1

Registration Officer

Register beneficiaries; capture anthropometric measurements (Height, Weight, BMI) and Temperature

2

Nurse

General Examination; TB Verbal Screening; General OPD ailments; over-the-counter medicine dispensation; Diagnostics screen management

3

Counselling Officer

Counsel beneficiaries diagnosed with TB; initiate treatment at nearest health centre; notify TB Units; follow-up (15 days) on beneficiaries

4

Admin / NTEP / STOP TB

Backend and dashboard access; programme monitoring and reporting

STOP TB Application Logo

Placeholder / Image

—

Displayed prominently at top of login screen

Please Select your Language

Radio Button

English  |  Hindi

Fields and labels populate in the language selected by the user

Username

Textbox

Free text

—

4-digit PIN

Textbox

Numeric, 4 digits

Used for offline login; set during first login

Remember Me

Checkbox

—

When selected: next login authenticates directly via fingerprint biometric

Powered by STOP TB

Static text label

—

Displayed at the centre bottom of the screen

UI Field Name

Field Type

Options

Validations

State

 Drop Down

·       Auto-Populate

·       This must be configurable and must allow to add different states in Future)

·        

·       (One Time Activity)- User must be registered with the State that he selected while enrolling himself for the first time under "Settings"

District

Drop Down

·       Auto-Populate

·       (This must be configurable and must allow to add different District/Town/City in Future)

·        

·       (One Time Activity)- User must be registered with the district that he selected while enrolling himself for the first time under "Settings"

Block

Drop Down

·       Auto-Populate

·       (This must be configurable and must allow to add different Taluk/Tehsil in Future)

·       (One Time Activity)- User must be registered with the block that he selected while enrolling himself for the first time under "Settings"

TU

Drop Down

·       Auto-Populate

·       (This must be configurable and must allow to add different TUs in Future)

·       (One Time Activity)- User must be registered with the block that he selected while enrolling himself for the first time under "Settings"

Health Facility

Drop Down

·       Auto-Populate

·       (This must be configurable and must allow to add different health facilities in Future)

·       (One Time Activity)- User must be registered with the block that he selected while enrolling himself for the first time under "Settings"

Village

Drop Down

·       Auto-Populate

·       (This must be configurable and must allow to add different Taluk/Tehsil in Future)

·       (One Time Activity)- User must be registered with the Block

• Beneficiary and Household search should default to Village level first, then escalate to Block level (camp host village). The search validation stating  "Search is scoped to the currently selected Village by default. If no result is found within the Village, the system then offers an option to expand search to Block level." After login, the search scope should start from the selected village. Same validation for Beneficiary search pre-registration.

Submit

Button

·       On clicking Submit Button it must navigate to HWC Page

Photo of the beneficiary

Name

Beneficiary ID

Age (Years)

Village Name-

Phone Number

ABHA ID (ABHA registration)- Clickable

NIKSHAY ID

Weight (Kgs)

Number input

Numeric

Numeric; 1 decimal place allowed.

Height (cms)

Number input

Numeric

Numeric; 1 decimal place allowed.

BMI = Weight / (Height/100)²

Auto-calculated (read-only)

Calculated value

Auto-calculated when both Height and Weight are entered. Formula: Weight ÷ (Height ÷ 100)². Display to 1 decimal place. Non-editable.

Temperature (Degree Fahrenheit)

Radio + free textbox

• Temperature convert into a single variable to directly enter figure. 
• Apply validation for entry in the range minimum 95 and maximum 107 Degree Fahrenheit.
•  Allow one decimal 
• Display labels of -<97 – hypothermia, 97-99 – Normal, >99 – Fever.
• If >99 degree Fahrenheit then show alert for Referral to HWC

Submit

Button

—

Beneficiary moves to Nurse module queue.

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.

• Default- Not applicable

·       If 'Not Applicable' selected → all other options are disabled.

• Auto selection to "Pregnancy" if "Are you Pregnant"= "Yes"
• Do not show "Pregnancy"  and "Lactating mother" option if Gender= "Male"

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.

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 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/ Hide for pregnant women.

·       Mandatory.

·     If yes, move beneficiary to Referral list titled 'Digital Chest X-ray'.

Reason for denial to get referred for chest x-ray

dropdown

• Patient refused
• Long waiting times at the camp
• Loss of daily wages
• Lack of trust in government programs or camp organizers

• Already tested recently
• Long waiting time
• Fear/anxiety
• Clinically unstable
• Fear and anxiety
• Misconceptions
• Social stigma
• Cultural and gender-related barriers
• Prior negative experiences with healthcare staff
• Privacy concerns
• Others

Enabled if Referred for digital chest x-ray= "No"

Mandatory if enabled

Multi select option

Default option- Patient refused

Other

free text

enabled if Reason for denial to get referred for chest x-ray= Other

Mandatory if enabled

Is Digital Chest X-ray conducted

Radio / Auto

Yes  |  No

Enabled for everyone EXCEPT 'Are you pregnant = Yes' and Key Population / Risk Factors = Pregnancy.

Enabled if Referred for digital chest x-ray= "Yes"

Auto-populated by cross-device sync between STOP TB app and digital chest X-ray device.

Reasons for not conducting the chest x-ray

dropdown

• X-ray Machine unavailable
• Power issue
• Connectivity issue
• Patient absent
• Patient refused
• Technical failure
• Radiographer unavailable
• Excessive waiting time
• Other

Enabled if Is Digital Chest X-ray conducted= "No"

Mandatory if enabled

Single Selection

Other

free text

enabled if Reasons for not conducting the chest x-ray= Other

Mandatory if enabled

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 Suspected 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
• Digital Chest X-Ray Test Result= "Positive"
•  Default: Yes (when enabled).
• Mandatory when enabled.

Reason for denial to get referred for sputum collection

dropdown

• Patient refused
• Unable to produce sputum
• Loss of daily wages
• Lack of trust in government programs or camp organizers
• Already tested recently

• Long waiting time
• Fear/anxiety
• Clinically unstable
• Fear and anxiety
• Misconceptions
• Social stigma
• Cultural and gender-related barriers
• Prior negative experiences with healthcare staff
• Privacy concerns
• Others

• Other

Enabled if Referred for sputum collection= "No"

Mandatory if enabled

Multi select option

Default option- Patient refused

Other

free text

Enabled if Reason for denial to get referred for sputum collection= Other

Mandatory if enabled

Sputum Sample submitted at

Dropdown

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

Mandatory if Referred for Sputum Collection= "Yes"

Default is TB Screening Camp

Is NAAT test conducted

Radio / Auto

Yes  |  No

Enabled in case of-

• "Digital Chest X-Ray Test Result"= "Positive"
• Referred for sputum collection = Yes
• Current Anti-TB treatment = Yes
• "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

dropdown

• Machine unavailable
• Cartridge unavailable
• Sample rejected
• Patient refused
• Connectivity issue
• Technical issue
• Patient absent
• Excessive waiting time
• Other

Enabled if Is NAAT test conducted= "No"

Mandatory if enabled

Single Selection

Other

free text

enabled if Reasons for not conducting the NAAT test= Other

Mandatory if enabled

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 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.

Submit

Button

—

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

Chief Complaint

Dropdown (multi-select)

·       Fever

·       Mild to moderate body pain

·       Headache

·       General weakness with fever

·       Acidity

·       Burning sensation in stomach

·       Indigestion

·       Gas

·       Bloating

·       Upper abdominal discomfort

·       Allergic symptoms

·       Sneezing

·       Runny nose

·       Itching (skin or eyes)

·       Mild allergic rash

·       Diarrhea

·       Loose stools

·       Gut imbalance

·       Indigestion with loose motion

·       Dehydration

·       Vomiting with weakness

·       Heat exhaustion

·       General weakness

·       Fatigue

·       Nutritional deficiency

·       Poor appetite

·       Fever in children

·       Body ache in children

·       Post-vaccination fever

·       Allergies in children

·       Cold with sneezing

·       Itching in children

·       Mild skin allergy

·       Diarrhea in children

·       Weak immunity

·       Recovery from illness

·       Optional.

·       Multiple selection possible.

Medication

Dropdown (multi-select)

·       Tab Paracetamol (500 mg)

·       Tab Digene (Alluminium hydroxide+ magnesium aluminium silicate + magnesium oxide + simethicone)

·       Tab Cetrizine (10 mg)

·       Tab.Sporolac DS 120M (Lactic acid bacillus tablets)

·       ORS sachets

·       Tab Multivitamin

·       Syp Paracetamol 250mg (60ml)

·       Syp Cetrizine 60 ml

·       Syp Zinc 60 ml 

·       Mandatory if any chief complaint is selected.

·       Multiple selection is possible

Frequency

Dropdown

Once daily  |  Twice daily  |  Thrice daily  |  SoS

Mandatory if Medication is selected.

Duration

Dropdown

1 day  |  2 days  |  3 days  |  5 days  |  7 days

Mandatory if Medication is selected.

Notes / Remarks

Free text

—

Optional.

Skip

Button

—

Skip OPD module and move directly to Diagnostics screen.

Submit

Button

—

Save OPD data and move to Diagnostics screen.

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.

Name

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Shows First Name + Last Name. Read only.

Age

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Read only.

Gender

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Read only.

Nikshay ID

Textbox

Auto-populated

Auto-populated after all mandatory fields per Nikshay application are filled.

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.

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.

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.

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 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.

Submit

Button

—

Save diagnostics data.

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.

Name

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Shows First Name + Last Name. Read only.

Age

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Read only.

Gender

Textbox (read-only)

Auto-filled

Auto-fill from Beneficiary details. Read only.

Nikshay ID

Textbox

Auto/Manual

Enable if 'Is Sputum sample collected = Yes'; OR 'Digital Chest X-ray conducted = Yes'; OR 'NAT conducted = Yes'.

Is Digital Chest X-ray conducted

Radio / Auto

Yes  |  No

Auto-selected 'Yes' if 'Is Digital chest x-ray conducted = Yes' in Diagnostics screen.

Digital Chest X-Ray Test Result

Radio / Auto

Positive  |  Negative

Enabled only if 'Digital Chest X-ray conducted = Yes'. Auto-select if already captured in Diagnostics screen; also allow manual selection. If Positive → move to Confirmed TB cases AND enable Sputum test fields.

Sputum Test (section)

Section

—

Enabled if: a) Digital Chest X-Ray Result = Positive; b) History of TB = Yes; c) Are you pregnant = Yes; d) Currently taking Anti-TB drugs = Yes.

Is Sputum sample collected?

Radio button

Yes  |  No

Auto-selected 'Yes' if already captured as Yes.

Sputum Sample submitted at

Dropdown

DMC  |  DH  |  CHC  |  PHC  |  SC

Optional.

Is NAAT conducted

Radio button

Yes  |  No

Auto-selected 'Yes' if: Is NAAT conducted = Yes AND Sputum Sample Collected = Yes; OR Digital Chest X-Ray Result = Positive.

NAAT test result

Radio button

Positive  |  Negative

Enabled only if Is NAAT conducted = Yes. Option to edit/select after submission. Auto-select if already captured in Diagnostics screen; allow manual selection. If Positive → move to Confirmed TB cases.

Is Liquid culture conducted

Radio button

Yes  |  No

Auto-selected 'Yes' if: Is liquid culture conducted = Yes AND Sputum Sample Collected = Yes. Enabled only if History of TB = Yes AND Currently on Anti-TB drugs = Yes.

Liquid Culture test result

Radio button

Positive  |  Negative

Auto-select if already captured in Diagnostics screen; allow manual selection. If Positive → move to Confirmed TB cases. Option to edit/select after submission.

Capture Geolocation

Auto capture

—

Capture current location details: latitude, longitude, address.

Submit

Button

—

Save record.

Counselling Date

Date picker

Date

Mandatory. Default: Today. Not > Today. Must be >= Registration date.

Counselling Officer Name

Auto-filled (read-only)

Logged-in user

Auto-filled from logged-in Counselling Officer account. Read only.

— PATIENT HEADER (AUTO-FILLED, READ-ONLY) —

Beneficiary Name

Textbox (read-only)

Auto-filled

First Name + Last Name from beneficiary record.

Beneficiary ID (AMRIT ID)

Textbox (read-only)

Auto-filled

From beneficiary record.

Nikshay ID

Textbox (read-only)

Auto-filled

From Diagnostics screen. Read only.

Age / Gender

Textbox (read-only)

Auto-filled

Age (years) and Gender from beneficiary record.

Diagnosis

Textbox (read-only)

Auto-filled

X-ray Result  |  NAAT Result  |  Liquid Culture Result — populated from diagnostic records. Read only.

SECTION A: DISEASE AWARENESS

TB disease explained to patient

Radio button

Yes/ No

Mandatory.

Must be checked before proceeding.

Confirms counsellor has explained TB to the patient.

Transmission route explained

Radio button

Yes/ No

Mandatory.

Symptoms explained

Radio button

Yes/ No

Mandatory.

Treatment duration explained

Radio button

Yes/ No

Mandatory.

Disease awareness notes

Free text

—

Optional. Max 500 chars.

SECTION B: DO'S AND DON'TS

Cover mouth while coughing — advised

Radio button

Yes/ No

Mandatory.

Complete full treatment course — advised

Radio button

Yes/ No

Mandatory.

Regular follow-up attendance — advised

Radio button

Yes/ No

Mandatory.

Nutritional guidance provided

Radio button

Yes/ No

Mandatory.

No smoking / alcohol — advised

Radio button

Yes/ No

Mandatory.

Isolation precautions explained

Radio button

Yes/ No

Mandatory.

Do's & Don'ts notes

Free text

—

Optional. Max 500 chars.

SECTION C: GOVERNMENT SCHEMES

Nikshay Poshan Yojana (NPY) eligibility explained

Radio button

Yes/ No

NPY: DBT of Rs. 1000/month for duration of treatment.

DOTS free treatment explained

Radio button

Yes/ No

 Confirm patient understands treatment is free under NTEP.

Schemes notes

Free text

—

Optional. Max 300 chars.

SECTION D: TREATMENT REGIMEN

Regimen explained to patient

Radio button

Yes/ No

Mandatory.

Medication names explained

Radio button

Yes/ No

Mandatory.

Side effects explained

Radio button

Yes/ No

Mandatory.

Importance of adherence explained

Radio button

Yes/ No

Mandatory.

Treatment regimen notes

Free text

—

Optional. Max 300 chars.

SECTION E: COUNSELLING COMPLETION

Counselling completion status

Radio button

Complete  |  Refused

Mandatory.

Make all the above sections obsolete if “Counselling completion status” = “Refused”

If Refused → enable 'Reason for refusal' field.

Reason for refusal

Free text

—

Mandatory if Counselling status = Refused. Max 300 chars.

Counsellor remarks

Free text

—

Optional. Max 500 chars

.

Submit

Option to submit to be given here, so that counsellor can submit and move to another patient. Next Section can be opened at a later date 

SECTION F

: Follow Up to TU

To be done within 15 days

Editable

Has the patient started the prescribed TB treatment regimen?

Radio button

Yes/ No

If No is selected, then enable “Reason for not starting the prescribed TB treatment regimen”

Reason for not starting the prescribed TB treatment regimen

Free text

To be enabled if “Has the patient started the prescribed TB treatment regimen” = “No”

Up to 500 characteristics

Has the patient visited the DOTS centre / referred health facility for treatment collection?

Radio button

Yes/ No

Has the patient reported side effects to the treating doctor or DOTS centre?

Radio button

Yes/ No

Submit

Button

—

Save counselling record. If status = Complete → Nikshay record updated; case marked 'Counselled'.

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

—

Any discomfort

Radio button

Yes  |  No

—

— 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

—

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.

Name of the contact

Text Box

Free text

—

Age of the contact

Number input

Numeric

—

Gender

Dropdown

Male  |  Female  |  Transgender  |  Prefer not to say

Mandatory. Speech-to-text feature enabled.

Mobile Number

Number

Numeric

Optional. Speech-to-text feature enabled.

TPT Screening Status

Radio / Dropdown

Not Started  |  Pending  |  Completed

Mandatory. Single selection. Default: Pending.

Referral Facility for screening

Radio / Dropdown

HWC  |  PHC  |  CHC  |  District Hospital

Mandatory. Single selection. From here volunteer can go directly to Submit as contact must first get tested.

Screening done at the referral facility

Radio

Yes  |  No

Mandatory.

Is it confirmed TB case

Radio

Yes  |  No

If Yes → move card to Confirmed TB list. If No → continue ahead.

Are you advised to take TPT

Radio

Yes  |  No

If Yes → continue to next field. If No → go directly to Submit.

TPT initiated

Radio

Yes  |  No

Mandatory. Enable next fields if Yes.

TPT start date

Date picker

<= Today's date

Mandatory if enabled. Cannot be future date. Cannot be before date of screening.

Treatment duration of TPT

Radio / Dropdown

1 Month  |  3 months  |  6 months

—

Expected completion date

Date (read-only)

Auto-calculated

Auto-calculated = TPT start date + regimen duration. Non-editable.

Follow-up visit number

Numeric (read-only)

Auto-increment (1–6)

Non-editable. Automatically calculated by system.

Follow-up visit date

Date picker

<= Today's date

Mandatory if enabled. Cannot be future date. Cannot be before TPT start date.

TPT completion status

Radio / Dropdown

Completed

Incomplete

Lost to follow-up

Developed active TB during TPT

Died during TPT

Other

Mandatory. If 'Completed' → enable Date of completion field. If 'Developed active TB during TPT' → redirect volunteer to create new TB Suspected Case record and close this TPT case. If 'Died during TPT' → enable Date of death and Cause of death fields.

Other

Free text

—

—

Date of completion

Date picker

<= Today's date

Mandatory if TPT completion status = Completed. Cannot be future date.

Date of death

Date picker

Date

Enabled if TPT completion status = Died during TPT. Mandatory if enabled.

Cause of death

Free text

—

Enabled if TPT completion status = Died during TPT. Mandatory if enabled.

Capture Geolocation

Auto capture

—

Capture current location: latitude, longitude, address.

Submit

Button

—

Save record.

Total TB Screenings  (Total Positives / Negatives)

Yellow card

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Auto-populate based on filter selected. Total shown in bold.

Total Unscreened cases

Disaggregated by reasons (dropdown options specified)

Auto-populate based on filter selected. Total shown in bold.

Total beneficiaries with Past History of TB

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Auto-populate based on filter selected. Total shown in bold.

Total beneficiaries Currently on Anti-TB Drugs

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Auto-populate based on filter selected. Total shown in bold.

Total TB Suspected Cases  (Total Positives / Negatives)

Yellow card

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Auto-populate based on filter selected. Total shown in bold.

Total TB Confirmed Cases  (Total Positives / Negatives)

Yellow card

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Auto-populate based on filter selected. Total shown in bold.

Total Digital Chest X-Rays conducted  (Total Positives / Negatives)

—

Male — Positive / Negative

Female — Positive / Negative

Children (<15 yrs) — Positives / Negatives

Others

Age >= 60 years — Positives / Negatives

Auto-populate based on filter selected. Total shown in bold.

Total Sputum collections conducted  (Total Positives / Negatives)

—

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Age >= 60 years — Positives / Negatives

Auto-populate based on filter selected. Total shown in bold.

Total NAAT tests conducted

—

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Age >= 60 years — Positives / Negatives

Auto-populate based on filter selected. Total shown in bold.

Total sputum samples sent for liquid culture

—

Male — Positives / Negatives

Female — Positives / Negatives

Children (<15 yrs) — Positives / Negatives

Others

Age >= 60 years — Positives / Negatives

Auto-populate based on filter selected. Total shown in bold.

Total cases referred to Health and Wellness Centres

—

Male

Female

Children (<15 yrs)

Others

Age >= 60 years

Auto-populate based on filter selected. Total shown in bold.

NIKSHAY IDs

Yellow card

Total count

Total number of Nikshay IDs created in selected time period or village.

ABHA IDs

Yellow card

Total count

Total number of ABHA IDs created in selected time period or village.