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Fields | Validation |
Anthropometric (Optional) |
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Weight (Kgs) | - |
Height (cms) | - |
BMI=Weight/(Height/100) ² | Should be auto calculated if height and weight details are entered |
Vitals (Optional) |
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Temperature (Degree Fahrenheit) | Give predefined options (Normal range= 97-99 F) a) 97.5 b) 98.5 c) 99.5 d)>= 100 If option d)>= 100 is chosen, show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home |
Pulse Rate (beats per minute) | Give predefined options (Normal range= 60-90 BPM) a) less than 60 b) 60-70 c) 70-80 d) More than 90 If "less than 60" or "more than 90" option is chosen, show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home |
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Referred for | Auto selection |
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Name of data Field | Field Type | Value/ Options | Validation/ Logic/ Condition | ||
Date | Calendar | Mandatory |
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Name | Textbox |
| Auto fill from Beneficiary details | ||
Age | Textbox |
| Auto fill from Beneficiary details | ||
Gender | Textbox |
| Auto fill from Beneficiary details | ||
Nikshay ID | Textbox |
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Is Digital Chest X-ray conducted |
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Digital Chest X-Ray Test Result |
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Sputum Test |
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a) If "Digital Chest X-Ray Test Result"= "Positive" b) If "History of TB" = "Yes" c) If "Age=< 5 years" d) If "Are you pregnant= yes" | |||
Is Sputum sample collected? | radio button |
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Is TrueNAT conducted | radio button |
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True NAT test result | radio button |
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Is Liquid culture conducted | radio button |
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Liquid Culture | radio button |
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Nikshay ID | Textbox |
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Capture Geolocation |
| Capture Geolocation |
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Submit | Button |
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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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- 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)
- Village Name- Dropdown options to be populated with names of village/ hamlets
Field Name | Field Type | Options | Validation |
Filter/ Selection option | Dropdown | The Dropdown Values are
| 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 Total Positives/ Negatives | Card must be yellow in colour | It must auto populate based on the filter selected. | |
Total TB suspected cases Total Positives/ Negatives | Card must be yellow in colour | It must auto populate based on the filter selected. | |
Total TB confirmed cases Total Positives/ Negatives | Card must be yellow in colour | It must auto populate based on the filter selected. | |
Total Digital Chest X-Rays conducted |
Female
Total Positives/ Negatives Male- Positive/ Negative Age>= 60 years- Positives/ Negatives |
| It must auto populate based on the filter selected. | |
Total Sputum collection conducted |
Total- Positives/ Negatives Male- Positives/ Negatives |
Age>= 60 years- Positives/ Negatives |
| It must auto populate based on the filter selected. | |
Total True NAT tests conducted |
Male- Positives/ Negatives Age>= 60 years- Positives/ Negatives |
| It must auto populate based on the filter selected. | |
Total sputum samples sent for liquid culture |
Male- Positives/ Negatives Age>= 60 years- Positives/ Negatives |
| It must auto populate based on the filter selected. | |
Total cases referred to Health and Wellness Centres Male Age>= 60 years |
| It must auto populate based on the filter selected. | |
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 |