI Field Name |
Field Type |
Options |
Validations |
Select |
Drop down |
The Dropdown Values are
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OPD |
Text |
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eSanjeevani Count |
Text |
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NCD Count |
Text |
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ANC Count |
Text |
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PNC Count |
Text |
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Family Count |
Text |
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Immunization Count |
Text |
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HBNC Count |
Text |
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HBYC Count |
Text |
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Role Based Approach – Registrar
- On clicking Registration Button the user will be Navigated to Patient Registration Page
- This page has Patient Registration Text displayed on top with "Home" Icon on theright coener to Navigate to Home page in the 1st row
- This is followed by Photo capture Feature, Scan Aadhaar QR Code ,Village, First Name, Last Name/Surname,Father's name,Phone Number,Age,Date of Birth ,Gender Fields
- The Page ending with "Cancel" and "Submit" button at the bottom
UI Field Name |
Field Type |
Options |
Validations |
Patient Registration |
Text |
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Header |
Photo< > |
Image |
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Village |
Dropdown |
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First Name |
Text |
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Last Name/Surname |
Text |
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Father's Name |
Text |
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Phone number |
Text |
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Age |
Date Picker |
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Date of Birth |
Date Picker |
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Gender |
Drop down |
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Marital Status |
Dropdown |
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On selecting women beneficiary as married then one filed should get popped-up as "`Spouse Name" |
Pregnancy Status |
Dropdown |
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This field should get appear only for women whose age is more than 15 years. |
Cancel |
Button |
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Submit |
Button |
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*Edit*Edit option after Registration details of beneficiary is submitted. |
Pencil Button(click to edit) |
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Role Based Approach – Nurse
- Nurse Clicks on the Beneficiary Card registered by Registrat
- On clicking the Beneficiary card it navigates to "Visit Detals" Page with "Home" icon on the top right corner in the 1st row
- Followed by "Category" and "Sub Category" Field with "OutPatient" care Workflow and "Other CPHC Services Workflow "
- This workflow must be followed as per below classification:
- When beneficiary is coming for OPD and after diagnosis found he should undergo ANC or any other services then the Count should get increased in both (ANC & OPD). (as of now increasing only in OPD)Process Team Input
- In General OPD, can we put Other CPHC services after Prescription so that if he want to go through other services he can directly go from there.Process Team Input
- Visit Details Page enables the Sub Categories based on "Age" and "Gender"of the Beneficiary
- The same is mentioned below in the tabular format for reference
Nurse – Visit details Page
- Visit details Header with Home icon preset in the 1st row
- Category with OutPatient care & Other CPHC Services Radio Button present Followed by Subcategory and Reason for Visit under CPHC services and Sub category for OutPatient Care
- Reason for Visit has New Chief complaint & Follow up Radio Buttons
- Followed by Chief complaints, Duration , duration Unit, Description
- Followed by Reset Add ,Close ,Options
- Followed by cancel and Next Buttons
UI Field Name |
Field Type |
Options |
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Visit Details |
Text |
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Home Icon |
Text |
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Category |
Radio Button |
The Drop down values are:
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Reason for Visit |
Radio Button |
The Drop down values are:
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Chief Complaints |
Drop Down |
Mandatory |
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Duration |
Incremental Scroll |
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Duration Unit |
Drop Down |
The Drop down values are:
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Description |
Text |
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Reset |
Button |
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Add |
Button |
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Cancel |
Button |
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Next |
Button |
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Nurse – Vitals Page
- Vitals is the Header on the left Corner and Home icon on the Right corner of the Screen
- Nurse enters the Vitals of the Beneficiaries
- The Vitals include Vitals details and Anthropometric Details
- It has Temperature, BP, Pulse Spo2, Respiratory Rate, RBS,
- Anthropometry Section consists of Height, Weight, BMI, Cancel and Submit to Doctor Button
- On clicking the Submit to Doctor button the card then shows up in the Patating Listing Page in Doctor Login
UI Field Name |
Field Type |
Options |
Validations |
Temperature(F) |
Text |
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BP(mmhg)Systolic |
Text |
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BP(mmhg)Diastolic |
Text |
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Pulse rate (min) |
Text |
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SPO2 |
Text |
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Respiratory Rate(per min) |
Text |
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RBS Result (mg/dl) |
Text |
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Anthropometry |
Text |
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Height(cm) |
Text |
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Weight(Kg) |
Text |
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BMI |
Text |
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Cancel |
Button |
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Submit to Doctor |
Button |
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Doctor Role– Case Record
- Case Record page has Case record Text with Home icon on the top
- Followed by Visit Number;This displays the previous visit details with Visit number , Visit date,that displays
Chief Complaints Duration , Duration Unit ,Test Name ,Provisional/Final Diagnosis,External Investigations,
Councelling/Advice , Refer
, Reason for referral Field,& Cancel button that redirects to the Case Record Screen
- Followed by Chief Complaints ,Duration , Duration Unit ,Test Name ,Provisional/Final Diagnosis,
External Investigations, Select Template Name To Fill, Prescription , Form/Medicine/Dosage, Frequency
Duration,Unit,Instruction
- Followed by Reset ,Add , Close button
- Followed by Enter Template , save template ,Delete Template
- Followed by Councelling/Advice, Refer, reason for referral
- Followed by Cancel and Submit button.
UI Field Name |
Field Type |
Options |
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Chief Complaint |
Text |
Mandatory |
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Duration |
Text |
Mandatory |
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Duration Unit |
Text |
Mandatory |
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Test Name |
Drop Down(Multiselect) with "Clear all" and "Ok" Fields at the bottom of the drop down list |
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Provisional/ |
Text |
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External Investigation |
Text |
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Select Template Name To Fill |
Drop Down |
User Specific Dropdown Values |
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Prescription |
Text |
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From/Medcine/Dosage |
Auto-complete, Dropdown |
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Frequency |
Drop Down |
The Dropdown values are as below
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Duration |
-Text+ |
The incremental Text Value are below
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Unit |
Drop Down |
Day(s) |
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Instruction |
Drop down |
The Drop down values are below
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Enter Template Name |
Text |
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Save this Template |
Button |
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Delete Template |
Button |
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Councilling/ Advice |
Dropdown |
Drop Down Values are below:
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Refer |
Header |
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This Section Consists of Refer, Reason for referral |
Refer |
Drop down |
Drop down values are
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Submit |
Button |
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Lab Technician -Role
- Home Page has "Hamburger icon(Side Drawer)", "CPHC Text" ,"Refresh Button", "Sync Button" , "Language Translation" button on the Top row.
- It has "Home" and "Dashboard" Flip Feature in the 2nd row
- It has Search icon, which has the capacity to retrieve the data with "Name", "Beneficiary id" ,"Phone Number" of the Beneficiary in the 3rd row
- It shows the total count of the "patients" registered till date in number i.e "100 Patients" in the 4th row
- It shows the Beneficiary cards with newest on Top alignment, that has "Name", "Beneficiary Id" ,"Phone Number", "Village name"," Visit date", "Age" , "Gender", "ABHA "Button, "eSanjeevani" Button , "Sync" Button in the 4th row
- It has "Registration" Button on the 5th row
- On clicking the card the Lab Record Page must open with Home Icon on the right corner for navigation,Lab investigations advised in the case record under Test Name field must populate in this role
- On entering the lab values the lab technician can Cancel ,if the values needs to be changed , or Submit to Submit the record to the Doctor , once the the record is submitted to the Doctor , the can View
- It has Lab Technician Icon on the bottom
Home Page-Hamburger Icon
Ham burger icon is a side Drawer with basic demographics of the User
- Hamburger icon is a side Drawer with basic demographics of the User
- It has "Create ABHA Number" field which must link with Beneficiary and display over the beneficiary card
- It has "Outreach Activity" field which allows the user to add the Outreach activity data conducted based on the Timetable
- It has "Help" option to guide the user
- It has logout
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Visual Acuty Test |
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Select none |
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CHC |
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Refer- Card |
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FRU |
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Other |
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Refer |
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Drop Down |
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RH |
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SDH |
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UPHC |
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PHC |
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Save & Submit |
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Button |
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Logout |
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Button |
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1.Login-Logout Capture- Login Logout Time must be captured every single time the user attempts , 2 Types of Logoutsa)System Logout System will Force logout post working Hours if User misses to Logout, b)User Logout- Cature current Lat and Long , If Logout happens away from the Facility Show an Alert"Your Attendance is Marked as Absent as you are not at the Facility" , Do you want to continue Logina) "Yes "- Continue Loginb) "No"- Retry 2.Login and Logout should able to work offline and online, and should capture GPS CoordinatesEvery Login and Logout should capture GPS Coordinates |
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My Dashboard |
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Text |
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Header |
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Today's |
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Button |
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On Clicking this , it must Auto-fetch the Count for each card |
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Monthly Report |
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Dropdown |
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DropDown values must be all the Months of this Current Year |
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OPD Total |
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Text |
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1. Total Number to be autocalculated based on registrations |
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Male |
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Text |
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Auto- calculate based on the registrations |
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Female |
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Text |
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Auto- calculate based on the registrations |
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e-Sanjeevini |
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Text |
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Auto- calculate based on the registrations |
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NCD |
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Text |
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Auto- calculate based on the registrations |
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ANC |
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Text |
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Auto- calculate based on the registrations |
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PNC |
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Text |
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Auto- calculate based on the registrations |
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Family Planning |
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Text |
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Auto- calculate based on the registrations |
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Immunization |
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Text |
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Auto- calculate based on the registrations |
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HBNC |
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Text |
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Auto- calculate based on the registrations |
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HBYC |
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Text |
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Auto- calculate based on the registrations |
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Assessment Indicators |
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Button |
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It will take to 15 Indicators Page, This button must be displayed only for CHO |
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Pharmacist -Role
- Home Page has "Hamburger icon(Side Drawer)", "CPHC Text" ,"Refresh Button", "Sync Button" , "Language Translation" button on the Top row.
- It has "Home" and "Dashboard" Flip Feature in the 2nd row
- It has Search icon, which has the capacity to retrieve the data with "Name", "Beneficiary id" ,"Phone Number" of the Beneficiary in the 3rd row
- It shows the total count of the "patients" registered till date in number i.e "100 Patients" in the 4th row
- It shows the Beneficiary cards with newest on Top alignment, that has "Name", "Beneficiary Id" ,"Phone Number", "Village name"," Visit date", "Age" , "Gender", "ABHA "Button, "eSanjeevani" Button , "Sync" Button in the 4th row
- It has "Registration" Button on the 5th row
- On clicking the card the Pharmacist Record Page must open with Home Icon on the right corner for navigation.
- Consultant Name, Visit Code & Prescription ID should be present one after other and these details should be highlighted in blue (2nd row).
- 'System Issue' & 'Manual Issue' should be there in Radio button in 3rd row.
- On selecting "System Issue" Radio button, It should show how many prescription present, e.g : 1 Prescription.
- Then the medicine details should be Auto-filled based on the details provided by doctor which contains below fields:
e.g,
Medicine Name (In mg)
Form: Tablet Duration: 2 Day(s)
Frequency: Twice Daily(BD) Dose: One Tab
Quantity Prescribed: 4 Route: Oral
Quantity Dispensed: 4
Special Instructions: One Tab
View Batch |
- On clicking View Batch "Batch Selection" window gets popped-up.
- Prescribed Quantity and Dispensed quantity field in 1st row. Prescribed Quantity will be auto filled with the same quantity which the doctor has prescribed to give, Dispensed quantity will also be auto-filled with the quantity which the doctor has prescribed to give.
- From 2nd row the medicine details will popped up.
- First will be checkbox followed by Batch no "Auto-display", Quantity in hand "Auto-display", Dispensed Quantity "Auto-display", Expiry Date "Auto-filled".
- Whichever checkbox the pharmacist will click the same medicine will get dispensed to beneficiary.
- Then at Right hand last "Ok" button will be there.
- On Selecting "Manual Issue" Radio button, , It should show how many prescription present, e.g : 1 Prescription.
- Then the medicine details should be Auto-filled based on the details provided by doctor which contains below fields:
e.g,
Medicine Name (In mg)
Form: Tablet Duration: 2 Day(s)
Frequency: Twice Daily(BD) Dose: One Tab
Quantity Prescribed: 4 Route: Oral
Quantity Dispensed: (Field will get auto-filled once we provide quantity from the "select Batch(es) of "Dispensed quantity" field).
Special Instructions: Text field
View Batch |
- On clicking view Batch "Batch Selection" window gets popped-up.
- Prescribed Quantity field in 1st row. Prescribed Quantity will be auto filled with the same quantity which the doctor has prescribed to give.
- From 2nd row the medicine details will popped up.
- First will be checkbox followed by Batch no "Auto-display", Quantity in hand "Auto-display", Dispensed Quantity "number filed", Expiry Date "Auto-filled".
- Whatever the number of medicine we dispense in "Dispensed quantity" filed the same number of quantity will display in "Quantity Dispensed" filed in above Table.
- Whichever checkbox the pharmacist will click the same details of medicine will get dispensed to beneficiary.
- Then at Right hand last "Ok" button will be there.
- "Cancel" & "Submit" Button should be there in left and right respectively.
Home Page-Hamburger Icon
Ham burger icon is a side Drawer with basic demographics of the User
- Hamburger icon is a side Drawer with basic demographics of the User (Name, Username & User ID).
- It has "Create ABHA Number" field which must link with Beneficiary and display over the beneficiary card
- It has "Outreach Activity" field which allows the user to add the Outreach activity data conducted based on the Timetable
- It has "Help" option to guide the user
- It has logout
Due list for the beneficiaries based on their services. (How many beneficiary pending for immunization, how many for 1st ANC, HRP and so on…..)Process Team Input
ANC
Standard Protocol For Vists:
1st Visit: Within 12 weeks of pregnancy
2nd visit: Within 14 to 26 weeks of pregnancy
3rd visit: Within 28 to 34 weeks of pregnancy
4th visit: Between 36 weeks and full term / expected date of delivery
However, ANC services are provided and information is captured whenever a pregnant woman comes for checkup irrespective of the number of weeks of pregnancy.
LMP Date |
Calender |
|
|
Registered within 12 Weeks of Pregnancy |
Text Box |
Yes |
|
Weeks of Pregnancy at the time of Registration |
Text Box |
|
|
EDD Date |
Text Box |
|
|
Does the pregnant woman have any past illness? |
Radio Button |
|
|
Past Illness |
Drop Down List |
|
|
Other Past Illness |
Edit Text Box |
|
|
Blood Group of Pregnant Woman |
Drop Down |
A+ve |
If "Not Done" is selected Auto fill Blood Group in Investigation |
Is this first pregnancy of woman? |
Radio Group |
|
|
Total No. of Pregnancy (previous) |
Spinner |
|
|
G _ P_ A _ L _ S |
Increment Scroll Box |
1-15 numbers |
|
Last Pregnancy |
Text Box |
|
|
Was there any complication in Last Pregnancy? |
Radio Group |
|
|
Complications in previous pregnancies |
Drop Down |
|
|
Other Complication |
Text Box |
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Outcome |
Drop Down List |
|
|
Last to Last Pregnancy |
Label |
|
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Was there any complication in Last to Last Pregnancy? |
Radio Button |
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|
Complication |
Drop Down List |
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|
Other Complication |
Text Box |
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|
Outcome |
Drop Down List |
|
|
Expected Facility for Delivery |
Spinner |
|
|
Place Name |
Spinner List / Edit Text Box |
|
|
VDRL/RPR Test Done |
Drop Down List |
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|
VDRL/RPR Date |
Date Picker |
|
|
VDRL/RPR Result |
Spinner |
|
|
HIV Screening Test |
Radio Group |
|
|
Date of HIV Test conducted |
Date Picker |
|
|
HIV Screening Test Result |
Radio Group |
|
|
Weight of PW (Kg) at time Registration |
Number Picker |
|
|
Height of PW |
Number Picker |
|
|
BMI |
Text Box |
|
|
Picture of PW |
Camera |
|
|
PNC Module
ASHA Name |
Spinner |
|
|
PNC Period |
Spinner |
|
|
PNC Date |
Calendar |
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|
No. of IFA Tablets given |
Custom Number Picker |
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Any Method of Contraception |
Radio Button |
|
|
Method of Contraception |
Spinner |
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|
Other PPC Method |
Edit Text Box |
|
|
Any mother danger sign? |
Radio Group |
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|
Mother Danger Sign |
Drop Down List |
|
|
Other Danger Sign |
Edit Text Box |
|
|
Referral Facility |
Spinner |
|
|
Place Name |
Spinner / Text Box |
|
|
Mother Death |
Radio Button |
|
|
Date of Death |
Date Picker |
|
|
Probable Cause of Mother Death |
Spinner |
|
|
Other Death Cause |
Edit Text Box |
|
|
Place of Death |
Radio Group |
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|
Remarks |
Text Box |
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|
NCD Screening:
NCD: Non-Communicable Diseases
Community Based Assessment Checklist (CBAC) Form
NCD Eligible List:
Show all Beneficiary both Male and Female whose age > = 30 years and excluding Pregnant Women.
And this CBAC Form is applicable to screen these Beneficiaries.
This CBAC Form, assessment check should be done yearly once,
Edit is applicable – but once approved by ANM/MO/ CHO, edit is not applicable Maintain the history of submitted CBAC Form for viewing, year wise
CBAC which ASHA is filling that should be visible to CHO whose score is greater than 4 for suspected
case.Process Team Input
S |
Name of Data Field |
Field Type |
Value/ Options |
|
Validation/ Logic/ Condition |
|
|
|
|
|
|
|
|
|
|
|
Date |
Calend |
|
|
|
|
|
|
Name |
Textbo x |
|
|
Auto fill from Beneficiary details |
|
|
|
Age |
Textbo x |
|
|
Auto fill from Beneficiary details Read only |
|
|
|
Sex |
Textbo x |
|
|
Auto fill from Beneficiary details Read only |
|
|
|
Part A: Risk Assessment |
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1 |
What is your Age? (in Age) |
Spinner |
Is Mandatory Choose:
|
|
Auto-populate Age from 'Beneficiary' registration: |
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|
2 |
Do you smoke or consume smokeless products such as gutka or khaini |
Spinner |
Is Mandatory Choose:
|
|
Score Logic: |
|
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|
the past sometime |
|
|
3 |
Do you consume alcohol daily |
Spinner |
Is Mandatory Choose: ▪ Yes |
Score Logic: |
|
4 |
Measurement of |
Spinner |
Is Mandatory Condition:
|
Score Logic: |
|
5 |
Do you undertake any physical activity for |
Spinner |
Is Mandatory Choose:
|
Score Logic: |
|
6 |
Do you have any family history (any one of your parents or siblings) of high BP / Diabetes / Heart |
Spinner |
Is Mandatory Choose:
|
Score Logic: |
|
7 |
Total Score |
Label |
|
Total Score Formula: |
|
|
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If "Yes" is selected below then display a pop-up message, "Suspected NCD case, please visit nearest HWC or call |
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* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample" |
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** If "Yes" is selected for any one of the questions below with "**" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members" |
|
|
|
|
1 |
History of TB * |
Spinner |
Is Mandatory Choose:
|
|
|
2 |
Coughing More than 2 weeks * |
Spinner |
Is Mandatory Choose: ▪ Yes |
|
|
3 |
Blood in Sputum * |
Spinner |
Is Mandatory Choose:
|
|
|
4 |
Fever > 2 weeks * |
Spinner |
Is Mandatory Choose:
|
|
|
5 |
Loss of Weight * |
Spinner |
Is Mandatory Choose:
|
|
|
6 |
Night Sweats * |
Spinner |
Is Mandatory Choose:
|
|
|
7 |
Anyone in Family Currently Suffering from TB ** |
Spinner |
Is Mandatory Choose:
|
|
|
8 |
Are you currently taking Anti TB drugs ** |
Spinner |
Is Mandatory Choose:
|
|
|
9 |
Recurrent of ulceration on Palm or Sole |
Spinner |
Is Mandatory Choose:
|
|
|
10 |
Recurrent of tingling on Palm or Sole |
Spinner |
Is Mandatory Choose: |
|
|
|
|
|
|
11 |
Cloudy or Blurred Vision |
Spinner |
Is Mandatory Choose:
|
|
12 |
Difficulty in reading |
Spinner |
Is Mandatory Choose:
|
|
13 |
Pain in eyes lasting for more than weeks |
Spinner |
Is Mandatory Choose:
|
|
14 |
Redness in eyes for more than weeks |
Spinner |
Is Mandatory Choose:
|
|
15 |
Difficulty in |
Spinner |
Is Mandatory Choose:
|
|
16 |
Shortness of Breath |
Spinner |
Is Mandatory Choose: |
|
17 |
History of Fits |
Spinner |
Is Mandatory Choose:
|
|
18 |
Difficulty in |
Spinner |
Is Mandatory Choose:
|
|
19 |
Ulcers in Mouth Not Healed in 2 weeks |
Spinner |
Is Mandatory Choose:
|
|
20 |
Any Change in the tone of your voice |
Radio Button |
Is Mandatory Choose:
|
|
21 |
Growth in Mouth Not Healed in 2 weeks |
Spinner |
Is Mandatory Choose: |
|
22 |
Any white or red |
Spinner |
Is Mandatory Choose:
|
|
23 |
Pain while chewing |
Spinner |
Is Mandatory Choose: |
|
24 |
Any hypo pigmented patches or discolour lesions with loss of sensation |
Spinner |
Is Mandatory Choose:
|
|
|
25 |
Any thickened skin |
Spinner |
Is Mandatory Choose:
|
|
|
26 |
Any nodules skin |
Spinner |
Is Mandatory Choose:
|
|
|
27 |
Any Patch or |
Spinner |
Is Mandatory Choose:
|
|
|
28 |
Recurrent numbness on palm or sole |
Spinner |
Is Mandatory Choose:
|
|
|
29 |
Clawing of fingers in hand or feet |
Spinner |
Is Mandatory Choose:
|
|
|
30 |
Tingling and numbness in hand |
Spinner |
Is Mandatory Choose:
|
|
|
31 |
Inability to close eye lid |
Spinner |
Is Mandatory Choose:
|
|
|
32 |
Difficulty in |
Spinner |
Is Mandatory Choose:
|
|
|
33 |
Weakness in feet that cause |
Spinner |
Is Mandatory Choose:
|
|
|
|
|
|
|
|
|
1 |
Lump in the Breast |
Spinner |
Is Mandatory Choose:
|
|
|
|
|
|
|
2 |
Blood Stained |
Spinner |
Is Mandatory Choose:
|
|
3 |
Change in shape and size of breast |
Spinner |
Is Mandatory Choose:
|
|
4 |
Bleeding between periods |
Spinner |
Is Mandatory Choose:
|
|
5 |
Bleeding after |
Spinner |
Is Mandatory Choose: |
If option selected is "Yes" then display "Inform ASHA Facilitator." |
6 |
Bleeding after intercourse |
Spinner |
Is Mandatory Choose:
|
|
7 |
Foul smelling vaginal discharge |
Spinner |
Is Mandatory Choose:
|
|
|
|
|
|
|
1 |
Feeling unsteady while standing or walking |
Spinner |
Is Mandatory Choose:
|
If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
2 |
Suffering from any physical disability |
Spinner |
Is Mandatory Choose: |
If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
3 |
Needing help from others to perform every day activities such as eating, getting dressed, grooming, bathing, walking, or using the toilets |
Spinner |
Is Mandatory Choose: |
If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
4 |
Forgetting names of yours, near ones or your own home address |
Spinner |
Is Mandatory Choose:
|
If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
|
|
|
|
|
1 |
Type of Fuel Used for Cooking |
Spinner |
Choose: |
|
2 |
Occupational Exposure |
Spinner |
Choose: |
|
|
|
|
|
|
|
|
|
|
|
1 |
Little interest or pleasure in doing things? |
Spinner |
Choose:
|
Score Logic: |
2 |
Feeling down, depressed or hopeless? |
Spinner |
Choose:
|
Score Logic: |
3 |
Total Score |
Label |
|
Total Score formula: Sum of all the above score |
4.2 Tuberculosis Not Present in HWC App
Tuberculosis (TB) is a bacterial disease.
There are mainly two types of TB patients:
- DS-TB (Drug-Sensitive) These are less severe case where the treatment is done for 6 months.
- DR-TB (Drug-Resistant) These are less severe case where the treatment is done for 9-24 months.
Role of ASHA
- The primary task of ASHA is to identify the suspected TB case and take them to nearest PHC.
- In PHC LT (Lab Technician)/ STS (Senior Treatment Supervisor) checks and confirms the disease.
- After confirmation the patient receives an I'd card and medicine.
- ASHA fills and maintains a "Treatment card" (Annexure 1) of the patient and need to do the regular follow-ups till full recovery.
- ASHA will only receive an incentive of Rs. 500 once the TB is confirmed.
- In case of DS-TB ASHA receives an incentive of Rs. 1000 after successful treatment of 3 months.
- In case of DR-TB ASHA receives an incentive of Rs. 2000 after successful treatment of 6 months and after successful completion of the treatment ASHA receives Rs. 3000 extras, which makes total incentive amount as (Rs. 2000 + Rs. 3000) Rs. 5000.
4.2.1 TB Screening
In this section show all beneficiaries irrespective of any age group and gender.
Maintain a separate list for TB Suspected cases for further follow-ups.
S No |
Early Detection of Tuberculosis (TB) |
|
|
|
|
|
* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample". |
|
|
|
|
|
** If "Yes" is selected for any one of the questions below with "**" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members" |
|
|
|
|
1 |
Date |
Calendar |
Is |
|
|
2 |
Name |
Textbox |
|
Auto fill from Beneficiary details |
|
3 |
Age |
Textbox |
|
Auto fill from Beneficiary details Read only |
|
4 |
Sex |
Textbox |
|
Auto fill from Beneficiary details Read only |
|
5 |
Coughing More than 2 weeks * |
Spinner |
Is
|
|
|
6 |
Blood in Sputum * |
Spinner |
Is
|
|
|
7 |
Fever > 2 weeks * |
Spinner |
Is |
|
|
8 |
Loss of Weight * |
Spinner |
Is |
|
|
9 |
Night Sweats * |
Spinner |
Is
|
|
|
10 |
History of TB * |
Spinner |
Is |
|
|
|
|
|
|
|
|
11 |
Are you currently taking Anti TB drugs ** |
Spinner |
Is
|
Inform to ANM / MPW/ MO for tracing of Family members |
|
12 |
Anyone in Family Currently Suffering from TB ** |
Spinner |
Is
|
Inform to ANM / MPW/ MO for tracing of Family members |
|
13 |
Submit |
Button |
▪ |
|
4.2.2 Suspected TB cases
Maintain a separate list of Suspected TB cases based on above assessment check.
This section should contain only Suspected TB cases
S. |
Name of data |
Field Type |
Value/ Options |
Validation/ Logic/ Condition |
1 |
Date |
Calendar |
Is Mandatory |
|
2 |
Name |
Textbox |
|
Auto fill from Beneficiary details |
3 |
Age |
Textbox |
|
Auto fill from Beneficiary details Read only |
4 |
Sex |
Textbox |
|
Auto fill from Beneficiary details Read only |
5 |
Is Sputum sample collected? |
Spinner |
Is Mandatory Choose:
|
|
6 |
Sputum sample submitted at |
Spinner |
Choose:
|
Enable if "Yes" is selected for 'Is Sputum sample collected?' |
7 |
Nikshay ID |
Textbox |
|
Enable if "Yes" is selected for 'Is Sputum sample collected?' |
8 |
Sputum Test result |
Spinner |
Choose:
|
Enable if "Yes" is selected for 'Is Sputum sample collected?' |
9 |
Referred to facility |
Spinner |
Is Mandatory Choose: |
|
10 |
Facility Referral follow-ups |
Textbox |
|
|
11 |
Submit |
Button |
|
|
Immunization for Neonatal &Infant healthcare and Childhood & Adolscent healthcare services:
Standard Protocol For Vists:
In the Immunization due list Module show below.
Children: show all Children between age group of 0 to 16 years, show separately children with below Age group:
- Birth Dose Vaccines Babies
- 6 Weeks Vaccines Children
- 10 Weeks Vaccines Children
- 14 Weeks Vaccines Children
- 9-12 Months Vaccines Children
- 16-24 Months Vaccines Children
- 5-6 Years Vaccine Children
- 10 Years Vaccine Children
- 16 Years Vaccine Children
10. Catch-Up Vaccines (Missing Vaccines)
When respective child is selected from list, based on the above age corresponding Immunization list is shown as per schedule:
- Vaccine Taken: in Green colour;
- Vaccine Due: in Orange colour;
- Vaccine Overdue: in Red colour
3.6.1 Immunization schedule as per above Age groups
S No |
Age |
Vaccine Name |
Due date |
Date Logic |
1 |
Birth Dose |
OPV 0 |
DoB |
|
2 |
6 Weeks |
OPV-1 |
DoB + 6 Week |
|
3 |
10 Weeks |
OPV 2 |
DoB + 10 Week |
|
4 |
14 Weeks |
OPV 3 |
DoB + 14 Week |
|
5 |
9-12 Months |
Measles 1 |
DoB + 9 Month |
|
6 |
16-24 Months |
Measles 2 |
DoB + 16 Month |
|
7 |
5-6 Years |
DPT Booster 2 |
DoB + 5 Years |
|
8 |
10 Years |
TD Dose |
DoB + 10 Years |
|
9 |
16 Years |
TD Dose |
DoB + 16 Years |
|
|
|
|
|
|
3.6.2 Immunization data entry screen
For every above Vaccine below fields are applicable:
S |
Name of the Data Field |
Field Type |
|
Value/option |
Validation/ Logic/ Condition |
|
|
|
Infant details |
|
|
1 |
Name |
|
|
default Name is 'Baby of' |
Name of Baby/ Child or |
2 |
Mother's Name |
Textbox |
|
|
Auto-populate |
3 |
Date of birth of Baby |
Calendar |
|
|
Auto-populate |
|
|
|
Vaccine Details |
|
|
4 |
Vaccine Name |
Textbox |
|
|
Auto-Populate from Master |
5 |
Dose Number |
Textbox |
|
|
Auto-Populate from Master |
6 |
Expected Date |
Textbox |
|
|
Auto-Populate from Master |
7 |
Date of Vaccination |
Calendar |
|
|
By default show Today's date. or date when Vaccine is given |
9 |
Vaccinated Place |
Spinner |
|
Choose:
|
|
10 |
Vaccinated By |
Spinner |
|
Choose:
|
|
3.6.3 Immunization schedule Date logic
Vaccine Name |
Due date |
Date Logic |
Depen |
Due date Work Plan |
Over Due period |
OPV 0 Dose |
DoB |
DoB + 15 Days |
No |
DoB |
DoB + 15 Days |
BCG |
DoB |
DoB + 1 Year |
No |
DoB |
DoB + 1 Year |
Hepatitis B 0 |
DoB |
DoB + 1 day |
No |
DoB |
DoB + 1 day |
Vit K |
DoB |
DoB + 1 day |
No |
DoB |
DoB + 1 day |
OPV 1 |
DoB + 6 Week |
Accept date between 6 weeks form date of Birth to 2 Years |
No |
DoB + 6 |
DoB + 2 Yrs |
Pentavalent 1 |
DoB + 6 Week |
Accept date between 6 weeks form date of Birth to 1 Year |
No |
DoB + 6 |
DoB + 1 Yrs |
ROTA 1 |
DoB + 6 Week |
Accept date between 6 weeks form date of Birth to 1 Year |
No |
DoB + 6 |
DoB + 1 Yrs |
IPV 1 |
DoB + 6 Week |
Accept date between 6 weeks form date of Birth to 1 Year |
No |
DoB + 6 |
DoB + 1 Year |
OPV 2 |
OPV1 + 4 Week |
|
OPV1 |
DoB+10 Week |
DoB + 2 Yrs |
Pentavalent 2 |
Penta 1 + 4 Week (age > 6 week) |
|
Pentav |
DoB+10 Week |
DoB + 1 Year |
OPV 3 |
OPV2 + 4 Week |
|
OPV2 |
DoB+14 Week |
DoB + 2 Yrs |
Pentavalent 3 |
Penta 2 + 4 |
|
Pentav |
DoB+14 Week |
DoB + 1 Year |
ROTA 2 |
ROTA 1 + 4 |
|
ROTA 1 |
DoB+10 Week |
DoB + 1 Year |
ROTA 3 |
ROTA 2 + 4 |
|
ROTA 2 |
DoB+14 Week |
DoB + 1 Yrs |
IPV 2 |
IPV 1 + 8 Week |
Accept date after interval of 8 weeks (56 Days) from date of IPV 1 up to 1 yrs from Date of Birth |
IPV 1 |
DoB+14 Week |
DoB + 1 Yrs |
OPV Booster |
DoB + 16 Month |
Accept date between 16 months to 24 months from date of birth maximum up to 2yrs from date of birth |
No |
DoB + 16 Month |
DoB + 2 Yrs |
DPT Booster - |
DoB + 16 Month |
Accept date between 16 months to 24 months from date of birth maximum up to 7yrs from date of birth |
No |
DoB + 16 Month |
DoB + 7 Yrs |
DPT Booster |
Dob + 5 Years |
Accept date between 5yrs to 7yrs from date of birth |
No |
Dob + 5 Years |
DoB + 7 Yrs |
Measles – 1 |
DoB + 9 Month |
Accept date between completed 9 months from date of birth maximum up to 5yrs from date of birth |
No |
DoB + 9 |
DoB + 5 Yrs |
Measles – 2 |
DoB + 16 Months |
Accept date between 16 months to 24 months from Date of Birth maximum up to 5yrs from Date of Birth |
No |
DoB + 16 Months |
DoB + 5 Yrs |
JE Vaccine – 1 |
DoB + 9 Months |
Accept date between completed 9 months from date of birth maximum up to 1yr from date of birth |
No |
DoB + 9 Months |
DoB + 1 Yrs |
JE Vaccine – 2 |
DoB + 16 Months |
Accept date between 16 months to 24 months from Date of Birth maximum up to 5yrs from Date of Birth |
No |
DoB + 16 Months |
DoB + 5 Yrs |
Vitamin A – 1 |
DoB + 9 Months |
Accept date between completed 9 months from date of birth maximum up to 5yrs from date of birth |
No |
DoB + 9 Months |
DoB + 5 Yrs |
Vitamin A – 2 |
Vitamin A1 + 9 Months |
|
Vitamin A1 |
DoB + 16 Month |
DoB + 5 Yrs |
Vitamin A – 3 |
Vitamin A2 + 6 Months |
|
Vitamin A2 |
DoB + 2 Yrs |
DoB + 5 Yrs |
Vitamin A – 4 |
Vitamin A3 + 6 Months |
1. Accept date between 2 Yrs and 6 Month from date of birth maximum up to 5yrs from date of birth 2. Accept date after interval of 6 months from date of VITAMIN A-3 |
Vitamin A3 |
DoB + 2.5 Yrs |
DoB + 5 Yrs |
Vitamin A – 5 |
Vitamin A4 + 6 Months |
|
Vitamin A4 |
DoB + 3 Yrs |
DoB + 5 Yrs |
Vitamin A – 6 |
Vitamin A5 + 6 Months |
1. Accept date between 3 Yrs and 6 months from date of birth maximum up to 5yrs from date of birth 2. Accept date after interval of 6 months from date of VITAMIN A-5 |
Vitamin A5 |
DoB + 3.5 Yrs |
DoB + 5 Yrs |
Vitamin A – 7 |
Vitamin A6 + 6 Months |
|
Vitamin A6 |
DoB + 4 Yrs |
DoB + 5 Yrs |
Vitamin A – 8 |
Vitamin A7 + 6 Months |
1. Accept date between 4 Yrs and 6 Month from date of birth maximum up to 5yrs from date of birth 2. Accept date after interval of 6 months from date of VITAMIN A-7 |
Vitamin A7 |
DoB + 4.5 Yrs |
DoB + 5 Yrs |
Vitamin A – 9 |
Vitamin A8 + 6 Months |
|
Vitamin A8 |
DoB + 5 Yrs |
DoB + 7 Yrs |
Family planning and reproductive details (All the fields must allow "0" in the text box)
Card Name |
Header |
UI Field |
Field |
Options |
Editable |
Validations |
|
|
|
|
|
|
|
|
|
Fertile Status |
Radio |
Fertile |
|
|
|
|
|
|
Infertile |
On clicking infertile it should not open anything |
|
|
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|
|
Fertile |
Total Number of children born Female |
Text |
|
|
|
|
|
Total Number of children born Male |
Text |
|
|
|
|
|
Total Number of children born |
Text |
|
it must be a sum of Total Number of children born Female & Total Number of children born Male |
|
|
|
Number of live children Female |
Text |
|
It must be less or equal to Total Number of children born Female |
|
|
|
Number of live children Male |
Text |
|
It must be less or equal to Total Number of children born Male |
|
|
|
Number of live children |
Text |
|
|
|
|
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Age Of Youngest Child |
Drop Down |
Days |
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Months |
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Weeks |
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Years |
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Youngest Child Gender |
Drop Down |
Male |
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Female |
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Transgender |
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Currently using FP Method |
Drop Down |
Vasectomy(Male Sterilization) |
It should populate Date Of Sterilization and Place of Sterilization |
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Other |
It should open the Text Box |
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Condoms |
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None |
Once any of the drop downs selected then it shuld not reflect |
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Date of Sterilization |
Calender |
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Place Of Sterlization |
Text |
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Infertile |
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IEC and Councelling Details |
Councelled On |
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Contraceptive Failure and Complication |
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Healthy Family timings and Spacing |
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Contraceptive Failure and Suspicion |
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General FP Methods |
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Emergency Contraception |
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Healthy Spacing and Nutrition |
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Healthy Timings and Nutrition |
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Medical Eligibility for FP |
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Method Specific FP |
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Other |
It will expand the text box |
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Partner Councelling |
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Preventionof STI RTI |
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Safe Abortion services |
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Special groups for FP |
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Type of Contraceptive Opted |
Drop Down |
Vasectomy(Male Sterilization) |
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Other |
It will expand the text box |
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Condoms |
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None |
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Dispensation Details |
Type of Contraceptive Prescribed |
Drop Down |
Vasectomy(Male Sterilization) |
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Other |
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Condoms |
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None |
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Quantity Prescribed |
Text |
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Next Visit for Refill |
Calender |
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Back |
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Submit |
Button |
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Previous Visit Details |
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Sevice Lines Table |
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MMU |
N/A |
It will Dispay, Load the Service Line History |
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104 |
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It will Load the Service Line History |
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TM |
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It will Load the Service Line History |
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MCTS |
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It will Load the Service Line History |
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Dashboard |
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It will Load the Service Line History |
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Sync Update |
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It will Load the Service Line History |
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HWC |
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It will Load the Service Line History |
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Sakhi |
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It will Load the Service Line History |
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Current Vitals |
Weight(Kg) |
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N/A |
This Should Fetch the results from previous entered Fields |
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Height(cm) |
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N/A |
This Should Fetch the results from previous entered Fields |
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BMI(Kg/m2) |
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N/A |
This Should Fetch the results from previous entered Fields |
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Temperature(F) |
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N/A |
This Should Fetch the results from previous entered Fields |
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HR(bpm) |
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N/A |
This Should Fetch the results from previous entered Fields |
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RR(bpm) |
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N/A |
This Should Fetch the results from previous entered Fields |
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SPo2% |
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N/A |
This Should Fetch the results from previous entered Fields |
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Clinical Notes |
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Chief Complaints |
Text |
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N/A |
This will be configured with Snowmed CT Code and will fetch the results after entering the Text |
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Duration |
Text |
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Yes |
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Select Unit Of Duration |
Drop Down |
Hour(s) |
N/A |
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Day(s) |
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Week(s) |
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Month(s) |
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Year(s) |
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Description |
Text |
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N/A |
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Reset |
Button |
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N/A |
It must clear all the Values in the ""Chief Complaints ,Duration, Select Unit Of Duration, "Description" Field |
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Add |
Button |
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N/A |
It must again Display all the Fields under "Chief Complaints ,Duration, Select Unit Of Duration, "Description" Field |
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Clinical Findings |
Text(With Search Symbol) |
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N/A |
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Cross |
Button |
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N/A |
It must clear all the Values in the "Significant Findings" Field |
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Add |
Button |
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N/A |
It must again Display all the Fields under "Significant Findings Field |
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Other Symptoms |
Text |
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N/A |
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Investigation |
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Test Name |
Drop Down(Multiselect) |
Blood Glucose |
N/A |
List as Per PHC and HSC |
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Blood Pressure Test |
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Chikengunia |
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Cholesterol |
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Dengue |
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HBA1C |
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Haemoglobin |
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Hepatitis B |
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Hepatitis C |
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HIV |
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Malaria Test |
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RBC |
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RBS |
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SPo2 Test |
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Syphillis |
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TB |
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Typhoid Test Check |
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Uric_Acid |
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Urine Albumin Test |
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Urine Pregnancy Rapid Test |
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Urine Sugar Test |
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Visual Acuty Test |
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Reports |
Lab Test Reports |
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Grid |
Date |
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Test Name |
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Archieved |
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Component Name |
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Measurement Unit |
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Remarks |
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Radiology Report |
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Test Name |
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Component Name |
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Remarks |
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Reports |
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Archieved |
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Date |
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Visit Code |
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View |
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Must be able to View, see the beside Screen shot for reference |
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Radiology and Imaging |
Drop Down |
Radiology |
N/A |
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Neck X-ray |
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USG Abdomen |
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Others |
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Text Field must be there |
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Chest X ray |
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External Investigations Results |
Text |
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N/A |
As per HSC and PHC |
Diagnosis |
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Provisional Diagnosis |
Radio |
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Yes |
Give Radio Buttons for selection of Provisional Diagnosis and Confirmatory Diagnosis. User will select either of any one and then they search for a disease under Diagnosis field (only one search field) |
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Confirmatory Diagnosis |
Radio |
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Cross |
Button |
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N/A |
It must clear all the Values in the "Provisional Diagnosis" Field |
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Add |
Button |
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N/A |
It must again Display all the Fields under ""Provisional Diagnosis Field |
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Prescription |
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Form |
Drop Down |
Tablet |
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Capsule |
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Syrup |
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Suspention |
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Oral Drops |
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Ointment |
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Cream |
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Lotion |
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Eye Drops |
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Ear Drops |
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Medicine |
Text |
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N/A |
It will Configure through Snowmed CT based on the Provisional Diagnosis and provide associated list of Medicine |
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Dosage |
Drop Down |
Half Tab |
N/A |
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One and Half Tab |
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1 Tablet |
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2 Tablets |
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Frequency |
Drop Down |
4 times a day(QID) |
N/A |
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Once daily(OD) |
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Once in a week |
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Single Dose |
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SOS |
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Duration |
Text |
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N/A |
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Instructions |
Text |
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N/A |
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Unit |
Drop Down |
Day |
N/A |
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Month |
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Week |
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Route |
Drop Down |
Ears |
N/A |
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Eyes/Ear |
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Eyes |
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ID |
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IM |
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IV |
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Local application |
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Nostrils |
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Oral |
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Rectal |
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Councelling provided |
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Councelling provided |
Drop Down(Multiselect) |
Adherence to Treatment Regimn |
N/A |
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Avoidance of substance Abuse |
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Complication Readiness(Warning symptome and Signs) |
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Cough Etiquette(Respiratory Hyegine) |
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Foolow Up Instructions |
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Hand wash |
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Health and Nutrition |
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Healthy Life style |
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Life style Modification |
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Home Isolation |
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Menstrual Hyegiene |
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Personal Hyegine |
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Personal Protective measures |
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Preventive Measures |
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Rest and Physical Activity |
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Safe Sexual Practices |
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Add |
Button |
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N/A |
It will display the Form Dose,Frequency Duration ,Quantity, Instructions as shown in the besides Screen shot, It will also pop up the Stock Availability Button on Top below Prescription Card |
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Submit |
Button |
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