MEPS-MPC-Sep. Billing Doctors

Event Driver (ED) Section
Beta

BOX_01
DISPLAY EVENTS BY PERSON THEN BY THE ORDER OF ENTRY - THAT IS, IN THE
ORDER BY PROVIDER PROBES, AND THEN ANY ADDITIONS.

LOOP_01
FOR EACH ELEMENT IN PERSON’S-MEDICAL-EVENTS-ROSTER, ASK ED01 - END_LP01.
LOOP DEFINITION: LOOP_01 CORRECTS EVENT INFORMATION, IF NECESSARY, AND
CALLS THE APPROPRIATE UTILIZATION SECTION FOR THE EVENT. THIS LOOP CYCLES
ON EVENTS THAT MEET THE FOLLOWING CONDITIONS:
EVENT TYPE IS NOT 'PM' OR 'IC'
EVENT IS NOT YET FLAGGED AS PROCESSED IN UTILIZATION

ED01

Help Enabled

Comment Enabled

Jump Back Enabled

{PERSON'S FIRST MIDDLE AND LAST NAME}
{The next questions ask detail about each of the times (PERSON) received
medical or dental care.}
THERE {IS/ARE} {NUMBER} {EVENT/EVENTS} REMAINING TO BE
PROCESSED FOR (PERSON).
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘The....care.’ IF FIRST EVENT TO BE ASKED ABOUT FOR
THIS PERSON.
DISPLAY ‘IS’ IF ONLY ONE EVENT LEFT TO BE ASKED ABOUT FOR THIS
PERSON. DISPLAY ‘ARE’ IF MORE THAN ONE EVENT LEFT TO BE ASKED
ABOUT FOR THIS PERSON.
DISPLAY THE ACTUAL NUMBER OF EVENTS LEFT TO BE ASKED ABOUT FOR
THIS PERSON FOR ‘{NUMBER}’.
DISPLAY ‘EVENT’ IF ONLY ONE EVENT LEFT TO BE ASKED ABOUT FOR
THIS PERSON. DISPLAY ‘EVENTS’ IF MORE THAN ONE EVENT LEFT TO
BE ASKED ABOUT FOR THIS PERSON.

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Event Driver (ED) Section
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LOOP_02
LOOP DEFINITION: LOOP_02 CORRECTS CURRENT ROUND EVENT INFORMATION
COLLECTED IN THE EVENT ROSTER SECTION, AS NEEDED. THE LOOP CYCLES ON
EVENTS THAT MEET THE FOLLOWING CONDITIONS:
- EVENT TYPE IS NOT PM OR IC
- EVENT IS NOT YET FLAGGED AS PROCESSED IN UTILIZATION
- EVENT IS NOT YET CODED AS 'INFORMATION OK' AT ED02
ask ED02 - END_LP02

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Event Driver (ED) Section
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ED02

Help Enabled

Comment Enabled

Variable Name
PRND.ED02BLSWVS

Jump Back Enabled

Label

Size

DVIS.DVISID
DVIS.DVISRURN

DVIS ID KEY: PERSID + COUNTER(3) + CD
ROUND STAMP: RU LETTER + ROUND NUMBER

12
2

DVIS.CREATEQ
STAZ.STAZID

CREATION STAMP
STAZ ID KEY: PERSID + COUNTER(3) + CD

2
12

STAZ.STAZRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

STAZ.CREATEQ
EROM.EROMID

CREATION STAMP
EROM ID KEY: PERSID + COUNTER(3) + CD

2
12

EROM.EROMRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

EROM.CREATEQ
OPAT.OPATID

CREATION STAMP
OPAT ID KEY: PERSID + COUNTER(3) + CD

2
12

OPAT.OPATRURN
OPAT.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
2

HVIS.HVISID

HVIS ID KEY: PERSID + COUNTER(3) + CD

12

HVIS.HVISRURN
HVIS.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
2

MVIS.MVISID

MVIS ID KEY: PERSID + COUNTER(3) + CD

12

MVIS.MVISRURN
MVIS.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
CREATION STAMP

2
2

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
Let's talk about {the hospital stay for (PERSON) at (PROVIDER) that began
on (ADMIT DATE)/when (PERSON) visited the emergency room at
(PROVIDER) on (VISIT DATE)/when (PERSON) received medical care from
an outpatient department at (PROVIDER) on (VISIT DATE)/when (PERSON)
received medical care from (PROVIDER) on (VISIT DATE)/when (PERSON)
received dental care from (PROVIDER) on (VISIT DATE)/the {OME ITEM
GROUP NAME} used by (PERSON) since (START DATE)/the services
(PERSON) received at home from (PROVIDER) during (MONTH)}.
SELECT 'INFORMATION OK' UNLESS RESPONDENT VOLUNTEERS
CORRECTION.
INFORMATION OK
PROVIDER MISSPELLED/INCOMPLETE

1
2

DATE(S) INCORRECT

3

WRONG EVENT TYPE
WRONG PROVIDER

4
5

WRONG OME ITEM GROUP

6

3

{END_LP02}

Event Driver (ED) Section
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EVENT NOT FOR THIS PERSON

7

EVENT ENTERED IN ERROR
8
WANT TO REVIEW (PERSON)'S EVENTS 9
OR ADD AN EVENT FOR ANY RU
MEMBER

{ED09}

DISPLAY INSTRUCTIONS:
DISPLAY the name of the medical provider and the event date in
the header only if the event type is not 'OM'.
DISPLAY ‘the hospital....(ADMIT DATE)’ IF EVENT TYPE IS HS.
DISPLAY ‘when...emergency...(VISIT DATE)’ IF EVENT TYPE IS
ER.
DISPLAY ‘when...outpatient...(VISIT DATE)’ IF EVENT TYPE IS
OP.
DISPLAY ‘when...medical...(VISIT DATE)’ IF EVENT TYPE IS MV.
DISPLAY ‘when...dental...(VISIT DATE)’ IF EVENT TYPE IS DN.
DISPLAY ‘the {OME ITEM GROUP NAME}...(START DATE)’ IF EVENT
TYPE IS OM. DISPLAY THE NAME OF THE OME ITEM GROUP BEING
LOOPED ON FOR 'OME ITEM GROUP NAME'.
DISPLAY ‘the...home...(MONTH)’ IF EVENT TYPE IS HH.

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Event Driver (ED) Section
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PROGRAMMER NOTES:
IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND EVENT TYPE
IS OM, DISPLAY THE FOLLOWING MESSAGE: ‘THIS CODE NOT
AVAILABLE FOR OM EVENTS.’
IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND EVENT TYPE
IS NOT OM, DISPLAY THE FOLLOWING MESSAGE: 'THIS OPTION IS
DISABLED. PLEASE RECORD INFORMATION IN COMMENTS.'
IF CODED ‘3’ (DATE(S) INCORRECT), ‘4’ (WRONG EVENT TYPE), OR
‘5’ (WRONG PROVIDER) AND EVENT TYPE IS HH, DISPLAY THE
FOLLOWING MESSAGE: ‘THIS CODE NOT AVAILABLE FOR HH EVENTS.
IF CORRECTION NECESSARY, SELECT OPTION 8 (EVENT ENTERED IN
ERROR), THEN SELECT OPTION 9 TO REVIEW OR ADD EVENTS.’
IF CODED ‘3’ (DATE(S) INCORRECT), ‘4’ (WRONG EVENT TYPE), OR
‘5’ (WRONG PROVIDER) AND EVENT TYPE IS OM, DISPLAY THE
FOLLOWING MESSAGE: ‘THIS CODE NOT AVAILABLE FOR OM EVENTS.
IF CORRECTION NECESSARY, SELECT OPTION 8 (EVENT ENTERED IN
ERROR), THEN SELECT OPTION 9 TO REVIEW OR ADD EVENTS.’
IF CODED ‘5’ (WRONG PROVIDER) AND EVENT IS ALREADY LINKED TO A
FLAT FEE BUNDLE, DISPLAY THE FOLLOWING MESSAGE: ‘CHANGE OF
PROVIDER DISALLOWED. RECORD ALREADY LINKED TO OTHER EVENTS.’
IF CODED ‘6’ (WRONG OME ITEM GROUP) AND EVENT TYPE IS NOT OM,
DISPLAY THE FOLLOWING MESSAGE: ‘THIS CODE ONLY AVAILABLE FOR
OM EVENTS. ENTER NEW CODE.’
IF CODED ‘7’ (EVENT NOT FOR THIS PERSON) AND SINGLE-PERSON RU,
DISPLAY THE FOLLOWING MESSAGE: ‘THIS CODE NOT AVAILABLE FOR
SINGLE-PERSON RU. ENTER NEW CODE.’
IF CODED ‘7’ (EVENT NOT FOR THIS PERSON) AND EVENT IS ALREADY
LINKED TO A FLAT FEE BUNDLE, DISPLAY THE FOLLOWING MESSAGE:
‘TRANSFER DISALLOWED. RECORD ALREADY LINKED TO OTHER EVENTS.’
IF CODED ‘8’ (EVENT ENTERED IN ERROR) AND EVENT IS ALREADY
LINKED TO A FLAT FEE BUNDLE, DISPLAY THE FOLLOWING MESSAGE:
‘DELETION DISALLOWED. RECORD ALREADY LINKED TO OTHER EVENTS.’
IF POSSIBLE ON SCREEN, INSERT A COLUMN HEADER BEFORE THE VALUE
OF '2', READING "CORRECTIONS NEEDED" AS SHOWN ON CAPI SCREEN.
IN LABEL FOR ANSWER CATEGORY 9, DISPLAY "(PERSON)" IN PURPLE
(TO BE READ FROM HEADER).

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ROUTING INSTRUCTION:
IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND EVENT TYPE
IS OM, GO TO ED04
IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND EVENT TYPE
IS NOT OM, GO TO END_LP02.
IF CODED ‘3’ (DATE(S)) INCORRECT AND EVENT TYPE IS NOT HH OR
OM, GO TO ED04
IF CODED ‘4’ (WRONG EVENT TYPE) AND EVENT TYPE IS NOT HH OR
OM, GO TO ED07
IF CODED ‘5’ (WRONG PROVIDER), AND EVENT TYPE IS NOT HH OR OM,
AND EVENT IS NOT ALREADY LINKED TO A FLAT FEE BUNDLE, GO TO
BOX_02
IF CODED ‘6’ (WRONG OME ITEM GROUP) AND EVENT TYPE IS OM, AND
OM GROUP TYPE IS 'REGULAR' (EV02A = 1 OR NOT ASKED), GO TO ED06
IF CODED '6' (WRONG OME ITEM GROUP) AND EVENT TYPE IS OM, AND
OM GROUP TYPE IS 'ADDITIONAL' (EV02A = 2), GO TO ED06A
IF CODED ‘7’ (EVENT NOT FOR THIS PERSON), AND MULTI-PERSON RU,
AND EVENT IS NOT ALREADY LINKED TO A FLAT FEE BUNDLE, GO TO
ED05
IF CODED '8' (EVENT ENTERED IN ERROR), AND EVENT IS NOT
ALREADY LINKED TO A FLAT FEE BUNDLE, FLAG EVENT FOR DELETION
AND GO TO END_LP02
Context Header Display Instructions:
CONTEXT HEADER:
DISPLAY PERS.FULLNAME, PROV.DRFNAM, PROV.LORPNAME (IF
EVNT.PROVNUM ^= -1), EVNT.EVNTTYPE (IF SET), EVNT.EVNTBEGM,D
(EVNTBEGM ONLY FOR HH), PRND.BEGREFMM, DD FOR OM),
EVNT.EVNTENDM, D (IF EVNT = HS), (PRND.ENDREFMM, DD FOR OM).

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Event Driver (ED) Section
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ED04

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
EVNT.PROCFLAG

EVNT UTILIZATION PROCESS FLAG

Label

Size
2

EVNT.HSFLAG
EVPV.CPFLAG

FLAG OPEN HS EVNTS AS CLOSED IN CURR RND
CHARGE PAYMENT PROCESS FLAG

2
2

EVNT.EVNTBEGM
EVNT.EVNTBEGD

EV04/EV05 EVENT BEGIN DATE - MONTH
EV04/EV05 EVENT BEGIN DATE - DAY

2
2

EVNT.EVNTBEGY

EV04/EV05 EVENT BEGIN DATE - YEAR

4

EVNT.EVNTENDM
EVNT.EVNTENDD

EVENT END DATE - MONTH
EVENT END DATE - DAY

2
2

EVNT.EVNTENDY

EVENT END DATE - YEAR

4

EVPV.EVNTBEGM
EVPV.EVNTBEGD

EVENT START DATE - MONTH
EVENT START DATE - DAY

2
2

EVPV.EVNTBEGY
EVPV.EVNTENDM

EVENT START DATE - YEAR
EVENT END DATE - MONTH

4
2

EVPV.EVNTENDD

EVENT END DATE - DAY

2

EVPV.EVNTENDY

EVENT END DATE - YEAR

4

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: RE-TYPE THE ENTIRE EVENT DATE(S) TO CORRECT.
____/____/______
MM DD YYYY

____/____/_____
MM DD YYYY

PROGRAMMER NOTES:
REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND YEAR FIELDS
BUT ARE DISALLOWED IN THE MONTH FIELD.
COLLECT DISCHARGE DATE ONLY IF EVENT TYPE IS HS.
IF EVENT TYPE IS HS AND DISCHARGE DATE IS '95' (STILL IN
FACILITY), THIS EVENT IS NOT CLOSED IN THE CURRENT ROUND. FLAG
EVENT AS PROCESSED AND FLAG CHARGE PAYMENT AS PROCESSED.
WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.

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Event Driver (ED) Section
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ED05

Help Enabled

Comment Enabled

Variable Name
PRND.ED05BLSWVS

Jump Back Enabled

Label

Size

EVNT.EVNTID
EVNT.EVNTRURN

EVNT ID KEY: PERSID + COUNTER(3) + CD
ROUND STAMP: RU LETTER + ROUND NUMBER

12
2

EVNT.CREATEQ
EVPV.EVPVID

QUESTION THAT CREATED EVNT SEGMENT
EVPV ID KEY: EVNTID + PROVID

5
23

EVPV.CREATEQ

QUESTION THAT CREATED EVPV SEGMENT

5

EVPV.EVPVRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT PERSON FOR THIS EVENT.
[First Name, [Middle Name], Last Name]
[First Name, [Middle Name], Last Name]
[First Name, [Middle Name], Last Name]

{END_LP02}

PROGRAMMER NOTES:
DELETE EVENT FROM PERSON'S-MEDICAL-EVENT-ROSTER FOR PERSON
ORIGINALLY ASSOCIATED WITH EVENT AND ADD EVENT TO PERON'SMEDICAL-EVENT-ROSTER FOR SELECTED PERSON.

Roster Details
Title:

RU_MEMBERS_1

Col #

Header

Instructions

NAME

RU member's first, middle and last names
PERS.FULLNAME

1

Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Select allowed.
2. Multiple select, add, delete, and edit are disallowed.
Roster Filter:

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Event Driver (ED) Section
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Exclude the person currently being looped on when displaying
the RU-MEMBERS-ROSTER.

BOX_02
ASK THE PROVIDER ROSTER (PV) SECTION FOR THIS EVENT
AT COMPLETION OF PROVIDER ROSTER (PV) SECTION, CONTINUE WITH BOX_03

BOX_03
WRITE PROVIDER CORRECTION TO PERSON'S-EVENT-PROVIDER-PAIRS-ROSTER.
GO TO END_LP02

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Event Driver (ED) Section
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ED06

Help Enabled

Comment Enabled

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Variable Name
PRND.PGLASSES

Label
WHO BOUGHT/REPAIRED GLASSES/CONTACTS

Size
2

PRND.PINSULIN
PRND.PDIABSUP

WHO OBTAINED INSULIN
WHO BOUGHT DIABETIC EQUIPMENT/SUPPLIES

2
2

PERS.INSULIN
PERS.DIABSUPS

INSULIN RECEIVED AT LEAST ONCE
DIABETIC SUPPLIES RECEIVED AT LEAST ONCE

2
2

EVNT.EVNTID

EVNT ID KEY: PERSID + COUNTER(3) + CD

12

EVNT.EVNTRURN
EVNT.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
QUESTION THAT CREATED EVNT SEGMENT

2
5

EVNT.EVNTTYPE

EVENT TYPE

2

EVNT.OMTYPE
EVPV.EVPVID

OTHER MEDICAL EXPENSE TYPE
EVPV ID KEY: EVNTID + PROVID

2
23

EVPV.EVPVRURN
EVPV.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
QUESTION THAT CREATED EVPV SEGMENT

2
5

EVPV.EVNTTYPE

EVENT TYPE

2

EVPV.EVPVTYPE
PMED.PMEDID

PROVIDER TYPE RELATED TO EVENT
PMED ID KEY: PERSID + COUNTER(3) + CD

2
12

PMED.PMEDRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

PMED.CREATEQ
PMED.PMEDNAME

QUESTION THAT CREATED PMED SEGMENT
NAME OF MEDS AND PRESCRIPTIONS FILLED

4
30

PMED.DRUGLINK
DRUG.DRUGID

LINKS PMED TO DRUGID
DRUG ID KEY: PERSID + COUNTER(3)

3
11

DRUG.DRUGRURN

ROUND STAMP: RU LETTER + ROUND NUMBER

2

DRUG.CREATEQ
DRUG.DRUGNAME

QUESTION THAT CREATED DRUG SEGMENT
NAME OF MEDS AND PRESCRIPTIONS FILLED

4
30

RXLK.RXLKID

RXLK ID KEY: EVENTID + PMEDID

24

RXLK.RXLKRURN
RXLK.CREATEQ

ROUND STAMP: RU LETTER + ROUND NUMBER
QUESTION THAT CREATED RXLK RECORD

2
4

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
GLASSES OR CONTACT LENSES
INSULIN

1
2

{END_LP02}
{END_LP02}

OTHER DIABETIC EQUIPMENT OR
SUPPLIES

3

{END_LP02}

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Event Driver (ED) Section
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PROGRAMMER NOTES:
IF CODED ‘2’ (INSULIN), ADD ‘INSULIN’ TO PERSON’S-PRESCRIBEDMEDICINES-ROSTER.
IF CODED ‘3’ (OTHER DIABETIC EQUIPMENT OR SUPPLIES), ADD
‘OTHER DIABETIC EQUIP/SUPPLIES’ TO PERSON’S-PRESCRIBEDMEDICINES-ROSTER.
CHANGE THE OME GROUP ORIGINALLY ASSOCIATED WITH THE EVENT
BEING ASKED ABOUT TO THE OME ITEM GROUP SELECTED IN ED06.

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Event Driver (ED) Section
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ED06A

Help Enabled

Comment Enabled

Variable Name
PRND.ED06ABLSWVS

Jump Back Enabled

Label

Size

EVNT.OMTYPE
PRND.AMBULANC

OTHER MEDICAL EXPENSE TYPE
AMBULANCE SERVICES

2
2

PRND.ORTHOPED
PRND.HEARDEV

ORTHOPEDIC ITEMS
HEARING DEVICES

2
2

PRND.PROSHES

PROSTHESES

2

PRND.BATHAIDS
PRND.MEDEQUIP

BATHROOM AIDS
MEDICAL EQUIPMENT

2
2

PRND.DISPSUPL

DISPOSABLE SUPPLIES

2

PRND.ALTRMODF
PRND.OMOTH

ALTERATIONS/MODIFICATIONS
OTHER

2
2

{PERSON'S FIRST MIDDLE AND LAST NAME}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
AMBULANCE SERVICES
ORTHOPEDIC ITEMS

1
2

{BOX_ED06A}
{BOX_ED06A}

HEARING DEVICES

3

{BOX_ED06A}

PROSTHESES
BATHROOM AIDS

4
5

{BOX_ED06A}
{BOX_ED06A}

MEDICAL EQUIPMENT
DISPOSABLE SUPPLIES

6
7

{BOX_ED06A}
{BOX_ED06A}

ALTERATIONS/MODIFICATIONS

8

{BOX_ED06A}

OTHER

91

{ED06AOV}

PROGRAMMER NOTES:
IF THE SELECTED OME ITEM GROUP EXISTS, DISPLAY THE FOLLOWING
MESSAGE: 'OM OF THIS TYPE ALREADY EXISTS. PLEASE RE-SELECT
OME GROUP.'

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ED06AOV

Help Enabled

Comment Enabled

Variable Name
EVNT.OMOTHOS

Jump Back Enabled

Label

Size
25

OMTYPE OTHER SPECIFY

OTHER GROUP OF _______________________
OME ITEMS:

{BOX_ED06A}

BOX_ED06A
CHANGE THE OME GROUP ORIGINALLY ASSOCIATED WITH THE EVENT BEING ASKED
ABOUT TO THE OME ITEM GROUP SELECTED IN ED06A OR ENTERED IN ED06AOV
GO TO END_LP02

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ED07

Help Enabled (ED07Help)

Comment Enabled

Jump Back Enabled

Variable Name
EVNT.EVNTTYPE

EVENT TYPE

Label

Size
2

EVPV.EVNTTYPE

EVENT TYPE

2

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT EVENT TYPE.
HOSPITAL STAY
HOSPITAL EMERGENCY ROOM

HS
ER

{ED08}
{END_LP02}

HOSPITAL OUTPATIENT DEPARTMENT

OP

{END_LP02}

MEDICAL PROVIDER VISIT
DENTAL CARE

MV
DN

{END_LP02}
{END_LP02}

HELP AVAILABLE FOR DEFINITIONS OF EVENT TYPES.
PROGRAMMER NOTES:
CHANGE THE EVENT TYPE ORIGINALLY ASSOCIATED WITH THE EVENT
BEING ASKED ABOUT TO THE EVENT TYPE SELECTED IN ED07. IF
EVENT TYPE WAS HOSPITAL STAY, THE NEW EVENT DATE WILL BE THE
ADMIT DATE COLLECTED FOR THE HOSPITAL STAY.
IF CHANGE TO HS, ER, OR OP AND PROVIDER IS A PERSON-TYPEPROVIDER, DISPLAY THE FOLLOWING MESSAGE: ‘YOU MUST CHANGE TO
A FACILITY PROVIDER BEFORE CHANGING THE EVENT TYPE.’
IF THE SELECTED EVENT TYPE MATCHES THE EVENT TYPE ORIGINALLY
ASSOCIATED WITH THE EVENT BEING ASKED ABOUT, DISPLAY THE
FOLLOWING MESSAGE: 'YOU MUST CHANGE THE EVENT TYPE. PLEASE RESELECT.'

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ED08

Help Enabled

Comment Enabled

Jump Back Enabled

Variable Name
EVNT.EVNTBEGM

Label
EV04/EV05 EVENT BEGIN DATE - MONTH

EVNT.EVNTBEGD
EVNT.EVNTBEGY

EV04/EV05 EVENT BEGIN DATE - DAY
EV04/EV05 EVENT BEGIN DATE - YEAR

2
4

EVNT.EVNTENDM
EVNT.EVNTENDD

EVENT END DATE - MONTH
EVENT END DATE - DAY

2
2

EVNT.EVNTENDY

EVENT END DATE - YEAR

4

EVPV.EVNTBEGM
EVPV.EVNTBEGD

EVENT START DATE - MONTH
EVENT START DATE - DAY

2
2

EVPV.EVNTBEGY

EVENT START DATE - YEAR

4

EVPV.EVNTENDM
EVPV.EVNTENDD

EVENT END DATE - MONTH
EVENT END DATE - DAY

2
2

EVPV.EVNTENDY

EVENT END DATE - YEAR

4

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: RE-TYPE ENTIRE EVENT DATE(S) TO CORRECT.
____/____/______
MM DD YYYY

____/____/_____
MM DD YYYY

PROGRAMMER NOTES:
WHEN SCREEN IS DISPLAYED, DISPLAY THE EVENT DATE AS THE ADMIT
DATE AND LEAVE THE DISCHARGE DATE BLANK. BOTH DATES CAN BE
CORRECTED.
WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.
REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND YEAR FIELDS
BUT ARE DISALLOWED IN THE MONTH FIELDS.

15

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ED09

Help Enabled

Comment Enabled

Jump Back Enabled

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
{OME ITEM GROUP: {NAME OF OME ITEM GROUP......}}
INTERVIEWER: SO FAR, THE FOLLOWING EVENTS HAVE BEEN
RECORDED FOR (PERSON):
|--------------|--------------|--------------|--------------|--------------|
| ED09_01. NAME| ED09_02.
| ROSTER.
| ED09_04.
| ED09_05. C/P |
| MEDICAL
| EVENT TYPE
| DATE-DATE
| UTIL
|
|
| PROVIDER
|
|
|
|
|
|--------------|--------------|--------------|--------------|--------------|
| 1. [Display | [Display
| [Display
| [Display
| [Display
|
| Medical
| Event Code] | Month
| Selection]
| Selection]
|
| Provider]
|
| Day Year]
|
|
|
|--------------|--------------|--------------|--------------|--------------|
| 2. [Display | [Display
| [Display
| [Display
| [Display
|
| Medical
| Event Code] | Month
| Selection]
| Selection]
|
| Provider]
|
| Day Year]
|
|
|
|--------------|--------------|--------------|--------------|--------------|
| 3. [Display | [Display
| [Display
| [Display
| [Display
|
| Medical
| Event Code] | Month
| Selection]
| Selection]
|
| Provider]
|
| Day Year]
|
|
|
|--------------|--------------|--------------|--------------|--------------|

DISPLAY INSTRUCTIONS:
DISPLAY A CHECK MARK IN THE 'UTIL' COLUMN IF THE EVENT BEING
ASKED ABOUT HAS COMPLETED THE APPROPRIATE UTILIZATION SECTION.
DISPLAY A CHECK MARK IN THE 'C/P' COLUMN IF THE EVENT BEING
ASKED ABOUT HAS COMPLETED THE CHARGE/PAYMENT (CP) SECTION.
ROUTING INSTRUCTION:
CONTINUE WITH ED09OV1
Context Header Display Instructions:
ADD TEXT FOR EVNT.OMTYPE CODE

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Roster Details
Title:

PERS_EVNT_Display_1

Col #

Header

Instructions

1

NAME MEDICAL
PROVIDER

Display Medical Provider
EVPV.LORPNAME, EVPV.DRFNAM, EVPV.DRMNAM

2

EVENT TYPE

Display Event Type
EVNT.EVNTTYPE

3

EVENT DATE

Display Event Date
EVNT.EVNTBEGM, EVNT.EVNTBEGD,
EVNT.EVNTBEGY
EVNT.EVNTENDM, EVNT.EVNTENDD,
EVNT.EVNTENDY

4

UTIL

Display Selection
EVNT.UTFLAG

5

C/P

Display Selection
EVNT.PROCFLAG

Roster Definition:
This item displays the PERSON’S-MEDICAL-EVENTS-ROSTER for
display.
Roster Behavior:
1. Select, add, delete, and edit disallowed.
2. CAPI displays a check mark in the ‘UTIL’ column if the
event has completed the appropriated utilization section.
3. CAPI displays a check mark in the ‘C/P’ column if the
event has completed the Charge/Payment (CP) section.
Roster Filter:
This item displays all events on the PERSON'S-MEDICAL-EVENTSROSTER that were created in the current round or held over
from the previous round (i.e., UTIL and the CHARGE/PAYMENT
(CP) section were not marked as processed, except events with
the event type (EVPV.EVNTTYPE) ‘PM’.

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ED09OV1

Help Enabled

Comment Enabled

Jump Back Enabled

ADD AN EVENT?

YES
NO

1
2

{BOX_04}
{END_LP02}

DISPLAY INSTRUCTIONS:
ED09OV1 IS DISPLAYED BENEATH THE GRID ON ED09 WHENEVER ED09 IS
DISPLAYED.

BOX_04
ASK THE EVENT ROSTER (EV) SECTION FOR THIS EVENT.
ROSTER (EV) SECTION, CONTINUE WITH END_LP02

AT COMPLETION OF EVENT

NOTE: CAPI CONTINUES THE LOOP FOR THE EVENT THAT WAS IN PROCESS WHEN
ANOTHER EVENT WAS ADDED. ADDED EVENTS ARE PROCESSED IN THE ED SECTION
AFTER EVENTS THAT WERE RECORDED IN THE PROVIDER PROBES (PP) SECTION.

END_LP02
IF ED02 IS CODED '1' (INFORMATION OK), CONTINUE WITH END_LP01
OTHERWISE, CYCLE ON THE SAME EVENT TO COLLECT ANY ADDITIONAL CORRECTION.

END_LP01
ASK APPROPRIATE UTILIZATION SECTION FOR THIS EVENT. WHEN UTILIZATION IS
COMPLETED FOR THIS EVENT, CYCLE ON NEXT EVENT IN PERSON’S-MEDICAL-EVENTSROSTER THAT MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION.
IF NO MORE EVENTS MEET THE STATED CONDITIONS, END LOOP_01 AND CONTINUE
WITH BOX_05

BOX_05
GO TO THE NEXT QUESTIONNAIRE SECTION
18