Page History

TB Screening

* If "Yes" is selected for any one of the questions below with "*" auto select "yes" for "Referral Required."

Show these beneficiaries to 'Suspected TB cases' section

Show these beneficiaries to 'Referral list module in the Home' section 

** If "Yes" is selected for any one of the questions below with "**" 

"Refer to the nearest health facility and collect the Sputum sample". 

Show these beneficiaries to 'Referral list module in the Home' section 

Screen all the family members and contacts of the 

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 

Symptomatic Screening

Coughing More than 2 weeks * 

Spinner 

•  Yes 
• No 

•  Mandatory

Blood in Sputum * 

Spinner 

•  Yes 
• No 

•  Mandatory

Fever > 2 weeks * 

Spinner 

•  Yes 
• No 

•  Mandatory

Rise of fever in evening*

Spinner 

•  Yes 
• No 

•  Mandatory

Loss of Appetite*

Spinner 

•  Yes 
• No 

•  Mandatory

Loss of Weight * 

Spinner 

•  Yes 
• No 

•  Mandatory

Night Sweats * 

Spinner 

•  Yes 
• No 

•  Mandatory

History of TB * 

Spinner 

•  Yes 
• No 

•  Mandatory

Are you currently taking Anti TB drugs ** 

Spinner 

• Yes 
• No 

•  Mandatory

Anyone in Family Currently Suffering from TB ** 

Spinner 

• Yes 
• No 

•  Mandatory

Asymptomatic Screening

Age more than 60 

Spinner 

• Yes 
• No 

• Mandatory
• Should automatically get selected based on age from the beneficiary registration.

Diabetic 

Spinner 

• Yes 
• No 

• Mandatory

Tobacco user 

Spinner 

• Yes 
• No 

• Mandatory

BMI < 18.5 

Validation?? As we are not taking height and weight?

Contact with TB patient on treatment 

Spinner 

• Yes 
• No 

• Mandatory

Last 5 years history of TB 

Spinner 

• Yes 
• No 

• we are asking past history already. 

Referral Required

Spinner 

• Yes 
• No 

Referral facility

• MC 
• DH
• CHC
• PHC
• HWC 

• Enable if "Yes" is selected for "Referral Required".
• HWC= Health and Wellness Centre, PHC= Primary Health Centre, CHC= Community Health Centre, DH= District hospital, MC= Medical College

Submit 

Button 

Name of data Field 

Field Type 

Value/ Options 

Validation/ Logic/ Condition 

Date 

Calendar 
Date Picker 

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 

Gender

Textbox 

Auto fill from Beneficiary details 
Read only 

Symptomatic TB 

Is Sputum sample collected? 

Spinner 

• Yes 
• No 

•  Mandatory

Sputum sample submitted at 

Spinner 

• MC 
• DH
• CHC
• PHC
• HWC 

• Enable if "Yes" is selected for 'Is Sputum sample collected?
• HWC= Health and Wellness Centre, PHC= Primary Health Centre, CHC= Community Health Centre, DH= District hospital, MC= Medical College

Sputum Test result 

Spinner 

• Positive 
• Negative 

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

• If positive, mark it as a TB confirmed case and move this case to Confirmed TB cases module.

Asymptomatic TB

To be enabled if "Yes" is selected in any "Asymptomatic Screening fields"

TB Chest X-Ray Test done

• Yes
• No 

• Enable only for Asymptomatic TB case 

• If “Yes” is selected enable ‘Nikshay Id’ 

Chest X-Ray Test Result 

• Clinically Diagnosed TB 

• TB Not suspected 

• Enable only “Yes” is selected for X-Ray test 

• Enable only for Asymptomatic TB case 
• If "Clinically diagnosed TB" is selected, move this case to Confirmed TB cases module.

Nikshay ID 

Textbox 

• Enable if "Yes" is selected for 'Is Sputum sample collected.
• Enable if "Yes" is selected for "TB Chest X-ray test done"

Submit 

Button