General Check-up gives a Mitanin one place in Disease Control to record any complaint and refer the person to the HWC, so every referral is captured and counts towards activity 26.

1. Document Overview

Clickable prototype:General-Checkup-Prototype_2.html. Download it and open it in any browser. It runs on your machine, no install needed. It shows the Disease Control screen with 3 tiles, the General Check-up form, the refer form, the HWC Referred List, the follow-up form and the activity 26 count. All people in it are invented.

Field	Detail
Module	Disease Control, General Check-up sub-module
Application	Mitanin app (FLW), Chhattisgarh
Target users	Mitanin. The CHO or MO at the HWC receives the referral. The Mitanin Trainer and ANM verify the monthly claim.
Primary audience	Product managers, engineering and backend teams, QA, UI/UX, programme team
Phase	Phase 1
Platform	Android mobile application
Incentive linked	Activity 26, Referring 10 or more cases monthly to the HWC, Rs 400 (AMM-2252)
Source of the ailment list	Box 2.2, Expanded Range of Services (SHSRC indicative list, 12 service groups). All 12 groups are covered. See Appendix A.
Related BRDs	Mitanin Trainer and ANM Incentive Verification Module BRD, Mental Health Module BRD, mHWC Elderly and Palliative Health module BRD, BRD for FLW Mobile App
Author	Ritam Dubey, BSA
Status	Draft for review

Revision history

Date	Version	Author	Approved by	Change reference
8 Oct 2026	0.1	Ritam Dubey	Pending	First draft
8 Oct 2026	0.2	Ritam Dubey	Pending	How it was noted and Advice given removed. Referral levels set: HWC, PHC, CHC, Medical College, District Hospital.
8 Oct 2026	0.3	Ritam Dubey	Pending	Clickable prototype linked at the top. Developer swimlane added to Section 6.

2. Background and Problem

A Mitanin identifies a person with a complaint or a known condition and sends them to the Health and Wellness Centre (HWC). Activity 26 pays Rs 400 a month for 10 or more such referrals. Mitanins told Nikhil Padhan (8 Oct 2026) that they refer High BP, Diabetes, TB, fever, cough, cold and other OPD cases and count all of them towards this activity. Jaswant Kumar's Pithora field report (8 Oct 2026) raises the same gap. The point first reached the BSA team in July.

Disease Control in the app today is a flat list of 7 programme tiles: NCD, Malaria, Kala Azar, AES/JE, Filaria, Leprosy and Tuberculosis (TB).

Problems

There is no place in Disease Control to record a referral for a general complaint, or for a condition such as High BP or Diabetes.
The Mitanin must know which programme a complaint belongs to before she can start. Most complaints belong to none.
Referrals that are not recorded cannot be counted, so the Mitanin loses an incentive she has earned in the field.
Most ailments in the 12 HWC service groups have no clear home in the app (Appendix A closes this).

3. Goals

Category	Goal	Description
Coverage	Cover every listed ailment	Every ailment in the 12 HWC service groups has a defined home in the app, either in General Check-up or in a module that already owns it (Appendix A).
Simplicity	One front door	The Mitanin starts at General Check-up for any complaint. She does not need to know the programme first. The app routes the case.
Incentive accuracy	Count every referral once	Each HWC referral is recorded and counted towards activity 26 in the month of the referral date.
Continuity	Close the loop	The Mitanin records what happened after the referral, including whether the HWC referred the person further.
Adoption	Track usage	Share of Mitanins using General Check-up each month, referrals per Mitanin, and share of referrals with a recorded follow-up.

4. Users

Role	What they do with General Check-up
Mitanin	Primary user. Records the complaint, refers the person to the HWC, and records the follow-up. Sees only the beneficiaries in her own area.
CHO or MO at the HWC	Receives the referral, treats the person, and decides on any onward referral. Works in the HWC app, outside this module. The Mitanin app only records the outcome.
ANM	Reviews the Mitanin's activity 26 claim in the monthly verification module, at activity and beneficiary level.
Mitanin Trainer	No role here. Her four reviewed activities (23, 24, 25, 40) do not include activity 26.

5. Scope

Disease Control changes from 7 tiles to 3. Only the first is built in this BRD.

Tile	What it holds	Status
General Check-up	Any complaint or condition that needs a quick check and a referral to the HWC	New. This BRD.
Non-Communicable Diseases	The NCD tile as it is today, including CBAC screening	Existing, moves under the new layout
Communicable Diseases	Malaria, Kala Azar, AES/JE, Filaria, Leprosy and TB	Existing, move under one tile

In scope

The General Check-up tile and its beneficiary list.
An ailment list that covers all 12 HWC service groups, held as editable master data so it can change without an app release.
Routing of a complaint to the module that already owns it.
Referral to the HWC using the existing refer form, and follow-up using the existing HWC Referrals list.
Counting of these referrals for activity 26.
Appendix A, which states where every listed ailment sits.

Out of scope

Clinical decisions at the HWC, including the rules for referring onward to a higher facility. The CHO or MO owns these.
Changes inside the NCD and Communicable Diseases modules, other than moving their tiles.
Changes to incentive amounts. Activity 26 stays at Rs 400 for 10 or more referrals a month.
The HWC-side app (mAAM). See the related Mental Health and Elderly and Palliative BRDs.
The Home screen's General OPD Care List tile. It is redundant and has no link to General Check-up.
Recording advice or treatment given by the Mitanin. This is outside her scope, so the app does not record it.

6. General Check-up Flow

The Mitanin starts at General Check-up for any complaint. The app decides whether another module owns the case, then helps her refer to the HWC and later close the loop. The swimlane below is the build reference for developers. It shows five lanes (Beneficiary, Mitanin, Mitanin app, Server, HWC) and 13 steps, and each step carries the requirement ID it implements.

The same flow as a table, for quick search and copy:

Step	Beneficiary	Mitanin	Mitanin app	HWC	Requirement
1	Has a complaint, or the Mitanin notices a symptom				None
2		Opens Disease Control, then General Check-up			FR1, FR2
3		Picks the person and selects one or more complaints			FR3, FR4, FR5
4 (decision)			Checks whether a programme or another module owns the complaint (TB, Malaria, pregnancy and others). If yes, prompts the Mitanin to continue there.		FR6
5		Chooses Refer to HWC			FR7
6			Opens the refer form prefilled, saves offline and syncs when online		FR7, FR11
7				The person visits. The CHO or MO treats, or refers onward. Outside this app.	None
8		Records the follow-up and the outcome			FR9, FR10
9			Counts the referral for activity 26 in the month of the referral date		Section 8

7. Functional Requirements

ID	Requirement	Reuses
FR1	Disease Control shows 3 tiles: General Check-up, Non-Communicable Diseases, Communicable Diseases. The existing tiles open from their new home.	Existing modules
FR2	General Check-up opens a searchable list of beneficiaries in the Mitanin's area.	All Beneficiaries list
FR3	The Mitanin adds a check-up for a beneficiary with the date.	None
FR4	The Mitanin picks an ailment group and then one or more complaints from the ailment master. Other with free text is always available.	Ailment master (FR12)
FR5	An ailment marked as an emergency (for example chest pain or severe breathlessness) sets priority to Emergency and shows a Refer immediately message.	Ailment master
FR6	If the selected complaint belongs to another module (TB, Malaria, Kala Azar, AES/JE, Filaria, Leprosy, pregnancy, newborn, child), the app prompts the Mitanin to continue there. One episode creates one referral only.	Existing modules
FR7	A Refer to HWC button opens the existing refer form. Beneficiary, referral date and reason come prefilled. Referral Facility is mandatory and lists the referral levels: HWC, PHC, CHC, Medical College and District Hospital.	Refer form (FLW-856, FLW-1033)
FR8	The Mitanin records only the complaint and the referral. She does not record advice or treatment, which is outside her scope.	None
FR9	A referral appears in the HWC Referrals list with a follow-up button.	HWC Referrals list (FLW-856, FLW-1206)
FR10	Follow-up reuses the existing form (Follow Up Date and Follow-up Status). General Check-up adds status values, including Referred to higher facility, and then asks which facility.	Existing follow-up form
FR11	The whole flow works offline and syncs through the existing referral APIs.	AMM-1909, AMM-1920
FR12	The ailment master (groups, complaints, emergency flag, owning module, active flag) is managed as data. Product or ops can add, hide or rename a complaint without an app release.	New
FR13	All labels show in Hindi and English.	Existing translations
FR14	A beneficiary's earlier check-ups show in a short history before a new one is added.	None

Check-up form fields

Field	Type	Rule
Beneficiary	Auto	Picked from the list
Date of check-up	Date	Default today. Cannot be a future date. Can go back up to one month (Section 11, item 4).
Ailment group	Dropdown	One of the groups in Appendix A. Mandatory.
Complaint or condition	Multi-select	At least one. For High BP and Diabetes, also mark Suspected or Known.
Other complaint	Text	Up to 250 characters. Shown when Other is selected.
Priority	Auto	Routine. Emergency when an emergency ailment is selected.
Refer to HWC	Button	Opens the refer form (FR7)

Follow-up fields

Field	Type	Rule
Follow Up Date	Date	Mandatory. Cannot be before the referral date. Existing field.
Follow-up Status	Dropdown	Mandatory. Existing field. Values for General Check-up referrals (proposed): Treated at HWC, Medicines given, Not yet visited, Referred to higher facility, Other.
Referred to	Dropdown	Shown only when the status is Referred to higher facility. Same referral levels as the refer form, without HWC: PHC, CHC, Medical College, District Hospital.

8. Business and System Logic

Area	Rule
Routing order	The app sends a complaint to the first module that owns it: (1) pregnancy, delivery or postnatal care to Maternal Health; (2) newborn or infant care to Child Care; (3) a programme disease (TB, Malaria, Kala Azar, AES/JE, Filaria, Leprosy) to Communicable Diseases; (4) CBAC screening to NCD; (5) everything else to General Check-up. A quick referral for High BP or Diabetes is always made from General Check-up.
One episode, one referral	The same beneficiary, the same complaint and the same calendar month give one referral. If another module has already created the referral, General Check-up shows it and does not create a second.
What counts for activity 26	Every HWC referral with a referral date in the calendar month, whether made from General Check-up or from another module that writes to the HWC Referrals list. Decided, Section 11 item 1.
Payout	Rs 400 when the month's count reaches 10, as built in AMM-2252. A re-test is needed with General Check-up referrals included.
Month of credit	The incentive goes to the month of the referral date, not the month of submission. A referral date can be up to one month back and never in the future. This matches AMM-2427 (closed) and AMM-2428 (Pending QA).
Verification	The ANM reviews the claim in the monthly verification module (FLW-1121, FLW-1145).
Emergency	An emergency ailment sets priority to Emergency on the referral. The Mitanin sees Refer immediately.
Onward referral	The CHO or MO decides on referral to a higher facility. The app records the outcome (FR10) and shows no clinical criteria to the Mitanin.
Ailment master changes	A change reaches the Mitanin at her next sync. Check-ups already saved keep the label they were saved with.

9. Data, Audit and Access

Attribute	Description
Check-up ID	Unique per check-up
Beneficiary ID and Mitanin ID	Who was checked and who recorded it
Date of check-up	As entered
Ailment group and complaints	Stored as the label and the master ID, so later renames do not change old records
Priority	Routine or Emergency
Referral ID	Link to the HWC referral, if one was made
Created, updated and synced time	System generated

Referral and follow-up data stay in the existing referral tables. No second copy is kept.

Access. The Mitanin sees only the beneficiaries in her own area. The ANM sees referrals in the monthly verification module for the Mitanins mapped to her.

Reporting. A monthly count of HWC referrals per Mitanin, split by source module and ailment group, so the ANM and programme team can see what makes up the count of 10.

10. Acceptance Criteria

Disease Control shows exactly 3 tiles: General Check-up, Non-Communicable Diseases, Communicable Diseases (FR1).
NCD, Malaria, Kala Azar, AES/JE, Filaria, Leprosy and TB open as before from their new tile, with counts intact (FR1).
A Mitanin can add a check-up for any listed beneficiary with no network, and it syncs when the network returns (FR11).
The ailment list shows every group in Appendix A, and a complaint added in the master appears after the next sync with no app release (FR4, FR12).
Selecting an emergency ailment sets priority to Emergency and shows Refer immediately (FR5).
Selecting a TB, Malaria or pregnancy complaint prompts the Mitanin to continue in that module, and no second referral is created (FR6).
Refer to HWC opens the refer form prefilled. The Referral Facility dropdown lists HWC, PHC, CHC, Medical College and District Hospital, and the form cannot be submitted without one (FR7).
A referral from General Check-up appears in HWC Referrals with a follow-up button after sync (FR9).
Follow-up saves the HWC visit and any onward referral (FR10).
Two referrals for the same beneficiary and complaint in one month count once.
10 counted referrals dated in a month generate Rs 400 in that month. 9 generate nothing.
A referral is credited to the month of its referral date, whichever day it is submitted.
All labels show correctly in Hindi and English (FR13).

11. Assumptions and Items for Confirmation

Assumptions

Box 2.2 is the final ailment scope. SHSRC has given the 12 service groups and no further detail. This BRD covers all 12 and places every one (Appendix A).
The complaints listed under each group in Appendix A are working examples drawn from the group names. They live in the ailment master (FR12), so they can be edited without a release.
The CHO or MO decides on onward referral. The app records the outcome.

Items raised, with decisions

#	Question	Needed from	Decision
1	Do HWC referrals from CBAC, TB and ANC count towards activity 26, or only referrals made from General Check-up?	Ops	All HWC referrals count, from any module.
2	Must a referral have a recorded follow-up to count?	Ops	No. A referral counts from the day it is created. Follow-ups are recorded separately in the HWC Referred List.
3	Jaswant's report asks for criteria to refer from the HWC to a higher facility. Is recording the HWC outcome (FR10) enough for v1?	Jaswant Kumar	Yes for v1. The app records what the HWC did, including any onward referral. It shows no clinical criteria.
4	Can a Mitanin enter a referral dated in the previous month, and until which cut-off? This links to the open decision on AMM-2428 and to the cut-off dates in FLW-1012.	Ops, product	Up to one month back. Credit goes to the month of the referral date. No future dates.
5	How does the Home screen's General OPD Care List tile relate to General Check-up? Does it stay, merge or move?	BSA, product	The tile is redundant. No link to General Check-up.
6	Is the Refer immediately message enough for an emergency, or should the app also show an emergency contact number?	Ops	The Refer immediately message is enough. No call button.
7	Who owns the ailment master and approves changes to it?	Product, ops	Ops verifies the list and approves changes. SHSRC is contacted only if ops needs more confirmation.

Field confirmation from Pithora (Jaswant Kumar, 9 Oct 2026)

#	Question	Response
1	How does the Mitanin find out what happened after the HWC visit?	She learns it at her next follow-up visit with the beneficiary. The follow-up records what the person tells her.
2	Where does the HWC send people onward?	The listed levels are correct: PHC, CHC, Medical College, District Hospital.
3	Are the follow-up outcomes right?	Yes. Treated at HWC, Medicines given, Not yet visited, Referred to higher facility, Other are confirmed as listed.
4	Which complaints do Mitanins refer most?	Waiting for the ops team. The ailment list under General Check-up stays as the working list in Appendix A until ops replies.

Still open

#	Question	Needed from	Status
8	The field response says referrals to PHC, CHC, Medical College and District Hospital count for activity 26 as well, not only referrals to the HWC. Is that the rule? If yes, the count in Section 8 changes from HWC referrals to referrals at any of the five levels, and AMM-2252 needs to be checked for how it reads the Referral Facility value.	Ops	Open
9	Final list of complaints under General Check-up.	Ops	Awaiting reply

Appendix A: Where Every Ailment Sits

Every one of the 12 service groups in Box 2.2 has a home in the app. General Check-up has entries for 10 of the 12. Groups 1 and 2 stay entirely in Maternal Health and Child Care. The ailments listed are working examples that seed the ailment master (FR12).

#	HWC service group	Ailments and services (working examples)	Sits in	How the Mitanin refers
1	Care in pregnancy and child-birth	ANC, danger signs in pregnancy, delivery, postnatal care, high-risk pregnancy	Maternal Health (existing)	Danger-sign referral already exists (FLW-672). A pregnant woman with a complaint is routed here.
2	Neonatal and infant health care	HBNC and HBYC visits, newborn and infant danger signs	Child Care (existing)	HBNC and HBYC danger-sign triggers refer to the HWC (FLW-1106).
3	Childhood and adolescent health care	Fever, cough, loose stools, skin and ear problems in a child, adolescent health concerns. Immunization, growth and SAM stay in their modules.	General Check-up for illness. Child Care and Routine Immunization for the rest.	Illness is referred from General Check-up.
4	Family planning, contraceptive and other RCH services	Contraceptive advice, spacing and sterilisation. Menstrual problems, white discharge, suspected RTI or STI.	Eligible Couple List for family planning. General Check-up for reproductive health complaints.	Complaints are referred from General Check-up.
5	Management of communicable diseases including National Health Programmes	TB, Malaria, Kala Azar, AES/JE, Filaria, Leprosy. Other programme diseases with no form in the app today (for example HIV, hepatitis).	Communicable Diseases for the six with forms. General Check-up for the others, as Other communicable disease.	Referral stays inside each programme module. Others are referred from General Check-up.
6	Common communicable diseases and OPD care for acute simple illnesses and minor ailments	Fever, cough, cold, sore throat, loose stools, vomiting, abdominal pain, skin infection, itching, wounds, headache, body ache	General Check-up (core)	Referred from General Check-up.
7	Screening, prevention, control and management of NCDs	CBAC screening, High BP, Diabetes, COPD, oral, breast and cervical cancer	NCD for CBAC and structured follow-up. General Check-up for a quick referral when a person has a High BP or Diabetes complaint or a known case.	CBAC referral exists (6 types). A quick referral is made from General Check-up. One episode gives one referral.
8	Care for common ophthalmic and ENT problems	Red or painful eye, blurred vision, ear pain, ear discharge, hearing difficulty, nosebleed. Cataract has its own referral flow.	General Check-up. Existing cataract referral stays.	Referred from General Check-up.
9	Basic oral health care	Toothache, bleeding gums, mouth ulcer. Oral cancer screening stays in CBAC.	General Check-up	Referred from General Check-up.
10	Elderly and palliative health care	Complaints of an older person, falls, memory problems, a bed-bound person or long-term illness needing palliative care	General Check-up. Existing geriatric referral stays.	Referred from General Check-up, with Palliative care need as a reason. HWC side: Elderly and Palliative BRD.
11	Emergency medical services	Chest pain, severe breathlessness, injury, burns, snake bite, poisoning, convulsions, heavy bleeding	General Check-up with priority Emergency	Refer immediately. Priority Emergency shows on the referral (FR5).
12	Screening and basic management of mental health ailments	Sleeplessness, low mood, anxiety, fits, memory loss, alcohol or tobacco use	General Check-up for complaints. CBAC for depression screening.	Referred from General Check-up. HWC side: Mental Health Module BRD.

Appendix B: Related Tickets, Glossary and Sources

Related tickets (status as of 8 Oct 2026)

Ticket	What it covers	Status
FLW-856	HWC Referrals list, refer form, Referral Facility dropdown	Closed
FLW-1033	Referral Facility mandatory on the refer form	Closed
FLW-672	Danger-sign alert and referral for pregnant women	Closed
FLW-1106	HBNC and HBYC danger signs linked to the HWC refer form	Closed
FLW-1206	Follow-up button status in HWC Referrals	Open
AMM-2489	TB-suspected follow-up form	Pending QA
AMM-2252	Incentive logic for 10 or more HWC referrals	Closed
AMM-2427	Nayi Pahal Kit incentive in the wrong month	Closed
AMM-2428	NCD assessment survey incentive in the wrong month	Pending QA
FLW-1121	Mitanin Trainer and ANM Incentive Verification Module	Closed
FLW-1012	Configurable cut-off dates per state variant	Closed
To be raised	General Check-up sub-module and 3-tile Disease Control screen	New

Glossary

Term	Meaning
HWC	Health and Wellness Centre (Ayushman Arogya Mandir)
PHC, CHC	Primary Health Centre, Community Health Centre
CHO, MO	Community Health Officer, Medical Officer at the HWC
ANM	Auxiliary Nurse Midwife
CBAC	Community Based Assessment Checklist, the NCD screening form
SHSRC	State Health Systems Resource Centre
HBNC, HBYC	Home-Based Newborn Care, Home-Based Care for Young Child
RCH	Reproductive and Child Health
AES/JE	Acute Encephalitis Syndrome and Japanese Encephalitis

Sources. Box 2.2, Expanded Range of Services, as shared by the SHSRC indicative list. Field notes from Nikhil Padhan and Jaswant Kumar, 8 Oct 2026. Layout and house style follow the Confluence BRDs linked in Section 1. The two-way referral system and the CHO's follow-up role are described on the NHSRC Ayushman Arogya Mandir page. Ticket status from Jira as of 8 Oct 2026.