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Data Field

Field Type

Values / Options

Validation / Logic

Difficulty Hearing


  • Yes
  • No
  • Mandatory
  • If Difficulty Hearing= "yes" then enable next field "Whisper test response"

Whisper Test Response

Dropdown

  • Correct
  • Incorrect
  • Mandatory if enabled
  • To be enabled if Difficulty Hearing= "yes".

Hearing Test Outcome

Dropdown

  • Normal
  • Slight Loss
  • Moderate
  • Severe
  • Deaf
  • Any option other than normal is selected show alert for referral to specialist at the secondary level.

Earache/Ear Pain


  • Yes
  • No
  • MandatoryOptional

Ear Discharge Present


  • Yes
  • NoMandatory
  • Optional

Foreign Body present in Ear


  • Yes (superficial)
  • Yes (Deep)
  • No
  • Optional
  • If selected Yes (Deep) then show alert for referral to specialist at the secondary level.

Type of Ear Condition

Dropdown

  • Otomycosis
  • Otitis Externa
  • Acute Ear Discharge
  • Chronic Ear Discharge
  • Ear WaxMandatory
  • Optional
  • Multiple selection

Congenital Ear Malformation


  • Yes
  • No
  • Optional
  • If selected Yes then show alert for referral to specialist at the secondary level.

Next Button



  • Proceed to vital screen and prescription.

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Data Field

Field Type

Values / Options

Validation / Logic

Difficulty in breathing


  • Yes
  • No
  • Mandatory
  • If Yes, show alert to diagnose URI/rhinitis/sinusitis and refer to specialist if not manageable at HWC.

Open Mouth Breathing


  • Yes
  • No
  • MandatoryOptional
  • If Yes, show alert to diagnose URI/rhinitis/sinusitis and refer to specialist if not manageable at HWC.

Nose Bleed (Epistaxis)


  • Yes
  • No
  • Optional
  • If Yes, enable fields, "Systolic BP" and "Diastolic BP"

Systolic BP

Textbox

  • mmHg
  • To be enabled if nose bleed= "yes"
  • Mandatory if enabled
  • If more than 120 mm Hg then show alert for referral to specialist at the secondary level.

Diastolic BP

Textbox

  • MmHg
  • To be enabled if nose bleed= "yes"
  • Mandatory if enabled
  • If more than 80 mm Hg then show alert for referral to specialist at the secondary level.

Foreign Body Nose

Yes/No

  • Yes (anterior visible)
  • Yes (posterior visible)
  • No
  • Optional
  • If Yes (posterior visible) is selected show alert for referral to specialist at the secondary level.

Sinusitis


  • Yes (facial pain/tenderness)/
  • NoMandatory
  • Optional
  • show alert for referral to specialist at the secondary level for chronic cases.

Next Button



  • Proceed to vital screen and prescription.

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