TB Screening Questionnaire
All questions require mandatory response:
Question | Response Options | If "Yes" |
Current Cough | Yes/No | # days |
Fever | Yes/No | # days |
Night Sweats | Yes/No | # days |
Unexplained Weight Loss | Yes/No | # days |
Have you had recent close contact with a confirmed TB patient? | Yes/No | Provide Details |
TB Screening Logic
Positive
Cough > 14 days
Cough = "Yes" and one of the following
Fever >= 14 days
Night sweats >= 14 days
Unexplained weight loss >= 28 days
Fever >= 14 days and night sweats >= 14 days
Fever >= 14 days and unexplained weight loss >= 28 days
Night sweats >= 14 days and unexplained weight loss >= 28 days
Close contact = "Yes" and patient age <15
Negative
All other responses
Additional Clarifications
All Yes/No responses stall be stored as "Yes"=1, and "No" = 0
Result "Positive" = 1, and "Negative" = 0