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Should be enabled for beneficiaries aged 30 years and above

Optional Module. 

Name of data field

Field type

Options/ values

Validation/ Logic

Hypertension Screening




Have you ever been diagnosed with high blood pressure?


·       Yes

·       No

·       Don’t Know

·       Single selection allowed

·       Optional


Are you currently taking medication for blood pressure?


·       Yes

·       No

·       Stopped recently

·       To be enabled if “Have you ever been diagnosed with high blood pressure” = “Yes”

·       Optional

Does anyone in your family have high blood pressure


·       Yes

·       No

·       Don’t Know

·       Single selection allowed

·       Optional


Have you experienced any of the following symptom/ symptoms


·       Dizziness

·       Swollen legs

·       Frequent headaches

·       None

·       Optional

·       Multiple selection possible

·       'None' selection should deselect all others

Systolic BP

Number-

Values to be captured in (mmHg)

·       Optional

·       If "less than 90" or "more than 140", show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Diastolic BP

Number

Values to be captured in (mmHg)

·       Optional

·       If "less than 60" or "more than 90", show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Diabetes Screening




Have you been diagnosed with diabetes or pre-diabetes?


·       Yes

·       No

·       Don’t Know

·       Single selection allowed

·       Optional


Are you currently on medication or insulin for diabetes?


·       Yes

·       No

·       Stopped recently

·       To be enabled if “Have you been diagnosed with diabetes or pre-diabetes?” = “Yes”

·       Optional

Have you experienced any of the following symptom/ symptoms in the past 3 months


·       Excessive thirst

·       Frequent urination

·       Unexplained weight loss

·       Blurred vision

·       Tingling/numbness in feet

·       Fatigue

·       Slow-healing wounds

·       None

·       Optional

·       Multiple selection possible

·       'None' selection should deselect all others

Random Blood Sugar

Number

Values to be captured in (mg/dl)

·       Optional

·       If >= 100 mg/dl then show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home


2.2.4 Module - Referrals

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

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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

Total Digital Chest X-Rays conducted

Male
Female
Children (>=5 yrs) 
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

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