Page History

* If "Yes" is selected for any one of the questions below with "*" ; "Refer for "digital chest x-ray" or "Collecting the sputum sample".

** If "Yes" is selected for any one of the questions below with "**" ; "Advise tracing and screening of all family members".

TB Screening

Date 

Calendar 
Date Picker 

Is Mandatory 

• Default value Today's Date 

• Not greater than Today's Date 

• Accept date greater or equal to Date of beneficiary registration 

• should not allow to update in edit or 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

Submit 

Button 

 Continue next to "Anthropometric and VitalsGeneral Examination" Screen

Fields

Validation

Anthropometric (Optional)

Weight (Kgs) 

- 

Height (cms) 

- 

BMI=Weight/(Height/100) ²  

Should be auto calculated if height and weight details are entered

Vitals (Optional)

Temperature (Degree Fahrenheit) 

• Also give free textbox for manual entry.
• Give predefined options (Normal range= 97-99 F)

a) 97.5

b) 98.5

c) 99.5

d)>= 100

If option d)>= 100 is chosen, show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Pulse Rate (beats per minute) 

• Also give free textbox for manual entry.

Give predefined options (Normal range= 60-90 BPM)

a) less than 60

b) 60-70

c) 70-80

d) More than 90

If "less than 60" or "more than 90" option is chosen, show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Systolic Blood Pressure (mmHg)

•  Give space to write measurement

• If >=140 mmHg (High BP) or <90 mmHg (low BP) show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

 Diastolic Blood Pressure (mmHg)

• Give space to write measurement

• If >=90 mmHg (High BP) or <60 mmHg (low BP) show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Random Blood sugar (mg/dl)

• Give space to write measurement

• If >=100 mm/dl show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

Skip Button

Submit Button

 Continue next to "Diagnostics" Screen

Diagnostics 

Is Digital chest x-ray conducted

• Yes
• No

• To be enabled for everyone except

• "Are you pregnant" = "Yes"

Digital Chest X-Ray Test Result 

• Positive

• Negative

• Enable only if "Is Digital Chest X-ray conducted"=“Yes”
• If "Positive" is selected, move this case to Confirmed TB cases module and also enable sputum test fields for further testing.

Is Sputum sample collected

• Yes
• No

• To be enabled in the following conditions-

1. If "History of TB" = "Yes

1. "
2. If "Are you pregnant= yes"
3. If "Are you currently taking Anti TB drugs" = "yes"

Recommended for Truenat test

• Yes
• No

• To be enabled

• if "Are you pregnant= yes" 

Truenat test result

 radio button 

• Positive
• Negative

• Enable only if "Is Truenat conducted"=“Yes”
• Option to edit/ select after submission of the form
• If "Positive" is selected, move this case to Confirmed TB cases module.

Recommended for liquid culture test

• Yes
• No

• To be enabled only if "History of TB" = "Yes", "Currently on Anti-TB drugs" = "Yes"

Liquid Culture test result

 radio button 

• Positive
• Negative

• If "Positive" is selected, move this case to Confirmed TB cases module.
• Option to edit/ select after submission of the form