Page History

TB Screening

* If "Yes" is selected for any one of the questions below with "*" ; "Refer for "digital chest x-ray" or "Collecting the sputum sample".

** If "Yes" is selected for any one of the questions below with "**" ; "Advise tracing and screening of all family members".

TB Screening

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 

Coughing More than 2 weeks * 

radio button 

•  Yes 
• No 

•  Mandatory

Blood in Sputum * 

radio button 

•  Yes 
• No 

•  Mandatory

Fever > 2 weeks * 

radio button 

•  Yes 
• No 

•  Mandatory

Rise of fever in evening*

radio button 

•  Yes 
• No 

•  Mandatory

Loss of Appetite*

radio button 

•  Yes 
• No 

•  Mandatory

Loss of Weight * 

radio button 

•  Yes 
• No 

•  Mandatory

Night Sweats * 

radio button 

•  Yes 
• No 

•  Mandatory

History of TB *

radio button 

•  Yes 
• No 

•  Mandatory

Are you currently taking Anti TB drugs  **

radio button 

• Yes 
• No 

•  Mandatory

Anyone in Family Currently Suffering from TB **

radio button 

• Yes 
• No 

•  Mandatory

Submit 

Button 

 Continue next to "Anthropometric and Vitals" Screen

Diagnostics 

Is Digital chest x-ray conducted

• Yes
• No

• To be enabled for everyone except age =< 5 years and "Are you pregnant" = "Yes"

Digital Chest X-Ray Test Result 

• Positive

• Negative

• Enable only if "Is 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.

Is Sputum sample collected

• Yes
• No

• To be enabled in the following conditions-

1. If "History of TB" = "Yes"
2. If "Age=< 5 years"
3. If "Are you pregnant= yes"
4. If "Are you currently taking Anti TB drugs" = "yes"

Is True NAT conducted 

• Yes
• No

• To be enabled if "Age"=< 5 years or "Are you pregnant= yes" 

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
• If "Positive" is selected, move this case to Confirmed TB cases module.

Is liquid culture conducted

• Yes
• No

• To be enabled only if "History of TB" = "Yes", "Currently on Anti-TB drugs" = "Yes"

Liquid Culture test result

 radio button 

• Positive
• Negative

• If "Positive" is selected, move this case to Confirmed TB cases module.
• Option to edit/ select after submission of the form