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.

"Is beneficiary asymptomatic"

Radio button

Yes  |  No

Option "Yes" will be auto selected if responses to all the Previous 10 Questions are "No".

Option "No" will be auto selected if responses to any of the Previous 10 Questions are "Yes", valid even for one single response as "Yes".

Next Screen will after TB Screening Questions-

This Screen will be dynamic and results should keep on auto populating after NAAT device and Digital Chest X-ray devices are integrated. 

Manual entries are also allowed.

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

Reason for denial to get referred for chest x-ray

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.

Reasons for not conducting the chest x-ray

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 NAAT referral list for further testing.

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.

Reason for denial to get referred for sputum collection

Sputum

Sample submitted at

Dropdown

• TB Screening Camp
• DMC 
• TU
• DH
• CHC
• PHC

·       Optional.

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

Mandatory

Default is TB Screening Camp

Is NAAT test conducted

Radio / Auto

Yes  |  No

Enabled in case of-

• "Digital Chest X-Ray Test Result"= "Positive" and "History of TB"= "Yes"
• 'Are you pregnant = Yes'
• Key Population / Risk Factors = Pregnancy
• Auto-populated by cross-device sync between STOP TB app and NAAT device.

Reasons for not conducting the NAAT test

NAAT test result

Radio button / Auto

Positive  |  Negative

Enabled only if 'Is NAAT conducted = Yes'.

Auto-populated by cross-device sync.

If Positive → move case to Confirmed TB cases module

Recommended for NAAT test

Radio button

Yes  |  No

.

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

.

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.

Other

free text

Submit

Button

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