Date

Version Number

Author

Approved By

Document change reference

Dr Vanshika

Madhav

Initial draft

23.4.2026

Dr Vanshika

Madhav

Beneficiary Registration, TB screening, Vitals after feedback and several updates done

24.4.2026

Dr Vanshika

Madhav

Mock ups and flow diagram

Dr Vanshika

Madhav

TPT screening module in progress

01.05.2026

Dr Vanshika

Madhav

Offline/ Online functionality with cross device communication.

05.05.2026

Dr Vanshika

Madhav

General Examination, General OPD, Counsellor Modules, Role Based Access Control, Glossary, Architecture Overview and Sync model

01.06.2026

Dr Vanshika

Madhav

Dr Vanshika

Madhav

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

5

Lab Technician (LT)

Will view "All Beneficiaries" line listing and have edit access to Referral section: Digital Chest X-ray, NAAT, Liquid Culture, and Health and Wellness Centre

Offline functionality with cross-device communication + online sync to central server (AMRIT)

Mandatory

Role-based user access (with actions and privileges)

Mandatory

House Hold registration Module

Enlisted in this PRD

Non House Hold registration Module

Enlisted in this PRD

Beneficiary Registration Module

Enlisted in this PRD

Unscreened Beneficiary Registration Module

Enlisted in this PRD

TB Screening, tracking, confirmation, treatment follow-up and TPT modules

Enlisted in this PRD

General Examination and General OPD modules

Enlisted in this PRD

User Dashboard indicators

Enlisted in this PRD

Integration of Nikshay application

External technical dependency

Integration of portable digital chest X-ray device (AI enabled)

External technical dependency

Integration of lab testing device (sputum testing and others)

External technical dependency

Integration of AMRIT inventory management module

To be Included

ABDM M2 flow (care context)

Pre-Camp Work Plan Preparation Module

Subject to requirement

ABHA

Ayushman Bharat Health Account — unique digital health ID under ABDM

ABDM

Ayushman Bharat Digital Mission — national digital health initiative

ACF

Active Case Finding — proactive screening of high-risk populations for TB

AMRIT

Application for Managing and Recording Information in Telehealth — central platform

BPaL
BPaLM

Is a TB Treatment regimen:
Bedaquiline, Pretomanid and Linezolid.
Bedaquiline, Pretomanid, Linezolid and Moxifloxacin.

CHC

Community Health Centre

DMC

Designated Microscopy Centre

DOTS

Directly Observed Treatment Short-course — standard TB treatment strategy

DH

District Hospital

DPDP

Digital Personal Data Protection Act, 2023 — India's data privacy legislation

DS-TB

Drug-Sensitive Tuberculosis

HWC

Health and Wellness Centre

INH Mono

Isoniazid Monotherapy TB prevention regimen

LFU

Lost to Follow-up

NAAT

Nucleic Acid Amplification Test

Nikshay

National TB Information System — India's web-based TB patient management portal

NPVTG

Non-Particularly Vulnerable Tribal Group

NPY

Nikshay Poshan Yojana — DBT scheme of Rs. 500/month for TB patients

NTEP

National TB Elimination Programme — India's programme to eliminate TB by 2025

PHC

Primary Health Centre

PHI

Primary Health Institution (HWC, PHCs)

PVTG
NPVTG

Particularly Vulnerable Tribal Groups
Non Particularly Vulnerable Tribal Groups

SC

Sub-Centre

TPT

TB Preventive Treatment — given to close contacts of DS-TB cases at risk of active TB

NAAT

Portable PCR-based molecular diagnostic device for TB

TU

Tuberculosis Unit — administrative health unit in NTEP structure

 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

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 Piramal Foundation

Static text label

Displayed at the center bottom of the screen

For Registration Officer Login

Household list

All Beneficiaries list

Includes HH and Non HH members irrespectively

On every beneficiary card the following details should be available in the following sequence-

• Full Name, Age, Gender,
• HoF/ Father / Husband name (Any one), Village name,
• Phone number, Beneficiary IDs
• ABHA IDs, NIKSHAY IDs, 
• Members (count of family members), Add member button

If HoF and Father name is same  then shown only HoF details

In the HoF registration and family members registration give edit option in the last name field. By default auto populate it from HH registration form.

Non House Hold list

To address the cases for people without households (Homeless, migrants, wanderers etc) a separate list is to be maintained with the ability to link them to a HH at later stage if and when it happens. For such cases register as an individual beneficiary without HH linkage. Give a flag on the ben card “No HH” by a cross on the home icon. The system must allow linking this ben to an HH at a later date from the Beneficiary Card edit screen."

Give Same beneficiary registration form in this section. Once the beneficiary is registered in this list, then this ben will also be shown in the list of all beneficiaries irrespective of HH or no HH.

To manage if non HH gets converted to HH >> a HH button can be given on this non HH card and this card will then move to HH list. 

On the Non HH ben card, give a button with two options to link to an existing HH or create a new HH.

 Flow-

 Home>> Non HH section>> Add Beneficiary button >> Before the Beneficiary registration form opens and capture all the details, first ask this question "Place of current living" or this question can be put on top of the beneficiary registration form as first question with following dropdown options-

• Footpath

• Railway Platform
• Bus Station
• Under a Tree
• In a Temple
• In a Mosque
• In a Church
• Any other Praying place
• Educational Institution (School/ College)
• Ekalavya School
• Rehabilitation center
• Orphanage Home
• Old Age Home
• Private Hostel
• Govt Hostel
• NGO’s Hostel
• Other

If other is selected, show “Other places” textbox, with free textbox allowing 200 characters.

If any of the following is selected, then enable one more field "Name of the institution"-

• Educational Institution (School/ College)
• Rehabilitation center
• Orphanage Home
• Old Age Home
• Private Hostel
• Govt Hostel
• NGO’s Hostel

Once this is completed, then the beneficiary registration form opens and captures all the individual details.

For Nurse Login

TB (Tuberculosis)

Tuberculosis module; next screen shows 3 cards

TB Screening  |  Presumptive TB Cases  |  Confirmed TB Cases

Referrals

Referrals module; next screen shows 4 cards

Digital Chest X-ray  |  NAAT  |  Liquid Culture  |  Health and Wellness Centre | Clinical Assessment & Diagnosis section

For Counsellor Login

Confirmed TB cases

Counselling modules

Contact Tracing and TPT module

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

Type of House

Spinner

• Kuchha/ kacha (Hut)
• Pucca with stone and mortar
• Pucca with bricks and concrete
• No House
• Other

Mandatory   

Single selection

Other Type of House 

Please specify 

Textbox 

Enabled if "Other" is selected above

and Mandatory

Accept alphabets only

Character limit 50

Also allow Input method: Speech to Text feature

House ownership

Radio button

Rented

Owned

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
• Do not show any Alert if Photo is not captured. Remove any alert if given.

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.
• Input method: Speech to Text feature

Middle & Last Name*

Text Input

• Free text

·       Mandatory

Input method: Speech to Text feature

·       Only English letters

• No numbers/special characters.
• In the HoF registration and family members registration give edit option in the last name field. By default auto populate it from HH registration form.

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.
• Head of the family (HoF) age validation- Should start from 15 years and above

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.
• Input method: Speech to Text feature
• Mobile number fields should be auto populated with checkbox disabled if documented once in HH registration. and when further members are being added, auto populate the mob. no. registered in the HH registration.

Whose mobile number

dropdown

·       Self

·       Husband

·       Mother

·       Father

·       Family Head

• Other

•  Default select "Self" option.

Address*

Text

• Auto populate from location/ village selected after login

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

PINCODE*

Numeric

Mandatory field.

Allow only Numerical digits

Allow only 6 digits to enter

Should get auto populated when once entered by the user after location is captured.

If some beneficiaries are coming in the camp from other villages then when Village name is changed from the dropdown while registration the already auto populated field of Pincode should reset and can be taken/ asked from the beneficiary at the time.

Village*

Dropdown

• Auto populate from location/ village selected after login

• 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.

Should get auto populated when once entered by the user after location is captured.

Marital Status*

Radio

·       Single

·       Married

·       Unknown

·       Mandatory

·       Should be made selectable (Blank) so that user can ask and fill this detail by asking beneficiary.

Are you Pregnant*

 radio button

• Yes
• No

• Enabled if "Marital status"= "Married", "Age"= "15-49 years" and “Gender”= “Female”
• Mandatory
• If ""Are you pregnant"= "Yes", then referral to NAAT directly and not digital chest x-ray.

Husband's/ Wife's Name

Textbox

·       Optional

Input method: Speech to Text feature

• 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
• Input method: Speech to Text feature
• Accept alphabets only
• Character limit 50

• All letter should be in caps

Mother's Name

Textbox

·        

• Optional
• Input method: Speech to Text feature
• 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

·      No default selection is needed. Important for field team to ask and capture this.

Socioeconomic Status*

Radio

·       APL

·       BPL

·       Unknown

·       Mandatory

• Default Unknown.

Weight (Kgs)

Number input

Numeric

Numeric; 1 decimal place allowed.

Validation- "Enter Weight between 1 and 250 kg". Show error message if outside the validation rules.

Height (cms)

Number input

Numeric

Numeric; 1 decimal place allowed.

Validation- "Enter Height between 30 and 250 cm". Show error message if outside the validation rules

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. 
• "Enter Temperature between 90 and 110 °F". Show error message if outside the validation rules.
•  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.

Validation- PR must be between 40 and 220 beats per minute. Show error message if outside the validation rules.

·       If value < 60 or > 90 BPM → Show this beneficiary in Health and Wellness Centre card inside Referral card in Home. No alert is needed. 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. Systolic must be strictly greater than Diastolic

·       Free textbox for manual entry.

Validation- "Enter Systolic BP between 40 and 320". Show error message if outside the validation rules.

·       If >= 140 mmHg (High) or < 90 mmHg (Low) → Show this beneficiary in Health and Wellness Centre card inside Referral card in Home. No alert is needed. Auto-sets 'Referral to HWC needed' = Yes.

Diastolic Blood Pressure (mmHg)

Free textbox

Numeric (mmHg)

·       SBP and DBP placed side by side. Systolic must be strictly greater than Diastolic

·       Free textbox for manual entry.

Validation- "Enter Diastolic BP between 10 and 180". Show error message if outside the validation rules.

·       If >= 90 mmHg (High) or < 60 mmHg (Low) → Show this beneficiary in Health and Wellness Centre card inside Referral card in Home. No alert is needed. Auto-sets 'Referral to HWC needed' = Yes.

Random Blood Sugar (mg/dl)

Free textbox

Numeric (mg/dl)

·       Free textbox for manual entry.

Validation- "Enter RBS between 20 and 600 mg/dl". Show error message if outside the validation rules.

·       If >= 100 mg/dl →Show this beneficiary in Health and Wellness Centre card inside Referral card in Home. No alert is needed. 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"
• When someone is aged 60 years and above. "Elderly" should get automatically selected here.
• If Residential Area= Urban Slum, "Urban Slum" should get automatically selected here.

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.

If Pallor, Icterius, Cyanosis, Lymphadenopathy, Clubbing, Oedema= Present. Show this beneficiary in Health and Wellness Centre card inside Referral card in Home. No alert is needed. Auto-sets 'Referral to HWC needed' = Yes.

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.

Chest pain*

Radio button

Yes  |  No

Mandatory.

Shortness of breath*

Radio button

Yes  |  No

Mandatory.

Fatigue*

Radio button

Yes  |  No

Mandatory.

Failure to gain weight (in children)*

Radio button

Yes  |  No

Mandatory.

Show this question for children upto 15 years only and do not show this for 15 years and above

Decreased activity or playfulness (in children)*

Radio button

Yes  |  No

Mandatory.

Show this question for children up to 15 years only and do not show this for 15 years and above

Others

Radio button

Yes  |  No

Mandatory.

Other Details

Sub title

New Section Title to be added and these three questions to be put under the new title- History of TB, Are you currently taking Anti-TB drugs, Anyone in Family Currently Suffering from TB

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.

"Beneficiary is Asymptomatic"

Show "Yes" or "No"

If any one of the symptomatic questions are "yes" then automatically "Beneficiary is Asymptomatic" is "No".

If all of the symptomatic questions are "no" then automatically "Beneficiary is Asymptomatic" is "Yes".

Highlight this label in bold if "Beneficiary is Asymptomatic" is "Yes"

If "Beneficiary is Asymptomatic" = "No" all such cases known as "Presumptive cases" will be shown in Digital chest x-ray list and also for NAAT list. Sputum collection should be enabled for such cases.

 If "Is beneficiary asymptomatic" = "No", then Show below Alert:

"A Presumptive TB case!

 Refers to X-ray and collect sputum for NAAT test"

 Submit

For Questions with "*" if the response is "Yes" show the below alert to the user

 "Presumptive TB case refers to X-ray and collect sputum for NAAT test".

For Questions with "**" if the response is "Yes" show the below alert to the user

"Presumptive TB case refers to X-ray and collect sputum for NAAT test". and 

"Advise screening of all family members".

Risk Factors

MANDATORY SECTION

Key Population / Risk Factors*

Checkbox (multi-select)

give search bar

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.

• No default selection is needed. Important for field team to ask and capture this.

·       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"
• When someone is aged 60 years and above. "Elderly" should get automatically selected here.
• If Residential Area= Urban Slum, "Urban Slum" should get automatically selected here.

HIV Status*

Radio

Positive  |  Reactive  |  Negative  |  Unknown

·       Mandatory.

• No default selection is needed. Important for field team to ask and capture this.

Chief Complaint

Dropdown (multi-select)

• Fever
• Headache
• Body aches
• Runny nose
• Sneezing
• Nasal congestion
• Itching
• Sore throat
• Cough
• Loose stools
• Vomiting
• Abdominal pain
• Epigastric pain
• Burning sensation in chest
• Indigestion
• Bloating
• Nausea
• Weakness/fatigue
• Loss of appetite
• Regurgitation of food
•  Others

·       Optional.

·       Multiple selection possible.

Other

textbox

Enabled if "Chief Complaint"= "Others"

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.

Referred for digital chest x-ray

Radio button

Yes  |  No

·    This field is applicable for referral section- Digital chest x-ray.

• Default: Yes.

·       Do NOT show/ Hide for pregnant women. 

·       Mandatory.

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

1. If “Yes” is selected, then enable ‘Digital Chest X-Ray Result’

Is Digital Chest X-ray conducted

Radio / Auto

Yes  |  No

This field is applicable for referral section- Digital chest x-ray.

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

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

If “No” is selected, then enable ‘Reason for Chest X-Ray not conducted’

If “Yes” is selected, then enable ‘Digital Chest X-Ray Result’

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

• Patient not present
• Patient refused
• Long waiting times at the camp
• X-ray Machine unavailable
• Power issue
• Connectivity issue
• Technical failure
• Radiographer unavailable
• Excessive waiting time
• Fear/anxiety
• Other

This field is applicable for referral section- Digital chest x-ray.

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

Mandatory if enabled

Single Selection

Other

free text

This field is applicable for referral section- Digital chest x-ray.

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

Mandatory if enabled

Digital Chest X-Ray Test Result

dropdown

• Normal
• Abnormal but not TB Presumptive
• TB Presumptive
• AI Invalid Result

This field is applicable for referral section- Digital chest x-ray.

Enabled only if 'Is Digital Chest X-ray conducted = Yes'.

Auto-populated by cross-device sync.

If "Normal" then directly go to submit button

If "Abnormal but not TB Presumptive" move this card to the HWC referral card section

If "TB Presumptive"→ Record should be available in NAAT referral list for further testing. 

If "AI Invalid Result"- no action needed on the application UI, needs to be handled at the radiographer level/laptop. 

For any presumptive cases (any positive response to any verbal questions), these cases will be shown in both digital chest x-ray and NAAT cards. Such cases will undergo NAAT testing irrespective of digital chest x-ray results.

Referred for Sputum Collection

Radio button

Yes  |  No

This field is applicable for referral section- NAAT.

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"
• "Is beneficiary asymptomatic" = "No"/ Presumptive Cases
• Default: Yes (when enabled).
• Mandatory when enabled.

In the “Referral” section under “NAAT Test” section, following fields are expected to be present:

1. Referred for NAAT Test?: Yes / No
2. Is sputum collected?: Yes / No
3. If “No” is selected, then enable ‘Reason for sputum not collected’
4. If “Yes” is selected, then enable 'Sputum Sample Submission Center'; (default value is "TB Screening Camp" in case of NAAT device integrated)
5. If “Yes” is selected, then enable ‘Is NAAT MTB Test conducted?’: Yes / No
6. If “No” is selected, then enable ‘Reason for NAAT MTB Test not conducted’
7. If “Yes” is selected, then enable ‘NAAT MTB Test Result’
8. If NAAT MTB Test result is “MTB Detected”, then enable below questions
9. Is NAAT Rif Test conducted?: Yes / No
10. If “No” is selected, then enable ‘Reason for NAAT Rif Test not conducted’
11. If “Yes” is selected, then enable NAAT Rif Test Result

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

This field is applicable for referral section- NAAT.

Enabled if Referred for sputum collection= "No"

Mandatory if enabled

Multi select option

Default option- Patient refused

Other

free text

This field is applicable for referral section- NAAT.

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

This field is applicable for referral section- NAAT.

Mandatory if Referred for Sputum Collection= "Yes"

Default is TB Screening Camp

Is NAAT test conducted

Radio / Auto

Yes  |  No

This field is applicable for referral section- NAAT.

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'
• "Is beneficiary asymptomatic" = "No"
• 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

This field is applicable for referral section- NAAT.

Enabled if Is NAAT test conducted= "No"

Mandatory if enabled

Single Selection

Other

free text

This field is applicable for referral section- NAAT.

enabled if Reasons for not conducting the NAAT test= Other

Mandatory if enabled

NAAT MTB test result

Radio button / Auto

• MTB Not Detected
• MTB Detected
• Invalid

This field is applicable for referral section- NAAT.

Enabled only if 'Is NAAT conducted = Yes'.

Mandatory if enabled.

Auto-populate test results by cross-device sync

Auto fetch line listings of beneficiaries whose sputum is collected.

"MTB Not Detected" is equivalent to result value "TB Negative" from NAAT device.

"MTB Detected" is equivalent to result value "TB Positive" from NAAT device.

"Invalid" is equivalent to result value "Error/ Invalid" from NAAT device.

If result is "MTB detected" → move case to "Microbiologically Confirmed" TB cases module and enable next field "NAAT Rif test result"

If result is "MTB not detected", directly go to submit button

If result is "Invalid"= show a label against the result "The test results are invalid, repeat the test"

Auto fetch "MTB detected" line listing of beneficiaries in the NAAT device for Rifampicin (Rif) testing. 

NAAT Rif test result

• Rif Resistance Detected

• Rif Resistance Not Detected

• Indeterminate

This field is applicable for referral section- NAAT.

Enabled if NAAT MTB test result = MTB detected

If Indeterminate= show a label against the result "The test results are indeterminate, repeat the test"

Recommended for liquid culture test

Radio

Yes  |  No

This field is applicable for referral section- Liquid Culture.

Enabled only if History of TB = Yes AND Currently on Anti-TB drugs = Yes.

Liquid Culture test result

Radio button

Positive  |  Negative

This field is applicable for referral section- Liquid Culture.

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.

Counselling Date

Date picker

Date

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

— 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.

Has the beneficiary agreed for counselling?

Yes

No

Mandatory. 

Make all the below sections obsolete if chosen “No” 

If No → enable 'Reason for refusal' field. 

If a beneficiary initially declines counselling (consent = No) but later agrees, the consent can be changed to Yes, which re-enables the counselling form for completion. Once the counselling form is completed, neither the consent status nor any responses in Sections A-D can be modified (locked / read-only)."

Reason for refusal

 Free text

Mandatory if Counselling status = Refused. Max 300 chars.

Submit

Sections A to E will be enabled "Has the beneficiary agreed for counselling"= "Yes"

SECTION A: DISEASE AWARENESS

Enabled if "Has the beneficiary agreed for counselling"= "Yes"

One single "Select All" to be given against each section.

TB disease explained to patient

Mandatory.

Must be checked before proceeding.

Confirms counsellor has explained TB to the patient.

Transmission route explained

Mandatory.

Symptoms explained

Mandatory.

Treatment duration explained

Mandatory.

Disease awareness notes

Free text

—

Optional. Max 500 chars.

SECTION B: DO'S AND DON'TS

Enabled if "Has the beneficiary agreed for counselling"= "Yes"

One single "Select All" to be given against each section.

Cover mouth while coughing — advised

Mandatory.

Complete full treatment course — advised

Mandatory.

Regular follow-up attendance — advised

Mandatory.

Nutritional guidance provided

Mandatory.

No smoking / alcohol — advised

Mandatory.

Isolation precautions explained

Mandatory.

Do's & Don'ts notes

Free text

—

Optional. Max 500 chars.

SECTION C: GOVERNMENT SCHEMES

Enabled if "Has the beneficiary agreed for counselling"= "Yes"

One single "Select All" to be given against each section.

Nikshay Poshan Yojana (NPY) eligibility explained-

• Cash transfer (DBT) in patient's Aadhaar-linked bank account, credited monthly for the full treatment duration.
• Requirements- AADHAR linked bank account and correct patient details in Nikshay.
• No separate application needed if enrolled in Nikshay 

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

Mandatory

DOTS treatment

• A health worker, treatment supporter, or family member, watches the patient take each dose, so adherence isn't left to memory or self-report.
• Provision of free medicine 

 Confirm patient understands treatment is free under NTEP.

Mandatory

Schemes notes

Free text

—

Optional. Max 300 chars.

SECTION D: TREATMENT REGIMEN

Enabled if "Has the beneficiary agreed for counselling"= "Yes"

One single "Select All" to be given against each section.

Regimen explained to patient

Mandatory.

Medication names explained

Mandatory.

Side effects explained

Mandatory.

Importance of adherence explained

Mandatory.

Treatment regimen notes

Free text

—

Optional. Max 300 chars.

SECTION E: Impact Assessment

 Enabled if "Has the beneficiary agreed for counselling"= "Yes"

How has TB disease impacted the life of this beneficiary

(Economic and family impact post TB diagnosis)

Free text

Optional

• An editable multiline text field 

• With a character limit of up to 400 characters 

Submit

Button

—

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

Type of Treatment

Radio button

DS TB

PMDT

·      Single selection allowed

·     If DS TB is selected enable "DS TB Regimen" field.

If PMDT is selected enable "PMDT Regimen" field

DS TB Regimen

2 HRZE/4HRE

To be enabled if "Type of treatment" = "DS TB" 

PMDT Regimen

Dropdown

• Regimen for H mono/ Poly
• Longer M/ XDR- TB Regimen
• Shorter MDR/ RR TB Regimen
• BPaLM/ BPaL Regimen

Single selection allowed

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 "DS-TB" then add 6 months

2. If ‘Regimen Type’ is “PMDT”, then add 

• 6-9 months for Regimen for H mono/ Poly 6-9 months
• 18-20 months for Longer M/ XDR- TB Regimen
• 9-11 months for Shorter MDR/ RR TB Regimen
• 6 -10 months for BPaLM/ BPaL Regimen

— 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

Adherence to Medicines

Radio button

Regular  |  Irregular

—

Any discomfort

Radio button

Yes  |  No

If yes enable, "Adverse Drug Reaction" field

Adverse Drug Reactions

Dropdowns

Give search bar

• Nausea 

• Vomiting 

• Abdominal Pain 

• Yellowness of Skin 

• Dark colour Urine 

• Loose motions >4 times in a day 

• Itching 

• Rashes 

• Tingling/burning/numbness in hands and feet 

• Pain in Joints 

• Impaired vision: Pain, Blurring of vision, Disturbance in colour vision 

• Flue like syndrome- Chills, Dry cough, Shortness of breath, loss of appetite, body ache and malaise 

• Swelling of face or legs, Less or no urine 

• Seeing abnormal things, changes of thoughts, suicidal thoughts 

• Tiredness, lethargy, headache, giddiness, pale look, palpitations 

• Ringing in ears, Loss of hearing, dizziness and loss of balance leading to recurrent fall 

• Slowness of activities,  Swelling of face or neck, dis-appropriate weight gain 

• Pain and swelling in muscles and Tendons, difficulty in movement 

• Convulsion 

• Orange and red color of urine, sweat, sputum, saliva or tears 

Multi selection allowed

mandatory if enabled

— 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 Latitude, longitude, Address based on DIGIPIN SDK/API.

Show only DIGIPIN on UI, Remove Latitude, Longitude, Timestamp from UI and manage from backend

Submit

Button

—

Save record.

Follow-up visit history

Table (read-only)

—

Maintain and display complete follow-up visit history.

Screen header

Card name (e.g. 'Digital Chest X-ray') displayed as screen title with Back arrow to Referrals home

Search bar

Search by beneficiary name or AMRIT ID. Real-time filtering.

Sort options

Sort by: Date referred (default — newest first) | Name (A–Z) | Status

Filter options