Page History

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 

Nikshay ID 

Textbox 

• Enable if "Yes" is selected for 'Is Sputum sample collected.
• Enable if "Yes" is selected for "Digital Chest X-ray conducted"
• Enable if "Yes" is selected for "NAAT conducted"

Is Digital Chest X-ray conducted

• Yes
• No 

• To be auto selected "Yes" if "Is Digital chest x-ray conducted = yes"

Digital Chest X-Ray Test Result 

• Positive

• Negative

• Enable only if "Digital Chest X-ray conducted"=“Yes”
• If "Positive" is selected, move this case to Confirmed TB cases module and also enable sputum test fields for further testing.
• Auto select the result if "Digital Chest X-Ray Test Result" if result is already captured in the diagnostics screen.
• Also give option to do manual selection
• If "Positive" is selected, move this case to Confirmed TB cases module and also enable sputum test fields for further testing.

Sputum Test

• To be enabled in the following conditions-

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"

e) If "Are you currently taking Anti TB drugs" = "yes"

Is Sputum sample collected? 

radio button 

• Yes 
• No 

• To be auto selected "Yes" if "Is Sputum sample collected= yes"

Sputum Sample submitted at

dropdown

• DMC
• DH
• CHC
• PHC
• SC

•  Optional

Is True NAT conducted

radio button 

• Yes
• No 

• To be auto selected "Yes" if "Is True NAT conducted = yes" and "Sputum Sample Collected" = "Yes" or if "Digital Chest X-Ray Test Result" = "Positive"

True NAT test result

 radio button 

• Positive
• Negative

• Enable only if "Is True NAT conducted"=“Yes”
• Option to edit/ select after submission of the form
• Auto select the result if "True NAT test result" is already captured in the diagnostics screen.
• Also give option to do manual selection
• If "Positive" is selected, move this case to Confirmed TB cases module.

Is Liquid culture conducted

radio button 

• Yes
• No 

• To be auto selected "Yes" if "Is liquid culture conducted = yes" and "Sputum Sample Collected" = "Yes"
• To be enabled only if "History of TB" = "Yes", "Currently on Anti-TB drugs" = "Yes"

Liquid Culture test result

 radio button 

• Positive
• Negative

• Auto select the result if "Liquid Culture test result" is already captured in the diagnostics screen.
• Also give option to do manual selection
• If "Positive" is selected, move this case to Confirmed TB cases module.
• Option to edit/ select after submission of the form
  

Capture Geolocation

• Capture current location details (latitude, longitude, address)

Submit 

Button