(TBISS) User Manual - Public Health Laboratory
Contents
1. Add New Record Dashboard gt Patient Data Management gt TBDataManagement gt lab1 Notification Details ashboa Treatment Outome Not Confirmed Disease Site Step L select Select Disease Site Y If Extra Pulmonary Select Specimen Y Select Site Y disease site C gt Select Disease Site Extra Pulmonary shipments te dack ett s Be n Notification Center Step 2 Select Wangduecholing Hospital if Others Please Specify microscopy center PHL Lab Tests Notification Date i Step 3 ES Advising Clinician CH Step 4 Type inname of advising clinician select date of visit to lab Repor Step 5 click to save notification Figure 10 c Addition of case notification of a patient 3 3 Add Examination Data This menu is used to enter the microscopy result Click on the Examination Data to open the microscopy data entry form Figure 11 a The summary table shows record of all microscopy data of a patient already entered To add new microscopy data of a patient click on Add Diagnosis Followup Data key open the microscopy data entry form Figure 11 b www phls gov bt Version 1 0 March 2015 Page 13 TBISS User Manual TB Record Management A Dashboard gt PatientData Management gt EI Case Data of 10906001630 E Dashboar ees Search Show 10 Y entries no Alin ante d Dan Mane d ease tur Treatmant a Traatment M ahan YDE y Noti Center 7 REg GEMET vy 86 pE reaimeni LA T2. Diagnosis followup to add further microscopy result details Figure 11 c Step 1 to 4 The summary table in Figure 11 d will show the summary of microscopy test being carried out for a particular patient To enter smear microscopy results click on Sample Information key of three samples one by one Figure 11 d www phls gov bt Version 1 0 March 2015 Page 15 TBISS User Manual E Tuberculosis Information amp Surveillance System WSS amp Diagnosis Followup Data Management A Dashboard gt Patient Data Management TB Data Management gt labi Case Data of 10906001630 shboar Roath Show 10 entries Table summarizing details of microscopy test entered A LIBONOSIS T OHOWUD DH8 r ONOWUD Cemer SCHT ONOWUP Laie DLBTUS AC Of Diagnosis Wangduecholing Hospital 2015 02 11 Incomplete Sample A Information Sample B Information Sample C Information CG 2 3 Showing 1 to 1 of 1 entries Click one by one to enter microscopy result of each samples Click to view detail of data entered of all three samples Figure 11 d Summary table showing incomplete microscopy data records of a patient www phls gov bt Version 1 0 March 2015 Page 16 TBISS User Manual H Ee Tuberculosis Information amp Surveillance System i Add New Record Dashboard gt PatientData Management gt TB Data Management Diagnosis Followup Management lab Microscopy Data Dashboard Sample ID Sample
3. Figure 20 b Shipment management window displaying summary of shipment information www phls gov bt Version 1 0 March 2015 Page 35 TBISS User Manual 6 Filter Samples for Shipment Step 1 Filter samples from the list below for shipment A Dashboard gt Shipment Management gt Check mark on samples to Check mark on samples that be shipped for culture does not require shipment ent Name Patient ID Patient abil Sample Phurba Tenzin 10905000125 BUM 127 15 10905000125 Di ER IO E A Shipment Not Required 2 Phurba Tenzin 10905000125 BUM 127 15 10905000125 001_EP_02_15_F0_B Shipment Not Required Phurba Tenzin 10905000125 BUM 127 15 10905000125 001_EP_02_15 FO_C Shipment Not Required 4 Karma Phuntsho 10906001630 THU 28 10906001630_001_P_02_15_FO_A Shipment Not Required 5 Karma Phuntsho 10906001630 THI 1 45 10906001630_001_P_02_15_F0_B Shipment Not Required 6 Karma Phuntsho 10906001630 THI1 15 10906001630_001_P_02_ 15 FO_C Shipment Requires Shipment Not Required 7 Karma Phuntsho 10906001630 THI4 15 10906001630_001_P_03_ 15 F2 A Shipment Require Shipment Not Required Karma Phuntsho 10906001630 THI4 15 10906001630_001_P_03_ 15 F2_B pment Requirec Shipment Not Required H Dechen Choden BUM 129 15 BUM 129 15 BUM 129 15_001_P_03_15 FO_A Shipment Require Shipment Not Required 10 Dechen
4. Click to cancel shipment if not able to ship physically Figure 20 d Step 2 adding sample shipment Lx Tuberculosis Information amp Surveillance System A Seet Management Step 3 Export sample IDs for labelling the sample containers Export Sampie kis Disease Se Select Ste Y T5 Type Select TB Type v Treatment Oukome Select Outcome v Examination Pnase SelectPhase Y e 2015 02 17 AF5 2e 2 201502 1 AFS Not See vw 2015 02 1 AFS Not Sea Au uant 02 41 3950 001 P 02 15 FI 5 Soch 1 1 anty 1020500153 00 tP 02 15 FOC tuco purda 2015 02 12 cant 3I 001_P 95 15 F2 A Sava 2 agave 205001630_001_P_03_15_F2_5 Sava 2 agatve SUM 29 15 00t_P 03 15 FO A Saiva 2015 03 01 agatve 5UM 123 1 1P 03 15 1 POR IO Cu 201 2 egatve n 10 of 11 entries Click here to export to Excel sheet Figure 20 e Step 3 exporting of sample IDs 7 PHL Lab Test To be added www phls gov bt Version 1 0 March 2015 Page 37 TBISS User Manual 3 Reports This part of TbISS is use to generate reports The menu composes of following 4 reports Record entry report Microscopy report Culture amp DST report amp TB Programme report www phls gov bt Version 1 0 March 2015 Page 38
5. Surveillance System Edit Record A Dashboard gt Patient Data Management gt TB Data Management gt Din TB Notification Dashboard Notification Center Wangduesholing Hospital Date of Notification 2015 02 25 PO Disease Site Pulmonary IFExtra Puimonary Specimen PHL Lab Tests GE S Advising Physician Dr K Tshering www phls gov bt Version 1 0 March 2015 Page 23 TBISS User Manual Add Update TB Registration Registration Center L Select Center T f Others Please Specify TE Registaton Dale 2 TE Registration No 1 Type of Case d Select Case T fReteatment Case Select Reteatmen d Treatment Category d Select em i Treatment Stat Date sg Treatmentintiated By 7 8 Click to save TB registration amp scroll down to add radiological data Figure 14 c Steps in TB case registration Step 1 to 8 www phls gov bt Version 1 0 March 2015 Page 24 TBISS User Manual Add Update Radiological Examination Chest X ray 9 Yes No X ray Result 10 T Need to add result only if chest X ray is done RemarksiX ray CT Sean IL Gi CT Stan Result o T 4 Need to add result on if CT scan is done CT Scan Site 13 RemarkslCT Scan f Need to mention site if CT sean is done 14 Save radiological examination and move 7 next to add treatment regimen Add Update Treatment Regimen Intensive Phase 15 No of Tablets 16 Continuation Phase 1
6. repos oncd Ties i to inform all the registered usar that serch Gr Figure 1 System user login web page In getting started with Tuberculosis Information amp Surveillance System TbISS select TbISS from System User Login drop down Figure 1 User need to login to TbiSS using valid and registered User name amp Password by following steps mentioned below e Fill in username and password in the blank e Then click Login key for getting started with the system insert Figure here Note www phls gov bt Version 1 0 March 2015 Page 3 TBISS User Manual If username amp password are correct the HOME window will be opened Figure 3 If you are not a registered user or using the system for the first time then request for username and password by e mailing following details to ktshering health gov bt tjamtsho health gov bt i Name ii Designation iii Hospital Work place iv Email ID v Contact number mbl Once the user details are verified and registered default password will be auto generated by the system and e mail will be sent to the user e mail id Login to TbiSS using the given username and password 1 2 Exit Program EE Tuberculosis Information amp Surveillance System My profile Edit profile i Change Password Larter ir shipments ERR PHL Lab Tests Figure 2 Home page showing profile module and Logout menu To exit the system users can click on the user profi
7. www phls gov bt Version 1 0 March 2015 Page 26 TBISS User Manual Add New Record Lei A Dashboard Patent Data Management History Given By Patient Previously treated for tuberculosis Standard History Risk Factor uo y ve in voed egate settiin Do y smore Uo y have any immune Suppresive d Add Medical Records Final Decision E Tuberculosis Information amp Surveillance System T5 Data Management P J ve y Deen s Uurat Did y ave the same sympton Did y ave other symp ung disease Did y ve X ray exa e Did y ve Sputum examination p Did you ever take tuber S Om more Did you ever have inje more n one month Did the patient remember previous treatment for TB after these question After extensive checking through the medica e ansve ye ihat wa ne me Provider initiated testing and counseling PIT lf yes HIV osfive Co trimoxazole preventive therapy thas teen previously treated Tor B for Ta E ar Ee SEENEN EI hek nna BE Ee be ams WET iS yes What was the outcome of the last course of BLO ESO ES Click to save the filled No e ON EA d n chest pain cough e k Ve E LE es ONo R es what wes Ve 2 d es No 4 D ave diabete Do you drink alcoho SS UN es ON lf yes specify n the health centre have you discovered that the patient has been registered Select Outcome M es ON HIV te e win nr Ma LIF m es Who unkomm Select Outcome T Save Medical Records in clinical form and then c
8. 0 March 2015 Page 30 TBISS User Manual Current Treatment Outcome On Treatment Treatment Outcome Date Treatment Outcome Select Status Select Status Qn Treatment lf unknown remarks 3 if outcome is Treatment Completed k Failed E Defaulted Died Unknown 4 Click to save 5 Click to close outcome window gt Figure 18 Update treatment outcome 5 Follow up for smear microscopy Users will need to add the results of smear microscopy into TbISS for those cases coming for follow up during TB treatment Laboratory personnel can enter the follow up microscopy result into the system only after the case has been registered by the TB incharge Users need to click on records amp search patient in the summary table by typing patient CID in the Search menu Figure 19 a Once patient has been identified in the summary table click on the Manage TB Data to view examination data window Add Follow up Examination Data Click on the Examination Data to open the microscopy data entry form Figure 19 b The summary table shows record of all microscopy data of a patient already entered To add new microscopy data of a patient click on Add Diagnosis Followup Data key open the microscopy data entry form Figure 19 c www phls gov bt Version 1 0 March 2015 Page 31 TBISS User Manual amp Patient Profile Management Add Patient A Dashboard gt thine 4 7 Patient P
9. 1 0 March 2015 Page 9 TBISS User Manual d Enter here ED Optional One moblie number is compulsory Figure 8 Contact information 3 1 5 Present Address Enter the present address of patients by following step 1 to 3 in figure 9 1 Select 2 SelectGeog T 3 SelectVilage Y Dzongkhang from C gt the dropdown list E Sage EAS Sarmenam Address Save Patent Prods 1 Thimphu 7 2 Select 3 Selec Vilage Geog from dropdown list Permenant Ate SelectDeongkhag Y SelectVillage Y www phls gov bt Version 1 0 March 2015 Page 10 TBISS User Manual 1 Thimphu T 2 Thim Thom 3 Select village from Cc gt B dropdown list EE Enter if patient is working Eg Bank of Bhutan T phu Branch Pemeran Address SelectDeongkhag Zeie Ge T Figure 9 Entry of present address Steps 1 to 3 3 2 Add Case Notification After users register patients into the TbISS patients will be listed in the summary table format in the records Figure 10 To fill in the case notification form users need to search the patient in the summary table by typing patient CID in the Search menu Figure 10 a Once patient has been identified in the summary table click on the Manage TB Data to view the case notification details To fill data in the TB case notification details users can do it by clicking on Add Notificati
10. 7 No of Tablets 18 us In case of modified 4 regimen add details in remarks 19 Click to save treatment regimen data Figure 14 d Steps in TB case registration Radiological examination Step 9 to 14 amp treatment regimen steps 15 to 19 www phls gov bt Version 1 0 March 2015 Page 25 TBISS User Manual G TB Record Management A Dashboard gt Patient Data Management gt tinct m Case Data of 10906001630 E Dashboar TES Search Show 10 entries Dises TB Type Not Center Reg Center Case reatment Treatment DCH Records de Site type Cat Jute ome EN D ei Pulmonary Smear Wangduecholing Wangduecholing Now j View Case Data Examination Data Add Edit Reg Data Add Edit Clinical Info PHL Lab Tests Positive TE Hospital Hospital Treatment Add Edit Contact Tracing Case Transfer Data Update Outcome Ai Tr 2 3 showing 7 to 1of1 entries A Repor Click on submodule 1 to 3 amp fill in one by one Clinical information contact ett D Case registration summary shown tracing amp case transfer data ST TUTE EE E after addition of registration data Click on submodule 4 to update final treatment outcome ONLY Figure 15 Window showing complete case registration of a case 4 1 Clinical Information Click on Add Edit Clinical Info Figure 15 Step 1 to open the Clinical information form Users need s to fill in the clinical information form as shown in figure 15 a
11. Choden BUM 129 15 BUM 129 15 BUM 129 15_001_P_03_15_F0_B ipment Require Shipment Not Required Dechen Choden BUM 129 15 BUM 129 15 BUM 129 15_001_P_03_15 FO_C Shipment Required Shipment Not Required Click here to save Figure 20 c Filter samples for shipment Tuberculosis Information amp Surellance Sytem kg A Add Sample Shipment Step 2 Add sample shipment for samples shipped for that day A Dashboard gt Shipment Management gt EW Add Samples to Shipment List 4 Dashboard Sample 1D i Select sample Select SampeiD d PRE TES 1 Click to add sample ID ee ple ID from Sailt mg to shipment list below Asian LE 0 P D 65 pr ch ropdown ist erg 001 P 02 15 FO C www phls gov bt Version 1 0 March 2015 Page 36 TBISS User Manual Sample Shipment List Shipment ID 00104032015 Shipment Date jii Shipped By iv Select Staff Y Receive Date Received By Select Staff Packaging Status On Receive Select Status Y Sample can be removed from list PHL if not requied for shipment Sample L v CPC Added Sample Condition Specimen Type specimen Quantity Status Action 10906001630_001_P_02_15 FO_A Select Status Select C ondition Y Select Specimen Y Select Quantity z Select Status Y 2 10906001630 _001_P_02_15_F0_C Select Status Select Condition Y Select Specimen v Select Quantity M Select Status Remove a vi Click to save shipment Cancel Shipment lt
12. ID is auto generated by system Type of Specimen 1 Select Specimen a Date of Sample Collection 3 PHL Lab Tests Microscopy Result 3 Select Result Reports Date of Sample Examination d Sample Examined By 5 Select Staff Save Microscopy Data 6 Click to save the records Figure 11 e Adding microscopy data To enter microscopy data follow steps 1 to 6 in Figure Ile First select type of specimen from dropdown select date of sample collection enter microscopy result date of sample examination examined by and then click on Save Microscopy Data to save the record Follow the same steps to enter microscopy results for remaining samples www phls gov bt Version 1 0 March 2015 Page 17 TBISS User Manual E Tuberculosis Information amp Surveillance System Diagnosis Followup Data Management Add Diagnosis Followup Data L i Click here to move back to previous Task Bar ashboard gt Patient Data Management gt TB Data Management gt cape aon System Nevigation Task Bar labi A Current Page view q Case Data of 10906001630 Dashboard Search show 10 jentries Diagnosis F ollowu Disg Folowup Center DisgFolowupDate lt status 4 Sample Sample D Sample C Action 4 Diagnosis Wangduecholing Hospital 2015 02 11 Sample A Information Sample B Information Sample C Information View Diag Fol Data Showing 7 to 1 of entries Shipments After complete en
13. Regimen Clinical Information Contact Tracing Case Transfer and updating the Treatment Outcome Login to TbISS by following steps described in 1 Login amp Exit Program by entering your username and password If correct username and password is used users will be able to view home window Figure 13 TbISS home page will display two summary tables 1 Pending Registration table shows list of smear positive patient entered into the system by lab with pending registration amp 2 Pending Case Transfer In table shows list of patient transferred to your center from other TB center www phls gov bt Version 1 0 March 2015 Page 20 TBISS User Manual E Tuberculosis Information amp Surveillance System CJ Dashboard ibinci Pending Registration Pending Case Transfer In VE a Be Tura Datani IT Eat e lee ac Al ORERE GIE 1G Ype Patent H Patent Name Tangier rron eren Be Phuntsho Smear Positive TB Pulmonary 1 Note the patient ID of case with pending registration Rar ny Wes i i dr ie 2 Click in records and search the patient ID a PHL Lab Tests Reports Figure 13 view of TbISS Home page when logged in by TB Incharges To open case registration window to enter data into the system follow step 1 amp 2 in Figure 13 First note the patient ID of case with pending registration and then click in records and search the patient ID Click on Manage TB Data to open the case registration page Figur
14. SAN AIN CET NA TAN PUBLIC HEALTH LABORATORY Tuberculosis Information amp Surveillance System TBISS User Manual Version 1 0 Developed By NTRL Unit amp ICT unit PHL TBISS User Manual Table of Contents Te LOGIN AND EXIT Egeter 3 D HOMEPAGE EE 5 Se Ge aNT ERR 6 4 CASE REGISTRATION ME 20 GN BE let B eg e e NEE 26 o Te ME e ein LE tee Re e e EE 28 E 72 RL E 29 RCO OUTCOME EE 30 5 Follow p for smear WIC COSCO DY E 31 SE viele E IVa AS TICK E 34 Da PALLID EE 37 O FRO e 38 www phls gov bt Version 1 0 March 2015 Page 2 TBISS User Manual 1 LOG IN AND EXIT PROGRAM 1 1 Log in to Public Health Laboratory website using www phls gov bt HEEN PUBLIC HEALTH LABORATORY vb Viv af e je ein Liens Lgach Ws Seton User Logen Disease Cug teezsk Summary Reportias reported Dy distict Hrama BHU for May 2014 SABI IC Sakic Cention Foie T ef Es Outbreak Name Quibreak Face Outbreak Drongkhag Reported Do ibn A Tashirotha d s Pumarha Pumaka Hospiz i nes E E Hr rhatue Cseases Summan Report for May 2014 RS Et er oe je j 1 Disease Reooied Total Cases fl Tepboig Fever 1 g RE Beaton Febrile amp Malana information System ES z Lanin giencepnabns 1 Soen Typhi 3 Check On Ge News amp Events ZE Tetanus i TS information Suneilance System k 1 Uses hed Int ping Weekly ILI amp SARI Surveillance Report jug IA SAR sutved ance ipani for Week 20 201d Sri Lon arcs
15. ard ae A Search Show 10 entries Diagnosis Followup Diag Followup Center Diag Followup Date Status Sample Sample H Action Recon Diagnosis Wangduecholing Hospital 2015 02 11 Complete Sample A Information Sample D Information Sample C Information View Diag Fol Data S Followup 2 Wangduecholing Hospital 2015 03 04 Incomplete Sample A Information Sample B Information Not Required View Diag Fol Data SINPMENS Showing 1 to 2 of2 entries t me Add microscopy results by clicking on sample information one by one PHL Lab Tests Reports Figure 19 e Summary table showing incomplete follow up microscopy data records of a case 6 Shipment Management Laboratory users shipping sputum sample to Public Health laboratory for TB culture needs to enter shipment data into TbISS www phls gov bt Version 1 0 March 2015 Page 34 TBISS User Manual KE Tuberculosis Information amp Surveillance System CI Dashboard Incomplete Examination Patent IO Patent Name Disease Site Phase Samples Ex amined Click to view shipment module i Next EI Filter Samples for Shipment Add New Shipment 4 Export Sample IDs A Dashboard gt Step 1 Step 2 Step 3 Dashboar MN EE raih Show 10 v Jentries enter ShipmentiD shipmentOate ReceveDate Samples Shipped sample Received Action Recor BUM 00104032015 2015 03 04 2 l View Print Shipment Showing 1 to 1 of 7 entries Shipments PHL Lab Tests
16. ata Showing 1 to 1 of 1 entries PHL Lab Tests Reports Figure 19 c Addition of diagnosis follow up data entry form Tuberculosis Information amp Surveillance System Add New Record A Dashboard gt PatientDstaManagement gt TB Data Management gt Disonosis Followup Management gt labi Diagnosis amp Follow Up Data 4 Dashboar Reasons for Examination q Select Reason Eur Select Reason Recor i KEN DiagnosisiFollow Up Center 2 Wangduecholing Hospital If Others Please Specify Shipments Diagnosis Follow Up Date 3 PHL Lab Tests Reports Figure 19 d Addition of diagnosis follow up data entry form www phls gov bt Version 1 0 March 2015 Page 33 TBISS User Manual To enter follow up data select reason for examination from dropdown select microscopy center date of diagnosis follow up done and then click on save Diagnosis followup to add further microscopy result details Figure 19 d Step 1 to 4 The summary table in Figure 19 e shows the summary of microscopy test being carried out for a particular patient To enter smear microscopy results click on Sample Information key of two samples one by one in similar way to adding of diagnosis data LG Tuberculosis Information amp Surveillance System Diagnosis Followup Data Management A Dashboard gt Patient Data Management TB Data Management gt labi Hi Case Data of 10906001630 Dashbo
17. e 14 a Click on Add Edit Reg Data under case summary table to add registration data Figure 14 b Users need to fill in the forms from step 1 to 8 in Figure 14 c to add TB registration data step 9 to 14 to add the radiological examination data and from step 15 to 19 to add the treatment regimen data of a case www phls gov bt Version 1 0 March 2015 Page 21 TBISS User Manual amp Patient Profile Management Add Patient A Dashboard gt tinct 7 Patient Profile Dashboard SH Search 10906001830 x11 Type amp search patient ID Show 10 7 jentries A 2 Click on Manage TB Data to add registration data Patient IC f Name J Age Gendet d Am Recor 8 10906001630 Karma Phuntsho 30 Male Manage TB Data View Patient Data Edit Patient Data showing to 1 of entries filtered from 3 total entries View next A Dashboard gt Patient Data Management gt tbinci z Case Data of 10906001630 ei Dashboard Show 10 entries Search Treatment Outcome Action Not Confirmed View Case Data Examination Data Add Edit Reg Data Update Outcome Pulmonary Smear Hogg TB Wangduecholing Hospital showing 1 to 1 of 1 entries PHL Lab Tests Incomplete registration detail Click here to add treatment registration data Reports View next www phls gov bt Version 1 0 March 2015 Page 22 TBISS User Manual Figure 14 b Addition of case registration data Lg Tuberculosis Information amp
18. eam 1 AC TON Pulmonary Wangduecholing Hospital Not Confirmed View Case Data Edit Noti Data Showing 1 to 1 of 1 entries shipments Click to add microscopy results PHL Lab Tests Reports Figure 11 a Addition of examination data E Tuberculosis Information amp Surveillance System amp Diagnosis Followup Data Management Add Diagnosis Followup Data P a Dashboard gt Patient Data Management gt TBData Management gt 4 lab1 Cllick to open microscopy result entry form dea Case Data of 10906001630 ET ard earch Show 10 Y entries A Fol VFol nec No data available in table Showing 0 to 0 of 0 entries ents PHL Lab Tests Figure 11 b Addition of diagnosis follow up data entry form www phls gov bt Version 1 0 March 2015 Page 14 TBISS User Manual E Tuberculosis Information amp Surveillance System Add New Record A Dashboard Patient Data Management TB Data Management gt Diagnosis Followup Management gt Diagnosis amp Follow Up Data Reasons for Examination 1 Select Reason Y Select Reason Diagnosis Follow Up Center 2 Wangduecholing Hospital if Others Please Specify Diagnosis Follow Up Date 3 PHL Lab Tests 4 Save Diagnosis Follow Up Figure 11 c Addition of diagnosis follow up data entry form To enter diagnosis follow up data select reason for examination from dropdown select microscopy center date of diagnosis follow up done and then click on save
19. gramme Report Add user Add center 3 PATIENT RECORDS This module will be used to register all suspected patients screened for Tuberculosis Click on Records to view patient profile management This index shows summary tables of all patients who has been registered onto the system This part of the module composes of following three sub modules which needs to be entered by laboratory personnel Add Patient Demography Add Case notification Disease classification Add Examination Data Microscopy result www phls gov bt Version 1 0 March 2015 Page 6 TBISS User Manual lt gt Patient Profile Management Add Patient P Co Ki RI A Dashboard gt Fa Step 2 Click here to add new patient labi rot Patient Profile Dashboard Step 1 Click on records Segoe PATIENT PROFILE DATA Search Show 10 entries Records View Edit Shioments 10906007630 Karma Phuntsho 30 Male Manage TB Data Edit Patient Data CL Lie L d T D T Showing 1 to 1 of 1 entries PHL Lab Tests Reports Figure 4 Record module showing patient profile management 3 1 Add Patient Demography Add patient module is for adding data of patient visiting the lab for the first time for TB screening by following electronic form in the system Click the Add Patient key as shown in figure 4 Add patient details by filling in blank forms from step 1 to 21 as shown in figure 5 and click on save patient profile to save the e
20. he later part of visit with following details I Patient name II Age amp gender IT Existing CID or Lab ID IV CID number to be updated 3 1 2 Date of birth DoB www phls gov bt Version 1 0 March 2015 Page 8 TBISS User Manual Enter date of birth of patient by following steps in figure 6 Use following format of date of birth in case of patient who does not remember their exact date of birth and only tells their age v Current year Age date of birth and enter the month and day as 1 January E g 2015 38 1977 enter DoB as 1 January 1977 First select year SES eg month and then day Age is auto calculated by the system Caper au 1576 Contact Infanmatian 158 TIED z EH Present Address Si E Thim Throm m EH iti 2 134 Figure 6 Entry of date of birth 3 1 3 Occupation Enter occupation by selecting for the dropdown list figure 7 If the occupation provided by the patient is not in the dropdown list classify it as Others Select from drop down list Contact ETETE Present Address Imematonal Organization Lama Monk National Work Force NF Nun Permenan Addresse Figure 7 Occupation 3 1 4 Contact Information Enter valid patient email ID mobile number and guardian mobile number under contact information Figure 8 Entry of one contact number is compulsory patient or guardian to complete and save the patient profile www phls gov bt Version
21. igure 17 www phls gov bt Version 1 0 March 2015 Page 29 TBISS User Manual E Tuberculosis Information amp Surveillance System Lt A Dashboard gt Patient Data Management gt TE Data Management gt Case Transfer Management iG tbinci Search Show 10 Y entries Dashboard BA 2015 03 03 Wangduecholing Hospital Eastern Regional Referral Hospital Monggar Edit Case Transfer Gare showing 1 to 1 of entries a AN SEN Add Case Transfer Records of all case transfer will be shown above Int Center Transferred From 4 Select Center 4 If Others Please Specify Reports Date of Transfer Out 2 Center Transferred To 3 Select Center J If Cthers Please Specify 4 Click to save case transfer data Figure 17 case transfer form 4 4 Update Outcome TB Incharges need to update the treatment outcome in following conditions When patient is declared cured Patient completed treatment Failed treatment Defaulted during treatment Died during the course of treatment or The treatment outcome is unknown Note that for cases with incomplete test microscopy result or lost during follow up TB Incharges needs to update the outcome as Unknown in order to remove the case from pending list in the system Click on Update Outcome Figure 15 Step 4 to open the update outcome window Users need to follow step to 5 in figure 18 to update treatment outcome of a case www phls gov bt Version 1
22. le module at menu bar and click on Logout key by following step 1 amp 2 shown in Figure 2 www phls gov bt Version 1 0 March 2015 Page 4 TBISS User Manual 2 HOME PAGE Once users are logged in this window shows the Dashboard where quick information will be displayed in tables and graphs E g Incomplete Examination details in case of laboratory users and Registration pending details in case of TB Incharges LE Tuberculosis Information amp Surveillance System CJ Dashboard Figure 3 Home window showing different system modules Get to know Menu Bars Modules Major modules Sub modules 1 User Profile My Profile Edit profile Change password Logout Dashboard 3 Records Add patients Case notification Examination data Case Registration Radiological Examination Treatment Regimen Clinical Information www phls gov bt Version 1 0 March 2015 Page 5 TBISS User Manual Contact Tracing Case Transfer Treatment Outcome Shipment Filter samples for shipment Add new shipment Export sample IDs 5 PHL Lab Tests Culture amp DST information Concentrate smear result Culture solid liquid Identification Test DST Solid Liquid LPA Molecular Reports Manage System Note NTRL amp District users Lab Personnel amp TB Incharges have access from 1 to 6 Record entry report Microscopy report Culture amp DST report TB Pro
23. ntered information into the system Note that fields marked with star marks are compulsory field and records cannot be saved if compulsory fields are not complete www phls gov bt Version 1 0 March 2015 Page 7 TBISS User Manual E Tuberculosis Information amp Surveillance System 6 2 3 3 Je 4 Selen Se H 5 6 7 Select Occupato 8 9 10 11 Select Dz 12 Select Ge 13 Sele D 14 15 16 Dermanant Address 17 SelectDzongkhag 18 SeletGeog v 19 SelectVillage Y 20 21 After completing patient SS profile click here to save Figure 5 patient demographic information window 3 1 1 Patient ID format Use Citizenship identification card CID number in case of Bhutanese and passport number work permit number in case of non Bhutanese For children below 15 years of age without CID use father mother s CID in following format v F father CID number E g F10905001610 or v M mother CID number E g M10603001633 For patients without CID or who does not remember their CID number use following patient ID format Please note that use only if CID number cannot be made available by patients Y Incase of Pulmonary TB Center TB code Lab ID no YY E g PHU 125 15 v Incase of Extra pulmonary TB Center TB code EP Lab ID no YY E g PHU EP112 15 Note Write email to system administrator to edit CID in case of wrong entry or to change patient ID from Lab ID to CID if patients present with CID number in t
24. on at the right side corner of the TB Record Management Window Figure 10 b User can then fill in the data in the field including Disease site notification center date of notification and name of advising clinician then click on Save TB notification to complete the form Figure 10 c Users can view edit case notification records by using function keys at the end of each record in the table Figure 11 www phls gov bt Version 1 0 March 2015 Page 11 TBISS User Manual E Tuberculosis Information amp Surveillance System W amp Patient Profile Management Add Patient Dashboard Patient Profile Search lt Step 1 Type amp search patient CID Step 2 Click on Manage TB Data to enter view case notification Show 10 v entries Patient IC A Name Age Gender OF 10906001630 Karma Phuntsho 30 Male Manage TB Data iew Patient Data Edit Patient Data Li v Y Showing 1 to 1 of 1 entries P Tuberculosis Information amp Surveillance System BSS TB Record Management Add Notification Dashboard gt Patient Data Management t Click here to add disease classification Case Data of 10906001630 Search Show 10 lentries No data available in table Showing 0 to 0 of 0 entries Figure 10 b Addition of case notification of a patient www phls gov bt Version 1 0 March 2015 Page 12 TBISS User Manual EG Tuberculosis Information amp Surveillance System bass
25. ontinue to add following details erculosis treatment before es No oviral therapy ART provided Click to save the filled in medical records into system www phls gov bt Version 1 0 March 2015 Page 27 TBISS User Manual Figure 15 a Case clinical information form 4 2 Contact Tracing User need to add contact tracing data collected for sputum smear positive cases into the system Click on Add Edit Contact Tracing Figure 15 Step 2 to open the Contact tracing window Users need to enter the total number of close contact to generate contact tracing form Figure 16 a Step 1 amp 2 Enter the details of contact screened by following steps 1 to 7 in figure 16 b Details of contact can be entered one by one as and when the screening of contacts are completed Ee Tuberculosis Information amp Surveillance System Edit Record ms A Dashboard gt Patient Data Management gt TB Data Management gt thinct ro Add Contact Tracing Dashboar Total No of close contacts T af 1 Select total 1 number of close 3 T En contacts of a case 3 4 2 Click here to open the z contact tracing form PHL Lab Tests F B D 10 Reports l Next Figure 16 a Add contact tracing www phls gov bt Version 1 0 March 2015 Page 28 TBISS User Manual TR Tuberculosis Information amp Surveillance System Edit Record A Dashboard Patient Data Management TB Data Management No of contacts
26. rofile Dashboard SH Search 10906001830 x11 Type amp search patient ID Show 10 7 jentries A 2 Click on Manage TB Data to add registration data Patient ID D Name Ane Gender fl ACTION Records V 10906001630 Karma Phuntsho 30 Male Manage TB Data View Patient Data Edit Patient Data showing to 1 of entries filtered from 3 total entries View next TB Record Management A Dashboard Patient Data Management gt labi M Case Data of 10906001630 ei Dashboar TSS Search Show 10 Y entries Disease Site o TA Type j Not Genter Reg Center Case type Treatment Cat Treatment Outcome Recon Pulmonary Smear Positive TB Wangduecholing Hospital Wangduecholing Hospital New CAT On Treatment Showing 1 to 7 of 1 entries Click to add follow up microscopy result Figure 19 b Opening of follow up examination data window www phls gov bt Version 1 0 March 2015 Page 32 TBISS User Manual E Tuberculosis Information amp Surveillance System Diagnosis Followup Data Management Add Diagnosis Followup Data p A Dashboard gt Patient Data Management gt TB Data Management gt labi f Click here to add follow up examination data MJ Case Data of 10906001630 io Cider Summary table showing history oo Search E Show 10 Y Jenties of microscopy examination data Diagnosis Wangduecholing Hospital Complete Sample A Information Sample E Information Sample C Information View Diag Fol D
27. ry Click here to change the test status to complete of all microscopy results PHL Lab Tests Reports Figure 11 5 How to change test status in case of Extra pulmonary TB Update Status Curent Status Incomplete Status 1 Select gt gt Select Status T Complete form the dropdown list 2 Click here to update the status 3 Click here to close the update window Figure 11 h Updating status How to read sample ID www phls gov bt Version 1 0 March 2015 Page 19 TBISS User Manual Microscopy Data Sample ID Figure 12 Sample ID format 1 Patient ID number E g CID no 10906001630 Center code eg 001 for Wangduecholing Hospital Disease site E g P Pulmonary TB EP Extra pulmonary TB Month and Year of Collection MMYY E g 02_15 for February 2015 Reason for examination E g FO Diagnosis F2 F3 F5 F6 F8 Follow up Type of sample E g A First sample B second sample C third sample oe ok es oe 4 CASE REGISTRATION Patient registration into TbISS is done for those undergoing Tuberculosis treatment includes both smear positive and negative TB and also Extra pulmonary TB cases It is the responsibility of TB Incharges to enter data of TB cases undergoing treatment under their center Only TB Incharges have access to add edit update case registration for TB cases undergoing treatment under their center including entering data for Radiological Examination Treatment
28. screened Age Years Gender Signs amp Symptoms lf Yes Results for For childern below suggestive of TB further examination 5years lsoniazid Preventive Therapy IPT given PHL Lab Tests 28 Male lo Update Details Ay Add details of contacts screened one by one Added contact tracing details will be summarized in the table above Name of Close Contact 1 Age 2 Gender 3 SelectGender Y Signs amp Symptoms suggestive of TB 4 es No If Yes Results for further examination 3 v For childern below 5years Isoniazid Preventive Therapy IPT given 6 v 7 Click here to save details of contact entered Figure 16 b Contact tracing form with summary table 4 3 Case Transfer TB Incharges need to enter the data of cases transferred to other center from their center for continuation of TB treatment Cases transfer out using the system can be received by the transfer in center using same system Pending case transfer can be viewed by TB incharges during the TbISS login where the case has been transferred out in case of transfer within TB reporting centers However TB reporting centers transferring out cases to non TB reporting centers e g BHU grade IT need to confirm the reporting of case to that center and update it into the system manually Click on Case Transfer Data Figure 15 Step 3 to open the case transfer window Users can enter the data of transferred out case into the system by following steps 1 to 4 in f
29. try of data color of cell information changes from red to Black PHL Lab Tests S A Status is auto changed to Complete once all microscopy data are completed Figure 11 f Summary table showing complete microscopy data records of a patient In case of Pulmonary TB the system automatically updates the status to Complete when the microscopy results of all samples are entered and saved whereas in case of Extra pulmonary TB EPTB the test status needs to be updated manually due to variance in number of samples collected in EPTB cases Example three samples in case of screening urinary TB one sample in case of FNAC Pus etc Click on Update Status key to change the test status to complete after entering all microscopy data in to the system Figure 11 g amp 11 h www phls gov bt Version 1 0 March 2015 Page 18 TBISS User Manual ZC Diagnosis Followup Data Management A Dashboard gt Patient Data Management gt TB Data Management gt labi m Case Data of 10905000125 e Dashboar EE Sad How to change status to complete in case of Extra pulmonary TB show 10 entries Diagnosis Folowup a Diag Followup Center Diag Followup Date Status Sample A Sample B Sample C K Acton Recor Diagnosis Wangduecholing Hospital 2015 02 17 Sample A Information Sample B Information Sample C Information View Diag Fol Data Update Status Showing 1 to 1 of 1 entries Chinments SU 0 Test status showing Incomplete even after ent
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