1.

STOP TB Mobile / Tablet Application (Offline/Online)

Primary data entry device for all roles; operates in full offline mode or direct online mode

 2.

Local Server (Offline Staging Endpoint)

Receives data from all devices on the same local Wi-Fi/LAN when no internet is available; forwards accumulated data to central server on connectivity restore

. When this server comes online, it pushes the data to central server.

 3.

Central Server — AMRIT (National Data Store)

Authoritative data store; receives data directly from devices when online, or batched from local server when offline connectivity is restored

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

First Name of Head of the family

Textbox

Is Mandatory

·       Input method: Speech to Text feature

·       Accept alphabets only

·       Character limit 50

·       All letter should be in caps

2

Last Name/ Surname

Textbox

·       Input method: Speech to Text feature

·       Accept alphabets only

·       Character limit 50

·       All letter should be in caps

3

Mobile No of Head of the family

Textbox

Is Mandatory

·       Accept numeric (integer) value only

·       Accept 10 digits only

·       Should not start form zero

·       Should start with digit 6, 7, 8 or 9

·       Should Not accept all same digits

4

House No

Textbox

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

5

Ward No

Textbox

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

6

Ward Name

Textbox

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

7

Mohalla Name

Textbox

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

8

Economic Status

Spinner

Is Mandatory
Choose:

·       APL

·       BPL

·       Don't know

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

Type of Residential area

Spinner

Choose:

·       Rural

·       Urban

·       Tribal

·       Tea Garden

·       Other

2

Other Type of Residential area

Textbox

·       Enable if other is selected above

·       Is Mandatory if other is selected above

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

3

Type of House

Spinner

Is Mandatory
Choose:

·       Kuchha

·       Pucca

·       None

·       Other

4

House ownership

Spinner

Is Mandatory
Choose:

·       Yes

·       No

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

Separate Kitchen

Spinner

Is Mandatory
Choose:

·       Yes

·       No

2

Type of Fuel used for cooking

Spinner

Is Mandatory
Choose:
Firewood, Crop Residue, Cow Dung Cake, Coal, Kerosene, LPG, Other

3

Other type of fuel used for cooking

Textbox

·       Enable if other is selected above

·       Is Mandatory if other is selected above

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

4

Primary Source of water

Spinner

Is Mandatory
Choose:
Tap Water, Handpump Inside House, Handpump Outside House, Well, Tank, River, Pond, Other

5

Other Source of Water

Textbox

·       Enable if other is selected above

·       Is Mandatory if other is selected above

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

6

Availability of Electricity

Spinner

Is Mandatory
Choose:
Electricity Supply, Generator, Solar Power, Kerosene Lamp, Other

7

Other Availability of electricity

Textbox

·       Enable if other is selected above

·       Is Mandatory if other is selected above

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

8

Availability of Toilet

Spinner

Is Mandatory
Choose:
Flush Toilet with Running Water, Flush Toilet without Water, Pit Toilet with Running Water Supply, Pit Toilet without Water Supply, Other, None

9

Other Availability of Toilet

Textbox

·       Enable if other is selected above

·       Is Mandatory if other is selected above

·       Allow Alphanumeric Character and special Characters

·       Character limit 100

After Household registration is completed, show below alert in pop:
"Do you want to proceed with registration of Head of the family"; "Yes" or "No"
If "Yes", navigate to the Beneficiary Registration
If "No", land back to Household list screen

Photo of the beneficiary

Name

Beneficiary ID

Age (Years)

Village Name-

Phone Number

ABHA ID (ABHA registration)- Clickable

NIKSHAY ID

Field Name

Input Type

Options / Values

Logic & Validations

Date of Registration

• Should be auto selected and updated when the volunteer logs in the application to do the screening.

Beneficiary ID (AMRIT ID)

• Unique ID auto generated by the system

Photo

Camera

Optional

• Should have face detection/ Facial recognition
• Camera should identify & capture human face but not any objects
• Show an Alert if Photo is not captured, just as reminder but Not Mandatory

• Alert: "Do you like to Take Photo", Yes or No If "Yes", open Camera; If "No", go to next

I want to add a person from*

Radio

·       Public Sector

• Private Sector

This field is not visible in the form/ screen. Will be handled in the backend.       

Mandatory

·       Single select

• Default: Public Sector selected. 

Type of Case Finding*

Radio

·       Passive (Routine programme)

• Active (Active Case Finding)

·This field is not visible in the form/ screen. Will be handled in the backend.          

Mandatory

·       Single select

• Default: Active selected.

First Name*

Text Input

·       Free text

·       Mandatory

·       Only English letters

• No numbers/special characters.

Middle & Last Name*

Text Input

• Free text

·       Mandatory

·       Only English letters

• No numbers/special characters.

Beneficiary Status

Radio Button

·       Alive

·       Death

·       Enable only in the “Edit” Beneficiary screen

·       Auto-populate, if ‘Death’ is reported from any module

·       Default value is “Alive”

·       If “Death” is selected, enable below four fields and mark it mandatory-

1. Date of Death

2. Time of Death

3. Reason for Death

• 4. Place of Death or Other Place of Death

Date of Death

Date picker

·       Enable if “Beneficiary status”= “Death”

·       Mandatory if enabled

·       By default, date is null

·       Not greater than Today’s Date

·       Accept ‘Date of Death’ after date of registration

• ·       Auto-populate, if ‘Death’ is reported from any module (eg: Tuberculosis)

Time of Death

Time picker

·       Show only if above value is “Death”

• ·       Optional

Reason for Death

(Type of Death)

• Tuberculosis
• Maternal Death

·       Natural Death

·       Accident

·       Infectious Disease

·       Animal Bite Death

·       Suicide

·       Undetermined

·       Enable if “Beneficiary status”= “Death”

·       Mandatory if enabled

• Show only above value is “Death” and it is Mandatory

• If Gender is Female, and Age is 15-49 Years, show “Maternal Death” in dropdown list otherwise hide

Place of Death

• Home
• Subcenter
• PHC
• CHC
• District Hospital
• Medical College Hospital
• Private Hospital
• In Transit
• Other Place of Death

·       Enable if “Beneficiary status”= “Death”

·       Mandatory if enabled

• If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory. 

Other Place of Death

Textbox

• Enable if “Beneficiary status”= “Death”

•  Mandatory if enabled

Age*

Number Input

1–99

·       Required.

·       Numeric. Min 1 Max 99 in years

• Either Age or DOB required.

Date of Birth

Date Picker

• Populate automatically if entered

• Auto Calculate 'Date of Birth' based on the Age entered

Gender*

Radio

·       Male

·       Female

·       Transgender

·       Mandatory

• Single select

Mobile number not available

Checkbox

• If this check box is selected, disable mobile number field.

Primary Phone*

Number

• Mandatory
• In case mobile number is not available, consider this number (9999999999) as mobile number (Will be handeled by default in the backend)

• Exactly 10 digits.

Whose mobile number

dropdown

·       Self

·       Husband

·       Mother

·       Father

·       Family Head

• Other

•  Default select "Self" option.

Address*

Text

• Free text

• Required. Max 2000 chars. Only English letters.
• Default value to be considered as "Village" name

Village*

Dropdown

• Required. 
• Cascaded from block
• Default value selected from location screen or selection to change the village is given from the dropdown list if a beneficiary is from another village. 

Caste*

Radio

·       SC

·       ST

·       Other

·       Mandatory

• Single select

Area*

Radio

·       Tribal-NPVTG

·       Tribal-PVTG

·       Rural

·       Urban

·       Urban Slum

·       Unknown

·       Mandatory

Default Unknown.

Marital Status*

Radio

·       Single

·       Married

·       Unknown

·       Mandatory

·       Default Unknown.

Are you Pregnant*

 radio button

• Yes
• No

• Enabled if "Marital status"= "Married", "Age">= "15 years" and “Gender”= “Female”
• Mandatory
• If ""Are you pregnant"= "Yes", then referral to NAAT and not digital chest x-ray.

Husband's/ Wife's Name

Textbox

·       Optional

• Should be enabled if "Marital status"= Married
• Based on the Gender show label name as: 'Husband's' or 'Wife's Name'
• Accept alphabets only
• Character limit 50

All letter should be in caps

Father's Name

Textbox

·        

• Optional
• Accept alphabets only
• Character limit 50

• All letter should be in caps

Mother's Name

Textbox

·        

• Optional
• Accept alphabets only
• Character limit 50

• All letter should be in caps

Occupation*

Dropdown

·       Unknown

·       Student

·       Unemployed

·       Homemaker

·       Farmer

·       Laborer / Daily Wage Worker

·       Self-employed / Business

·       Government Employee

·       Private Employee

·       Health Care Worker

·       Retired / Pensioner

·       Other

·       Mandatory

·       Default Unknown.

Socioeconomic Status*

Radio

·       APL

·       BPL

·       Unknown

·       Mandatory

• Default Unknown.

Cancel

Button

• Yes

·       No

• If cancel is selected, a pop up message "Are you Sure?" with options "Yes" and "No" will come.
• If selected "yes" navigate back to home page

·       If selected "no" then do not erase the patient health data and let the page remain open so it can be submitted by volunteer as sometime by mistake cancel button is clicked.

Submit

• On clicking this, it must display the Pop up msg "Patient Registered successfully"
• This must store the data of the patient and display the required fields over the Beneficiary card.

 Continue next to "Anthropometry" Screen

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

Free textbox also provided for manual entry.

Normal range shown: 97–99°F.

If  >= 100 selected → show alert 'Refer to Health and Wellness Centre' and show beneficiary in Referral card on Home.

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

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

Dosage

Free text

—

Mandatory if Medication is selected.

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

• Auto-populated by cross-device sync between STOP TB app and

Digital Chest X-Ray Test Result

Radio / Auto

Positive  |  Negative

• 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

Is Truenat test conducted

Radio / Auto

Yes  |  No

test result

Radio button / Auto

Positive  |  Negative

Enabled only if 'Is

NAAT conducted = Yes'.

Auto-populated by cross-

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

device sync.

If Positive → move case to Confirmed TB cases module.

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 Truenat conducted

Radio button

Yes  |  No

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

Truenat test result

Radio button

Positive  |  Negative

Enabled only if Is Truenat 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.

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

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 details: latitude, longitude, address.

Submit

Button

—

Save record.

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-2412

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.