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Field Name | Input Type | Options / Values | Logic & Validations |
Date | Calendar / Date Picker | Date | Mandatory. Default: Today's Date. Not greater than Today's Date. Accept date >= Date of beneficiary registration. Not editable once submitted. |
Name | Textbox (read-only) | Auto-filled | Auto-fill from Beneficiary details. Shows First Name + Last Name. Read only. |
Age | Textbox (read-only) | Auto-filled | Auto-fill from Beneficiary details. Read only. |
Gender | Textbox (read-only) | Auto-filled | Auto-fill from Beneficiary details. Read only. |
Nikshay ID | Textbox | Auto-populated | Auto-populated after all mandatory fields per Nikshay application are filled. |
Is Digital Chest X-ray conducted | Radio / Auto | Yes | No | Enabled for everyone EXCEPT 'Are you pregnant = Yes' and Key Population / Risk Factors = Pregnancy. Auto-populated by cross-device sync between STOP TB app and digital chest X-ray device. |
Digital Chest X-Ray Test Result | Radio / Auto | Positive | Negative | Enabled only if 'Is Digital Chest X-ray conducted = Yes'. Auto-populated by cross-device sync. If Positive → move case to Confirmed TB cases module AND show patient in Truenat referral list for further testing. |
Is Truenat test conducted | Radio / Auto | Yes | No | Enabled if 'Are you pregnant = Yes' and , Key Population / Risk Factors = Pregnancy .and "Digital Chest X-Ray Test Result"= "Positive" Auto-populated by cross-device sync between STOP TB app and Truenat device. |
Truenat test result | Radio button / Auto | Positive | Negative | Enabled only if 'Is Truenat conducted = Yes'. Auto-populated by cross-device sync. If Positive → move case to Confirmed TB cases module. |
Recommended for liquid culture test | Radio | Yes | No | Enabled only if History of TB = Yes AND Currently on Anti-TB drugs = Yes. |
Liquid Culture test result | Radio button | Positive | Negative | If Positive → move case to Confirmed TB cases module. Option to edit/select after form submission as results come after 40-45 days. |
Submit | Button | — | Save diagnostics data. |
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