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  • Flip feature between "Home" and "Dashboard".
  • Should contain four modules/ Cards- All Beneficiaries, NCD TB screening, TB NCD screening, Facility Referrals written on these cards.
  • On clicking "All Beneficiaries" card- open the "Beneficiary module" form documented below for registering the beneficiary by giving the floating "Registration" button in the right corner. Fill the form for registering the beneficiary.

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  • On clicking "TB" card- the next screen should have 3 cards titled "TB Screening", "Suspected TB cases" and ""Confirmed TB cases". Please refer to the TB module from BRD for FLW App in confluence. Include TB screening and Suspected TB case forms. 


  • On clicking "NCD" card- the next screen should have 4 cards titled "NCD eligible list", "NCD priority list", "NCD non-priority list", "NCD referred list". Please refer to the Community Based Assessment Checklist (CBAC) Form from NCD module (disease control) from BRD for FLW App in confluence.


  • On clicking "Referrals"- This should show the line listing of "TB suspected cases" and "NCDs referred list" when they are referred to facilities for further check up. 


Home Page- Dashboard

  • Flip feature between "Home" and "Dashboard".
  • Put a field for filter with 2 selection options-

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Module 2- TB Screening- Please refer to the TB module from BRD for FLW App in confluence. Include TB screening and Suspected TB case forms.

TB Screening 

In this section show all beneficiaries irrespective of any age group and gender. 
Maintain a separate list for TB Suspected cases for further follow-ups. 

 

Early Detection of Tuberculosis (TB) 
Ask if Patient has any of these symptoms 

 

 

 

* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample". 
Show these beneficiaries to 'Suspected TB cases' section 

 

 

 

** If "Yes" is selected for any one of the questions below with "**" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members" 

 

 

 

Date 

Calendar 
Date Picker 

Is Mandatory 

  • Default value Today's Date 
  • Not greater than Today's Date 
  • Accept date greater or equal to Date of beneficiary registration 
  • should not allow to update in edit or once submitted 

Name 

Textbox 

 

Auto fill from Beneficiary details 
Show: First Name + Last Name 
Read only 

Age 

Textbox 

 

Auto fill from Beneficiary details 
Read only 

Sex 

Textbox 

 

Auto fill from Beneficiary details 
Read only 

Coughing More than 2 weeks * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Blood in Sputum * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Fever > 2 weeks * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Loss of Weight * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Night Sweats * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

History of TB * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Are you currently taking Anti TB drugs ** 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

Inform to ANM / MPW/ MO for tracing of Family members 

Anyone in Family Currently Suffering from TB ** 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

Inform to ANM / MPW/ MO for tracing of Family members 

Submit 

Button 

 

 

 

Suspected TB cases 

Maintain a separate list of Suspected TB cases based on above assessment check. 
This section should contain only Suspected TB cases. 

 

Name of data Field 

Field Type 

Value/ Options 

Validation/ Logic/ Condition 

Date 

Calendar 
Date Picker 

Is Mandatory 

  • Default value Today's Date 
  • Not greater than Today's Date 
  • Accept date greater or equal to Date of beneficiary registration 
  • should not allow to update in edit or once submitted 

Name 

Textbox 

 

Auto fill from Beneficiary details 
Show: First Name + Last Name 
Read only 

Age 

Textbox 

 

Auto fill from Beneficiary details 
Read only 

Sex 

Textbox 

 

Auto fill from Beneficiary details 
Read only 

Is Sputum sample collected? 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Sputum sample submitted at 

Spinner 

Choose: 

  • DMC 
  • SC 
  • PHC 

Enable if "Yes" is selected for 'Is Sputum sample collected?' 

Nikshay ID 

Textbox 

 

Enable if "Yes" is selected for 'Is Sputum sample collected?' 

Sputum Test result 

Spinner 

Choose: 

  • Positive 
  • Negative 

Enable if "Yes" is selected for 'Is Sputum sample collected?' 
 
If Test is positive refer to MO 
Show alert Message: "Refer to MO" 

Referred to facility 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Facility Referral follow-ups 

Textbox 

 

 

Submit 

Button 

 

 

 

 

 
Module 3- NCD Screening- Please refer to the Community Based Assessment Checklist (CBAC) Form from NCD module (disease control) from BRD for FLW App in confluence.
Note: The common questions in CBAC Part B1 and TB screening form, if either of the form is filled and submitted first, then responses in the other form should be automatically selected.