Workflow of Digital Chest x-ray and Trunat Test under referral section:

Based on the TB symptoms screening below workflow to be followed:

1. All presumptive cases of TB except Pregnant Women should show in the “Referral” section under “Digital Chest x-ray” section and response to ‘Referred for Digital Chest X-Ray’ should be selected “Yes”
2. All presumptive cases of TB should show in the “Referral” section under “Trunat” section and response to ‘Referred for Trunat test’ should be selected “Yes”
3. All non-presumptive cases of TB except Pregnant Women should show in the “Referral” section under “Digital Chest x-ray” section and response to ‘Referred for Digital Chest X-Ray’ should be selected “Yes”
4. All presumptive and non-presumptive cases of Pregnant Women should show in the “Referral” section under “Trunat” section and response to ‘Referred for Trunat test’ should be selected “Yes”

Based on the response to ‘Referred to Trunat’ and ‘Referred to Chest x-ray’ ** is “Yes” respective test order id should be created and records (beneficiaries list) should be sent to relevant testing device Digital Chest x-ray and Trunat respectively.

Workflow steps:

In the “Referral” section under “Digital Chest x-ray” section, following fields are expected to be present:

1. Referred for Digital Chest X-Ray?: Yes / No
2. Is Digital Chest X-Ray conducted?: Yes / No
3. If “No” is selected, then enable ‘Reason for Chest X-Ray not conducted’
4. If “Yes” is selected, then enable ‘Digital Chest X-Ray Result’

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

1. Referred for Trunat 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 Trunat device integrated)
5. If “Yes” is selected, then enable ‘Is Trunat MTB Test conducted?’: Yes / No
6. If “No” is selected, then enable ‘Reason for Trunat MTB Test not conducted’
7. If “Yes” is selected, then enable ‘Trunat MTB Test Result’
8. If Trunat MTB Test result is “MTB Detected”, then enable below questions
9. Is Trunat Rif Test conducted?: Yes / No
10. If “No” is selected, then enable ‘Reason for Trunat Rif Test not conducted’
11. If “Yes” is selected, then enable Trunat Rif Test Result

In Tuberculosis section:
under “Presumptive TB cases” section on every record, under “View Result” button show complete test results of both tests “Digital Chest x-ray” and “Trunat Test”.

Note: This entire episode of workflow should be available in both ways that is as below:

1. Manually: Both tests results can be entered manually in case of no devices are integrated with the App.
2. Automated: Both tests results should be automatically fetching into the App in case of devices are integrated with the App.