Page History

Regimen Type

Radio button

1.DS-TB (6 Months)

2.Shorter Regimen (9–12 Months)

3.Longer Regimen (18–24 Months)

4.BPaL Regimen (6 Months)

5.INH Mono (6 Month)

·       If DS-TB (6 Months) selected → open TPT module.

·       Alert volunteer to screen all household members / contacts if DS-TB case is selected.

Treatment Start Date

Date picker

Date

·       Mandatory. Must be >= TB Identification and Diagnosis Visit Date. Not greater than Today's Date.

Expected Treatment Completion Date

Label (read-only)

Auto-calculated

Auto calculate this date based on below condition form ‘Treatment Start Date’: 

1. If ‘Regimen Type’ is “1”, “4”, “5” then add 6 months 

2. If ‘Regimen Type’ is “2”, then, Treatment duration is 9–12 months (show 9–12 range dates) 

3. If ‘Regimen Type’ is “3”, then, Treatment duration is 18–24 months (show 18–24 range dates) 

— FOLLOW-UP & ADHERENCE SECTION —

Follow-up Date

Date picker

Date

·       Greater than or equal to Treatment Start Date or greater than Last Follow up Date

·       Mandatory

·       Minimum date is Treatment Start Date

·       Accept date greater than Last Follow up Date

·       Allow 1 Follow up visit in a month (i.e. monthly 1 Follow up)

·       Not greater than Today's Date

Monthly follow-up done

Label (read-only)

Month-1 to Month-12

Incremental based on monthly follow-up visits completed.

Indicate the status of follow-up on the card "Due", "Overdue" or "Completed".

Adherence to Medicines

Radio button

Regular  |  Irregular

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Any discomfort

Radio button

Yes  |  No

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— TREATMENT COMPLETION SECTION —

Did the patient complete the full course of treatment?

Radio button

Yes  |  No

Enable these below filed based on below conditions:

1. If ‘Regimen Type’ is “1”, “4”, “5” then enable after 5 Monthly follow up visits

2. If ‘Regimen Type’ is “2”, then enable after 9 Monthly follow up visits

3. If ‘Regimen Type’ is “3”, then enable after 18 Monthly follow up visits

Actual Treatment Completion Date

Date picker

Date

Enabled if 'Yes' selected above. Must be > Last Follow-up Date.

TB Treatment Outcomes

Dropdown

Cured  |  Failed  |  Lost to Follow-up (LFU)  |  Death

If Death selected → update Beneficiary Status = Death in Beneficiary record;

Enable Date of Death, Place of Death, and Reason for Death fields.

Date of Death

Date picker

Date

Enable only if TB Treatment Outcomes = Death.

Mandatory if enabled.

Default: null. Not greater than Today's Date. >= Treatment Start Date or > Last Follow-up Date.

Place of Death

Dropdown

Home  |  Subcenter  |  PHC  |  CHC  |  District Hospital  |  Medical College Hospital  |  Private Hospital  |  Other Place

Enable only if TB Treatment Outcomes = Death.

Reason for Death

Label (read-only)

Tuberculosis

Enable only if TB Treatment Outcomes = Death. Pre-filled as 'Tuberculosis'. Read only.

Reason for non-completion of treatment

Textbox

Free text

Enable if 'No' selected for 'Did the patient complete full treatment?'

Capture Geolocation

Auto capture

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Capture current location: latitude, longitude, address.

Submit

Button

—

Save record.

Follow-up visit history

Table (read-only)

—

Maintain and display complete follow-up visit history.