Draft instrument — not for field use until signed off by the CoE genetics team

Tier 2 · RD-T2 v0.1 (draft)

Clinical validation

For the medical officer or paediatrician at the DEIC or district hospital. Corroborate the Tier 1 flags on examination, order first-line investigations, and record a decision.

A · Child & Tier 1 record

B · Anthropometry

Plot all three on the standard growth chart before completing section C. A downward centile crossing matters more than a single low reading.

C · Examination findings

0 of 14 findings

Growth

Neuro

Abdomen

Face & skeleton

Eyes & ears

Skin & other

History

D · First-line workup ordered

E · Decision

Suggested route

Return to routine

No corroborating findings on examination.

Centre of Excellence referral

Centre of Excellence referral

Carry to the CoE genetics OPD with all reports

RD-T2 · no ABHA

2026-08-14

Child
Age / sex
Tier 1 record
Anthropometry
Policy group
Referred by

No corroborating findings on examination.

Findings on examination

No findings recorded.

Workup ordered

None ordered.

Clinical impression

Please bring: this slip, the Tier 1 slip, all reports listed above, the immunisation card and growth chart, and photographs of any affected relatives.

Medical officer
Received at CoE
The suggestion never blocks or overrides the clinician. It only asks for a reason when the recorded decision differs, and that reason goes into the CSV.