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

Type of suspected TB case	Radio button	New case of TB Previously treated TB case DR-TB case	Mandatory
Reason for suspected TB case	Dropdown	Treatment failure TB Relapse/ Recurring symptoms Contact with DR-TB case Treatment after LFU (Lost to Follow-up) Other	Enable this field only if “Type of TB case” is “Previously treated TB case” or “DR-TB case”
Other	textbox		Mandatory if enabled To be enabled if “Reason for suspected TB case” = “Other”
Has the diagnosis of DR-TB been confirmed?	Radio button	Yes No	Enable this field only if “type of suspected TB case”= “Previously treated TB case” or “DR-TB case” Default value is “No” If “Yes” is selected then move this case to Confirmed TB cases module.
Submit	Button

2.2.2.c Confirmed TB cases

Treatment and follow up of TB confirmed cases.

Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
Regimen Type	Radio button	DS-TB (6 Months) Shorter Regimen (9–12 Months) Longer Regimen (18–24 Months) BPaL Regimen (6 Months) INH Mono (6 Month)	Open module 2.2.2.d (TPT- TB Prevention treatment) module if “DS-TB (6 Months)” is selected Alert to Volunteer to screen all household members/ Contacts if DS-TB case is selected.
Treatment Start Date	Date picker	Mandatory	Should be greater than or equals to TB (Identification and Diagnosis) Visit Date Not greater than Today's Date
Expected Treatment Completion Date	Label	Read only	Auto calculate this date based on below condition form ‘Treatment Start Date’: 1. If ‘Regimen Type’ is “1”, “4”, “5” then add 6 months 2. If ‘Regimen Type’ is “2”, then, Treatment duration is 9–12 months (show 9–12 range dates) 3. If ‘Regimen Type’ is “3”, then, Treatment duration is 18–24 months (show 18–24 range dates)
Follow-up & Adherence
Follow up Date	Date picker	Mandatory	Greater than or equal to Treatment Start Date or greater than Last Follow up Date Minimum date is Treatment Start Date Accept date greater than Last Follow up Date Allow 1 Follow up visit in a month (i.e. monthly 1 Follow up) Not greater than Today's Date
Monthly follow up done	Label	Month-1 to Month-24	Should be incremental based on monthly Follow up
Adherence to Medicines	Radio button	Regular Irregular
Any discomfort	Radio button	Yes No
Treatment Completion
Did the patient complete the full course of treatment?	Radio button	Yes No	Enable these below filed based on below conditions: 1. If ‘Regimen Type’ is “1”, “4”, “5” then enable after 5 Monthly follow up visits 2. If ‘Regimen Type’ is “2”, then enable after 9 Monthly follow up visits 3. If ‘Regimen Type’ is “3”, then enable after 18 Monthly follow up visits
Actual Treatment Completion Date	Date picker		Enable this filed if “Yes” is selected above Greater than Last Follow up Date
TB Treatment outcomes	Dropdown	Cured Failed Lost to Follow-up (LFU) Death	If "Death" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Date of Death”, "Place of Death" and "Reason for Death” in the next fields.
Date of Death	Date picker		Enable only if "TB Treatment outcomes" = “Death” and it is Mandatory By default, date is null Not greater than Today’s Date Greater than or equal to Treatment Start Date or greater than Last Follow up Date
Place of Death	Dropdown	Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital Other Place	Enable only if "TB Treatment outcomes" = “Death”
Reason for Death	Label Read only	Tuberculosis	Enable only if "TB Treatment outcomes" = “Death”
Reason for non completion of treatment	Textbox		Enable this field if “No” selected for “Did the patient complete full treatment?”
Submit	button
Follow up visit history	Table		Maintain a Follow up visit history of Visit

2.2.2.d Tuberculosis Preventive Treatment

Tuberculosis Preventive Treatment (TPT) sub module

TPT is the preventive treatment given to close contacts of confirmed Drug-Sensitive TB (DS-TB) cases who are at high risk of developing active TB.

If a contact tests positive for active TB at any step (X-Ray or Sputum positive), the system must immediately redirect the volunteer to create a new TB Suspected Case record for that contact — bypassing the TPT flow.

This module should open when in Confirmed TB case module, “Regimen type” = “DS-TB (6 months)”

Make this module editable as after referral of the contact for diagnostic tests, volunteer needs to enter further details once the tests are done.

Household Contact Line listing Screen-

Name of data field	Field Type	Value/ Options	Validation/ logic/ condition
Name of the contact	Text Box
Age of the contact
Gender	Dropdown	Male Female Transgender Prefer not to say	Mandatory Speech to text feature
Mobile Number	Number		Optional Speech to text feature
TPT (TB Preventive Treatment) Screening Status		Not Started Pending Completed	Mandatory Single selection allowed Default option is Pending
Referral Facility for screening		HWC PHC CHC District Hospital	Mandatory. Single selection allowed From here it can directly go to submit option as the contact first needs to get tested and confirmed if he/ she have to take TPT.
Screening done at the referral facility		Yes No	Mandatory
Is it confirmed TB case		Yes No	If yes, move the card to confirmed TB list. If no, continue ahead.
Are you advised to take (TPT)		Yes No	If yes, continue with the next field. If no, then directly go to submit option.
TPT initiated		Yes No	Mandatory Enable next fields if selected Yes.
TPT start date	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date Cannot be before the date of screening
Treatment duration of TPT		1 Month 3 month 6 month
Expected completion date	date	Auto calculated	Auto calculated= TPT start date + regimen duration Non editable
Follow up visit number	Numeric	Auto increment (1-6)	Non editable Automatic calculation by system
Follow up visit date	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date Cannot be before the TPT start date
TPT completion status		Completed Incomplete Lost to follow up Developed active TB during TPT Died during TPT other	Mandatory If selected “Completed” then enable date of completion field If selected “developed active TB during TPT” then redirect ASHA to create new case record for active TB and close the TPT case. If selected “died during TPT” then enable date of death field and cause of death field
Other	Free text
Date of completion	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date
Date of death	Date picker		To be enabled if “TPT completion status” = Died during TPT Mandatory if enabled
Cause of death	Free text		To be enabled if “TPT completion status” = Died during TPT Mandatory if enabled
Submit

2.2.2.c Confirmed TB cases

2.2.3 Module- Non Communicable Disease (NCD) Screening

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Old Version 37

New Version 38

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2.2.2.d Tuberculosis Preventive Treatment

2.2.3 Module- Non Communicable Disease (NCD) Screening