1. BUSINESS REQUIREMENTS DOCUMENT (BRD)

1.1 Background & Rationale 

Chronic, life-limiting illnesses such as cancer, advanced organ failure, neurological disorders, and geriatric conditions contribute significantly to pain, suffering, and reduced quality of life. A large proportion of patients requiring palliative care remain unidentified or receive fragmented care. 

The Government of India mandates integration of Palliative Care services at Health & Wellness Centres (HWCs) to ensure early identification, basic symptom management, psychosocial support, and timely referral. 

Integrating Palliative Care into the mAAM application will: 

1.2 Scope of Palliative Care Services in mAAM 

Phase 1 (As per GoI Operational Guidelines): 

Phase 2 (Future scope): 

1.3 Target Users & Roles 

Role 

Responsibilities 

ASHA / MPW 

Community identification, referral to HWC 

CHO (Primary User) 

Screening, symptom assessment, basic management, referral, follow-up 

Staff Nurse 

Support assessment and follow-up 

Medical Officer 

Advanced management, referral decisions 

Specialist Palliative Team 

Care outside mAAM 

 

PRODUCT REQUIREMENTS DOCUMENT (PRD) 

Palliative Care Services 

CPHC Services – mAAM Application 

  1. Module Overview

Objective 
Enable identification, basic symptom management, psychosocial support, referral, and follow-up for patients requiring palliative care at CPHC level, as per GoI guidelines. 

Primary User 

Secondary Users 

  1. Beneficiary Eligibility

Criteria 

System Behaviour 

All age groups 

Screening allowed 

Any gender 

Same workflow 

Chronic / life-limiting illness 

Eligible for palliative care screening 

 

  1. Palliative Care — Entry & Consent

3.1 Entry Conditions 

Palliative care screening can be initiated if any one applies: 

 

3.2 Consent 

Field 

Type 

Rules 

Consent Given 

Radio 

Yes / No 

Type of Consent 

Dropdown 

Verbal / Written 

Consent Scope 

Auto 

“Palliative care assessment & support” 

System Rules 

  1. Screening for Palliative Care Need

To be enabled if: Entry conditions met 

Data Field 

Field Type 

Validation / Logic 

Chronic illness present 

Checkbox 

Optional 

Persistent pain 

Checkbox 

Optional 

Severe weakness / fatigue 

Checkbox 

Optional 

Breathlessness 

Checkbox 

Optional 

Functional dependence / difficulty in activities of daily living (ADL) 

Checkbox 

Optional 

Psychological distress 

Checkbox 

Optional 

Screening Outcome 

Auto 

Suspected / Not suspected 

Referral Required 

Auto 

Yes if Suspected 

Logic: 
If any one symptom is selected → Screening Outcome = Suspected 

  1. Pain Assessment

To be enabled if: Screening Outcome = Suspected 

Data Field 

Field Type 

Value / Options 

Validation 

Pain present 

Radio 

Yes / No 

Mandatory 

Pain severity 

Dropdown 

Mild / Moderate / Severe 

Mandatory if Yes 

Pain duration 

Dropdown 

<1 week / ≥1 week 

Optional 

 

  1. Symptom Assessment (Basic)

Symptom 

Field Type 

Options 

Nausea / vomiting 

Checkbox 

Yes 

Constipation 

Checkbox 

Yes 

Anxiety / restlessness 

Checkbox 

Yes 

Sleep disturbance 

Checkbox 

Yes 

 

  1. Basic Management (CHO Level)

Data Field 

Field Type 

Validation 

Basic symptom relief provided 

Radio 

Yes / No 

Psychosocial support provided 

Radio 

Yes / No 

Caregiver counselling provided 

Radio 

Yes / No 

Remarks 

Text 

Optional (250 chars) 

No advanced pain management or specialist treatment at HWC level. 

  1. Referral Management

Auto-enabled if: 

Data Field 

Field Type 

Validation 

Referral Required 

Auto 

Yes 

Referred To 

Dropdown 

PHC / CHC / District Hospital 

Reason for Referral 

Dropdown 

Pain control / Symptom management / End-of-life care 

Referral Date 

Auto 

System generated 

 Please note: If the assessments are yielding yes for referral, a single alert note should appear before the Submit button if the CHO has still selected no for referral. Also the page doesn't move forward without registering a referral. 

  1. Follow-Up

Data Field 

Field Type 

Validation 

Follow-up date 

Date 

Mandatory 

Symptom improvement 

Radio 

Yes / No 

Pain Severity 

Dropdown 

Mild / Moderate / Severe 

Referral completed 

Radio 

Yes / No 

 

  1. Case Closure (Only in the case of no follow up; For follow up yes: Only date and remarks field needed)

Closure Reason 

Logic 

Under care 

Follow-up ongoing 

Referred 

Referral accepted 

Death 

Sync with beneficiary status 

 

  1. Appendices

Functional Decline Assessment Table (Katz ADL) for the Section 4-Screening for Palliative Care Need 

  1. Data Capture Table (UI / Formस्तर)

Field Name 

Field Type 

Options / Values 

Mandatory 

Logic 

Bathing 

Radio 

Independent (1) / Dependent (0) 

Yes 

As per Katz definition 

Sum of all fields 

Based on score 

If score < 6 

Dressing 

Radio 

Independent (1) / Dependent (0) 

Yes 

Toileting 

Radio 

Independent (1) / Dependent (0) 

Yes 

Transferring 

Radio 

Independent (1) / Dependent (0) 

Yes 

Continence 

Radio 

Independent (1) / Dependent (0) 

Yes 

Feeding 

Radio 

Independent (1) / Dependent (0) 

Yes 

Total Score 

Auto-calculated 

0 – 6 

Auto 

Functional Status 

Auto 

Independent / Partial Dependence / Severe Dependence 

Auto 

Functional Decline Flag 

Auto 

Yes / No 

Auto 

 

  1. Clinical Definition Mapping (as per Guidelines)

(From Annexure II – ADL table)  

Activity 

Independent (Score = 1) 

Dependent (Score = 0) 

Bathing 

Bathes self or needs help in only one part 

Needs help in >1 part or getting in/out 

Dressing 

Dresses self completely 

Needs partial/full assistance 

Toileting 

Uses toilet independently 

Needs help / uses bedpan 

Transferring 

Moves in/out of bed/chair independently 

Needs assistance 

Continence 

Full control over bladder & bowel 

Partial/total incontinence 

Feeding 

Eats independently 

Needs assistance / tube feeding 

 

  1. Functional Decline Classification Logic

Total Score 

Category 

Functional Status 

System Interpretation 

6 

Fully Independent 

No decline 

Normal 

4 – 5 

Mild Decline 

Partial Dependence 

Monitor + counselling 

2 – 3 

Moderate Decline 

Functional Dependence 

Needs intervention 

0 – 1 

Severe Decline 

Highly Dependent 

High priority / palliative care 

  1. System Logic formAAM

Trigger Points and System behaviour 

 

Condition 

System Behaviour 

Any ADL = Dependent 

Mark “Functional dependence = Yes” 

Functional dependence = Yes 

Screening Outcome → Suspected 

Score ≤ 3 

Auto-suggest Referral 

Score ≤ 1 

Tag: Bed-bound / Palliative candidate 

  1. Suggested UI Output (for App)

Display to CHO: