Page History

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.

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.

Referred for digital chest x-ray

Radio button

Yes  |  No

·       Default: Yes.

·       Do NOT show for pregnant women.

·       Mandatory.

·       Move beneficiary to Referral list titled 'Digital Chest X-ray'.

Referred for Sputum Collection

Radio button

Yes  |  No

·       Enabled in case of-

• History of TB = Yes
• Currently taking Anti-TB drugs = Yes
• Are you pregnant = Yes
• Key Population / Risk Factors = Pregnancy
•  Default: Yes (when enabled).
• Mandatory when enabled.

Sputum Sample submitted at

DropdownDMC  |  DH  |  CHC  |  PHC  |  SC

• Camp
• DMC 
• TU
• DH
• CHC
• PHC

·       Optional.

·       Kept available in case NAAT device is non-functional.

Recommended for NAAT test

Radio button

Yes  |  No

·       Enabled if Referred for Sputum Collection = Yes.

·       Mandatory if enabled.

·       Move beneficiary to Referral list titled 'NAAT'.

Recommended for liquid culture test

Radio button

Yes  |  No

·       Enabled if: Referred for Sputum Collection = Yes AND History of TB = Yes AND Currently on Anti-TB drugs = Yes.

·       Mandatory if enabled.

·       Move beneficiary to Referral list titled 'Liquid Culture'.

Reason for denial for getting tested

Dropdown (multi-select)

·       Fear and anxiety

·       Misconceptions

·       Social stigma

·       Cultural and gender-related barriers

·       Prior negative experiences with healthcare staff

·       Privacy concerns

·       Long waiting times at the camp

·       Loss of daily wages

·       Lack of trust in government programs or camp organizers

·       Others

·       Multi-select.

·       Optional.

Submit

Button

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Continue to General OPD module. If skipped → move directly to Diagnostics Results screen.