Page History

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1.3 In Scope Functional Modules

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1.4 Workflow

2. Login Page

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• Login Page Name should be "STOP TB".

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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.