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Name of Data Field | Field Type | Value/ Options | Validation/ Logic/ Condition |
House Hold No. | Numeric |
| Search by household number. |
Head of Family Member Name | Text Box |
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Mobile No. | Numeric |
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Name | Text Box |
| Auto-populated from "Enumeration FM" First Name, Middle Name, Last Name. |
Father's Name / Husband Name | Text Box |
| If Gender = Female and Marital Status = Married, auto-populate from Spouse Name. If Gender = Male, auto-populate from Father’s Name. |
Age | Text Box |
| Auto-populated from "Enumeration FM" |
Gender | Text Box |
| Auto-populated from "Enumeration FM" |
Mobile No. | Text Box |
| Auto-populated from "Enumeration FM" |
ABHA ID | Text Box |
| Auto-populated from "Enumeration FM" |
Malaria Screening Date | Calendar Picker |
| Allow belated dates till last 3 months from todays date and Not greater than Today's Date |
| Beneficiary Status | Radio Button | Select:
| If 'Status' = "Dead" then disable all below fields and Enable only these fields Date of Death, Place of Death and Reason for Death Select default value "Not Applicable" |
| Date of Death | Calendar | If 'Status' = "Dead" then enable Mandatory Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |
| Place of Death | Drop Down | Select:
| If 'Status' = "Dead" then enable Mandatory |
Other Place of Death | Text Box |
| Applicable If 'Status' = "Dead" Enable only if "Other" is selected above |
| Reason for Death | Drop Down | Select:
| If 'Status' = "Dead" then enable Mandatory |
Other Reason for Death | Text Box |
| Applicable If 'Status' = "Dead" Enable only if "Other" is selected above |
Symptoms | Multi-Select Choices |
| Fever more than two weeks, Flu-like illness, Shaking chills, Headache, Muscle aches, Tiredness, Nausea, Vomiting, Diarrhea (Yes/No) Default is "No" |
Case Status | Drop Down | Option: 1.Suspected, 2. Confirmed, 3. Not Confirmed, 4. Treatment Given. | If any of the above symptoms are "Yes" then select "Suspected" First Entry: Only "Suspected" can be selected. Test id not Done but symptoms are present then Suspected Any Test is Positive, Confirmed If Test are Negative Not confirmed Color Indications for Malaria Cases:
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| Rapid Diagnostic Test (RDT) | Radio button | Option
| If you have performed an RDT, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed an RDT, put a cross X in Yellow |
| Date of RDT | Calendar | Mandatory if above field RDT is selected Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |
| Malaria Slide Test Pf | Radio button | Option
| Default not performed If you have performed an Malaria Slide Test, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed, put a cross X in Yellow |
| Malaria Slide Test Pv | Radio button | Option
| Default not performed If you have performed an Malaria Slide Test, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed, put a cross X in Yellow |
| Date of Slide Test | Calendar | Mandatory if above field RDT is selected Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |
| Slide No | Auto Calculate: | ||
Case Status | Drop Down | Option: 1.Suspected, 2. Confirmed, 3. Not Confirmed, 4. Treatment Given. | If any of the above symptoms are "Yes" then select "Suspected" First Entry: Only "Suspected" can be selected. Test id not Done but symptoms are present then Suspected Any Test is Positive ,Confirmed If Test are Negative , any No test Performed is "Not confirmed" |
Referred To | Drop Down |
| Options: Primary Health Centre, Community Health Centre, District Hospital, Medical College and Hospital, Referral Hospital, Other Private Hospital, Other, None. |
Other Referred Facility | Text Box |
| Required only if "Referred To" = "Other". |
Remarks | Text Box |
| Optional field for additional notes. |
Date of Visit by Supervisor | Calendar |
| Allow belated dates till last 3 months from todays date and Not greater than Today's Date |
Incentive Logic |
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| For Lab Test: Malaria = X+1 for every unique confirmed case in the current month, for particular house hold "X" is a Variable |
- A separate line listing titled "Follow-up for Confirmed Cases". Upon clicking this, users will be able to update treatment details, including treatment start date, progress tracking, completion date, and referrals.
- Auto-populate below Patient Details on the Card:
Patient Name – Full name of the patient.
Age and Gender– Display as "Age and Gender
Ben ID – Display Beneficiary ID
Date of Diagnosis – The date when the malaria case was confirmed.
Name of Data Field | Field Type | Value/ Options | Validation/ Logic/ Condition |
| Date of Starting Treatment | Date Picker | Cannot be a future date; must be on or after the test date. | |
| Treatment Given | Radio Button | Options: 1.Pf 2.Pv | Mandatory field. |
| Pf - Day-wise Tracking | Checkbox | Options: Day 1, Day 2, Day 3 | Available only if "Pf" is selected under Treatment Given. At least one day must be selected. |
| Pv - Day-wise Tracking | Checkbox | Options: Day 1, Day 2, Day 3, Day 4 | Available only if "Pv" is selected under Treatment Given. At least one day must be selected. |
| Date of Completion of Treatment | Date Picker | DD/MM/YYYY | Cannot be before the "Date of Starting Treatment". |
| Date of Referral | Date Picker | DD/MM/YYYY | Optional. If entered, must be after the "Date of Starting Treatment". |
Follow-up for Confirmed Cases will be a separate section under the system.
Users must select whether the treatment is for Pf (Plasmodium falciparum) or Pv (Plasmodium vivax).
Based on the selection:
Pf will show tracking options for Day 1, Day 2, Day 3.
Pv will show tracking options for Day 1, Day 2, Day 3, Day 4.
Date of Completion of Treatment must be recorded and validated to ensure it follows the treatment start date.
Date of Referral can be entered if applicable, but it must be after treatment initiation.
3.12.2 Kala Azar Module
The Kala Azar sub-module focuses on early detection, treatment and tracking of Kala Azar cases at the village community level. It ensures accurate case status updates, referral options, treatment initiation, and structured follow-up at different points of the treatment cycle.
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