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Type: Story
Resolution: Done
Priority: Medium
Fix Version/s: 4.0
Affects Version/s: None
Labels:
- mAAM

Epic Link:
RMNCHA+ Service Delivery Enablement
Sprint:
HWC Sprint 17, HWC Sprint 18

As a CHO, I want to capture clinical findings, immunization, counselling and next visit details during ANC visits with automatic validations and alerts, so that high-risk pregnancies are identified early and managed appropriately.

Acceptance Criteria

ANC visit date:
- Mandatory, ≤ today
- ≥5 weeks from LMP
- last ANC date
- ≤42 weeks from LMP
Gestational age:
- Auto-calculated from LMP
- Displayed as “X weeks Y days”
Mandatory vitals captured with range validations:
- Weight, BP, Blood Sugar, Hb, Urine Sugar/Albumin, FHR, Fundal Height
HRP alerts triggered for:
- Abnormal BP, Blood Sugar, Hb, FHR
  - Urine Sugar/Albumin ≥ “+”
  - Any danger sign selected
TD/TT, IFA and Calcium:
- Enabled/disabled based on gestational age and prior doses
- Prevent duplicate doses
- Display message: “All TD doses have been given” when applicable
Counselling:
- Yes/No selection
- If Yes → counselling topics mandatory (multi-select)
Next ANC visit date:
- Mandatory
- today and ≤ EDD
On clicking Next, user proceeds to Vitals & Prescription screen

Gestational Age (Weeks)	Auto-calculated	Display as "X weeks Y days"	Auto-calculated and mandatory Current date minus LMP date
Weight	Number	Number- kg	Mandatory Accept numbers only Values from 30 to 200 Character limit 3
BP(Systolic)	Number	Numeric- mmHg	Mandatory Accept numeric (integer) value only Values from 50 to 300 Default value 0 If value is < 90 or ≥140 mmHg → show alert for HRP (High Risk Pregnancy)
BP(Diastolic)	Number	Numeric- mmHg	Mandatory Accept numeric (integer) value only Values from 30 to 200 Default Value 0 If value is < 60 or >= 90 mm Hg → show alert for HRP (High Risk Pregnancy)
Blood Sugar (Fasting)	Number	Numeric- mg/dl	Mandatory Range 40-400 mg/dL Show alert if >95mg/dl
Urine Sugar	Dropdown	Negative Trace + ++ +++	Mandatory If selected negative or trace, move to the next question without any alert. + or more → show alert for HRP (High Risk Pregnancy)
Fundal Height	Custom Number Picker	Must accept numeric (integer) value only Character limit 2 Default value null	* Disable field up to 12 Weeks of Pregnancy. Accept numeric (integer) value only Accept values up to 2 digits Do not allow decimals
Fetal Heart Rate (FHR)	Number	BPM	* Accept decimal numbers only, up to one decimal place Accept values up to 3 digits Allow range minimum 40.0 to maximum 200.0 bpm If FHR<110 bpm→ show alert for bradycardia If FHR>160 bpm→ show alert for tachycardia If <110 or >160 → show alert for HRP (High Risk Pregnancy)
Urine Albumin	Dropdown	Negative Trace + ++ +++	Mandatory If selected negative or trace, move to the next question without any alert. + or more → show alert for HRP (High Risk Pregnancy)
Hb Level	Number	g/dL	Mandatory If <7 → Severe Anemia → show alert for HRP (High Risk Pregnancy)
Date of TD dose 1	Date Picker	dd-mm-yyyy Choose the date from the calendar	* TD= Tetanus Diphtheria Format dd-mm-yyyy Accept date between 5 weeks from LMP Date up to 36 Week of LMP Not greater than Today's Date Default Value: to be null if no data is entered. Disable this data field if

"TD dose 2" or '"Date of TT Booster Dose" is entered in the Last ANC Visit.|

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

Mandatory Enable only if TT dose 2 given date is documented Accept date between 5 weeks from LMP Date up to up to 36 Week of LMP Not greater than Today's Date Default Value: to be null if no data is entered. Disable this data field if "Date of TD 1^st Dose" is entered in the Last ANC Visit. If "Date of TD Booster Dose" is entered in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.
No. of IFA tabs given	Custom Number Picker	Must accept numeric (integer) value only Default Value 0	* Disable field up to 12 Weeks of Pregnancy. Default Value: to be null if no data is entered Accept value up to 400
Calcium Given	Custom Number Picker	Must accept numeric (integer) value only Default Value 0	* Disable field up to 14 Weeks of Pregnancy. Default Value: to be null if no data is entered Accept value up to 400
Danger Signs	Multi-select	Vaginal Bleeding Swelling of hands, feet or face Severe Headache Blurred Vision Convulsions/ seizures Severe abdominal pain Fever > 38°C Painful urination/ Burning Reduced fetal movement Vaginal fluid leakage Persistent vomiting Breathlessness/ chest pain	Mandatory Multiple selection should be possible On any selection→ show alert for HRP (High Risk Pregnancy)
Counselling Provided	Dropdown	Yes No	* If "Yes"→ enable next question
Which counselling was provided?		Nutrition Birth Preparedness and Complication readiness Identification of danger signs Medication compliance (IFA/ Calcium/ other medications) Immunization Hygiene and Infection Prevention	Mandatory if enabled Multiselect Should be enabled if above question is "Yes"

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