Description:

X-ray results reached our devices (StopTB App / referral section) with significant delay — most results remained in a pending state for over an hour after the X-ray was completed. On raising this with the ProRAD team, they confirmed the results were already available on their software side but were not being pulled through to our devices. Relevant logs from the tablets and offline laptop have already been shared with the development team.

Downstream impact: Because results weren't visible in time, the Counter 3 resource — who is responsible for checking the referral section and initiating sputum collection for abnormal/presumptive cases — was often unable to reach the beneficiary before they left the camp. As a result, none of the abnormal X-ray cases referred for TrueNat testing were completed during the camp, since samples were never collected. This turns a data-sync delay into a direct loss of case follow-through in the field.

Expected behavior: X-ray results should sync from ProRAD to the StopTB App / referral devices within a short, predictable window of the result being available in ProRAD's software, so field staff can act on abnormal results while the beneficiary is still present.

Actual behavior: Results available in ProRAD were not pulled to our side for 60+ minutes in observed cases; cause not yet isolated to a specific layer (polling, API, network, or ProRAD-side push).