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Facility Assessment Health and Wellness CenterPID 19
Check For Identifiers

This module will help you assess whether or not some fields may be identifiers, and then allows you to easily tag such fields as identifiers for greater data security. While this same process can be accomplished in the Data Dictionary or Online Designer, this page provides a streamlined way of tagging fields as identifiers very quickly. Based off the variable name or field label, the fields listed below may possibly contain identifiers (e.g., name, phone number, address). Please review the entries and select all identifiers, where appropriate. Any fields already tagged as identifiers will already be checked below.

Form 1

Variable Name Field Label Identifier?
record_id Record ID
name_of_filed_officer Name of field officer
date_asses 1.1 Date of assessment:
name_invest 1.2 Name of the investigator:
name_facili 1.3 Name of the facility:
district_name Name of district
other_distict_name Specify Other
name_taluk 1.7 Name of the Taluk
name_vlg 1.8 Name of the village:
dstnc_vlg 1.9 Distance of the facility from village bus stand? in km
name_stff Name of the staff currently available
age Age (years)
name_stff_1 Name of the staff currently available
age_1 Age (years)
name_stff_2 Name of the staff currently available
age_2 Age (years)
name_stff_3 Name of the staff currently available
age_3 Age (years)
name_stff_4 Name of the staff currently available
age_4 Age (years)
name_stff_5 Name of the staff currently available
age_5 Age (years)
name_stff_6 Name of the staff currently available
age_6 Age (years)
name_stff_7 Name of the staff currently available
age_7 Age (years)
name_stff_8 Name of the staff currently available
age_8 Age (years)
name_stff_9 Name of the staff currently available
age_9 Age (years)
name_stff_10 Name of the staff currently available
age_10 Age (years)
name_stff_11 Name of the staff currently available
age_11 Age (years)
name_stff_12 Name of the staff currently available
age_12 Age (years)
name_stff_13 Name of the staff currently available
age_13 Age (years)
name_stff_14 Name of the staff currently available
age_14 Age (years)
name_stff_15 Name of the staff currently available
age_15 Age (years)
name_stff_16 Name of the staff currently available
age_16 Age (years)
name_stff_17 Name of the staff currently available
age_17 Age (years)
name_stff_18 Name of the staff currently available
age_18 Age (years)
name_stff_19 Name of the staff currently available
age_19 Age (years)
instrct Section Header: SECTION 3 - SERVICES PROVIDED Instructions: List all the services provided and loadof services for the last three months
name_of_month_1 Name of month 1
name_of_month_3 Name of month 2
name_of_month_2 Name of month 3
ifa_provd 3.3 IFA provided
no_ifa_provid_mnth_1 Number of IFA provided in month 1
no_ifa_provid_mnth_2 Number of IFA provided in month 2
no_ifa_provid_mnth_3 Number of IFA provided in month 3
rapid_blood_tst 3.5 Rapid blood tests
gnrl_thyr 3.8.5 General health camps - Thyroid
no_gnrl_thyr_cmp_mnth_1 Number of General health camps - Thyroid done in month 1
no_gnrl_thyr_cmp_mnth_2 Number of General health camps - Thyroid done in month 2
no_gnrl_thyr_cmp_mnth_3 Number of General health camps - Thyroid done in month 3
antidia 4.2.5 Antidiabetics
spec_antidia 4.2.5.a If YES, specify what is available
iv_flds 4.2.7 IV fluids (NS / 5% Dextrose / 5% DNS)
rapid_bld 4.3.8 Rapid blood test kits
tele 4.5.2 Telephone
elec_supp 4.5.5 Electricity supply uninterrupted - during OPD hours
field_investigator_name Field Investigator name
date Date
supervisor_name Supervisor name
date_2 Date
taluk_coordinator_name Taluk coordinator name
date_3 Date
par_joindate Install Date
par_joindate_utc Install Date (UTC)
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