PRD for STOP TB Community Screening
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 Nikshay Mitras. 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 / Supervisory- Backend/Dashboard Access
1.3 In Scope Functional Modules
| TB Screening modules | Enlisted in the PRD |
| NCD Screening modules | Enlisted in the PRD |
| Nikshay integration | External dependency |
| Integration of AI assessment tool (Cough) | External technical dependency |
| Lab testing device integration (sputum testing) | External technical dependency |
| Integration of AI enabled hand- held chest Xray (digital) | External technical dependency |
Dashboard indicators | |
Pre Camp Work Plan Preparation Module | Subjected to requirement |
1.4 Workflow
2. Login Page
- Login Page Name should be "STOP TB".
- It must be followed by "STOP TB" Logo.
- It must have both Online and Offline capabilities. ("Offline capabilities feature to exchange data between Mobile devices in a closed environment in real-time without internet")
- 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 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 four modules/ Cards- All Beneficiaries, TB screening, NCD 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 "NCD" card- open the "Non Communicable Disease (NCD) module" (section 2.2.3). On clicking the next screen, it should have 3 cards titled "NCD eligible list", "NCD priority list", and "NCD non-priority list".
- On clicking "Referrals"- This should show the line listing of cases/ patients (TB+NCD) when they are referred to health facilities for further check up.
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 by the volunteer, 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
- Give Edit option with Pencil icon on "Beneficiary Status", "Marital Status", "Community","Religion"
- 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. | ||
Photo | Camera | Optional |
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Beneficiary Status | Alive |
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First Name | Text |
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Last Name |
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Age | Number (Years) |
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Date of Birth | Date Picker |
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Gender | Dropdown |
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Mobile Number | Number |
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Village/ Hamlet | dropdown |
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Marital Status | Spinner |
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Husband's/ Wife's Name | Textbox |
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Father's Name | Textbox |
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Mother's Name | Textbox |
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Community | Spinner |
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Religion | Spinner |
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Economic Status | Spinner |
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Type of Residential area | Spinner |
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Other Type of Residential area | Textbox |
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Occupation |
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Cancel | Button |
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Submit |
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Lists Sections
Different types of lists are created based on the beneficiary registrations. These are defined in the following data fields: "Age" and "CBAC Score".
- All Beneficiaries List- Should be visible in "All beneficiaries" and "TB Screening" modules.
- NCD Eligible List: All Beneficiary both Male and Female whose age > = 30 years and excluding Pregnant Women; with CBAC Form access.
- NCD Priority List: Beneficiary age > = 30 years and CBAC assessment score is greater than 4
- NCD Non-Eligible List: Beneficiary age > = 30 years and CBAC assessment score is less or equals to 4
2.2.2 Module- Tuberculosis
2.2.2.a TB Screening
In this section show all beneficiaries irrespective of any age group and gender.
Maintain a separate list for TB Suspected cases for further follow-ups.
TB Screening |
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* If "Yes" is selected for any one of the questions below with "*" auto select "yes" for "Referral Required." Show these beneficiaries to 'Suspected TB cases' section Show these beneficiaries to 'Referral list module in the Home' section |
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** If "Yes" is selected for any one of the questions below with "**" "Refer to the nearest health facility and collect the Sputum sample". Show these beneficiaries to 'Referral list module in the Home' section Screen all the family members and contacts of the |
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Date | Calendar | Is Mandatory |
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Symptomatic Screening |
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Coughing More than 2 weeks * | Spinner |
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Blood in Sputum * | Spinner |
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Fever > 2 weeks * | Spinner |
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Rise of fever in evening* | Spinner |
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Loss of Appetite* | Spinner |
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Loss of Weight * | Spinner |
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Night Sweats * | Spinner |
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History of TB * | Spinner |
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Are you currently taking Anti TB drugs ** | Spinner |
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Anyone in Family Currently Suffering from TB ** | Spinner |
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Asymptomatic Screening |
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Age more than 60 | Spinner |
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Diabetic | Spinner |
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Tobacco user | Spinner |
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BMI < 18.5 |
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| Validation?? As we are not taking height and weight? |
Contact with TB patient on treatment | Spinner |
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Last 5 years history of TB | Spinner |
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Referral Required | Spinner |
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Referral facility |
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Submit | Button |
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2.2.2.b Suspected TB cases
This section should contain only Suspected TB cases.
Name of data Field | Field Type | Value/ Options | Validation/ Logic/ Condition |
Date | Calendar | Mandatory |
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Name | Textbox |
| Auto fill from Beneficiary details |
Age | Textbox |
| Auto fill from Beneficiary details |
Gender | Textbox |
| Auto fill from Beneficiary details |
Symptomatic TB |
| To be enabled if "Yes" is selected in any "Symptomatic Screening fields" | |
Is Sputum sample collected? | Spinner |
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Sputum sample submitted at | Spinner |
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Sputum Test result | Spinner |
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Asymptomatic TB |
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| To be enabled if "Yes" is selected in any "Asymptomatic Screening fields" |
TB Chest X-Ray Test done |
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Chest X-Ray Test Result |
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Nikshay ID | Textbox |
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Type of suspected TB case | Radio button |
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Reason for suspected TB case | Dropdown |
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Other | textbox |
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Has the diagnosis of DR-TB been confirmed? | Radio button |
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Submit | Button |
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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 |
| 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.
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Treatment Start Date | Date picker
| Mandatory |
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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 |
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Monthly follow up done | Label | Month-1 to Month-24 |
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Adherence to Medicines | Radio button |
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Any discomfort | Radio button |
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Treatment Completion | |||
Did the patient complete the full course of treatment? | Radio button |
| 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 |
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TB Treatment outcomes | Dropdown |
| 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 |
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Place of Death | Dropdown |
| 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?” |
Submit | button |
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Follow up visit history | Table |
| Maintain a Follow up visit history of Visit |
2.2.2.d Tuberculosis Preventive Treatment
Tuberculosis Preventive Treatment (TPT) sub module
- 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 |
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Age of the contact |
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Gender | Dropdown |
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Mobile Number | Number |
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TPT (TB Preventive Treatment) Screening Status |
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Referral Facility for screening |
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Screening done at the referral facility |
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Is it confirmed TB case |
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Are you advised to take (TPT) |
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TPT initiated |
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TPT start date | Date picker | =<Today’s date |
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Treatment duration of TPT |
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Expected completion date | date |
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Follow up visit number | Numeric |
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Follow up visit date | Date picker | =<Today’s date |
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TPT completion status |
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Other | Free text | ||
Date of completion | Date picker | =<Today’s date |
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Date of death | Date picker |
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Cause of death | Free text |
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Submit |
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2.2.3 Module- Non Communicable Disease (NCD) Screening
Note: The common questions in CBAC Part B1 and TB screening form, if either of the form is filled and submitted first, then responses in the other form should be automatically selected.
Community Based Assessment Checklist (CBAC) Form
NCD (Non-Communicable Diseases) Eligible List:
Show all Beneficiary both Male and Female whose age > = 30 years and excluding Pregnant Women.
And this CBAC Form is applicable to screen these Beneficiaries.
This CBAC Form, assessment check should be done yearly once,
Edit is applicable – but once approved by ANM/MO/ CHO, edit is not applicable
Maintain the history of submitted CBAC Form for viewing, year wise
Name of Data Field | Field Type | Value/ Options | Validation/ Logic/ Condition |
CBAC Form |
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Date | Calendar |
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Name | Textbox |
| Auto fill from Beneficiary details |
Age | Textbox |
| Auto fill from Beneficiary details |
Sex | Textbox |
| Auto fill from Beneficiary details |
Part A: Risk Assessment |
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What is your Age? (in Age) | Spinner | Is Mandatory
| Auto-populate Age from 'Beneficiary' registration: |
Do you smoke or consume smokeless products such as gutka or khaini | Spinner | Is Mandatory
| Score Logic: |
Do you consume alcohol daily | Spinner | Is Mandatory
| Score Logic: |
Measurement of Waist (in cm) | Spinner | Is Mandatory
| Score Logic: |
Do you under take any physical activity for minimum of 150 minutes in a week | Spinner | Is Mandatory
| Score Logic: |
Do you have any family history (any one of your parents or siblings) of high BP / Diabetes / Heart Disease | Spinner | Is Mandatory
| Score Logic: |
Total Score | Label |
| Total Score Formula: |
Part B1: Early Detection |
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If "Yes" is selected below then display a pop-up message, "Suspected NCD case, please visit nearest HWC or call 104." |
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* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample" |
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** If "Yes" is selected for any one of the questions below with "**" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members" |
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Shortness of Breath | Spinner | Is Mandatory
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Coughing More than 2 weeks * | Spinner | Is Mandatory
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Blood in Sputum * | Spinner | Is Mandatory
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Fever > 2 weeks * | Spinner | Is Mandatory
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Loss of Weight * | Spinner | Is Mandatory
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Night Sweats * | Spinner | Is Mandatory
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Are you currently taking Anti TB drugs ** | Spinner | Is Mandatory
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Anyone in Family Currently Suffering from TB ** | Spinner | Is Mandatory
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History of TB * | Spinner | Is Mandatory
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Recurrent of ulceration on Palm or Sole | Spinner | Is Mandatory
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Recurrent of tingling on Palm or Sole | Spinner | Is Mandatory
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Cloudy or Blurred Vision | Spinner | Is Mandatory
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Difficulty in reading | Spinner | Is Mandatory
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Pain in eyes lasting for more than weeks | Spinner | Is Mandatory
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Redness in eyes for more than weeks | Spinner | Is Mandatory
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Difficulty in Hearing | Spinner | Is Mandatory
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History of Fits | Spinner | Is Mandatory
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Difficulty in Opening Mouth | Spinner | Is Mandatory
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Ulcers in Mouth Not Healed in 2 weeks | Spinner | Is Mandatory
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Growth in Mouth Not Healed in 2 weeks | Spinner | Is Mandatory |
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Any white or red Patch in Mouth Not Healed in 2 weeks | Spinner | Is Mandatory
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Pain while chewing | Spinner | Is Mandatory
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Any change in Tone of Voice | Spinner | Is Mandatory
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Any hypo pigmented patches or discolour lesions with loss of sensation | Spinner | Is Mandatory
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Any thickened skin | Spinner | Is Mandatory
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Any nodules skin | Spinner | Is Mandatory
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Any Patch or Discoloration on Skin | Spinner | Is Mandatory
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Recurrent numbness on palm or sole | Spinner | Is Mandatory
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Clawing of fingers in hand or feet | Spinner | Is Mandatory
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Tingling and numbness in hand / or feet | Spinner | Is Mandatory
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Inability to close eye lid | Spinner | Is Mandatory
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Difficulty in Holding Objects in hands or Fingers | Spinner | Is Mandatory
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Weakness in feet that cause difficulty in walking | Spinner | Is Mandatory
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Part B2: Women Only |
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Lump in the Breast | Spinner | Is Mandatory
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Bleeding after Menopause | Spinner | Is Mandatory
| If option selected is "Yes" then display "Inform ASHA Facilitator." |
Blood Stained Discharge from the Nipple | Spinner | Is Mandatory
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Bleeding after intercourse | Spinner | Is Mandatory
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Part B3: Elderly Specific |
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Feeling unsteady while standing or walking | Spinner | Is Mandatory
| If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
Suffering from any physical disability that restrict movement | Spinner | Is Mandatory
| If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
Needing help from others to perform every day activities such as eating, getting dressed, grooming, bathing, walking, or using the toilets | Spinner | Is Mandatory
| If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
Forgetting names of yours, near ones or your own home address | Spinner | Is Mandatory
| If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment " |
Part C: Risk factor for COPD |
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Type of Fuel Used for Cooking | Spinner | Choose: |
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Occupational Exposure | Spinner | Choose: |
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Part D: PHQ2 |
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Over the last two weeks bothered by the following problem? |
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Little interest or pleasure in doing things? | Spinner | Choose:
| Score Logic: |
Feeling down, depressed or hopeless? | Spinner | Choose:
| Score Logic: |
Total Score | Label |
| Total Score formula: Sum of all the above score |
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
- Module cards should be placed below the filter selection option.
Field Name | Field Type | Options | Validation |
Filter/ Selection option | Dropdown | The Dropdown Values are
| 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 | Card must be yellow in colour | It must auto populate based on the filter selected. | |
Total TB suspected cases | Card must be yellow in colour | It must auto populate based on the filter selected. | |
Total TB confirmed cases | Card must be yellow in colour | It must auto populate based on the filter selected. | |
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 |

