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Field Name | Input Type | Options / Values | Logic & Validations |
Pulse Rate (beats per minute) | Free textbox | Numeric (BPM) | · Free textbox for manual entry. · If value < 60 or > 90 BPM → show alert 'Refer to Health and Wellness Centre' and flag in Referral card on Home. Auto-sets 'Referral to HWC needed' = Yes. |
Systolic Blood Pressure (mmHg) | Free textbox | Numeric (mmHg) | · SBP and DBP fields placed side by side with their units. · Free textbox for manual entry. · If >= 140 mmHg (High) or < 90 mmHg (Low) → alert 'Refer to Health and Wellness Centre'. Auto-sets 'Referral to HWC needed' = Yes. |
Diastolic Blood Pressure (mmHg) | Free textbox | Numeric (mmHg) | · SBP and DBP placed side by side. · Free textbox for manual entry. · If >= 90 mmHg (High) or < 60 mmHg (Low) → alert 'Refer to Health and Wellness Centre'. Auto-sets 'Referral to HWC needed' = Yes. |
Random Blood Sugar (mg/dl) | Free textbox | Numeric (mg/dl) | · Free textbox for manual entry. · If >= 100 mg/dl → alert 'Refer to Health and Wellness Centre'. Auto-sets 'Referral to HWC needed' = Yes. |
Pallor | Radio Button | Present | Absent | · Optional. |
Icterus | Radio Button | Present | Absent | · Optional. |
Cyanosis | Radio Button | Present | Absent | · Optional. |
Clubbing | Radio Button | Present | Absent | · Optional. |
Lymphadenopathy | Radio Button | Present | Absent | · Optional. |
Oedema | Radio Button | Present | Absent | · Optional. |
Key Population / Risk Factors* | Checkbox (multi-select) | Pregnancy Lactating mother Anti-TNF treatment Bronchial Asthma Cancer Cardiovascular Disorder Contact of Known TB Patients COPD COVID recovered patients Diabetes Dialysis Health Care Worker Hypertensive Liver Impairment Migrant Miner Palliative Care Patient on immunosuppressants Prison Illegal Immigrant Renal Impairment Transplantation Urban Slum H/o Adult BCG Vaccination Undernourished / Malnourished (BMI <18.5 kg/m²) Elderly (age >60 years) Workplace settings (coal/sandblasting/brick kiln) Tea garden worker Construction site worker Congregate settings Attendees of de-addiction centers Person exposed to indoor air pollution Marginalized populations at risk of HIV LGBTQAI++ Substance abuse (alcoholic/intravenous drug users) Tobacco/smoker Silica exposure/silicosis Other Not Applicable | · Mandatory. · Multi-select.
· If 'Not Applicable' selected → all other options are disabled.
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HIV Status* | Radio | Positive | Reactive | Negative | Unknown | · Mandatory. · Default: Unknown. |
Referral to HWC needed | Auto + manual | Yes | No | · Auto-set to 'Yes' if: Pulse < 60 or > 90 BPM; OR Systolic BP >= 140 or < 90 mmHg; OR Diastolic BP >= 90 or < 60 mmHg; OR Random Blood Sugar >= 100 mg/dl. · Show all such beneficiaries in the Referral → Health and Wellness Centre card on Home. · If all vitals fall in the normal range then 'Referral to HWC needed' remains No and the beneficiary does NOT appear in the HWC Referral card. |
Submit | Button | — | Proceed to TB Screening screen. |
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