PRD for "STOP TB Application"- Community Screening Application

1. Document Overview

This document defines the functional requirements for the TB Screening mobile application developed under the TB Mukt Janjati Abhiyan: A community-driven TB elimination initiative targeting tribal populations across India. The application is purpose-built for field use by community volunteers in tribal areas where connectivity, literacy, and device familiarity may be limited.
The application should be simple to use, comprehensive and must work in low/no-connectivity environments.

1.1 Purpose

This application is developed to screen and maximize TB case detection in all age groups through active case finding, contact investigation, and community mobilization. This application helps in patient tracking throughout treatment cascade at community and facility level via Community Influencers and STOP TBs. Ensure prompt referral and linkage of diagnosed individuals from community to health facilities for timely treatment initiation is the purpose of this application.

1.2 Users of the system

1. Volunteers- Community mobilization, screenings, camps etc.
2. Admin / NTEP/ STOP TB- Backend/Dashboard Access

1.3 In Scope Functional Modules


TB Screening modules	Enlisted in the PRD
Nikshay integration	External dependency
Integration of AI enabled hand- held chest Xray (digital)	External technical dependency
Lab testing device integration (sputum testing)- TrueNat	External technical dependency
General NCD Screening module (Vital check-up)	Enlisted in the PRD
General OPD module	Enlisted in the PRD
Dashboard indicators	Enlisted in the PRD. Can be added more as per the requirement.
Pre Camp Work Plan Preparation Module	Subjected to requirement

1.4 Workflow

AMRIT > STOP TB- > worddavc09fb0260046ac00240c5c62c7f27ed2.png

2. Login Page

Login Page Name should be "STOP TB" Application.
It must be followed by "STOP TB" Logo.
It must have both Online and Offline capabilities. For online- Mobile number OTP based with 5 min expiry. For offline- 4-digit PIN which can be set during the first login.
It must have Multilingual Feature with English, Hindi and other Indian languages enabled, and must be configurable to accommodate all the Indian languages as and when required in future.

UI Field Name	Field Type	Options	Validations
"STOP TB" Application Logo	<Placeholder>
Please Select your Language	Radio Button	English Hindi	The fields and labels must populate in the language selected by the user
Username	Textbox
Password	Textbox
Remember Me	Checkbox		When 'Remember Me' checkbox is selected, next time directly allow user to login just by authenticating with fingerprint
Powered by Piramal Foundation	Text		Display on the bottom of the screen

2.1 Landing page

This page must have a hamburger icon (side drawer), "STOP TB" text, sync button, and "Language Translation" button on the Top row.
There should be a hamburger icon on the left side, which on clicking should have following details-

Full Name (User)
Username
Sync Records
Create ABHA ID
Support
Request to delete account
Log out

Landing page should have 2 tabs- "Home" and "Dashboard".
In home tab floating "Registration" button on the right bottom corner.

2.2 Home Page- "Home tab"

Should contain three modules/ Cards- All Beneficiaries, TB screening, Referrals written on these cards.
On clicking "All Beneficiaries" card- open the "Beneficiary module" form documented below (section 2.2.1) for registering the beneficiary by giving the floating "Registration" button in the right corner.
On clicking "TB" card- open the "Tuberculosis module" (section 2.2.2). On clicking the next screen, it should have 3 cards titled "TB Screening", "Suspected TB cases" and ""Confirmed TB cases".
On clicking "Referrals"- The next screen should have cards titled, "Digital Chest X-ray", "True NAT", "Health and Wellness Centre". These cards will enlist patients for a particular type of testing. Beneficiaries who are pregnant or children =< 5 years will be shown directly in "True NAT". All beneficiaries who are not pregnant and children above 5 years are shown in "Digital Chest X-ray" and if any abnormality is detected on chest x-ray then that beneficiary is further referred for TrueNAT testing. All beneficiaries who have high blood pressure and high random blood sugar will be shown in "Health and Wellness Centre" card.

2.2.1 Module - Beneficiary Registration

On clicking Registration button the user will be navigated to Beneficiary Registration Page
Show a pop up for Consent form "I have been explained, the purpose for which the information and findings is being collected from me, in a language I understand and I give my consent to collect the information and findings on my personal health profile."
This page has "All Beneficiaries" Text displayed on top with "Home" Icon on the right corner to Navigate to Home page in the 1st row
The card below should be visible after the registration of beneficiary.
If the beneficiary does not have ABHA ID, give one clickable button on the ABHA ID area of the card to initiate ABHA ID generation.

Photo of the beneficiary	Name	Beneficiary ID
	Age (Years)	Village Name-
	Phone Number	ABHA ID (ABHA registration)- Clickable

Field Name	Field Type	Value/ Options	Validation/ Logic
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
First Name	Text		Mandatory Speech to text feature
Last Name			Optional Speech to text feature
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)		· 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 (Years)		Mandatory If DOB unknown, approximate age allowed
Date of Birth	Date Picker		Populate automatically if entered
Gender	Dropdown	Male Female Transgender Prefer not to say	Mandatory
Mobile Number	Number		Mandatory Speech to text feature
Whose mobile number	dropdown
Marital Status	dropdown	Unmarried Married Divorced Separated Widow Widower	Mandatory and single selection allowed Not Applicable for Newborn/ Child/ Adolescent (Age 0 to less than 15 Years) editable optional Based on the 'Gender' values in this dropdown list should change as follows: In case of 'Gender' = "Female" show "Widow" and hide "Widower" In case of 'Gender' = "Male" show "Widower" and hide "Widow"
Are you pregnant	radio button	Yes No	Should be enabled if "age" is 15 years and above, "gender" = "female" and if "Marital status"= "Married" Mandatory if enabled If ""Are you pregnant"= "Yes", then referral to TrueNAT and not digital chest x-ray.
Husband's/ Wife's Name	Textbox		Input method: Speech to Text feature 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		Input method: Speech to Text feature Optional Accept alphabets only Character limit 50 All letter should be in caps
Mother's Name	Textbox		Input method: Speech to Text feature Optional Accept alphabets only Character limit 50 All letter should be in caps
Community	radio button	General SC ST OBC OC Not Given	should be editable optional
Religion	radio button	Hindu Muslim Christian Sikhism Buddhism Jainism Parsi Other Not disclosed	should be editable optional
Economic Status	radio button	APL BPL Don't know	optional
Type of Residential area	radio button	Rural Urban Tribal Tea Garden Other	optional
Other Type of Residential area	Textbox		Enable if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
Occupation	free text		Default value is unknown Optional
Village/ Hamlet	dropdown		Single selection allowed This must auto fetch the dropdown values (Villages) with which the user is aligned.
Sub Centre	dropdown		Single selection
Capture Geolocation			Capture current location details (latitude, longitude, address)
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.

2.2.2 Module- Tuberculosis

2.2.2.a TB Screening

In this section show all beneficiaries irrespective of any age group and gender.

This module should open in continuation after beneficiary registration.

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

Fields	Validation
Anthropometric
Weight (Kgs)	-
Height (cms)	-
BMI=Weight/(Height/100) ²	Should be auto calculated if height and weight details are entered
Vitals
Temperature (Degree Fahrenheit)	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)	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

Referred for

Auto selection

"Digital Chest X-ray",
True NAT

Default option "Digital Chest X-ray" will be selected for everyone except if "age=< 5 years" and "are you pregnant= yes".
"True NAT" will be the default option for "age=< 5 years" and "are you pregnant= yes".
Based on the option auto chosen, show beneficiaries in "Digital Chest X-ray", "True NAT" cards in Referral section.

2.2.2.b Suspected TB cases
This section should contain all beneficiaries in the following scenario-

Scenario 1- If not a single symptom is presented in a beneficiary but chest x-ray is positive, show the case here.

Scenario 2- If any symptom or symptoms reported "yes" then show the case here even if chest x-ray/ TrueNAT is negative.

Name of data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
Date	Calendar Date Picker	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
Name	Textbox		Auto fill from Beneficiary details Show: First Name + Last Name Read only
Age	Textbox		Auto fill from Beneficiary details Read only
Gender	Textbox		Auto fill from Beneficiary details Read only
Is Digital Chest X-ray conducted		Yes No	To be enabled if "Referred for" = "Digital Chest X-ray"
Digital Chest X-Ray Test Result		Positive Negative	Enable only if "Digital Chest X-ray conducted"=“Yes” If "Positive" is selected, move this case to Confirmed TB cases module.
Sputum Test			To be enabled in the following conditions- a) If "Digital Chest X-Ray Test Result"= "Positive" b) If "History of TB" = "Yes" c) If "Age=< 5 years" d) If "Are you pregnant= yes"
Is Sputum sample collected?	radio button	Yes No
Is TrueNAT conducted	radio button	Yes No	To be enabled if "Referred for" = "TrueNAT" To be enabled if "Sputum Sample Collected" = "Yes"
TrueNAT	radio button	Positive Negative	Enable only if "TrueNAT conducted"=“Yes” Option to edit/ select after submission of the form If "Positive" is selected, move this case to Confirmed TB cases module.
Is Liquid culture conducted	radio button	Yes No	To be enabled only if "History of TB" = "Yes" and if "Sputum Sample Collected" = "Yes"
Liquid Culture	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
Nikshay ID	Textbox		Enable if "Yes" is selected for 'Is Sputum sample collected. Enable if "Yes" is selected for "Digital Chest X-ray conducted" Enable if "Yes" is selected for "NAAT conducted"
Capture Geolocation			Capture current location details (latitude, longitude, address)
Submit	Button

2.2.2.c Confirmed TB cases

Treatment and follow up of TB confirmed cases.

Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
Regimen Type	Radio button	DS-TB (6 Months) Shorter Regimen (9–12 Months) Longer Regimen (18–24 Months) BPaL Regimen (6 Months) INH Mono (6 Month)	Open module 2.2.2.d (TPT- TB Prevention treatment) module if “DS-TB (6 Months)” is selected Alert to Volunteer to screen all household members/ Contacts if DS-TB case is selected.
Treatment Start Date	Date picker	Mandatory	Should be greater than or equals to TB (Identification and Diagnosis) Visit Date Not greater than Today's Date
Expected Treatment Completion Date	Label	Read only	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
Follow up Date	Date picker	Mandatory	Greater than or equal to Treatment Start Date or greater than Last Follow up Date 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	Month-1 to Month-24	Should be incremental based on monthly Follow up
Adherence to Medicines	Radio button	Regular Irregular
Any discomfort	Radio button	Yes No
Treatment Completion
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		Enable this filed if “Yes” is selected above Greater than Last Follow up Date
TB Treatment outcomes	Dropdown	Cured Failed Lost to Follow-up (LFU) Death	If "Death" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Date of Death”, "Place of Death" and "Reason for Death” in the next fields.
Date of Death	Date picker		Enable only if "TB Treatment outcomes" = “Death” and it is Mandatory By default, date is null Not greater than Today’s Date Greater than or equal to Treatment Start Date or greater than 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”
Reason for non completion of treatment	Textbox		Enable this field if “No” selected for “Did the patient complete full treatment?”
Capture Geolocation			Capture current location details (latitude, longitude, address)
Submit	button
Follow up visit history	Table		Maintain a Follow up visit history of Visit

2.2.2.d Tuberculosis Preventive Treatment

Tuberculosis Preventive Treatment (TPT)

TPT is the preventive treatment given to close contacts of confirmed Drug-Sensitive TB (DS-TB) cases who are at high risk of developing active TB.

If a contact tests positive for active TB at any step (X-Ray or Sputum positive), the system must immediately redirect the volunteer to create a new TB Suspected Case record for that contact — bypassing the TPT flow.

This module should open when in Confirmed TB case module, “Regimen type” = “DS-TB (6 months)”

Make this module editable as after referral of the contact for diagnostic tests, volunteer needs to enter further details once the tests are done.

Household Contact Line listing Screen-

Name of data field	Field Type	Value/ Options	Validation/ logic/ condition
Name of the contact	Text Box
Age of the contact
Gender	Dropdown	Male Female Transgender Prefer not to say	Mandatory Speech to text feature
Mobile Number	Number		Optional Speech to text feature
TPT (TB Preventive Treatment) Screening Status		Not Started Pending Completed	Mandatory Single selection allowed Default option is Pending
Referral Facility for screening		HWC PHC CHC District Hospital	Mandatory. Single selection allowed From here it can directly go to submit option as the contact first needs to get tested and confirmed if he/ she have to take TPT.
Screening done at the referral facility		Yes No	Mandatory
Is it confirmed TB case		Yes No	If yes, move the card to confirmed TB list. If no, continue ahead.
Are you advised to take (TPT)		Yes No	If yes, continue with the next field. If no, then directly go to submit option.
TPT initiated		Yes No	Mandatory Enable next fields if selected Yes.
TPT start date	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date Cannot be before the date of screening
Treatment duration of TPT		1 Month 3 month 6 month
Expected completion date	date	Auto calculated	Auto calculated= TPT start date + regimen duration Non editable
Follow up visit number	Numeric	Auto increment (1-6)	Non editable Automatic calculation by system
Follow up visit date	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date Cannot be before the TPT start date
TPT completion status		Completed Incomplete Lost to follow up Developed active TB during TPT Died during TPT other	Mandatory If selected “Completed” then enable date of completion field If selected “developed active TB during TPT” then redirect volunteer to create new case record for active TB and close the TPT case. If selected “died during TPT” then enable date of death field and cause of death field
Other	Free text
Date of completion	Date picker	=<Today’s date	Mandatory if enabled Cannot be future date
Date of death	Date picker		To be enabled if “TPT completion status” = Died during TPT Mandatory if enabled
Cause of death	Free text		To be enabled if “TPT completion status” = Died during TPT Mandatory if enabled
Capture Geolocation			Capture current location details (latitude, longitude, address)
Submit

2.2.3 Module- Non Communicable Disease (NCD) Screening

Should be enabled for beneficiaries aged 30 years and above

Optional Module.

Name of data field	Field type	Options/ values	Validation/ Logic
Hypertension Screening
Have you ever been diagnosed with high blood pressure?		· Yes · No · Don’t Know	· Single selection allowed · Optional
Are you currently taking medication for blood pressure?		· Yes · No · Stopped recently	· To be enabled if “Have you ever been diagnosed with high blood pressure” = “Yes” · Optional
Does anyone in your family have high blood pressure		· Yes · No · Don’t Know	· Single selection allowed · Optional
Have you experienced any of the following symptom/ symptoms		· Dizziness · Swollen legs · Frequent headaches · None	· Optional · Multiple selection possible · 'None' selection should deselect all others
Systolic BP	Number-	Values to be captured in (mmHg)	· Optional · If "less than 90" or "more than 140", show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home
Diastolic BP	Number	Values to be captured in (mmHg)	· Optional · If "less than 60" or "more than 90", show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home
Diabetes Screening
Have you been diagnosed with diabetes or pre-diabetes?		· Yes · No · Don’t Know	· Single selection allowed · Optional
Are you currently on medication or insulin for diabetes?		· Yes · No · Stopped recently	· To be enabled if “Have you been diagnosed with diabetes or pre-diabetes?” = “Yes” · Optional
Have you experienced any of the following symptom/ symptoms in the past 3 months		· Excessive thirst · Frequent urination · Unexplained weight loss · Blurred vision · Tingling/numbness in feet · Fatigue · Slow-healing wounds · None	· Optional · Multiple selection possible · 'None' selection should deselect all others
Random Blood Sugar	Number	Values to be captured in (mg/dl)	· Optional · If >= 100 mg/dl then show alert "Refer to Health and Wellness Centre" and show such beneficiaries in "Referral" card in Home

2.2.4 Module - Referrals

This module should contain the list of names/ cases referred to health facilities.

2.3 Home Page- Dashboard

Flip feature between "Home" and "Dashboard".
Put a field for filter with 2 selection options-

Time Period- based on "today and previous months" This filter should show all the data cards in the dashboard pertaining to the time period selected. (eg: today, Jan, Feb etc)
Village Name- Dropdown options to be populated with names of village/ hamlets

Field Name	Field Type	Options	Validation
Filter/ Selection option	Dropdown	The Dropdown Values are Today January February March April May June July August September October November December	If this filter is selected, then show all the values of the dashboard indicators pertaining to the time period selected.
Filter/ Selection option	Dropdown	Village/ Hamlet names to be put here	If this filter is selected, then show all the values of the dashboard indicators pertaining to the particular village selected.
Total TB screenings Male Female Children (<15 yrs) Others		Card must be yellow in colour	It must auto populate based on the filter selected. Total number should be shown in bold with sex aggregated data- male, female, Children, others
Total TB suspected cases Male Female Children (<15 yrs) Others		Card must be yellow in colour	It must auto populate based on the filter selected. Total number should be shown in bold with sex aggregated data- male, female, Children, others
Total TB confirmed cases Male Female Children (<15 yrs) Others		Card must be yellow in colour	It must auto populate based on the filter selected. Total number should be shown in bold with sex aggregated data- male, female, Children, others
Total Digital Chest X-Rays conducted Male Female Children (5-15 years) Others Age>= 60 years
Total True NAT tests conducted Male Female Children (<15 yrs) Others Age>= 60 years
Total Sputum collection conducted Male Female Children (<15 yrs) Others Age>= 60 years
Total cases referred to Health and Wellness Centres Male Female Children (<15 yrs) Others Age>= 60 years
NIKSHAY IDs		Card must be yellow in colour	Total number of NIKSHAY IDs made in the selected time period or Village
ABHA IDs		Card must be yellow in colour	Total number of ABHA IDs made in the selected time period or Village