As a CHO, I want to record detailed newborn outcome and neonatal health information for each neonate born from a delivery, so that high-risk newborns are identified early, required audits are triggered, and appropriate postnatal care actions are initiated.

Acceptance Criteria

Neonate Creation & Multiple Birth Handling

• Number of Neonates

• • Mandatory selection: Single / Twins / Triplets / Quadruplets+
  • If >1:
    • Duplicate the baby outcome section for each neonate
    • Generate a unique Neonate ID for each baby
    • Link all neonates to the same Delivery ID
    • Flag multiple births for special PNC attention
• Neonatal module is filled separately for each live neonate

Birth Outcome & Audit Logic

• Outcome at Birth (Mandatory)
  • Live Birth
  • Still Birth (Fresh / Macerated)
  • Died during delivery
• If outcome is Stillbirth or Died during delivery:
  • Open Stillbirth Audit Form
  • Disable remaining neonatal fields
  • Skip growth parameters and proceed to complications/audit flow

Basic Neonatal Details

• Sex
  • Mandatory
  • If Ambiguous → show alert for pediatric specialist referral
• Cried Immediately After Birth
  • Enabled only if Live Birth
  • Mandatory
  • If Cried after resuscitation:
    • Enable Type of Resuscitation
• Type of Resuscitation
  • Mandatory if enabled
  • Multi-select options supported

Birth Weight & Risk Classification

• Birth Weight
  • Mandatory (500–6000 grams)
  • Alerts:
    • <2500g → Low Birth Weight (LBW)
    • <1500g → Very Low Birth Weight (VLBW)
    • <1000g → Extremely Low Birth Weight (ELBW)
    • 4000g → Macrosomia (flag for maternal GDM screening)

Congenital Anomalies

• Congenital Anomaly Detected
  • If Yes or Suspected:
    • Enable Type of Congenital Anomaly
  • Type of Congenital Anomaly
  • Mandatory if enabled
  • Multi-select supported
  • If Other → enable mandatory free-text field
• Newborn Complications
  • Multi-select allowed
  • If any complication selected:
  • Show alert for immediate pediatric/specialist review

Current Status & Neonatal Death Handling

• Current Status of Baby (Mandatory)

• • Healthy and with mother

• • Admitted (SNCU/NICU)

• • Admitted (General Ward)

• • Died

• If Admitted:

• • Show alert for PNC counseling

• If Died:

• • Open Neonatal Death Audit Form

• • Enable Cause of Death

• • Disable immunization and certification fields

• Cause of Death

• • Mandatory if enabled

• • Multi-select allowed

• • If Other → enable mandatory free-text field

Immediate Newborn Care

• Birth Dose Vaccines Given
  • Mandatory, multi-select
  • If None:
    • Enable mandatory reason field
• Vitamin K Injection
  • Mandatory
  • If No → enable mandatory reason field
• Birth Certificate Issued
  • Mandatory
  • If No (Not applied):
  • Show alert:
    • “Inform family that birth registration is a legal requirement.”

= "Died"

• Mandatory if enabled
• Multiple causes can contribute
• Enable text field for "Other" specification|

  13	Other	Textbox	Free text (300 character limit)	* To be enabled if cause of death of baby= "Other"
  14	Birth dose vaccines given?	Dropdown	BCG

• Hepatitis B (Birth dose)
• OPV-0
• None| * Mandatory
• Multiple selections allowed
• If "None" → enable Q.15 to capture the reason for not giving birth dose vaccines|

  15

  Reason for not giving birth dose vaccines

  Text field

  Free text (200 char)

  Mandatory if enabled

• To be enabled if Q14 = "None"
• Common reasons: Baby unstable, SNCU admission, vaccine unavailable|

  16

  Vitamin K injection given?

  Radio button

  Yes

• No| * Mandatory
• If "No" → Enable Q.17 to capture reason for not giving Vitamin K injection|

  17

  Reason for not giving Vitamin K injection

  Text field

  Free text (200 char)

  To be enabled if Q16 = "No"

• Mandatory if enabled
• Common reasons: Baby unstable, SNCU admission, vaccine unavailable|

  18

  Birth Certificate issued?

  Radio button

  Yes

• In process
• No (Not applied)| * Mandatory
• If "No (Not applied)" → show alert to provide information to family stating that birth registration is a legal requirement|

  19

  Next Button

  Proceed to vital screen and prescription.