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PRD for STOP TB Community Screening


1. Document Overview

This document defines the functional requirements for the TB Screening mobile application developed under the TB Mukt Janjati Abhiyan: A community-driven TB elimination initiative targeting tribal populations across India. The application is purpose-built for field use by community volunteers in tribal areas where connectivity, literacy, and device familiarity may be limited.
The application should be simple to use, comprehensive and must work in low/no-connectivity environments.

1.1 Purpose

 
This application is developed to screen and maximize TB case detection in all age groups through active case finding, contact investigation, and community mobilization. This application helps in patient tracking throughout treatment cascade at community and facility level via Community Influencers and Nikshay Mitras. Ensure prompt referral and linkage of diagnosed individuals from community to health facilities for timely treatment initiation is the purpose of this application.

 
1.2 Users of the system


1. Volunteers- Community mobilization, screenings, camps etc.
2. Admin / Supervisory- Backend/Dashboard Access

 
1.3 In Scope Functional Modules




TB ModulesEnlisted in the PRD
NCD modulesEnlisted in the PRD
Integration of AI enabled hand- held chest XrayExternal technical dependency
Integration of AI assessment toolExternal technical dependency



1.4 Workflow


2. Login Page

  • Login Page Name should be "STOP TB".
  • It must be followed by "STOP TB" Logo.
  • It must have both Online and Offline capabilities. ("Offline capabilities feature to exchange data between Mobile devices in a closed environment in real-time without internet")
  • It must have Multilingual Feature with English, Hindi and other Indian languages enabled, and must be configurable to accommodate all the Indian languages as and when required in future.

    UI Field Name 

    Field Type 

    Options 

    Validations 

    STOP TB Logo 

    <Placeholder> 

     

     

    Please Select your Language 

    Radio Button 

    • English 
    • Hindi 

     
     
     
     
     
     

    • The fields and labels must populate in the language selected by the user 
       
       
       

    Username 

    Textbox 



    Password

    Textbox



    Remember Me 

    Checkbox 

     

    • When 'Remember Me' checkbox is selected, next time directly allow user to login just by authenticating with fingerprint 

    Powered by Piramal Foundation 

    Text 

     

    • Display on the bottom of the screen

    2.1 Landing page

  • This page must have a hamburger icon (side drawer), "Stop TB" text, sync button, and "Language Translation" button on the Top row.
  • There should be a hamburger icon on the left side, which on clicking should have following details-
  1. Full Name (User)
  2. Username
  3. Sync Records
  4. Create ABHA ID
  5. Support
  6. Request to delete account
  7. Log out
  • Landing page should have 2 tabs- "Home" and "Dashboard".
  • In home tab floating "Registration" button on the right bottom corner.

2.2 Home Page- "Home tab" 

  • Should contain four modules/ Cards- All Beneficiaries, TB screening, NCD screening, Referrals written on these cards. 
  • On clicking "All Beneficiaries" card- open the "Beneficiary module" form documented below (section 2.2.1) for registering the beneficiary by giving the floating "Registration" button in the right corner.
  • On clicking "TB" card- open the "Tuberculosis module" (section 2.2.2). On clicking the next screen, it should have 3 cards titled "TB Screening", "Suspected TB cases" and ""Confirmed TB cases". 
  • On clicking "NCD" card- open the "Non Communicable Disease (NCD) module" (section 2.2.3). On clicking the next screen, it should have 3 cards titled "NCD eligible list", "NCD priority list", and "NCD non-priority list".
  • On clicking "Referrals"- This should show the line listing of cases/ patients (TB+NCD) when they are referred to health facilities for further check up. 

2.2.1 Module - Beneficiary Registration

  • On clicking Registration button the user will be navigated to Beneficiary Registration Page
  • This page has "All Beneficiaries" Text displayed on top with "Home" Icon on the right corner to Navigate to Home page in the 1st row
  • Give Edit option with Pencil icon on "Beneficiary Status", "Marital Status", "Community","Religion"
  • The card below should be visible after the registration of beneficiary.
  • If the beneficiary does not have ABHA ID, give one clickable button on the ABHA ID area of the card to initiate ABHA ID generation

Photo of the beneficiary

Name

Beneficiary ID


Age (Years)

Village Name-


Phone Number

ABHA ID (ABHA registration)- Clickable


Field Name

Field Type

Value/ Options

Validation/ Logic

Date of registration



Should be auto selected and updated when the volunteer logs in the application to do the screening.

Photo

Camera

Optional

  • Should have face detection/ Facial recognition
  • Camera should identify & capture human face but not any objects
  • Show an Alert if Photo is not captured, just as reminder but Not Mandatory
  • Alert: "Do you like to Take Photo", Yes or No If "Yes", open Camera; If "No", go to next

Beneficiary Status


Alive
Dead

  • Editable

First Name

Text


  • Mandatory
  • Speech to text feature

Last Name



  • Optional
  • Speech to text feature

Age

Number (Years)


  • Mandatory
  • If DOB unknown, approximate age allowed

Date of Birth

Date Picker


  • Populate Age automatically if entered

Gender

Dropdown

  • Male
  • Female
  • Transgender
  • Prefer not to say
  • Mandatory
  • Speech to text feature

Mobile Number

Number


  • Optional
  • Speech to text feature

Village/ Hamlet

dropdown


  • Mandatory

Marital Status

Spinner

  • Unmarried
  • Married
  • Divorced
  • Separated
  • Widow
  • Widower
  • Not Applicable for Newborn/ Child/ Adolescent (Age 0 to less than 15 Years)
  • Mandatory and editable
  • Based on the 'Gender' values in this dropdown list should change as follows:
  • In case of 'Gender' = "Female" show "Widow" and hide "Widower"
  • In case of 'Gender' = "Male" show "Widower" and hide "Widow"

Husband's/ Wife's Name

Textbox


  • Input method: Speech to Text feature
  • Conditionally mandatory- Hide this field in case of 'Marital Status' = "Unmarried"
  • Optional in case of 'Marital Status' = "Divorced"
  • Based on the Gender show label name as: 'Husband's' or 'Wife's Name'
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

Father's Name

Textbox


  • Input method: Speech to Text feature
  • Optional in case of 'Gender' = "Female" and 'Marital Status' = "Married"
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

Mother's Name

Textbox


  • Input method: Speech to Text feature
  • Optional in case of 'Gender' = "Female" and 'Marital Status' = "Married"
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

Community

Spinner

  • General
  • SC
  • ST
  • OBC
  • OC
  • Not Given
  • Mandatory
  • But it should be editable

Religion

Spinner

  • Hindu
  • Muslim
  • Christian
  • Sikhism
  • Buddhism
  • Jainism
  • Parsi
  • Other
  • Not disclosed
  • Mandatory
  • But it should be editable

Economic Status

Spinner

  • APL
  • BPL
  • Don't know
  • Mandatory

Type of Residential area

Spinner

  • Rural
  • Urban
  • Tribal
  • Tea Garden
  • Other


Other Type of Residential area

Textbox


  • Enable if other is selected above
  • Is Mandatory if other is selected above
  • Allow Alphanumeric Character and special Characters
  • Character limit 100

Occupation



  • Default value is unknown

Cancel

Button

  • Yes
  • No
  • If cancel is selected, a pop up message "Are you Sure?" with options "Yes" and "No" will come.
  • If selected "yes" navigate back to home page
  • If selected "no" then do not erase the patient health data and let the page remain open so it can be submitted by volunteer as sometime by mistake cancel button is clicked.

Submit



  • On clicking this, it must display the Pop up msg "Patient Registered successfully"
  • This must store the data of the patient and display the required fields over the Beneficiary card.


Lists Sections
Different types of lists are created based on the beneficiary registrations. These are defined in the following data fields: "Age" and "CBAC Score".

  • All Beneficiaries List- Should be visible in "All beneficiaries" and "TB Screening" modules.
  • NCD Eligible List: All Beneficiary both Male and Female whose age > = 30 years and excluding Pregnant Women; with CBAC Form access. 
  • NCD Priority List: Beneficiary age > = 30 years and CBAC assessment score is greater than 4
  • NCD Non-Eligible List: Beneficiary age > = 30 years and CBAC assessment score is less or equals to 4


2.2.2 Module- Tuberculosis

2.2.2.a 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. 

 

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 

 

 

 

2.2.2.b Suspected TB cases  
This section should contain only Suspected TB cases. 

 

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"

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 

  1. DS-TB (6 Months)
  2. Shorter Regimen (9–12 Months)
  3. Longer Regimen (18–24 Months)
  4. BPaL Regimen (6 Months)
  5. 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 
  • month 
  • 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 

 

 

 


2.2.3 Module- Non Communicable Disease (NCD) Screening

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.

Community Based Assessment Checklist (CBAC) Form 

NCD (Non-Communicable Diseases) Eligible List: 
Show all Beneficiary both Male and Female whose age > = 30 years and excluding Pregnant Women. 
And this CBAC Form is applicable to screen these Beneficiaries. 
This CBAC Form, assessment check should be done yearly once, 
Edit is applicable – but once approved by ANM/MO/ CHO, edit is not applicable 
Maintain the history of submitted CBAC Form for viewing, year wise 

Name of Data Field 

Field Type 

Value/ Options 

Validation/ Logic/ Condition 

 

CBAC Form 

 

 

 

Date 

Calendar 
Date Picker 

  • Is Mandatory 
  • Choose the date from the calendar 
  • Format: dd-mm-yyyy 
  • 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 

Part A: Risk Assessment 

 

 

 

What is your Age? (in Age) 

Spinner 

Is Mandatory 
Choose: 

  • 30 – 39 
  • 40 - 49 
  • 50 – 59 
  • 60 and Above 

Auto-populate Age from 'Beneficiary' registration: 
Score Logic: 
"Score" is a variable whose Default Score value is "0". 
If 30 <= Age <= 39 then display "1"If 40 <= Age <= 49 then display "2"If 50 <= Age <= 59 then display "3"If 60 <= Age then display "4" 

Do you smoke or consume smokeless products such as gutka or khaini 

Spinner 

Is Mandatory 
Choose: 

  • Never 
  • Used to consume in the past sometime now 
  • Daily 

 Score Logic: 
If option selected "Never" then display "0"If option selected "Used to consume in the past sometime now" then display "1"If option selected = "Daily" then display "2" 

Do you consume alcohol daily 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

Score Logic: 
If "No" then display "0" or If "Yes" then display "1" 

Measurement of Waist (in cm) 

Spinner 

Is Mandatory 
Condition: 
Show values in the Spinner based on Gender: 
For Male: 
Choose: 

  • 90 cm or less 
  • 91 - 100 cm 
  • More than 100 cm 
     
    For Female: 
    Choose: 
  • 80 cm or less 
  • 81 - 90 cm 
  • More than 90 cm 

Score Logic: 
If "Gender" = "Female" and "Waist length" <= 80 then display "0"If "Gender" = "Female" and 81 <= "Waist length" <= 90 then display "1"If "Gender" = "Female" and "Waist length" > 90 then display "2"If "Gender" = "Male" and "Waist length" <= 90 then display "0"If "Gender" = "Male" and 91 <= "Waist length" <= 100 then display "1"If "Gender" = "Male" and "Waist length" > 100 then display "2" 

Do you under take any physical activity for minimum of 150 minutes in a week 

Spinner 

Is Mandatory 
Choose: 

  • At least 150 min in a week 
  • Less than 150 min in a week 

 Score Logic: 
If "At least 150 min in a week" then display "0" or 
If "Less than 150 min in a week" then display "1" 

Do you have any family history (any one of your parents or siblings) of high BP / Diabetes / Heart Disease 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 Score Logic: 
If "No" then display "0" or If "Yes" then display "2" 

Total Score 

Label 

 

Total Score Formula: 
Sum of all above score. 
Based on the "Total Score" display a message in pop-up as show below: 
 
If score is > 4 
"Refer to NCD screening day / VHSND/ HWC for NCD screening (Priority)" 
 
If score is < = 4 
"Refer to NCD screening day / VHSND/ HWC for NCD screening (Less Priority)" 

 

Part B1: Early Detection 
Ask if Patient has any of these symptoms 

 

 

 

If "Yes" is selected below then display a pop-up message, "Suspected NCD case, please visit nearest HWC or call 104." 

 

 

 

* 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" 

 

 

 

** 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" 

 

 

 

Shortness of Breath 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

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 

 

Are you currently taking Anti TB drugs ** 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Anyone in Family Currently Suffering from TB ** 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

History of TB * 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Recurrent of ulceration on Palm or Sole 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Recurrent of tingling on Palm or Sole 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Cloudy or Blurred Vision 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Difficulty in reading 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Pain in eyes lasting for more than weeks 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Redness in eyes for more than weeks 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Difficulty in Hearing 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

History of Fits 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Difficulty in Opening Mouth 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Ulcers in Mouth Not Healed in 2 weeks 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Growth in Mouth Not Healed in 2 weeks 

Spinner 

Is Mandatory 
Choose: 

 

Any white or red Patch in Mouth Not Healed in 2 weeks 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Pain while chewing 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Any change in Tone of Voice 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Any hypo pigmented patches or discolour lesions with loss of sensation 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Any thickened skin 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Any nodules skin 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Any Patch or Discoloration on Skin 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Recurrent numbness on palm or sole 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Clawing of fingers in hand or feet 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Tingling and numbness in hand / or feet 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Inability to close eye lid 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Difficulty in Holding Objects in hands or Fingers 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Weakness in feet that cause difficulty in walking 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

 

Part B2: Women Only 

 

 

 

Lump in the Breast 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Bleeding after Menopause 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

If option selected is "Yes" then display "Inform ASHA Facilitator." 

Blood Stained Discharge from the Nipple 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

Bleeding after intercourse 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

 

 

Part B3: Elderly Specific 
  

 

 

 

Feeling unsteady while standing or walking 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " 

Suffering from any physical disability that restrict movement 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " 

Needing help from others to perform every day activities such as eating, getting dressed, grooming, bathing, walking, or using the toilets 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " 

Forgetting names of yours, near ones or your own home address 

Spinner 

Is Mandatory 
Choose: 

  • Yes 
  • No 

If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " 

 

Part C: Risk factor for COPD  
  

 

 

 

Type of Fuel Used for Cooking 

Spinner 

Choose: 
 
Wood, Crop Residue, Gobar Gas, Coal, Kerosene oil, LPG 

 

Occupational Exposure 

 Spinner 

Choose: 
 
Crop residue burning / burning of garbage – leaves/working in industries with smoke, gas and dust exposure such as brick kilns and glass factories etc. 

 

 

Part D: PHQ2 
  

 

 

 

 

Over the last two weeks bothered by the following problem? 

 

 

 

Little interest or pleasure in doing things? 

Spinner 

Choose: 

  • Not at all 
  • several days 
  • more than half the days 
  • nearly every day 

 Score Logic: 
If option selected is "Not at all" then display "0"If option selected is "several days" then display "1"If option selected is "more than half the days" then display "2"If option selected is "nearly every day" then display "3" 

Feeling down, depressed or hopeless? 

Spinner 

Choose: 

  • Not at all 
  • several days 
  • more than half the days 
  • nearly every day 

 Score Logic: 
If option selected is "Not at all" then display "0"If option selected is "several days" then display "1"If option selected is "more than half the days" then display "2"If option selected is "nearly every day" then display "3" 

Total Score 

Label 

 

Total Score formula: Sum of all the above score 
If "Total Score" is more than "3" then display pop up message "Refer the person to MOIC for treatment." 


2.2.4 Module - Referrals

This module should contain the list of names/ cases referred to health facilities.

2.3 Home Page- Dashboard

  • Flip feature between "Home" and "Dashboard".
  • Put a field for filter with 2 selection options-
  1. Time Period- based on "today and previous months" This filter should show all the data cards in the dashboard pertaining to the time period selected. (eg: today, Jan, Feb etc)
  2. Village Name- Dropdown options to be populated with names of village/ hamlets


  • Module cards should be placed below the filter selection option.



Field Name

Field Type

Options

Validation

Filter/ Selection option

Dropdown

The Dropdown Values are

  • Today
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

If this filter is selected, then show all the values of the dashboard indicators pertaining to the time period selected.

Filter/ Selection option

Dropdown

Village/ Hamlet names to be put here

If this filter is selected, then show all the values of the dashboard indicators pertaining to the particular village selected.

Total TB screenings

Male
Female
Children (<15 yrs)
Others


Card must be yellow in colour

It must auto populate based on the filter selected.

Total number should be shown in bold with sex aggregated data- male, female, Children, others

Total TB suspected cases

Male
Female
Children (<15 yrs)
Others


Card must be yellow in colour

It must auto populate based on the filter selected.

Total number should be shown in bold with sex aggregated data- male, female, Children, others

Total TB confirmed cases

Male
Female
Children (<15 yrs)
Others


Card must be yellow in colour

It must auto populate based on the filter selected.

Total number should be shown in bold with sex aggregated data- male, female, Children, others

NIKSHAY IDs


Card must be yellow in colour

Total number of NIKSHAY IDs made in the selected time period or Village

ABHA IDs


Card must be yellow in colour

Total number of ABHA IDs made in the selected time period or Village