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 findingsGrowth
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.