1. Version-2.0
Patients and Episodes

2. Concept of Episode
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3. A patient can be notified and complete one treatment cycle (Diagnosis to outcome)
Same patient can become a case of TB a second time and get Notified again. This becomes the second Episode
In the Life cycle approach a person needs to be tracked across episodes
Each patient (PatientID)
Each episode (EpisodeID)
One patient can have many episodes (many notification for one patient)
Concept

4. When should you create a new episode
Episodes can be created only once outcome is declared. Outcomes can be declared in the following scenarios
Notified> Treatment initiated> outcome declared
Cases notified > Not initiated on treatment > Reason for not initiating on treatment declared.
You can access this function in Nikshay from
Close Case tab> After declaring outcomes
Enrolment> By searching for a patient
When should you create a new episode

5. Changes in Patient management interface
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6. Episodes in Patient Management View
Patient ID
Episode ID
Count of the current episode being viewed
Jump Menu to other episodes of patient

7. Adding an Episode
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Route 1 : From Close case/ Outcomes tab

8. Adding Episodes – Route:1.1 (After outcome)
Do NOT click Reopen Case for initiating episode
Click after outcome is declared

9. Adding Episodes – Route:1.2 (After outcome)
Ability to re-classify patients
Existing data pre-filled

10. Click add case to create a new episode
Adding Episodes – Route:1.3 (After outcome)
Click add case to create a new episode

11. Adding an Episode
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Route 2 : From Enrolment

12. Adding Episodes – Route:2.1 (from enrolment)
Click if case is already enrolled and you want to initiate a case on new episode

13. Adding Episodes – Route:2.2 (from enrolment)
Global search using both patient or episode ID
Global Search using Episode ID OR patient ID

14. Adding Episodes – Route:2.3 (from enrolment)
Patient & existing episode details shown
Click on episode ID to declare outcomes
Explanation of why You cannot initiate another episode

15. Adding Episodes – Route:2.4 (from enrolment)
Create episode option is available
If all outcomes have been declared

16. Episodes cannot be re-initiated cases that have not been notified
In the first episode the Patient ID = EpisodeID (will be numerically equal)
You may do global searched by both EpisodeID and PatientID.
In the physical Notification register
in the Notification ID column record episode ID
Mention Patient ID in remarks
Important Notes:
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