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ANC process coveragePID 26
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 07/05/2025 1:39am
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
ANC process coverage (PID: 26)
07/05/2025 1:39am
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1)
1 [record_id] Record ID text
2 [mcp_card] Section 1: Demographic and pregnancy details 1.MCP card available yesno
1Yes
0No
3 [rch_id]
Show the field ONLY if:
[mcp_card] = '1'
1.1 RCH-ID / MCP card text (number, Min: 1.00E+11, Max: 1.00E+12)
Field Annotation: @FORCE-MINMAX @PLACEHOLDER = '12 digit number'
4 [receive_date]
Show the field ONLY if:
[mcp_card] = '1'
Date when received text (date_dmy)
Field Annotation: @FORCE-MINMAX
5 [district] 1.1.1 Pregnant woman's District radio
1Sangrur
2Other
6 [other_district_name]
Show the field ONLY if:
[district] = '2'
Other district name text
7 [taluk] 1.1.2 Pregnant woman's Taluk radio
1Sangrur
2Sunam
3Dhuri
4Bhawanigarh
5Moonak
6Other
8 [other_taluka_name]
Show the field ONLY if:
[taluk] = '6'
Other taluka name text
9 [name_of_the_asha] 1.1.3 Name of the ASHA text
10 [mobile_number_of_the_as_ha] 1.1.4 Mobile Number of the ASHA text (number, Min: 1000000000, Max: 9999999999)
Field Annotation: @PLACEHOLDER='10 Digits Number' @FORCE-MINMAX
11 [name_of_the_mother] 1.2 Name of the mother text
12 [age_mother] Age of the mother text (number)
13 [name_of_the_spouse] 1.3 Name of the husband text
14 [mobile1] 1.4 Mobile No 1 text (number, Min: 1000000000, Max: 9999999999)
Field Annotation: @PLACEHOLDER='10 Digits Number' @FORCE-MINMAX
15 [mobile2] 1.5 Mobile No 2 text (number, Min: 1000000000, Max: 9999999999)
Field Annotation: @PLACEHOLDER='10 Digits Number' @FORCE-MINMAX
16 [education] 1.6 Education dropdown
1Illiterate
2Primary
3Intermediate
4Graduate
5Post graduate
17 [ration_card] 1.7 Ration Card yesno
1Yes
0No
18 [yes_ration_card]
Show the field ONLY if:
[ration_card] = '1'
Type of ration card dropdown
1BPL (Green colour)
2APL (Red colour)
3Other
19 [ration_card_other]
Show the field ONLY if:
[yes_ration_card] = '3'
Specify text
20 [caste] 1.8 Caste radio
1General
2SC or ST
3Other
21 [other_caste]
Show the field ONLY if:
[caste] = '3'
Specify text
22 [present_address] 1.9 Present Address House Number and Street :
{house_number_and_street} City / Town / Village name:
{city_town_village_name} District: {district_address} Pin Code : {pin_code} 		descriptive
23 [house_number_and_street] House Number and Street text
24 [city_town_village_name] City / Town / Village Name text
25 [district_address] District radio
1Sangrur
2Other
26 [other_district_name_1]
Show the field ONLY if:
[district_address] = '2'
Other district name text
27 [pin_code] Pin Code text (number)
Field Annotation: @FORCE-MINMAX
28 [present_same_address] 1.9.a Is the present address same as the permanent address? yesno
1Yes
0No
29 [permant_addr_2]
Show the field ONLY if:
[present_same_address] = '1'
Permanent address : [house_number_and_street]
[city_town_village_name] [district_address] [pin_code] 		descriptive
30 [permanant_address]
Show the field ONLY if:
[present_same_address] = '0'
1.10 Permanent Address House Number and Street :
{house_number_and_street_2} City / Town / Village
name : {city_town_village_name_2} District :
{district_address_2} Pin Code : {pin_code_2} 		descriptive
31 [house_number_and_street_2] House Number and Street text
32 [city_town_village_name_2] City / Town / Village Name text
33 [district_address_2] District text
34 [pin_code_2] Pin Code text (number)
Field Annotation: @FORCE-MINMAX
35 [gravida] Section Header: Section 2 : Obstetric Details2.1 Gravida (number of pregnancies a woman  had)
(Specify number)
 text (number, Min: 1, Max: 15)
Field Annotation: @FORCE-MINMAX
36 [parity] 2.2 Parity (number of times a woman has given birth to a baby)
(Specify number)
 text (number, Min: 0, Max: 15)
Field Annotation: @FORCE-MINMAX
37 [living] 2.3 Living (number of children living presently)
(Specify number)
 text (number, Min: 0, Max: 20)
Field Annotation: @FORCE-MINMAX
38 [abortions] 2.4. Abortions
(Specify number)
 text (number, Min: 0, Max: 10)
Field Annotation: @FORCE-MINMAX
39 [mnth_occur]
Show the field ONLY if:
[abortions] >= 1
2.4.a Which month did the first abortion occur? text
40 [scnd_abort]
Show the field ONLY if:
[abortions] >= 2
2.4.b Which month did the second abortion occur? text
41 [stillbirths_confirmation] 2.5 Stillbirths (birth of dead fetes any time after the completion of 20 weeks of gestation) yesno
1Yes
0No
42 [stillbirths]
Show the field ONLY if:
[stillbirths_confirmation] = '1'
Stillbirths (birth of dead fetes any time after the completion of 20 weeks of gestation) text (number, Min: 0, Max: 15)
Field Annotation: @FORCE-MINMAX
43 [stllbrth_1]
Show the field ONLY if:
[stillbirths_confirmation] = '1'
2.5.a Which month did the first stillbirth occur? text (number)
44 [stllbrth_2]
Show the field ONLY if:
[stillbirths_confirmation] = '1'
2.5.b Which month did the second stillbirth occur? text
45 [neontl_count] 2.6 Number of neonatal death (death of baby within 28days of birth) text
46 [neonatal_deaths]
Show the field ONLY if:
[neontl_count] >= 1
2.6 a. Which day of life did first neonatal death occur? text
47 [cause_nd]
Show the field ONLY if:
[neontl_count] >= 1
2.6.b. Cause of first neonatal death text
48 [neontl_dths]
Show the field ONLY if:
[neontl_count] >= 2
2.6.c Which day of life did second neonatal death occur? text
49 [cuse_neontl_dths]
Show the field ONLY if:
[neontl_count] >= 2
2.6.d Cause of second neonatal death text
50 [menstruation_regular] 2.7 Menstruation regular radio
1Regular
2Irregular

Custom alignment: RH
51 [no_of_days_menstruation_cycle]
Show the field ONLY if:
[menstruation_regular]='1'
No of days of menstruation cycle text
52 [no_of_days_between_cycle] 2.7.1 Number of days between each menstruation cycle whether regular or not text (number, Min: 10, Max: 50)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
53 [lmp] 2.7.2 LMP text (date_dmy)
54 [edd] 2.7.3 EDD text (date_dmy, Min: [lmp], Max: 2025-12-31)
Field Annotation: @FORCE-MINMAX
55 [periconceptional_care] Part 1 (Periconceptional Care) descriptive
56 [type_cooking_fuel] Section Header: Section 3: Household, Nutrition & Medication details3.1 Type of cooking fuel used (Can answer more than one response) checkbox
1type_cooking_fuel___13.1.1 Solid: firewood/charcoal/cow dung
2type_cooking_fuel___23.1.2 Liquid: kerosene
3type_cooking_fuel___33.1.3 Gas: LPG/Gobar
57 [kitchen] 3.2 Kitchen (Can answer only ONE response) radio
13.2.1 With chimney
23.2.2 With exhaust fan
33.2.3 With outlet pipe
43.2.4 With no ventilation
53.2.5 With Window
58 [tobacco] 3.3 Chewing tobacco and smoking yesno
1Yes
0No
59 [another_smoke_inside_home] 3.4 Another household member who smokes inside the
house 		yesno
1Yes
0No
60 [screen_spcfc_dses] 3.5 Screening for specific diseases checkbox
1screen_spcfc_dses___13.5.1 Anemia
2screen_spcfc_dses___23.5.2 Thyroid
3screen_spcfc_dses___33.5.3 Diabetes
4screen_spcfc_dses___43.5.4 Hypertension
5screen_spcfc_dses___53.5.5 Others
6screen_spcfc_dses___63.5.6 None
61 [oth_spcfy_3]
Show the field ONLY if:
[screen_spcfc_dses(5)] = '1'
Specify text
62 [contracep_3] 3.6 Did you use any contraception
(pills/natural/condom/IUCD) before pregnancy? 		yesno
1Yes
0No
63 [rcvd_angawd] 3.7 Received services from Anganwadi yesno
1Yes
0No
64 [spcl_medi_3] 3.8 Special Medication yesno
1Yes
0No
65 [special_medication]
Show the field ONLY if:
[spcl_medi_3] = '1'
Medication Prescribed If YES - medication was
prescribed, then did you take the medication If yes,
details 3.8.1 High dose Folic acid (0.5g per day)
{sm_high_dose_flic_acd_prec} {sm_took_medication}
How many tablets were bought/given?
{sp_fa_tablets_bought} How many tablets were
consumed? {sp_fa_tablets_consumed} 3.8.2 Weekly Iron
Supplementation {sm_iron_prescribed}
{sm_took_iron_medication} How many tablets were
bought/given? {sm_iron_tab_bought} How many tablets
were consumed? {sm_iron_tab_consumed} 		descriptive
66 [sm_high_dose_flic_acd_prec] 3.8.1 High dose Folic acid (0.5g per day) prescribed yesno
1Yes
0No
67 [sm_took_medication]
Show the field ONLY if:
[sm_high_dose_flic_acd_prec] = '1'
Medication was prescribed, then did you take the medication (folic acid) yesno
1Yes
0No
68 [sp_fa_tablets_bought]
Show the field ONLY if:
[sm_took_medication] = '1'
How many tablets were bought/given? text (number)
Field Annotation: @FORCE-MINMAX
69 [sp_fa_tablets_consumed]
Show the field ONLY if:
[sm_took_medication] = '1'
How many tablets were consumed? text (number)
Field Annotation: @FORCE-MINMAX
70 [sm_iron_prescribed] 3.8.2 Weekly Iron Supplementation prescribed yesno
1Yes
0No
71 [sm_took_iron_medication]
Show the field ONLY if:
[sm_iron_prescribed] = '1'
Medication was prescribed, then did you take the medication (Iron) yesno
1Yes
0No
72 [sm_iron_tab_bought]
Show the field ONLY if:
[sm_took_iron_medication] = '1'
How many tablets were bought/given? text (number)
Field Annotation: @FORCE-MINMAX
73 [sm_iron_tab_consumed]
Show the field ONLY if:
[sm_took_iron_medication] = '1'
How many tablets were consumed? text (number)
Field Annotation: @FORCE-MINMAX
74 [anc_done] Section Header: Part 2 (Antenatal Care) Section 4 : Details of ANC visit4.1 ANC visit done yesno
1Yes
0No
75 [yes_howmny_anc]
Show the field ONLY if:
[anc_done] = '1'
How many ANC visits did you have for this pregnancy? text (number, Min: 1, Max: 8)
Field Annotation: @FORCE-MINMAX
76 [why_no_anc]
Show the field ONLY if:
[anc_done] = '0'
Why did you not go for any ANC? text
77 [obtained_previous_pregn_ancy_history_and_recorde_d]
Show the field ONLY if:
[anc_done] = '1'
4.2 Was previous pregnancy history obtained andrecorded?[If Primi mothers choose not applicable] radio
1Yes
2No
3Not applicable
78 [complication_previous_p_regnancy]
Show the field ONLY if:
[obtained_previous_pregn_ancy_history_and_recorde_d] = '1'
4.2.1 Was there any complication/problem in any previous pregnancy? yesno
1Yes
0No
79 [previous_preg_history]
Show the field ONLY if:
[complication_previous_p_regnancy]='1'
4.2.2. If YES, specify all that apply for any complication/problem in any previous pregnancy?[Can answer more than one response] checkbox
1previous_preg_history___1Bleeding during pregnancy (APH)
2previous_preg_history___2Preeclampsia/Eclampsia/PIH (BP >140/90)
3previous_preg_history___3Anemia/Severe Anemia (Hb < 7gm/dl)
4previous_preg_history___4Previous LSCS
5previous_preg_history___5Birth injuries during delivery
6previous_preg_history___6Baby with congenital abnormalities
7previous_preg_history___7Recurrent abortion
8previous_preg_history___8Gestational diabetes
9previous_preg_history___9Rh-Negative mother
10previous_preg_history___10Puerperal sepsis
11previous_preg_history___11Preterm delivery (< 36 weeks of gestation)
12previous_preg_history___12LBW baby (< 2500 grams)
13previous_preg_history___13Others
80 [previous_lscs_if_yes_sp_ecify_reason]
Show the field ONLY if:
[previous_preg_history(4)] = '1'
LSCS: If YES, specify reason text
81 [baby_with_congenital_ab_normalities_if_yes_speci_fy]
Show the field ONLY if:
[previous_preg_history(6)] = '1'
 Specify (Baby with congenital abnormalities)   text
82 [others_specify_complica_tion_pre_preg]
Show the field ONLY if:
[previous_preg_history(13)] = '1'
Specify Other text
83 [medical_problem_prev_pr_eg]
Show the field ONLY if:
[obtained_previous_pregn_ancy_history_and_recorde_d] = '1'
4.3 Has been diagnosed with any medical problem before the present pregnancy? yesno
1Yes
0No
84 [specify_medical_prob_pr_ev_preg]
Show the field ONLY if:
[medical_problem_prev_pr_eg]='1'
4.3.1 IF YES, Specify medical problem during the previous pregnancy checkbox
1specify_medical_prob_pr_ev_preg___1Tuberculosis
2specify_medical_prob_pr_ev_preg___2Hypertension
3specify_medical_prob_pr_ev_preg___3Heart disease
4specify_medical_prob_pr_ev_preg___4Diabetes mellitus
5specify_medical_prob_pr_ev_preg___5Other
85 [other_medical_prob_prev_preg]
Show the field ONLY if:
[specify_medical_prob_pr_ev_preg(5)] = '1'
Specify text
Custom alignment: RH
86 [anc_visit_1]
Show the field ONLY if:
[yes_howmny_anc] >= 1
(4.4 What all was performed at the ANC (source: MCP card / ANC register / CI) )   First ANC visit yesno
1Yes
0No

Custom alignment: RH
87 [date_anc_visits_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Date of 1st ANC visit text (date_dmy, Min: [lmp])
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
88 [gestational_ages_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Gestational age at 1st ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
89 [months_amenorrhea_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Months of amenorrhea at 1st ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
90 [place_of_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
91 [seen_by_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Seen by checkbox
1seen_by_1___1Doctor
2seen_by_1___2Nurse
3seen_by_1___3ANM

Custom alignment: RH
92 [vomiting_anc_vst_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
93 [increased_frequency_burning_while_passng_urin_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
94 [breathlessness_tirednes_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
95 [headache_blurred_vision_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
96 [jaundice_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
97 [abdominal_pain_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
98 [bleeding_per_vagina_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
99 [leaking_per_vagina_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
100 [abnrmal_vaginal_discharg_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
101 [treatment_for_conception_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
102 [fever_anc_vst_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
103 [other_anc_vst_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
104 [specify_other_anc_vst_1]
Show the field ONLY if:
[other_anc_vst_1]='1'
Specify other text
Custom alignment: RH
105 [ht_checked_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Height checked for ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
106 [wt_checked_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Weight checked for ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
107 [bp_checked_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Blood Pressure checked for ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
108 [checked_pulse_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
109 [checkd_respiration_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
110 [checked_for_swelling_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
111 [checked_for_jaundice_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
112 [checked_fetal_lie_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
113 [rcord_of_fetal_lie_anc_1]
Show the field ONLY if:
[checked_fetal_lie_anc_1]='1'
Record of fetal lie in ANC visit 1 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
114 [checked_fetal_position_anc_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
115 [checkd_pallor_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked for Pallor at 1st Visit yesno
1Yes
0No

Custom alignment: RH
116 [oedema_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked for Pedal Oedema at 1st Visit yesno
1Yes
0No

Custom alignment: RH
117 [breasts_examined_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Breasts Examined at 1st Visit yesno
1Yes
0No

Custom alignment: RH
118 [prob_breasts_examined_a1]
Show the field ONLY if:
[breasts_examined_a1] = '1'
Any specific problems observed during breast examination at the 1st ANC visit? checkbox
1prob_breasts_examined_a1___1Inverted Nipple
2prob_breasts_examined_a1___2Flat Nipple
3prob_breasts_examined_a1___3Dry Skin

Custom alignment: RH
119 [pre_scar_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Checked for Previous Scar yesno
1Yes
0No

Custom alignment: RH
120 [rcrd_symp_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Record symphysis fundal height (SFH) at the 1st ANC visit yesno
1Yes
0No

Custom alignment: RH
121 [rcrd_fhr_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Record FHR [>22wks] at 1st Visit yesno
1Yes
0No

Custom alignment: RH
122 [hemo_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Hemoglobin at 1st Visit yesno
1Yes
0No

Custom alignment: RH
123 [rndm_bld_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Random blood sugar at 1st Visit yesno
1Yes
0No

Custom alignment: RH
124 [vdrl_1]
Show the field ONLY if:
[anc_visit_1] = '1'
VDRL at first ANC visit yesno
1Yes
0No
125 [hiv_1]
Show the field ONLY if:
[anc_visit_1] = '1'
HIV test at 1st ANC visit yesno
1Yes
0No

Custom alignment: RH
126 [hbsag_1]
Show the field ONLY if:
[anc_visit_1] = '1'
HBsAG at 1st Visit yesno
1Yes
0No

Custom alignment: RH
127 [malaria_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Malaria test at ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
128 [cbc_done_at_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
CBC done at ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
129 [tft_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Thyroid profile at 1st Visit yesno
1Yes
0No

Custom alignment: RH
130 [bld_rh_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Blood group and Rh at 1st Visit yesno
1Yes
0No

Custom alignment: RH
131 [gtt_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Glucose Tolerance Test (GTT) at 1st Visit yesno
1Yes
0No

Custom alignment: RH
132 [oth_1]
Show the field ONLY if:
[anc_visit_1] = '1'
Any other test at 1st Visit yesno
1Yes
0No

Custom alignment: RH
133 [aobt_results_a1]
Show the field ONLY if:
[oth_1] = '1'
Record any other test results at the 1st ANC visit, if available text
Custom alignment: RH
134 [urine_albumin_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Urine Albumin test done at 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
135 [urine_albumin_results_a1]
Show the field ONLY if:
[urine_albumin_a1] = '1'
Record Urine Albumin test results at 1st ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
136 [urine_sugar_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Urine Sugar test done at 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
137 [urine_sugar_test_results_a1]
Show the field ONLY if:
[urine_sugar_a1] = '1'
Record urine sugar test results at 1st ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
138 [urine_micro_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Urine Microscopy test done at 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
139 [urine_microscopy_results_a1]
Show the field ONLY if:
[urine_micro_a1] = '1'
Record urine microscopy results at 1st ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
140 [usg_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Did ultrasonography on the 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
141 [usgda_a1]
Show the field ONLY if:
[usg_a1] = '1'
Date of ultrasonography at 1st ANC visit text (date_dmy)
Custom alignment: RH
142 [reason_usg_anc_1]
Show the field ONLY if:
[usg_a1] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
143 [result_of_usg_1]
Show the field ONLY if:
[usg_a1] = '1'
Finding of ultrasonography at 1st ANC visit text
Custom alignment: RH
144 [where_done_usg_a1]
Show the field ONLY if:
[usg_a1] = '1'
Where was it done at 1st ANC visit? dropdown
1Public
2Private

Custom alignment: RH
145 [nst_ctg_done_anc_visit_1]
Show the field ONLY if:
[anc_visit_1] = '1'
NST / CTG done ANC visit 1 yesno
1Yes
0No

Custom alignment: RH
146 [date_nst_ctg_anc_1]
Show the field ONLY if:
[nst_ctg_done_anc_visit_1]='1'
Date NST / CTG done ANC visit 1 text (date_dmy)
Custom alignment: RH
147 [reson_nst_anc_1]
Show the field ONLY if:
[nst_ctg_done_anc_visit_1]='1'
Reason for NST/CTG ? text
Custom alignment: RH
148 [result_of_nst_anc_1]
Show the field ONLY if:
[nst_ctg_done_anc_visit_1]='1'
Result of NST/CTG text
Custom alignment: RH
149 [where_done_nst_1]
Show the field ONLY if:
[nst_ctg_done_anc_visit_1]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
150 [doppler_done_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Doppler done on 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
151 [doppler_date_a1]
Show the field ONLY if:
[doppler_done_a1] = '1'
Date of Doppler at 1st ANC visit text (date_dmy, Min: [lmp])
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
152 [reason_for_doppler_anc_1]
Show the field ONLY if:
[doppler_done_a1] = '1'
Reason for Doppler text
Custom alignment: RH
153 [where_done_doppler_a1]
Show the field ONLY if:
[doppler_done_a1] = '1'
Where was the Doppler done at 1st ANC visit? dropdown
1Public
2Private

Custom alignment: RH
154 [doppler_findings_a1]
Show the field ONLY if:
[doppler_done_a1] = '1'
Findings of Doppler at 1st ANC visit text
Custom alignment: RH
155 [any_oth_radiological_tests_a1]
Show the field ONLY if:
[anc_visit_1] = '1'
Any other Radiological tests done in the 1st ANC visit? yesno
1Yes
0No

Custom alignment: RH
156 [oth_investigation_test_name_a1]
Show the field ONLY if:
[any_oth_radiological_tests_a1] = '1'
Name of any other radiological test done at the 1st ANC visit text
Custom alignment: RH
157 [oth_investigation_test_date_a1]
Show the field ONLY if:
[any_oth_radiological_tests_a1] = '1'
Date of the Radiological test at the 1st ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
158 [reason_for_otr_radio_exa_anc_1]
Show the field ONLY if:
[any_oth_radiological_tests_a1] = '1'
Reason for other radiological examination text
Custom alignment: RH
159 [where_done_oth_investigation_a1]
Show the field ONLY if:
[any_oth_radiological_tests_a1] = '1'
Where was the Radiological test done at the 1st ANC visit? dropdown
1Public
2Private

Custom alignment: RH
160 [oth_investigation_findings_a1]
Show the field ONLY if:
[any_oth_radiological_tests_a1] = '1'
Findings of the Radiological test at the 1st ANC visit

 text
Custom alignment: RH
161 [anc_visit_2]
Show the field ONLY if:
[yes_howmny_anc] >= 2
Second ANC visit yesno
1Yes
0No

Custom alignment: RH
162 [date_anc_visits_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Date of 2nd ANC visit text (date_dmy, Min: [lmp])
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
163 [gestational_ages_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Gestational age at 2nd ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
164 [months_amenorrhea_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Months of amenorrhea at 2nd ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
165 [place_of_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Place of ANC visit dropdown
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
166 [seen_by_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Seen by checkbox
1seen_by_2___1Doctor
2seen_by_2___2Nurse
3seen_by_2___3ANM

Custom alignment: RH
167 [vomiting_anc_vst_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
168 [increased_frequency_burning_while_passng_urin_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
169 [breathlessness_tirednes_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
170 [headache_blurred_vision_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
171 [jaundice_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
172 [abdominal_pain_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
173 [bleeding_per_vagina_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
174 [leaking_per_vagina_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
175 [abnrmal_vaginal_discharg_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
176 [treatment_for_conception_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
177 [fever_anc_vst_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
178 [other_anc_vst_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
179 [specify_other_anc_vst_2]
Show the field ONLY if:
[other_anc_vst_2]='1'
Specify other text
Custom alignment: RH
180 [ht_checked_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Height checked for ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
181 [wt_checked_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Weight checked for ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
182 [bp_checked_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Blood Pressure checked for ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
183 [checked_pulse_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
184 [checkd_respiration_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
185 [checked_for_swelling_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
186 [checked_for_jaundice_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
187 [checked_fetal_lie_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
188 [rcord_of_fetal_lie_anc_2]
Show the field ONLY if:
[checked_fetal_lie_anc_2]='1'
Record of fetal lie in ANC visit 2 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
189 [checked_fetal_position_anc_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
190 [checkd_pallor_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked for Pallor at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
191 [oedema_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Checked for Pedal Oedema at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
192 [breasts_examined_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Breasts Examined at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
193 [prob_breasts_examined_a2]
Show the field ONLY if:
[breasts_examined_a2] = '1'
Any specific problems observed during breast examination at the 2nd ANC visit? checkbox
1prob_breasts_examined_a2___1Inverted Nipple
2prob_breasts_examined_a2___2Flat Nipple
3prob_breasts_examined_a2___3Dry Skin

Custom alignment: RH
194 [rcrd_symp_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Record symphysis fundal height (SFH) at the 2nd ANC visit yesno
1Yes
0No

Custom alignment: RH
195 [rcrd_fhr_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Record FHR [>22wks] at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
196 [hemo_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Hemoglobin at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
197 [rndm_bld_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Random blood sugar at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
198 [vdrl_2]
Show the field ONLY if:
[anc_visit_2] = '1'
VDRL/ Syphilis at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
199 [hiv_2]
Show the field ONLY if:
[anc_visit_2] = '1'
HIV at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
200 [hbsag_2]
Show the field ONLY if:
[anc_visit_2] = '1'
HBsAG at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
201 [malaria_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Malaria test at ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
202 [cbc_done_at_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
CBC done at ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
203 [tft_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Thyroid profile at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
204 [bld_rh_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Blood group and Rh at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
205 [gtt_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Glucose Tolerance Test (GTT) at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
206 [oth_2]
Show the field ONLY if:
[anc_visit_2] = '1'
Any other test at 2nd Visit yesno
1Yes
0No

Custom alignment: RH
207 [aobt_results_a2]
Show the field ONLY if:
[oth_2] = '1'
Record any other test results at the 2nd ANC visit, if available text
Custom alignment: RH
208 [urine_albumin_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Urine Albumin test done at 2nd ANC visit? yesno
1Yes
0No

Custom alignment: RH
209 [urine_albumin_results_a2]
Show the field ONLY if:
[urine_albumin_a2] = '1'
Record Urine Albumin test results at 2nd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
210 [urine_sugar_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Urine Sugar test done at 2nd ANC visit? yesno
1Yes
0No

Custom alignment: RH
211 [urine_sugar_test_results_a2]
Show the field ONLY if:
[urine_sugar_a2] = '1'
Record urine sugar test results at 2nd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
212 [urine_micro_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Urine Microscopy test done at 2nd ANC visit? yesno
1Yes
0No

Custom alignment: RH
213 [urine_microscopy_results_a2]
Show the field ONLY if:
[urine_micro_a2] = '1'
Record urine microscopy results at 2nd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
214 [usg_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Did ultrasonography on the 2nd ANC visit? yesno
1Yes
0No

Custom alignment: RH
215 [usgda_a2]
Show the field ONLY if:
[usg_a2] = '1'
Date of ultrasonography at 2nd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
216 [reason_usg_anc_2]
Show the field ONLY if:
[usg_a2] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
217 [result_of_usg_2]
Show the field ONLY if:
[usg_a2] = '1'
Result of ultrasonography text
Custom alignment: RH
218 [where_done_usg_a2]
Show the field ONLY if:
[usg_a2] = '1'
Where was it done at 2nd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
219 [nst_ctg_done_anc_visit_2]
Show the field ONLY if:
[anc_visit_2] = '1'
NST / CTG done ANC visit 2 yesno
1Yes
0No

Custom alignment: RH
220 [date_nst_ctg_anc_2]
Show the field ONLY if:
[nst_ctg_done_anc_visit_2]='1'
Date NST / CTG done ANC visit 2 text (date_dmy)
Custom alignment: RH
221 [reson_nst_anc_2]
Show the field ONLY if:
[nst_ctg_done_anc_visit_2]='1'
Reason for NST/CTG ? text
Custom alignment: RH
222 [result_of_nst_anc_2]
Show the field ONLY if:
[nst_ctg_done_anc_visit_2]='1'
Finding of NST/CTG ANC visit 2 text
Custom alignment: RH
223 [where_done_nst_2]
Show the field ONLY if:
[nst_ctg_done_anc_visit_2]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
224 [doppler_done_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Doppler done on 2nd ANC visit ? yesno
1Yes
0No

Custom alignment: RH
225 [doppler_date_a2]
Show the field ONLY if:
[doppler_done_a2] = '1'
Date of Doppler at 2nd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
226 [reason_for_doppler_anc_2]
Show the field ONLY if:
[doppler_done_a2] = '1'
Reason for Doppler text
Custom alignment: RH
227 [where_done_doppler_a2]
Show the field ONLY if:
[doppler_done_a2] = '1'
Where was the Doppler done at 2nd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
228 [doppler_findings_a2]
Show the field ONLY if:
[doppler_done_a2] = '1'
Findings of Doppler at 2nd ANC visit text
Custom alignment: RH
229 [any_oth_radiological_tests_a2]
Show the field ONLY if:
[anc_visit_2] = '1'
Any other Radiological tests done in the 2nd ANC visit? yesno
1Yes
0No

Custom alignment: RH
230 [oth_investigation_test_name_a2]
Show the field ONLY if:
[any_oth_radiological_tests_a2] = '1'
Name of any other radiological test done at the 2nd ANC visit text
Custom alignment: RH
231 [oth_investigation_test_date_a2]
Show the field ONLY if:
[any_oth_radiological_tests_a2] = '1'
Date of the Radiological test at the 2nd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
232 [reason_for_otr_radio_exa_anc_2]
Show the field ONLY if:
[any_oth_radiological_tests_a2] = '1'
Reason for other radiological examination text
Custom alignment: RH
233 [where_done_oth_investigation_a2]
Show the field ONLY if:
[any_oth_radiological_tests_a2] = '1'
Where was the Radiological test done at the 2nd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
234 [oth_investigation_findings_a2]
Show the field ONLY if:
[any_oth_radiological_tests_a2] = '1'
Findings of the Radiological test at the 2nd ANC visit text
Custom alignment: RH
235 [anc_visit_3]
Show the field ONLY if:
[yes_howmny_anc]>=3
3rd ANC visit yesno
1Yes
0No

Custom alignment: RH
236 [date_anc_visits_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Date of 3rd ANC visit text (date_dmy, Min: [lmp])
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
237 [gestational_ages_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Gestational age at 3rd ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
238 [months_amenorrhea_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Months of amenorrhea at 3rd ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
239 [place_of_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
240 [seen_by_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Seen by checkbox
1seen_by_3___1Doctor
2seen_by_3___2Nurse
3seen_by_3___3ANM

Custom alignment: RH
241 [vomiting_anc_vst_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
242 [increased_frequency_burning_while_passng_urin_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
243 [breathlessness_tirednes_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
244 [headache_blurred_vision_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
245 [jaundice_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
246 [abdominal_pain_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
247 [bleeding_per_vagina_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
248 [leaking_per_vagina_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
249 [abnrmal_vaginal_discharg_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
250 [treatment_for_conception_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
251 [fever_anc_vst_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
252 [other_anc_vst_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
253 [specify_other_anc_vst_3]
Show the field ONLY if:
[other_anc_vst_3]='1'
Specify other text
Custom alignment: RH
254 [ht_checked_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Height checked for ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
255 [wt_checked_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Weight checked for ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
256 [bp_checked_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Blood Pressure checked for ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
257 [checked_pulse_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
258 [checkd_respiration_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
259 [checked_for_swelling_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
260 [checked_for_jaundice_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
261 [checked_fetal_lie_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
262 [rcord_of_fetal_lie_anc_3]
Show the field ONLY if:
[checked_fetal_lie_anc_3]='1'
Record of fetal lie in ANC visit 3 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
263 [checked_fetal_position_anc_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
264 [checkd_pallor_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked for Pallor at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
265 [oedema_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Checked for Pedal Oedema at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
266 [breasts_examined_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Breasts Examined at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
267 [prob_breasts_examined_a3]
Show the field ONLY if:
[breasts_examined_a3] = '1'
Any specific problems observed during breast examination at the 3rd ANC visit? checkbox
1prob_breasts_examined_a3___1Inverted Nipple
2prob_breasts_examined_a3___2Flat Nipple
3prob_breasts_examined_a3___3Dry Skin

Custom alignment: RH
268 [rcrd_symp_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Record symphysis fundal height (SFH) at the 3rd ANC visit yesno
1Yes
0No

Custom alignment: RH
269 [rcrd_fhr_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Record FHR [>22wks] at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
270 [hemo_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Hemoglobin at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
271 [rndm_bld_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Random blood sugar at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
272 [vdrl_3]
Show the field ONLY if:
[anc_visit_3] = '1'
VDRL/ Syphilis at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
273 [hiv_3]
Show the field ONLY if:
[anc_visit_3] = '1'
HIV at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
274 [hbsag_3]
Show the field ONLY if:
[anc_visit_3] = '1'
HBsAG at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
275 [malaria_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Malaria test at ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
276 [cbc_done_at_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
CBC done at ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
277 [tft_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Thyroid profile at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
278 [bld_rh_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Blood group and Rh at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
279 [gtt_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Glucose Tolerance Test (GTT) at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
280 [oth_3]
Show the field ONLY if:
[anc_visit_3] = '1'
Any other test at 3rd Visit yesno
1Yes
0No

Custom alignment: RH
281 [aobt_results_a3]
Show the field ONLY if:
[oth_3] = '1'
Record any other test results at the 3rd ANC visit, if available text
Custom alignment: RH
282 [urine_albumin_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Urine Albumin test done at 3rd ANC visit? yesno
1Yes
0No

Custom alignment: RH
283 [urine_albumin_results_a3]
Show the field ONLY if:
[urine_albumin_a3] = '1'
Record Urine Albumin test results at 3rd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
284 [urine_sugar_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Urine Sugar test done at 3rd ANC visit? yesno
1Yes
0No

Custom alignment: RH
285 [urine_sugar_test_results_a3]
Show the field ONLY if:
[urine_sugar_a3] = '1'
Record urine sugar test results at 3rd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
286 [urine_micro_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Urine Microscopy test done at 3rd ANC visit? yesno
1Yes
0No

Custom alignment: RH
287 [urine_microscopy_results_a3]
Show the field ONLY if:
[urine_micro_a3] = '1'
Record urine microscopy results at 3rd ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
288 [usg_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Did ultrasonography on the 3rd ANC visit? yesno
1Yes
0No

Custom alignment: RH
289 [usgda_a3]
Show the field ONLY if:
[usg_a3] = '1'
Date of ultrasonography at 3rd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
290 [reason_usg_anc_3]
Show the field ONLY if:
[usg_a3] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
291 [result_of_usg_3]
Show the field ONLY if:
[usg_a3] = '1'
Finding of ultrasonography at ANC visit 3 text
Custom alignment: RH
292 [where_done_usg_a3]
Show the field ONLY if:
[usg_a3] = '1'
Where was it done at 3rd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
293 [nst_ctg_done_anc_visit_3]
Show the field ONLY if:
[anc_visit_3] = '1'
NST / CTG done ANC visit 3 yesno
1Yes
0No

Custom alignment: RH
294 [date_nst_ctg_anc_3]
Show the field ONLY if:
[nst_ctg_done_anc_visit_3]='1'
Date NST / CTG done ANC visit 3 text (date_dmy)
Custom alignment: RH
295 [reson_nst_anc_3]
Show the field ONLY if:
[nst_ctg_done_anc_visit_3]='1'
Reason for NST/CTG ? text
Custom alignment: RH
296 [result_of_nst_anc_3]
Show the field ONLY if:
[nst_ctg_done_anc_visit_3]='1'
Finding of NST/CTG at ANC visit 3 text
Custom alignment: RH
297 [where_done_nst_3]
Show the field ONLY if:
[nst_ctg_done_anc_visit_3]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
298 [doppler_done_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Doppler done on 3rd ANC visit ? yesno
1Yes
0No

Custom alignment: RH
299 [doppler_date_a3]
Show the field ONLY if:
[doppler_done_a3] = '1'
Date of Doppler at 3rd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
300 [reason_for_doppler_anc_3]
Show the field ONLY if:
[doppler_done_a3] = '1'
Reason for Doppler text
Custom alignment: RH
301 [where_done_doppler_a3]
Show the field ONLY if:
[doppler_done_a3] = '1'
Where was the Doppler done at 3rd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
302 [doppler_findings_a3]
Show the field ONLY if:
[doppler_done_a3] = '1'
Findings of Doppler at 3rd ANC visit

 text
Custom alignment: RH
303 [any_oth_radiological_tests_a3]
Show the field ONLY if:
[anc_visit_3] = '1'
Any other Radiological tests done in the 3rd ANC visit? yesno
1Yes
0No

Custom alignment: RH
304 [oth_investigation_test_name_a3]
Show the field ONLY if:
[usg_a3] = '1'
Name of any other radiological test done at the 3rd ANC visit text
Custom alignment: RH
305 [oth_investigation_test_date_a3]
Show the field ONLY if:
[usg_a3] = '1'
Date of the Radiological test at the 3rd ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
306 [reason_for_otr_radio_exa_anc_3]
Show the field ONLY if:
[usg_a3] = '1'
Reason for other radiological examination text
Custom alignment: RH
307 [where_done_oth_investigation_a3]
Show the field ONLY if:
[usg_a3] = '1'
Where was the Radiological test done at the 3rd ANC visit? dropdown
1Public
2Private

Custom alignment: RH
308 [oth_investigation_findings_a3]
Show the field ONLY if:
[usg_a3] = '1'
Findings of the Radiological test at the 3rd ANC visit text
Custom alignment: RH
309 [anc_visit_4]
Show the field ONLY if:
[yes_howmny_anc]>=4
4th ANC visit yesno
1Yes
0No

Custom alignment: RH
310 [date_anc_visits_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Date of 4th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
311 [gestational_ages_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Gestational age at 4th ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
312 [months_amenorrhea_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Months of amenorrhea at 4th ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
313 [place_of_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
314 [seen_by_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Seen by checkbox
1seen_by_4___1Doctor
2seen_by_4___2Nurse
3seen_by_4___3ANM

Custom alignment: RH
315 [vomiting_anc_vst_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
316 [increased_frequency_burning_while_passng_urin_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
317 [breathlessness_tirednes_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
318 [headache_blurred_vision_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
319 [jaundice_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
320 [abdominal_pain_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
321 [bleeding_per_vagina_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
322 [leaking_per_vagina_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
323 [abnrmal_vaginal_discharg_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
324 [treatment_for_conception_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
325 [fever_anc_vst_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
326 [other_anc_vst_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
327 [specify_other_anc_vst_4]
Show the field ONLY if:
[other_anc_vst_4]='1'
Specify other text
Custom alignment: RH
328 [ht_checked_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Height checked for ANC visit 4th yesno
1Yes
0No

Custom alignment: RH
329 [wt_checked_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Weight checked for ANC visit 4th yesno
1Yes
0No

Custom alignment: RH
330 [bp_checked_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Blood Pressure checked for ANC visit 4th yesno
1Yes
0No

Custom alignment: RH
331 [checked_pulse_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
332 [checkd_respiration_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
333 [checked_for_swelling_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
334 [checked_for_jaundice_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
335 [checked_fetal_lie_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
336 [rcord_of_fetal_lie_anc_4]
Show the field ONLY if:
[checked_fetal_lie_anc_4]='1'
Record of fetal lie in ANC visit 4 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
337 [checked_fetal_position_anc_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
338 [checkd_pallor_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked for Pallor at 4th Visit yesno
1Yes
0No

Custom alignment: RH
339 [oedema_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Checked for Pedal Oedema at 4th Visit yesno
1Yes
0No

Custom alignment: RH
340 [breasts_examined_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Breasts Examined at 4th Visit yesno
1Yes
0No

Custom alignment: RH
341 [prob_breasts_examined_a4]
Show the field ONLY if:
[breasts_examined_a4] = '1'
Any specific problems observed during breast examination at the 4th ANC visit? checkbox
1prob_breasts_examined_a4___1Inverted Nipple
2prob_breasts_examined_a4___2Flat Nipple
3prob_breasts_examined_a4___3Dry Skin

Custom alignment: RH
342 [rcrd_symp_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Record symphysis fundal height (SFH) at the 4th ANC visit yesno
1Yes
0No

Custom alignment: RH
343 [rcrd_fhr_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Record FHR [>22wks] at 4th Visit yesno
1Yes
0No

Custom alignment: RH
344 [hemo_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Hemoglobin at 4th Visit yesno
1Yes
0No

Custom alignment: RH
345 [rndm_bld_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Random blood sugar at 4th Visit yesno
1Yes
0No

Custom alignment: RH
346 [vdrl_4]
Show the field ONLY if:
[anc_visit_4] = '1'
VDRL/ Syphilis at 4th Visit yesno
1Yes
0No

Custom alignment: RH
347 [hiv_4]
Show the field ONLY if:
[anc_visit_4] = '1'
HIV at 4th Visit yesno
1Yes
0No

Custom alignment: RH
348 [hbsag_4]
Show the field ONLY if:
[anc_visit_4] = '1'
HBsAG at 4th Visit yesno
1Yes
0No

Custom alignment: RH
349 [malaria_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Malaria test at ANC visit 4 yesno
1Yes
0No

Custom alignment: RH
350 [cbc_done_at_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
CBC done at ANC visit 4 yesno
1Yes
0No

Custom alignment: RH
351 [tft_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Thyroid profile at 4th Visit yesno
1Yes
0No

Custom alignment: RH
352 [bld_rh_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Blood group and Rh at 4th Visit yesno
1Yes
0No

Custom alignment: RH
353 [gtt_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Glucose Tolerance Test (GTT) at 4thVisit yesno
1Yes
0No

Custom alignment: RH
354 [oth_4]
Show the field ONLY if:
[anc_visit_4] = '1'
Any other test at 4th Visit yesno
1Yes
0No

Custom alignment: RH
355 [aobt_results_a4]
Show the field ONLY if:
[oth_4] = '1'
Record any other test results at the 4th ANC visit, if available text
Custom alignment: RH
356 [urine_albumin_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Urine Albumin test done at 4th ANC visit? yesno
1Yes
0No

Custom alignment: RH
357 [urine_albumin_results_a4]
Show the field ONLY if:
[urine_albumin_a4] = '1'
Record Urine Albumin test results at 4th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
358 [urine_sugar_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Urine Sugar test done at 4th ANC visit? yesno
1Yes
0No

Custom alignment: RH
359 [urine_sugar_test_results_a4]
Show the field ONLY if:
[urine_sugar_a4] = '1'
Record urine sugar test results at 4th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
360 [urine_micro_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Urine Microscopy test done at 4th ANC visit? yesno
1Yes
0No

Custom alignment: RH
361 [urine_microscopy_results_a4]
Show the field ONLY if:
[urine_micro_a4] = '1'
Record urine microscopy results at 4th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
362 [usg_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Did ultrasonography on the 4th ANC visit? yesno
1Yes
0No

Custom alignment: RH
363 [usgda_a4]
Show the field ONLY if:
[usg_a4] = '1'
Date of ultrasonography at 4th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
364 [reason_usg_anc_4]
Show the field ONLY if:
[usg_a4] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
365 [result_of_usg_4]
Show the field ONLY if:
[usg_a4] = '1'
Finding of ultrasonography done at ANC visit 4 text
Custom alignment: RH
366 [where_done_usg_a4]
Show the field ONLY if:
[usg_a4] = '1'
Where was it done at 4th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
367 [nst_ctg_done_anc_visit_4]
Show the field ONLY if:
[anc_visit_4] = '1'
NST / CTG done ANC visit 4 yesno
1Yes
0No

Custom alignment: RH
368 [date_nst_ctg_anc_4]
Show the field ONLY if:
[nst_ctg_done_anc_visit_4]="1"
Date NST / CTG done ANC visit 4 text (date_dmy)
Custom alignment: RH
369 [reson_nst_anc_4]
Show the field ONLY if:
[nst_ctg_done_anc_visit_4]="1"
Reason for NST/CTG ? text
Custom alignment: RH
370 [result_of_nst_anc_4]
Show the field ONLY if:
[nst_ctg_done_anc_visit_4]="1"
Finding of NST/CTG at ANC visit 4 text
Custom alignment: RH
371 [where_done_nst_4]
Show the field ONLY if:
[nst_ctg_done_anc_visit_4]="1"
Where it is done dropdown
1Public
2Private

Custom alignment: RH
372 [doppler_done_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Doppler done on 4th ANC visit ? yesno
1Yes
0No

Custom alignment: RH
373 [doppler_date_a4]
Show the field ONLY if:
[doppler_done_a4] = '1'
Date of Doppler at 4th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
374 [reason_for_doppler_anc_4]
Show the field ONLY if:
[doppler_done_a4] = '1'
Reason for Doppler text
Custom alignment: RH
375 [where_done_doppler_a4]
Show the field ONLY if:
[doppler_done_a4] = '1'
Where was the Doppler done at 4th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
376 [doppler_findings_a4]
Show the field ONLY if:
[doppler_done_a4] = '1'
Findings of Doppler at 4th ANC visit

 text
Custom alignment: RH
377 [any_oth_radiological_tests_a4]
Show the field ONLY if:
[anc_visit_4] = '1'
Any other Radiological tests done in the 4th ANC visit? yesno
1Yes
0No

Custom alignment: RH
378 [oth_investigation_test_name_a4]
Show the field ONLY if:
[usg_a4] = '1'
Name of any other radiological test done at the 4th ANC visit text
Custom alignment: RH
379 [oth_investigation_test_date_a4]
Show the field ONLY if:
[usg_a4] = '1'
Date of the Radiological test at the 4th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
380 [reason_for_otr_radio_exa_anc_4]
Show the field ONLY if:
[usg_a4] = '1'
Reason for other radiological examination text
Custom alignment: RH
381 [where_done_oth_investigation_a4]
Show the field ONLY if:
[usg_a4] = '1'
Where was the Radiological test done at the 4th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
382 [oth_investigation_findings_a4]
Show the field ONLY if:
[usg_a4] = '1'
Findings of the Radiological test at the 4th ANC visit text
Custom alignment: RH
383 [anc_visit_5]
Show the field ONLY if:
[yes_howmny_anc] >=5
5th ANC visit yesno
1Yes
0No

Custom alignment: RH
384 [date_anc_visits_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Date of 5th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
385 [gestational_ages_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Gestational age at 5th ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
386 [months_amenorrhea_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Months of amenorrhea at 5th ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
387 [place_of_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
388 [seen_by_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Seen by checkbox
1seen_by_5___1Doctor
2seen_by_5___2Nurse
3seen_by_5___3ANM

Custom alignment: RH
389 [vomiting_anc_vst_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
390 [increased_frequency_burning_while_passng_urin_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
391 [breathlessness_tirednes_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
392 [headache_blurred_vision_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
393 [jaundice_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
394 [abdominal_pain_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
395 [bleeding_per_vagina_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
396 [leaking_per_vagina_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
397 [abnrmal_vaginal_discharg_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
398 [treatment_for_conception_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
399 [fever_anc_vst_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
400 [other_anc_vst_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
401 [specify_other_anc_vst_5]
Show the field ONLY if:
[other_anc_vst_5]='1'
Specify other text
Custom alignment: RH
402 [ht_checked_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Height checked for ANC visit 5th yesno
1Yes
0No

Custom alignment: RH
403 [wt_checked_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Weight checked for ANC visit 5th yesno
1Yes
0No

Custom alignment: RH
404 [bp_checked_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Blood Pressure checked for ANC visit 5th yesno
1Yes
0No

Custom alignment: RH
405 [checked_pulse_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
406 [checkd_respiration_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
407 [checked_for_swelling_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
408 [checked_for_jaundice_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
409 [checked_fetal_lie_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
410 [rcord_of_fetal_lie_anc_5]
Show the field ONLY if:
[checked_fetal_lie_anc_5]='1'
Record of fetal lie in ANC visit 5 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
411 [checked_fetal_position_anc_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
412 [checkd_pallor_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked for Pallor at 5th Visit yesno
1Yes
0No

Custom alignment: RH
413 [oedema_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Checked for Pedal Oedema at 5th Visit yesno
1Yes
0No

Custom alignment: RH
414 [breasts_examined_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Breasts Examined at 5th Visit yesno
1Yes
0No

Custom alignment: RH
415 [prob_breasts_examined_a5]
Show the field ONLY if:
[breasts_examined_a5] = '1'
Any specific problems observed during breast examination at the 5th ANC visit? checkbox
1prob_breasts_examined_a5___1Inverted Nipple
2prob_breasts_examined_a5___2Flat Nipple
3prob_breasts_examined_a5___3Dry Skin

Custom alignment: RH
416 [rcrd_symp_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Record symphysis fundal height (SFH) at the 5th ANC visit yesno
1Yes
0No

Custom alignment: RH
417 [rcrd_fhr_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Record FHR [>22wks] at 5th Visit yesno
1Yes
0No

Custom alignment: RH
418 [hemo_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Hemoglobin at 5th Visit yesno
1Yes
0No

Custom alignment: RH
419 [rndm_bld_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Random blood sugar at 5th Visit yesno
1Yes
0No

Custom alignment: RH
420 [vdrl_5]
Show the field ONLY if:
[anc_visit_5] = '1'
VDRL/ Syphilis at 5th Visit yesno
1Yes
0No

Custom alignment: RH
421 [hiv_5]
Show the field ONLY if:
[anc_visit_5] = '1'
HIV at 5th Visit yesno
1Yes
0No

Custom alignment: RH
422 [hbsag_5]
Show the field ONLY if:
[anc_visit_5] = '1'
HBsAG at 5th Visit yesno
1Yes
0No

Custom alignment: RH
423 [malaria_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Malaria test at ANC visit 5 yesno
1Yes
0No

Custom alignment: RH
424 [cbc_done_at_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
CBC done at ANC visit 5 yesno
1Yes
0No

Custom alignment: RH
425 [tft_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Thyroid profile at 5th Visit yesno
1Yes
0No

Custom alignment: RH
426 [bld_rh_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Blood group and Rh at 5th Visit yesno
1Yes
0No

Custom alignment: RH
427 [gtt_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Glucose Tolerance Test (GTT) at 5th Visit yesno
1Yes
0No

Custom alignment: RH
428 [oth_5]
Show the field ONLY if:
[anc_visit_5] = '1'
Any other test at 5th Visit yesno
1Yes
0No

Custom alignment: RH
429 [aobt_results_a5]
Show the field ONLY if:
[oth_5] = '1'
Record any other test results at the 5th ANC visit, if available text
Custom alignment: RH
430 [urine_albumin_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Urine Albumin test done at 5th ANC visit? yesno
1Yes
0No

Custom alignment: RH
431 [urine_albumin_results_a5]
Show the field ONLY if:
[urine_albumin_a5] = '1'
Record Urine Albumin test results at 5th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
432 [urine_sugar_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Urine Sugar test done at 5th ANC visit? yesno
1Yes
0No

Custom alignment: RH
433 [urine_sugar_test_results_a5]
Show the field ONLY if:
[urine_sugar_a5] = '1'
Record urine sugar test results at 5th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
434 [urine_micro_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Urine Microscopy test done at 5th ANC visit? yesno
1Yes
0No

Custom alignment: RH
435 [urine_microscopy_results_a5]
Show the field ONLY if:
[urine_micro_a5] = '1'
Record urine microscopy results at 5th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
436 [usg_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Did ultrasonography on the 5th ANC visit? yesno
1Yes
0No

Custom alignment: RH
437 [usgda_a5]
Show the field ONLY if:
[usg_a5] = '1'
Date of ultrasonography at 5th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
438 [reason_usg_anc_5]
Show the field ONLY if:
[usg_a5] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
439 [result_of_usg_5]
Show the field ONLY if:
[usg_a2] = '1'
Finding of ultrasonography done at ANC visit 5 text
Custom alignment: RH
440 [where_done_usg_a5]
Show the field ONLY if:
[usg_a5] = '1'
Where was it done at 5th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
441 [nst_ctg_done_anc_visit_5]
Show the field ONLY if:
[anc_visit_5] = '1'
NST / CTG done ANC visit 5 yesno
1Yes
0No

Custom alignment: RH
442 [date_nst_ctg_anc_5]
Show the field ONLY if:
[nst_ctg_done_anc_visit_5]='1'
Date NST / CTG done ANC visit 5 text (date_dmy)
Custom alignment: RH
443 [reson_nst_anc_5]
Show the field ONLY if:
[nst_ctg_done_anc_visit_5]='1'
Reason for NST/CTG ? text
Custom alignment: RH
444 [result_of_nst_anc_5]
Show the field ONLY if:
[nst_ctg_done_anc_visit_5]='1'
Finding of NST/CTG done at ANC visit 5 text
Custom alignment: RH
445 [where_done_nst_5]
Show the field ONLY if:
[nst_ctg_done_anc_visit_5]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
446 [doppler_done_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Doppler done on 5th ANC visit ? yesno
1Yes
0No

Custom alignment: RH
447 [doppler_date_a5]
Show the field ONLY if:
[doppler_done_a5] = '1'
Date of Doppler at 5th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
448 [reason_for_doppler_anc_5]
Show the field ONLY if:
[doppler_done_a5] = '1'
Reason for Doppler text
Custom alignment: RH
449 [where_done_doppler_a5]
Show the field ONLY if:
[doppler_done_a5] = '1'
Where was the Doppler done at 5th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
450 [doppler_findings_a5]
Show the field ONLY if:
[doppler_done_a5] = '1'
Findings of Doppler at 5th ANC visit

 text
Custom alignment: RH
451 [any_oth_radiological_tests_a5]
Show the field ONLY if:
[anc_visit_5] = '1'
Any other Radiological tests done in the 5th ANC visit? yesno
1Yes
0No

Custom alignment: RH
452 [oth_investigation_test_name_a5]
Show the field ONLY if:
[usg_a5] = '1'
Name of any other radiological test done at the 5th ANC visit text
Custom alignment: RH
453 [oth_investigation_test_date_a5]
Show the field ONLY if:
[usg_a5] = '1'
Date of the Radiological test at the 5th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
454 [reason_for_otr_radio_exa_anc_5]
Show the field ONLY if:
[usg_a5] = '1'
Reason for other radiological examination text
Custom alignment: RH
455 [where_done_oth_investigation_a5]
Show the field ONLY if:
[usg_a5] = '1'
Where was the Radiological test done at the 5th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
456 [oth_investigation_findings_a5]
Show the field ONLY if:
[usg_a5] = '1'
Findings of the Radiological test at the 5th ANC visit text
Custom alignment: RH
457 [anc_visit_6]
Show the field ONLY if:
[yes_howmny_anc] >=6
6th ANC visit yesno
1Yes
0No

Custom alignment: RH
458 [date_anc_visits_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Date of 6th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
459 [gestational_ages_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Gestational age at 6th ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
460 [months_amenorrhea_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Months of amenorrhea at 6th ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
461 [place_of_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
462 [seen_by_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Seen by checkbox
1seen_by_6___1Doctor
2seen_by_6___2Nurse
3seen_by_6___3ANM

Custom alignment: RH
463 [vomiting_anc_vst_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
464 [increased_frequency_burning_while_passng_urin_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
465 [breathlessness_tirednes_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
466 [headache_blurred_vision_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
467 [jaundice_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
468 [abdominal_pain_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
469 [bleeding_per_vagina_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
470 [leaking_per_vagina_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
471 [abnrmal_vaginal_discharg_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
472 [treatment_for_conception_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
473 [fever_anc_vst_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
474 [other_anc_vst_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
475 [specify_other_anc_vst_6]
Show the field ONLY if:
[other_anc_vst_6] = '1'
Specify other text
Custom alignment: RH
476 [ht_checked_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Height checked for ANC visit 6th yesno
1Yes
0No

Custom alignment: RH
477 [wt_checked_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Weight checked for ANC visit 6th yesno
1Yes
0No

Custom alignment: RH
478 [bp_checked_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Blood Pressure checked for ANC visit 6th yesno
1Yes
0No

Custom alignment: RH
479 [checked_pulse_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
480 [checkd_respiration_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
481 [checked_for_swelling_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
482 [checked_for_jaundice_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
483 [checked_fetal_lie_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
484 [rcord_of_fetal_lie_anc_6]
Show the field ONLY if:
[checked_fetal_lie_anc_6]='1'
Record of fetal lie in ANC visit 6 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
485 [checked_fetal_position_anc_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
486 [checkd_pallor_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked for Pallor at 6th Visit yesno
1Yes
0No

Custom alignment: RH
487 [oedema_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Checked for Pedal Oedema at 6th Visit yesno
1Yes
0No

Custom alignment: RH
488 [breasts_examined_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Breasts Examined at 6th Visit yesno
1Yes
0No

Custom alignment: RH
489 [prob_breasts_examined_a6]
Show the field ONLY if:
[breasts_examined_a6] = '1'
Any specific problems observed during breast examination at the 6th ANC visit? checkbox
1prob_breasts_examined_a6___1Inverted Nipple
2prob_breasts_examined_a6___2Flat Nipple
3prob_breasts_examined_a6___3Dry Skin

Custom alignment: RH
490 [rcrd_symp_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Record symphysis fundal height (SFH) at the 6th ANC visit yesno
1Yes
0No

Custom alignment: RH
491 [rcrd_fhr_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Record FHR [>22wks] at 6th Visit yesno
1Yes
0No

Custom alignment: RH
492 [hemo_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Hemoglobin at 6th Visit yesno
1Yes
0No

Custom alignment: RH
493 [rndm_bld_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Random blood sugar at 6th Visit yesno
1Yes
0No

Custom alignment: RH
494 [vdrl_6]
Show the field ONLY if:
[anc_visit_6] = '1'
VDRL/ Syphilis at 6th Visit yesno
1Yes
0No

Custom alignment: RH
495 [hiv_6]
Show the field ONLY if:
[anc_visit_6] = '1'
HIV at 6th Visit yesno
1Yes
0No

Custom alignment: RH
496 [hbsag_6]
Show the field ONLY if:
[anc_visit_6] = '1'
HBsAG at 6th Visit yesno
1Yes
0No

Custom alignment: RH
497 [malaria_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Malaria test at ANC visit 6 yesno
1Yes
0No

Custom alignment: RH
498 [cbc_done_at_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
CBC done at ANC visit 6 yesno
1Yes
0No

Custom alignment: RH
499 [tft_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Thyroid profile at 6th Visit yesno
1Yes
0No

Custom alignment: RH
500 [bld_rh_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Blood group and Rh at 6th Visit yesno
1Yes
0No

Custom alignment: RH
501 [gtt_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Glucose Tolerance Test (GTT) at 6th Visit yesno
1Yes
0No

Custom alignment: RH
502 [oth_6]
Show the field ONLY if:
[anc_visit_6] = '1'
Any other test at 6th Visit yesno
1Yes
0No

Custom alignment: RH
503 [aobt_results_a7]
Show the field ONLY if:
[oth_6] = '1'
Record any other test results at the 6th ANC visit, if available text
Custom alignment: RH
504 [urine_albumin_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Urine Albumin test done at 6th ANC visit? yesno
1Yes
0No

Custom alignment: RH
505 [urine_albumin_results_a6]
Show the field ONLY if:
[urine_albumin_a6] = '1'
Record Urine Albumin test results at 6th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
506 [urine_sugar_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Urine Sugar test done at 6th ANC visit? yesno
1Yes
0No

Custom alignment: RH
507 [urine_sugar_test_results_a6]
Show the field ONLY if:
[urine_sugar_a6] = '1'
Record urine sugar test results at 6th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
508 [urine_micro_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Urine Microscopy test done at 6th ANC visit? yesno
1Yes
0No

Custom alignment: RH
509 [urine_microscopy_results_a6]
Show the field ONLY if:
[urine_micro_a6] = '1'
Record urine microscopy results at 6th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
510 [usg_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Did ultrasonography on the 6th ANC visit? yesno
1Yes
0No

Custom alignment: RH
511 [usgda_a6]
Show the field ONLY if:
[usg_a6] = '1'
Date of ultrasonography at 6th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
512 [reason_usg_anc_6]
Show the field ONLY if:
[usg_a6] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
513 [result_of_usg_6]
Show the field ONLY if:
[usg_a6] = '1'
Findings of ultrasonography done at ANC visit 6 text
Custom alignment: RH
514 [where_done_usg_a6]
Show the field ONLY if:
[usg_a6] = '1'
Where was it done at 6th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
515 [nst_ctg_done_anc_visit_6]
Show the field ONLY if:
[anc_visit_6] = '1'
NST / CTG done ANC visit 6 yesno
1Yes
0No

Custom alignment: RH
516 [date_nst_ctg_anc_6]
Show the field ONLY if:
[nst_ctg_done_anc_visit_6]='1'
Date NST / CTG done ANC visit 6 text (date_dmy)
Custom alignment: RH
517 [reson_nst_anc_6]
Show the field ONLY if:
[nst_ctg_done_anc_visit_6]='1'
Reason for NST/CTG ? text
Custom alignment: RH
518 [result_of_nst_anc_6]
Show the field ONLY if:
[nst_ctg_done_anc_visit_6]='1'
Finding of NST/CTG done at ANC visit 6 text
Custom alignment: RH
519 [where_done_nst_6]
Show the field ONLY if:
[nst_ctg_done_anc_visit_6]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
520 [doppler_done_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Doppler done on 6th ANC visit ? yesno
1Yes
0No

Custom alignment: RH
521 [doppler_date_a6]
Show the field ONLY if:
[doppler_done_a6] = '1'
Date of Doppler at 6th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
522 [reason_for_doppler_anc_6]
Show the field ONLY if:
[doppler_done_a6] = '1'
Reason for Doppler text
Custom alignment: RH
523 [where_done_doppler_a6]
Show the field ONLY if:
[doppler_done_a6] = '1'
Where was the Doppler done at 6th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
524 [doppler_findings_a6]
Show the field ONLY if:
[doppler_done_a6] = '1'
Findings of Doppler at 6th ANC visit

 text
Custom alignment: RH
525 [any_oth_radiological_tests_a6]
Show the field ONLY if:
[anc_visit_6] = '1'
Any other Radiological tests done in the 6th ANC visit? yesno
1Yes
0No

Custom alignment: RH
526 [oth_investigation_test_name_a6]
Show the field ONLY if:
[any_oth_radiological_tests_a6] = '1'
Name of any other radiological test done at the 6th ANC visit text
Custom alignment: RH
527 [oth_investigation_test_date_a6]
Show the field ONLY if:
[any_oth_radiological_tests_a6] = '1'
Date of the Radiological test at the 6th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
528 [reason_for_otr_radio_exa_anc_6]
Show the field ONLY if:
[any_oth_radiological_tests_a6] = '1'
Reason for other radiological examination text
Custom alignment: RH
529 [where_done_oth_investigation_a6]
Show the field ONLY if:
[any_oth_radiological_tests_a6] = '1'
Where was the Radiological test done at the 6th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
530 [oth_investigation_findings_a6]
Show the field ONLY if:
[any_oth_radiological_tests_a6] = '1'
Findings of the Radiological test at the 6th ANC visit text
Custom alignment: RH
531 [anc_visit_7]
Show the field ONLY if:
[yes_howmny_anc] >=7
7th ANC visit yesno
1Yes
0No

Custom alignment: RH
532 [date_anc_visits_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Date of 7th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
533 [gestational_ages_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Gestational age at 7th ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
534 [months_amenorrhea_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Months of amenorrhea at 7th ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
535 [place_of_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
536 [seen_by_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Seen by checkbox
1seen_by_7___1Doctor
2seen_by_7___2Nurse
3seen_by_7___3ANM

Custom alignment: RH
537 [vomiting_anc_vst_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
538 [increased_frequency_burning_while_passng_urin_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
539 [breathlessness_tirednes_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
540 [headache_blurred_vision_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
541 [jaundice_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
542 [abdominal_pain_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
543 [bleeding_per_vagina_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
544 [leaking_per_vagina_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
545 [abnrmal_vaginal_discharg_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
546 [treatment_for_conception_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
547 [fever_anc_vst_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
548 [other_anc_vst_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
549 [specify_other_anc_vst_7]
Show the field ONLY if:
[other_anc_vst_7]='1'
Specify other text
Custom alignment: RH
550 [ht_checked_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Height checked for ANC visit 7th yesno
1Yes
0No

Custom alignment: RH
551 [wt_checked_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Weight checked for ANC visit 7th yesno
1Yes
0No

Custom alignment: RH
552 [bp_checked_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Blood Pressure checked for ANC visit 7th yesno
1Yes
0No

Custom alignment: RH
553 [checked_pulse_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
554 [checkd_respiration_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
555 [checked_for_swelling_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
556 [checked_for_jaundice_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
557 [checked_fetal_lie_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
558 [rcord_of_fetal_lie_anc_7]
Show the field ONLY if:
[checked_fetal_lie_anc_7]='1'
Record of fetal lie in ANC visit 7 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
559 [checked_fetal_position_anc_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
560 [checkd_pallor_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked for Pallor at 7th Visit yesno
1Yes
0No

Custom alignment: RH
561 [oedema_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Checked for Pedal Oedema at 7th Visit yesno
1Yes
0No

Custom alignment: RH
562 [breasts_examined_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Breasts Examined at 7th Visit yesno
1Yes
0No

Custom alignment: RH
563 [prob_breasts_examined_a7]
Show the field ONLY if:
[breasts_examined_a7] = '1'
Any specific problems observed during breast examination at the 7th ANC visit? checkbox
1prob_breasts_examined_a7___1Inverted Nipple
2prob_breasts_examined_a7___2Flat Nipple
3prob_breasts_examined_a7___3Dry Skin

Custom alignment: RH
564 [rcrd_symp_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Record symphysis fundal height (SFH) at the 7th ANC visit yesno
1Yes
0No

Custom alignment: RH
565 [rcrd_fhr_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Record FHR [>22wks] at 7th Visit yesno
1Yes
0No

Custom alignment: RH
566 [hemo_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Hemoglobin at 7th Visit yesno
1Yes
0No

Custom alignment: RH
567 [rndm_bld_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Random blood sugar at 7th Visit yesno
1Yes
0No

Custom alignment: RH
568 [vdrl_7]
Show the field ONLY if:
[anc_visit_7] = '1'
VDRL/ Syphilis at 7th Visit yesno
1Yes
0No

Custom alignment: RH
569 [hiv_7]
Show the field ONLY if:
[anc_visit_7] = '1'
HIV at 7th Visit yesno
1Yes
0No

Custom alignment: RH
570 [hbsag_7]
Show the field ONLY if:
[anc_visit_7] = '1'
HBsAG at 7th Visit yesno
1Yes
0No

Custom alignment: RH
571 [malaria_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Malaria test at ANC visit 7 yesno
1Yes
0No

Custom alignment: RH
572 [cbc_done_at_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
CBC done at ANC visit 7 yesno
1Yes
0No

Custom alignment: RH
573 [tft_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Thyroid profile at 7th Visit yesno
1Yes
0No

Custom alignment: RH
574 [bld_rh_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Blood group and Rh at 7th Visit yesno
1Yes
0No

Custom alignment: RH
575 [gtt_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Glucose Tolerance Test (GTT) at 7th Visit yesno
1Yes
0No

Custom alignment: RH
576 [oth_7]
Show the field ONLY if:
[anc_visit_7] = '1'
Any other test at 7th Visit yesno
1Yes
0No

Custom alignment: RH
577 [aobt_results_a6]
Show the field ONLY if:
[oth_7] = '1'
Record any other test results at the 6th ANC visit, if available text
Custom alignment: RH
578 [urine_albumin_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Urine Albumin test done at 7th ANC visit? yesno
1Yes
0No

Custom alignment: RH
579 [urine_albumin_results_a7]
Show the field ONLY if:
[urine_albumin_a7] = '1'
Record Urine Albumin test results at 7th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
580 [urine_sugar_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Urine Sugar test done at 7th ANC visit? yesno
1Yes
0No

Custom alignment: RH
581 [urine_sugar_test_results_a7]
Show the field ONLY if:
[urine_sugar_a7] = '1'
Record urine sugar test results at 7th ANC visit, if available dropdown
1Normal
2Abnormal

Custom alignment: RH
582 [urine_micro_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Urine Microscopy test done at 7th ANC visit? yesno
1Yes
0No

Custom alignment: RH
583 [urine_microscopy_results_a7]
Show the field ONLY if:
[urine_micro_a7] = '1'
Record urine microscopy results at 7th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
584 [usg_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Did ultrasonography on the 7th ANC visit? yesno
1Yes
0No

Custom alignment: RH
585 [usgda_a7]
Show the field ONLY if:
[usg_a7] = '1'
Date of ultrasonography at 7th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
586 [reason_usg_anc_7]
Show the field ONLY if:
[usg_a7] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
587 [result_of_usg_7]
Show the field ONLY if:
[usg_a7] = '1'
Findings of ultrasonography done at ANC visit 7 text
Custom alignment: RH
588 [where_done_usg_a7]
Show the field ONLY if:
[usg_a7] = '1'
Where was it done at 7th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
589 [nst_ctg_done_anc_visit_7]
Show the field ONLY if:
[anc_visit_7] = '1'
NST / CTG done ANC visit 7 yesno
1Yes
0No

Custom alignment: RH
590 [date_nst_ctg_anc_7]
Show the field ONLY if:
[nst_ctg_done_anc_visit_7]='1'
Date NST / CTG done ANC visit 7 text (date_dmy)
Custom alignment: RH
591 [reson_nst_anc_7]
Show the field ONLY if:
[nst_ctg_done_anc_visit_7]='1'
Reason for NST/CTG ? text
Custom alignment: RH
592 [result_of_nst_anc_7]
Show the field ONLY if:
[nst_ctg_done_anc_visit_7]='1'
Findings of NST/CTG done at ANC visit 7 text
Custom alignment: RH
593 [where_done_nst_7]
Show the field ONLY if:
[nst_ctg_done_anc_visit_7]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
594 [doppler_done_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Doppler done on 7th ANC visit ? yesno
1Yes
0No

Custom alignment: RH
595 [doppler_date_a7]
Show the field ONLY if:
[doppler_done_a7] = '1'
Date of Doppler at 7th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
596 [reason_for_doppler_anc_7]
Show the field ONLY if:
[doppler_done_a7] = '1'
Reason for Doppler text
Custom alignment: RH
597 [where_done_doppler_a7]
Show the field ONLY if:
[doppler_done_a7] = '1'
Where was the Doppler done at 7th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
598 [doppler_findings_a7]
Show the field ONLY if:
[doppler_done_a7] = '1'
Findings of Doppler at 7th ANC visit

 text
Custom alignment: RH
599 [any_oth_radiological_tests_a7]
Show the field ONLY if:
[anc_visit_7] = '1'
Any other Radiological tests done in the 7th ANC visit? yesno
1Yes
0No

Custom alignment: RH
600 [oth_investigation_test_name_a7]
Show the field ONLY if:
[any_oth_radiological_tests_a7] = '1'
Name of any other radiological test done at the 7th ANC visit text
Custom alignment: RH
601 [oth_investigation_test_date_a7]
Show the field ONLY if:
[any_oth_radiological_tests_a7] = '1'
Date of the Radiological test at the 7th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
602 [reason_for_otr_radio_exa_anc_7]
Show the field ONLY if:
[any_oth_radiological_tests_a7] = '1'
Reason for other radiological examination text
Custom alignment: RH
603 [where_done_oth_investigation_a7]
Show the field ONLY if:
[any_oth_radiological_tests_a7] = '1'
Where was the Radiological test done at the 7th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
604 [oth_investigation_findings_a7]
Show the field ONLY if:
[any_oth_radiological_tests_a7] = '1'
Findings of the Radiological test at the 7th ANC visit text
Custom alignment: RH
605 [anc_visit_8]
Show the field ONLY if:
[yes_howmny_anc] >=8
8th ANC visit yesno
1Yes
0No

Custom alignment: RH
606 [date_anc_visits_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Date of 8th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
607 [gestational_ages_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Gestational age at 8th ANC visit(in weeks) text (number, Min: 1, Max: 45)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
608 [months_amenorrhea_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Months of amenorrhea at 8th ANC visit text (number, Min: 1, Max: 10)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
609 [place_of_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Place of ANC visit radio
1PHC
2CHC
3TH / SDH
4DH
5SC-HWC
6Private Maternity homes
7Private Hospital

Custom alignment: RH
610 [seen_by_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Seen by checkbox
1seen_by_8___1Doctor
2seen_by_8___2Nurse
3seen_by_8___3ANM

Custom alignment: RH
611 [vomiting_anc_vst_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Vomiting yesno
1Yes
0No

Custom alignment: RH
612 [increased_frequency_burning_while_passng_urin_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Increased frequency / burning while passing urine yesno
1Yes
0No

Custom alignment: RH
613 [breathlessness_tirednes_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Any breathlessness / tiredness yesno
1Yes
0No

Custom alignment: RH
614 [headache_blurred_vision_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Headache / blurred vision / swelling of legs and body yesno
1Yes
0No

Custom alignment: RH
615 [jaundice_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Jaundice yesno
1Yes
0No

Custom alignment: RH
616 [abdominal_pain_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Abdominal pain yesno
1Yes
0No

Custom alignment: RH
617 [bleeding_per_vagina_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Bleeding per vagina yesno
1Yes
0No

Custom alignment: RH
618 [leaking_per_vagina_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Leaking per vagina yesno
1Yes
0No

Custom alignment: RH
619 [abnrmal_vaginal_discharg_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Abnormal vaginal discharge and itching yesno
1Yes
0No

Custom alignment: RH
620 [treatment_for_conception_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Treatment for conception yesno
1Yes
0No

Custom alignment: RH
621 [fever_anc_vst_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Fever yesno
1Yes
0No

Custom alignment: RH
622 [other_anc_vst_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Other yesno
1Yes
0No

Custom alignment: RH
623 [specify_other_anc_vst_8]
Show the field ONLY if:
[other_anc_vst_8]='1'
Specify other text
Custom alignment: RH
624 [ht_checked_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Height checked for ANC visit 8th yesno
1Yes
0No

Custom alignment: RH
625 [wt_checked_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Weight checked for ANC visit 8th yesno
1Yes
0No

Custom alignment: RH
626 [bp_checked_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Blood Pressure checked for ANC visit 8th yesno
1Yes
0No

Custom alignment: RH
627 [checked_pulse_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked pulse yesno
1Yes
0No

Custom alignment: RH
628 [checkd_respiration_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked respiration yesno
1Yes
0No

Custom alignment: RH
629 [checked_for_swelling_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked for swelling yesno
1Yes
0No

Custom alignment: RH
630 [checked_for_jaundice_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked for jaundice yesno
1Yes
0No

Custom alignment: RH
631 [checked_fetal_lie_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked fetal lie [after 32 weeks GA] yesno
1Yes
0No

Custom alignment: RH
632 [rcord_of_fetal_lie_anc_8]
Show the field ONLY if:
[checked_fetal_lie_anc_8]='1'
Record of fetal lie in ANC visit 8 radio
1longitudinal
2transverse
3oblique

Custom alignment: RH
633 [checked_fetal_position_anc_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked fetal position [>32weeks GA only] yesno
1Yes
0No

Custom alignment: RH
634 [checkd_pallor_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked for Pallor at 8th Visit yesno
1Yes
0No

Custom alignment: RH
635 [oedema_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Checked for Pedal Oedema at 8th Visit yesno
1Yes
0No

Custom alignment: RH
636 [breasts_examined_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Breasts Examined at 8th Visit yesno
1Yes
0No

Custom alignment: RH
637 [prob_breasts_examined_a8]
Show the field ONLY if:
[breasts_examined_a8] = '1'
Any specific problems observed during breast examination at the 8th ANC visit? checkbox
1prob_breasts_examined_a8___1Inverted Nipple
2prob_breasts_examined_a8___2Flat Nipple
3prob_breasts_examined_a8___3Dry Skin

Custom alignment: RH
638 [rcrd_symp_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Record symphysis fundal height (SFH) at the 8th ANC visit yesno
1Yes
0No

Custom alignment: RH
639 [rcrd_fhr_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Record FHR [>22wks] at 8th Visit yesno
1Yes
0No

Custom alignment: RH
640 [hemo_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Hemoglobin at 8th Visit yesno
1Yes
0No

Custom alignment: RH
641 [rndm_bld_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Random blood sugar at 8th Visit yesno
1Yes
0No

Custom alignment: RH
642 [vdrl_8]
Show the field ONLY if:
[anc_visit_8] = '1'
VDRL/ Syphilis at 8th Visit yesno
1Yes
0No

Custom alignment: RH
643 [hiv_8]
Show the field ONLY if:
[anc_visit_8] = '1'
HIV at 8th Visit yesno
1Yes
0No

Custom alignment: RH
644 [hbsag_8]
Show the field ONLY if:
[anc_visit_8] = '1'
HBsAG at 8th Visit yesno
1Yes
0No

Custom alignment: RH
645 [malaria_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Malaria test at ANC visit 8 yesno
1Yes
0No

Custom alignment: RH
646 [cbc_done_at_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
CBC done at ANC visit 8 yesno
1Yes
0No

Custom alignment: RH
647 [tsh_8]
Show the field ONLY if:
[anc_visit_8] = '1'
TSH at 8th Visit yesno
1Yes
0No

Custom alignment: RH
648 [bld_rh_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Blood group and Rh at 8th Visit yesno
1Yes
0No

Custom alignment: RH
649 [gtt_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Glucose Tolerance Test (GTT) at 8th Visit yesno
1Yes
0No

Custom alignment: RH
650 [oth_8]
Show the field ONLY if:
[anc_visit_8] = '1'
Any other test at 8th Visit yesno
1Yes
0No

Custom alignment: RH
651 [aobt_results_a8]
Show the field ONLY if:
[oth_8] = '1'
Record any other test results at the 8th ANC visit, if available text
Custom alignment: RH
652 [urine_albumin_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Urine Albumin test done at 8th ANC visit? yesno
1Yes
0No

Custom alignment: RH
653 [urine_albumin_results_a8]
Show the field ONLY if:
[urine_albumin_a8] = '1'
Record Urine Albumin test results at 8th ANC visit, if
available 		radio
1Normal
2Abnormal

Custom alignment: RH
654 [urine_sugar_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Urine Sugar test done at 8th ANC visit? yesno
1Yes
0No

Custom alignment: RH
655 [urine_sugar_test_results_a8]
Show the field ONLY if:
[urine_sugar_a8] = '1'
Record urine sugar test results at 8th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
656 [urine_micro_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Urine Microscopy test done at 8th ANC visit? yesno
1Yes
0No

Custom alignment: RH
657 [urine_microscopy_results_a8]
Show the field ONLY if:
[urine_micro_a8] = '1'
Record urine microscopy results at 8th ANC visit, if available radio
1Normal
2Abnormal

Custom alignment: RH
658 [usg_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Did ultrasonography on the 8th ANC visit? yesno
1Yes
0No

Custom alignment: RH
659 [usgda_a8]
Show the field ONLY if:
[usg_a8] = '1'
Date of ultrasonography at 8th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
660 [reason_usg_anc_8]
Show the field ONLY if:
[usg_a8] = '1'
Reason for ultrasonography done ? text
Custom alignment: RH
661 [result_of_usg_8]
Show the field ONLY if:
[usg_a8] = '1'
Findings of ultrasonography done at ANC visit 8 text
Custom alignment: RH
662 [where_done_usg_a8]
Show the field ONLY if:
[usg_a8] = '1'
Where was the Radiological test done at the 8th ANC visit? dropdown
1Public
2Private

Custom alignment: RH
663 [nst_ctg_done_anc_visit_8]
Show the field ONLY if:
[anc_visit_8] = '1'
NST / CTG done ANC visit 8 yesno
1Yes
0No

Custom alignment: RH
664 [date_nst_ctg_anc_8]
Show the field ONLY if:
[nst_ctg_done_anc_visit_8]='1'
Date NST / CTG done ANC visit 8 text (date_dmy)
Custom alignment: RH
665 [reson_nst_anc_8]
Show the field ONLY if:
[nst_ctg_done_anc_visit_8]='1'
Reason for NST/CTG ? text
Custom alignment: RH
666 [result_of_nst_anc_8]
Show the field ONLY if:
[nst_ctg_done_anc_visit_8]='1'
Findings of NST/CTG done at ANC visit 8 text
Custom alignment: RH
667 [where_done_nst_8]
Show the field ONLY if:
[nst_ctg_done_anc_visit_8]='1'
Where it is done dropdown
1Public
2Private

Custom alignment: RH
668 [doppler_done_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Doppler done on 8th ANC visit?[Expected at 18-20 weeks with severe SGA/FGR] yesno
1Yes
0No

Custom alignment: RH
669 [doppler_date_a8]
Show the field ONLY if:
[doppler_done_a8] = '1'
Date of Doppler at 8th ANC visit text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
670 [reason_for_doppler_anc_8]
Show the field ONLY if:
[doppler_done_a8] = '1'
Reason for Doppler text
Custom alignment: RH
671 [where_done_doppler_a8]
Show the field ONLY if:
[doppler_done_a8] = '1'
Where was the Doppler done at 8th ANC visit? radio
1Public
2Private

Custom alignment: RH
672 [doppler_findings_a8]
Show the field ONLY if:
[doppler_done_a8] = '1'
Findings of Doppler at 8th ANC visit text
Custom alignment: RH
673 [any_oth_radiological_tests_a8]
Show the field ONLY if:
[anc_visit_8] = '1'
Any other Radiological tests done in the 8th ANC visit? yesno
1Yes
0No

Custom alignment: RH
674 [oth_investigation_test_name_a8]
Show the field ONLY if:
[any_oth_radiological_tests_a8] = '1'
Name of any other radiological test done at the 8th ANC
visit 		text
675 [oth_investigation_test_date_a8]
Show the field ONLY if:
[any_oth_radiological_tests_a8] = '1'
Date of the Radiological test at the 8th ANC visit text (date_dmy, Min: [lmp], Max: today)
Field Annotation: @FORCE-MINMAX
676 [reason_for_otr_radio_exa_anc_8]
Show the field ONLY if:
[any_oth_radiological_tests_a8] = '1'
Reason for other radiological examination text
677 [where_done_oth_investigation_a8]
Show the field ONLY if:
[any_oth_radiological_tests_a8] = '1'
Where was the Radiological test done at the 8th ANC
visit? 		radio
1Public
2Private
678 [oth_investigation_findings_a8]
Show the field ONLY if:
[any_oth_radiological_tests_a8] = '1'
Findings of the Radiological test at the 8th ANC visit text
679 [recived_any_medication] (Section Header: Section 5Care during Pregnancy)5.1 Received any medications [Source: Thayi Card / Self Reports/ CI] Medication Prescribed If YES for prescribed,then specify if you took the medication If YES, for took the medicine, then give details as mentioned below descriptive
680 [prescribe_folic_acid_iron] 5.1.1. Iron & Folic acid(only in 1st trimester)   yesno
1Yes
0No
681 [took_iron_folic_acid]
Show the field ONLY if:
[prescribe_folic_acid_iron] = '1'
Took the medication (Iron & Folic acid) yesno
1Yes
0No
682 [folic_acid_details]
Show the field ONLY if:
[took_iron_folic_acid] = '1'
How many tablets were bought/given text (number)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
683 [iron_fa_tablets_comsumed]
Show the field ONLY if:
[took_iron_folic_acid] = '1'
How many tablets were consumed? text (number)
Custom alignment: RH
Field Annotation: @FORCE-MINMAX
684 [prescribed_ca] 5.1.2. Calcium yesno
1Yes
0No

Custom alignment: RH
685 [taken_ca]
Show the field ONLY if:
[prescribed_ca] = '1'
Taken medication Calcium? yesno
1Yes
0No

Custom alignment: RH
686 [details_ca_medication]
Show the field ONLY if:
[taken_ca] = '1'
Details of calcium medication radio
1Regular (5/7or 24/30)
2Irregular

Custom alignment: RH
687 [prescribed_asp] 5.1.3. Low dose Aspirin yesno
1Yes
0No

Custom alignment: RH
688 [taken_asp]
Show the field ONLY if:
[prescribed_asp] = '1'
Taken Medication Aspirin? yesno
1Yes
0No

Custom alignment: RH
689 [details_asp_medication]
Show the field ONLY if:
[taken_asp] = '1'
Details radio
1Regular (5/7or 24/30)
2Irregular

Custom alignment: RH
690 [pih_hypertension] 5.1.4. PIH/ Hypertension yesno
1Yes
0No

Custom alignment: RH
691 [took_pih_hyp_medication]
Show the field ONLY if:
[pih_hypertension] = '1'
Then specify if you took the medication yesno
1Yes
0No

Custom alignment: RH
692 [pih_hyp_names]
Show the field ONLY if:
[took_pih_hyp_medication] = '1'
Name text
693 [details_pih_hyp_medication]
Show the field ONLY if:
[took_pih_hyp_medication] = '1'
Details radio
1Regular (5/7or 24/30)
2Irregular
694 [prescribed_inj_tt] 5.1.5 Injection TT(on registration, then 1 month after the rst dose preferably a monthbefore EDD. If woman misses a ANC, then still give it next visit) / dT? yesno
1Yes
0No
695 [taken_inj_tt]
Show the field ONLY if:
[prescribed_inj_tt] = '1'
Took the medication Injection TT? yesno
1Yes
0No
696 [date_1st_tt]
Show the field ONLY if:
[taken_inj_tt] = '1'
Date of 1st dose text (date_dmy, Min: [lmp], Max: today)
Field Annotation: @FORCE-MINMAX
697 [date_2nd_tt]
Show the field ONLY if:
[taken_inj_tt] = '1'
Date of 2nd dose text (date_dmy, Min: [lmp], Max: today)
Field Annotation: @FORCE-MINMAX
698 [date_of_booster_dose] Date of Booster Dose (if no of pregnancy second / third / ect. ) text (date_dmy, Min: [lmp])
Field Annotation: @FORCE-MINMAX
699 [prescribed_inj_iron] 5.1.6 Prescribed Injection Iron? yesno
1Yes
0No
700 [took_inj_iron]
Show the field ONLY if:
[prescribed_inj_iron] = '1'
Then specify if you took the medication yesno
1Yes
0No
701 [date_inj_iron]
Show the field ONLY if:
[took_inj_iron] = '1'
Date text (date_dmy, Min: [lmp], Max: today)
Field Annotation: @FORCE-MINMAX
702 [prescribed_antibiotics] 5.1.7 Anti-D yesno
1Yes
0No
703 [taken_antibiotics]
Show the field ONLY if:
[prescribed_antibiotics] ='1'
Taken Anti-D? yesno
1Yes
0No
704 [date_antibiotics]
Show the field ONLY if:
[taken_antibiotics] = '1'
Date text (date_mdy, Min: [lmp], Max: today)
Field Annotation: @FORCE-MINMAX
705 [prescribed_diab_medication] 5.1.8 Diabetes yesno
1Yes
0No
706 [took_diabetes_medication]
Show the field ONLY if:
[prescribed_diab_medication] = '1'
Then specify if you took the medication yesno
1Yes
0No
707 [name_diab_medication]
Show the field ONLY if:
[took_diabetes_medication] = '1'
Name text
708 [details_diabetes_medication]
Show the field ONLY if:
[took_diabetes_medication] = '1'
Details radio
1Regular (5/7or 24/30)
2Irregular
709 [thyroid_medication_prescribed] 5.1.9 Thyroid supplement yesno
1Yes
0No
710 [took_thyroid_medication]
Show the field ONLY if:
[thyroid_medication_prescribed] = '1'
Then specify if you took the medication yesno
1Yes
0No
711 [name_thyroid_medication]
Show the field ONLY if:
[took_thyroid_medication]= '1'
Name text
712 [details_thyroid_medication]
Show the field ONLY if:
[took_thyroid_medication]= '1'
Details radio
1Regular (5/7or 24/30)
2Irregular
713 [oth_tablets_prescribed] 5.1.10 Other tablets / Syrup yesno
1Yes
0No
714 [took_oth_medication]
Show the field ONLY if:
[oth_tablets_prescribed] ='1'
then specify if you took the medication yesno
1Yes
0No
715 [name_oth_medication]
Show the field ONLY if:
[took_oth_medication] ='1'
Name text
716 [oth_inj_medication] 5.1.11 Other injections yesno
1Yes
0No
717 [took_oth_inj]
Show the field ONLY if:
[oth_inj_medication] ='1'
then specify if you took the medication yesno
1Yes
0No
718 [oth_inj_name]
Show the field ONLY if:
[took_oth_inj] = '1'
Name text
719 [counseling_information_given] Check if any counseling/information was given and recorded during ANC visit Source (MCP/report/ CI) descriptive
720 [take_adequate_rest] a. Take adequate rest. yesno
1Yes
0No
721 [who_gave_information]
Show the field ONLY if:
[take_adequate_rest]='1'
Who gave information radio
1CHW
2HCP
722 [complied_counselling_1] Complied yesno
1Yes
0No
723 [sleep_side_right_or_left] b. Sleep on a side (right or left side) yesno
1Yes
0No
724 [who_gave_information_2]
Show the field ONLY if:
[sleep_side_right_or_left]='1'
Who gave information radio
1CHW
2HCP
725 [complied_counselling_2] Complied yesno
1Yes
0No
726 [perform_adequate_physical] c. Perform adequate physical activity. yesno
1Yes
0No
727 [who_gave_information_3]
Show the field ONLY if:
[perform_adequate_physical]='1'
Who gave information radio
1CHW
2HCP
728 [complied_counselling_3] Complied yesno
1Yes
0No
729 [consume_a_balanced_diet] d. Consume a balanced diet / Take dietary supplements from ICDS. yesno
1Yes
0No
730 [who_gave_information_4]
Show the field ONLY if:
[consume_a_balanced_diet] = '1'
Who gave information radio
1CHW
2HCP
731 [complied_counselling_4] Complied yesno
1Yes
0No
732 [take_medications_prescrib] e. Take medications prescribed. yesno
1Yes
0No
733 [who_gave_information_5]
Show the field ONLY if:
[take_medications_prescrib]='1'
Who gave information radio
1CHW
2HCP
734 [complied_counselling_5] Complied yesno
1Yes
0No
735 [check_daily_fetal_movement] f. Check daily fetal movement (FM begins 16-22 weeks. Women with HRP are preferable to be aware of and monitor movements by 26 weeks. < 6 movements in 2 hours must be reported. Women without HRP can be monitored from the third trimester-28 weeks). yesno
1Yes
0No
736 [who_gave_information_6]
Show the field ONLY if:
[check_daily_fetal_movement]='1'
Who gave information radio
1CHW
2HCP
737 [complied_counselling_6] Complied yesno
1Yes
0No
738 [look_danger_signs_report] g. Look for danger signs and report yesno
1Yes
0No
739 [specify_which_of_following]
Show the field ONLY if:
[look_danger_signs_report]='1'
specify which of the following were mentioned checkbox
1specify_which_of_following___1â–¡ Fever
2specify_which_of_following___2â–¡ Leaking PV
3specify_which_of_following___3â–¡ Bleeding PV
4specify_which_of_following___4â–¡ Headache / blurred vision/convulsions
5specify_which_of_following___5â–¡ Breathlessness at rest
6specify_which_of_following___6â–¡ Pain abdomen
7specify_which_of_following___7â–¡ Absent or Reduced Fetal Movements
740 [who_gave_information_7]
Show the field ONLY if:
[look_danger_signs_report]='1'
Who gave information checkbox
1who_gave_information_7___1CHW
2who_gave_information_7___2HCP
741 [complied_counselling_7] Complied yesno
1Yes
0No
742 [birth_preparednes_and_plan] h. Birth preparedness and plan yesno
1Yes
0No
743 [specify_details_birth_prep]
Show the field ONLY if:
[birth_preparednes_and_plan]='1'
specify details checkbox
1specify_details_birth_prep___1Birth companion
2specify_details_birth_prep___2Blood donor, if needed during an emergency
3specify_details_birth_prep___3Facility for childbirth
4specify_details_birth_prep___4Transportation
5specify_details_birth_prep___5Finances
6specify_details_birth_prep___6Breastfeeding
7specify_details_birth_prep___7Kangaroo Mother Care
8specify_details_birth_prep___8Safe sex and contraception
744 [who_gave_information_8]
Show the field ONLY if:
[birth_preparednes_and_plan]='1'
Who gave information radio
1CHW
2HCP
745 [complied_counselling_8] Complied yesno
1Yes
0No
746 [refer_higher_level_faci] 5.2 Was the mother referred to seek care at a higher level facility?
 yesno
1Yes
0No
747 [moth_referal_reason]
Show the field ONLY if:
[refer_higher_level_faci] ='1'
Why was she referred? Specify text
Custom alignment: RH
748 [admitted_during_preg] 5.3 Was admitted any time during pregnancy? yesno
1Yes
0No

Custom alignment: RH
749 [yes_admitted_during_preg]
Show the field ONLY if:
[admitted_during_preg] ='1'
5.3.1 Why text
Custom alignment: RH
750 [when_admitted_during_preg]
Show the field ONLY if:
[admitted_during_preg] ='1'
5.3.2 When was she admitted text (date_dmy, Min: [lmp], Max: today)
Custom alignment: RH
751 [where_admitted_during_preg]
Show the field ONLY if:
[admitted_during_preg] ='1'
5.3.3 Where was she admitted during pregnancy? radio
1SDH
2DH
3MCH
4Private
752 [no_admitted_during_preg]
Show the field ONLY if:
[admitted_during_preg] ='1'
5.3.4 How many times was she admitted during pregnancy? text (number)
Custom alignment: RH
753 [same_health_facility]
Show the field ONLY if:
[admitted_during_preg] ='1'
5.3.5 Did she go to the same health facility?[If admitted once, choose not applicable] radio
1Yes
2No
3Not Applicable
754 [no_where]
Show the field ONLY if:
[same_health_facility] = '2'
5.3.6 Where did she go? and why? text
Custom alignment: RH
755 [no_where_why]
Show the field ONLY if:
[same_health_facility] = '2'
Why? text
Custom alignment: RH
756 [incentives] 5.4 Received any incentives? yesno
1Yes
0No
757 [which_recvd]
Show the field ONLY if:
[incentives]='1'
5.4.1 If Yes, specify which of the following were received text
758 [pmmvy_incevtive]
Show the field ONLY if:
[incentives] = '1'
a. Pradhana Mantri Matru Vandana Yojana (PMMVY) yesno
1Yes
0No
759 [early_reg_preg_incentives]
Show the field ONLY if:
[pmmvy_incevtive] = '1'
Early registration of Pregnancy yesno
1Yes
0No
760 [pmmvy_ea_reg_incen_aftr_d_m]
Show the field ONLY if:
[early_reg_preg_incentives] = '1'
Please specify how many days/ months after the registration it was received: text
Custom alignment: RH
761 [anc_incentive_reci]
Show the field ONLY if:
[pmmvy_incevtive] = '1'
ANC visit (After 6 months of pregnancy with at least one ANC check up)(After six months of pregnancy with at least one ANC check-up) yesno
1Yes
0No

Custom alignment: RH
762 [pmmvy_anc_incen_aftr_d_m]
Show the field ONLY if:
[anc_incentive_reci] = '1'
please specify how many days/ months after the registration it was received text
Custom alignment: RH
763 [pmsma]
Show the field ONLY if:
[incentives]='1'
b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) yesno
1Yes
0No

Custom alignment: RH
764 [jsy]
Show the field ONLY if:
[incentives]='1'
c. Janani Suraksha Yojana (JSY) yesno
1Yes
0No

Custom alignment: RH
765 [food_suppl] 5.5. Received any food supplements during pregnancy? yesno
1Yes
0No

Custom alignment: RH
766 [specify_food_suppl]
Show the field ONLY if:
[food_suppl] = '1'
5.5.1 If YES, specify which of the following were received? checkbox
1specify_food_suppl___1Anganwadi
2specify_food_suppl___2Janani Shishu Suraksha Karyakran (JSSK) (Duringhospitalization)
3specify_food_suppl___3Any other
767 [oth_food_supplements]
Show the field ONLY if:
[specify_food_suppl(3)] = '1'
Any other text
768 [birth_outcome] Section 4: Birth outcome descriptive
769 [outcome_of_crnt_pregnancy] Outcome of current pregnancy dropdown
1Live birth
2Stillbirth
3Abortion
770 [general_comments] General Comments notes
 
 771 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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