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Outpatient Department (OP) Section
OP02
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Did (PERSON) visit the outpatient department at (PROVIDER) on (VISIT
DATE) in person or was this a telephone call?
Size
Variable Name
Label
OPAT.SEETLKPV
2
DID P VST OUTP PROV IN PERSON OR TELEPHN
1
SAW PROVIDER
{OP04}
2
TELEPHONE CALL
{OP04}
RF
Refused
{OP04}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{OP04}
PROGRAMMER NOTES:
IF OP02 IS CODED ‘1’ (SAW PROVIDER) FLAG EVENT AS ‘OP-IN-
PERSON’.
IF OP02 IS CODED ‘2’ (TELEPHONE CALL), 'RF' (REFUSED), OR 'DK'
(DON'T KNOW), FLAG EVENT AS ‘OP-TELEPHONE’. (FOR PURPOSES OF
QUESTION WORDING IN THIS OP SECTION OF CAPI HOWEVER, 'RF' AND
'DK' WILL USE THE WORDING FOR 'DP-IN-PERSON' EVENTS).
1
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Outpatient Department (OP) Section
OP04
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(MEDPROVHELP)
{Did (PERSON) see a medical doctor during this particular visit?/Was this
telephone call about (PERSON)’s health with a medical doctor?}
Size
Variable Name
Label
OPAT.SEEDOC
2
DID P TALK TO MD THIS VISIT/PHONE CALL
1
YES
{OP04A}
2
NO
{OP05}
RF
Refused
{OP05}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{OP05}
HELP AVAILABLE FOR DEFINITION OF MEDICAL DOCTOR.
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did (PERSON) see a medical doctor during this
particular visit?’ IF OP02 IS CODED ‘1’ (SAW PROVIDER), ‘RF’
(REFUSED), OR ‘DK’ (DON’T KNOW) FOR THIS EVENT.
DISPLAY ‘Was this telephone call about (PERSON)’s health with
a medical doctor?’ IF OP02 IS CODED ‘2’ (TELEPHONE CALL) FOR
THIS EVENT.
2
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Outpatient Department (OP) Section
OP04A
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
What was the doctor’s specialty?
Size
Variable Name
Label
OPAT.DRSPLTY
2
MVIS DOCTOR'S SPECIALTY
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.
1
ALLERGY/IMMUNOLOGY
{BOX_01}
2
ANESTHESIOLOGY
{BOX_01}
3
CARDIOLOGY (HEART)
{BOX_01}
4
DERMATOLOGY (SKIN)
{BOX_01}
5
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID)
{BOX_01}
6
FAMILY PRACTICE
{BOX_01}
7
GASTROENTEROLOGY
{BOX_01}
8
GENERAL PRACTICE
{BOX_01}
9
GENERAL SURGERY
{BOX_01}
10
GERIATRICS (ELDERLY)
{BOX_01}
11
GYNECOLOGY/OBSTETRICS
{BOX_01}
12
HEMATOLOGY (BLOOD)
{BOX_01}
13
HOSPITAL RESIDENCE
{BOX_01}
14
INTERNAL MEDICINE (INTERNIST)
{BOX_01}
15
NEPHROLOGY (KIDNEYS)
{BOX_01}
16
NEUROLOGY
{BOX_01}
17
NUCLEAR MEDICINE
{BOX_01}
18
ONCOLOGY (TUMORS, CANCER)
{BOX_01}
19
OPTHALMOLOGY (EYES)
{BOX_01}
20
ORTHOPEDICS
{BOX_01}
21
OSTEOPATHY (DO)
{BOX_01}
22
OTORHINOLARYNGOLOGY (EAR,
NOSE, THROAT)
{BOX_01}
3
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Outpatient Department (OP) Section
23
PATHOLOGY
{BOX_01}
24
PEDIATRICIAN
{BOX_01}
25
PHYSICAL MEDICINE/REHAB
{BOX_01}
26
PLASTIC SURGERY
{BOX_01}
27
PROCTOLOGY
{BOX_01}
28
PSYCHIATRY/PSYCHIATRIST
{BOX_01}
29
PULMONARY
{BOX_01}
30
RADIOLOGY
{BOX_01}
31
RHEUMATOLOGY (ARTHRITIS)
{BOX_01}
32
THORACIC SURGERY (CHEST)
{BOX_01}
33
UROLOGY
{BOX_01}
91
OTHER DR SPECIALTY
{BOX_01}
RF
Refused
{BOX_01}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_01}
4
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Outpatient Department (OP) Section
OP05
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(OP05Help)
What type of medical person did (PERSON) talk to on (VISIT DATE)?
Size
Variable Name
Label
OPAT.MEDPTYPE
2
TYPE OF MED PERSON P TALKED TO ON VST DT
IF TALKED TO MORE THAN ONE MEDICAL PERSON, PROBE FOR MAIN
PROVIDER.
1
CHIROPRACTOR
{BOX_01}
2
DENTIST/DENTAL CARE PERSON
{BOX_01}
3
MIDWIFE
{BOX_01}
4
NURSE/NURSE PRACTITIONER
{BOX_01}
5
OPTOMETRIST
{BOX_01}
6
PODIATRIST
{BOX_01}
7
PHYSICIAN'S ASSISTANT
{BOX_01}
8
PHYSICAL THERAPIST
{BOX_01}
9
OCCUPATIONAL THERAPIST
{BOX_01}
10
PSYCHOLOGIST
{BOX_01}
11
SOCIAL WORKER
{BOX_01}
12
TECHNICIAN
{BOX_01}
14
ACUPUNCTURIST
{BOX_01}
15
MASSAGE THERAPIST
{BOX_01}
16
HOMEOPATHIC/NATUROPATHIC/HERBA
LIST
{BOX_01}
17
OTHER
ALTERNATIVE/COMPLEMENTARY
CARE PROVIDER
{BOX_01}
91
OTHER
{BOX_01}
RF
Refused
{BOX_01}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_01}
5
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Outpatient Department (OP) Section
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
BOX_01
IF OP02 IS CODED '2' (TELEPHONE CALL), 'RF' (REFUSED), OR 'DK' (DON'T
KNOW), GO TO OP08.
IF OP02 IS CODED '1' (SAW PROVIDER), CONTINUE WITH OP07.
6
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Outpatient Department (OP) Section
OP07
SHOW CARD OP-1.
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(VSTCTGRYHELP)
Please look at this card and tell me which category best describes the care
(PERSON) received during the visit to the outpatient department at
(PROVIDER) on (VISIT DATE)?
Size
Variable Name
Label
OPAT.VSTCTGRY
2
BEST CATEGORY FOR CARE P RECV ON VST DT
1
GENERAL CHECKUP
{OP08}
2
DIAGNOSIS OR TREATMENT
{OP08}
3
EMERGENCY (E.G., ACCIDENT OR
INJURY)
{OP08}
4
PSYCHOTHERAPY OR MENTAL
HEALTH COUNSELING
{OP08}
5
FOLLOW-UP OR POST-OPERATIVE
VISIT
{OP08}
6
IMMUNIZATIONS OR SHOTS
{OP08}
7
VISION EXAM
{OP08}
8
PREGNANCY-RELATED (INCLUDING
PRENATAL CARE AND DELIVERY)
{OP08}
9
WELL CHILD EXAM
{OP08}
10
LASER EYE SURGERY
{OP08}
91
OTHER
{OP08}
RF
Refused
{OP08}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{OP08}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
Hard CHECK:
IF CODED ‘8’ (PREGNANCY-RELATED (INCLUDING PRENATAL CARE AND DELIVERY)),
CHECK THAT PERSON IS FEMALE. IF NOT, DISPLAY THE FOLLOWING MESSAGE: ‘CODE
7
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Outpatient Department (OP) Section
UNAVAILABLE FOR MALES. VERIFY AND RE-ENTER.’
IF CODED ‘9’ (WELL CHILD EXAM), CHECK THAT PERSON IS <7 YEARS OLD (OR AGE
CATEGORIES 1 TO 3). IF NOT, DISPLAY THE FOLLOWING MESSAGE: ‘CODE
UNAVAILABLE FOR PERSONS 7 AND OLDER. VERIFY AND RE-ENTER.’
OP08
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Was this {visit/telephone call} related to any specific health condition or were
any conditions discovered during this {visit/telephone call}?
Size
Variable Name
Label
OPAT.VSTRELCN
2
THIS VST/PHONE CALL RELATED TO SPEC COND
1
YES
{OP09}
2
NO
{BOX_02}
RF
Refused
{BOX_02}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_02}
DISPLAY INSTRUCTIONS:
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW PROVIDER), ‘RF’
(REFUSED), OR ‘DK’ (DON’T KNOW) FOR THIS EVENT. DISPLAY
‘telephone call’ IF OP02 IS CODED ‘2’(TELEPHONE CALL) FOR THIS
EVENT.
8
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Outpatient Department (OP) Section
OP09
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
What conditions were discovered or led (PERSON) to make this
{visit/telephone call}?
PROBE: Any other condition?
IF CONDITION IS ALREADY LISTED, ASK: Is this the same (NAME OF
CONDITION) that we have already talked about before?
Size
Variable Name
Label
COND.CONDID
12
COND ID KEY: PERSID + COUNTER(3) + CD
COND.CONDRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
COND.CREATEQ
4
QUESTION THAT CREATED COND SEGMENT
COND.CONDNAM
30
NAME OF CONDITION
CLNK.CLNKID
24
CLNK ID KEY: CONDID + EVNTID
CLNK.CLNKRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
CLNK.CREATEQ
4
QUESTION THAT CREATED CLNK SEGMENT
CLNK.CLNKTYPE
2
TYPE OF EVENT CONDITION IS LINKED TO
CRND.CRNDID
13
CRND ID KEY: CONDID + ROUND NUMBER
CRND.CRNDRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
CRND.CREATEQ
2
CREATION STAMP
IF SAME EPISODE OF CONDITION, SELECT ENTRY ON ROSTER.
IF NEW EPISODE OF CONDITION, ADD TO ROSTER.
[Medical Condition]
[Medical Condition]
[Medical Condition]
{BOX_02}
DISPLAY INSTRUCTIONS:
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW PROVIDER), ‘RF’
(REFUSED), OR ‘DK’ (DON’T KNOW) FOR THIS EVENT. DISPLAY
‘telephone call’ IF OP02 IS CODED ‘2’(TELEPHONE CALL) FOR THIS
EVENT.
PROGRAMMER NOTES:
DISPLAY 'ADD CONDITION' AS AN OPTION ON THIS SCREEN.
9
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Outpatient Department (OP) Section
Title:
PERS_COND_1
Roster Details
Col #
Header
Instructions
1
MEDICAL CONDITION Display name of medical condition
COND.CONDNAM
Roster Behavior:
1. Multiple Select allowed.
2. Multiple Add allowed.
3. Limited Delete allowed. Interviewer may delete
a condition added on this screen as long as
CAPI has not yet created the link between this
condition and the event. If the interviewer
attempts to delete a condition when delete is
not allowed, display the following message:
“DELETE ALLOWED ONLY WHEN CONDITION
IS FIRST ENTERED.”
4. Limited Edit allowed. Interviewer may edit a
condition name newly added on this screen
as long as CAPI has not yet created the link
between this condition and the event. If the
interviewer attempts to edit a condition when
edit is not allowed, display the following
message: “EDIT ALLOWED ONLY WHEN
CONDITION IS FIRST ENTERED.”
Roster Filter:
Display all conditions on person’s roster; no filter.
Roster Definition:
Display the PERSON-MEDICAL-CONDITIONS-ROSTER for the selection
and addition of one or many medical condition(s) associated
with this event.
BOX_02
IF OP02 IS CODED '2' (TELEPHONE CALL), 'RF' (REFUSED), OR 'DK' (DON'T
KNOW), GO TO OP14.
IF OP02 IS CODED '1' (SAW PROVIDER), CONTINUE WITH BOX_03.
BOX_03
IF OP05 IS CODED '2' (DENTIST/DENTAL CARE PERSON), '3' (MIDWIFE), OR '5'
(OPTOMETRIST), GO TO OP11.
OTHERWISE, CONTINUE WITH OP10.
10
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Outpatient Department (OP) Section
OP10
SHOW CARD OP-2.
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(TREATMENTSHELP)
Looking at this card, which of these treatments, if any, did (PERSON)
receive during this visit?
Size
Variable Name
Label
OPAT.OP10BLSWVS
OPAT.PHYSTH
2
THIS VISIT DID P HAVE PHYSICAL THERAPY
OPAT.OCCUPTH
2
THIS VST DID P HAVE OCCUPATIONAL THERAPY
OPAT.SPEECHTH
2
THIS VISIT DID P HAVE SPEECH THERAPY
OPAT.CHEMOTH
2
THIS VISIT DID P HAVE CHEMOTHERAPY
OPAT.RADIATTH
2
THIS VISIT DID P HAVE RADIATION THERAPY
OPAT.KIDNEYD
2
THIS VISIT DID P HAVE KIDNEY DIALYSIS
OPAT.IVTHER
2
THIS VISIT DID P HAVE IV THERAPY
OPAT.DRUGTRT
2
THIS VST DID P HAVE TRT FOR DRUG OR ALCH
OPAT.RCVSHOT
2
THIS VST DID P RECEIVE AN ALLERGY SHOT
OPAT.PSYCHOTH
2
DID P HAVE PSYCHOTHERAPY/COUNSELING?
CHECK ALL THAT APPLY.
1
PHYSICAL THERAPY
{OP11}
2
OCCUPATIONAL THERAPY
{OP11}
3
SPEECH THERAPY
{OP11}
4
CHEMOTHERAPY
{OP11}
5
RADIATION THERAPY
{OP11}
6
KIDNEY DIALYSIS
{OP11}
7
IV THERAPY
{OP11}
8
DRUG OR ALCOHOL TREATMENT
{OP11}
9
ALLERGY SHOT
{OP11}
10
PSYCHOTHERAPY/COUNSELING
{OP11}
95
NO TREATMENTS RECEIVED
{OP11}
RF
Refused
{OP11}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{OP11}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
11
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Outpatient Department (OP) Section
PROGRAMMER NOTES:
ALLOW CODE ‘95’ (NO TREATMENTS), ‘RF’ (REFUSED), ‘DK’ (DON’T
KNOW) ALONE ONLY. THESE RESPONSES MAY NOT BE SELECTED WITH
ANY OTHER RESPONSE.
'NO TREATMENTS RECEIVED' IS NOT DISPLAYED ON SHOW CARD.
Hard CHECK:
EDIT: IF CODED ‘95’ (NO TREATMENTS RECEIVED), NO OTHER TREATMENT CATEGORIES
CAN BE CODED. IF INTERVIEWER SELECTS ANOTHER CODE WITH 'NO TREATMENTS',
DISPLAY THE FOLLOWING MESSAGE: ‘NO TREATMENTS RECEIVED CANNOT BE SELECTED
WITH OTHER OPTIONS. VERIFY AND RE-ENTER.'
12
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Outpatient Department (OP) Section
OP11
SHOW CARD OP-3.
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(MEDSERVHELP)
Looking at this card, which of these services, if any, did (PERSON) have
during this visit?
Size
Variable Name
Label
OPAT.OP11BLSWVS
OPAT.LABTEST
2
THIS VISIT DID P HAVE LAB TESTS
OPAT.SONOGRAM
2
THIS VST DID P HAVE SONOGRAM OR ULTRASD
OPAT.XRAYS
2
THIS VISIT DID P HAVE XRAYS
OPAT.MAMMOG
2
THIS VISIT DID P HAVE A MAMMOGRAM
OPAT.MRI
2
DID PERSON HAVE AN MRI DURING THIS VISIT
OPAT.EKG
2
DID PERSON HAVE AN EKG OR ECG THIS VISIT
OPAT.EEG
2
DID PERSON HAVE AN EEG DURING THIS VISIT
OPAT.RCVVAC
2
THIS VISIT DID P RECEIVE A VACCINATION
OPAT.ANESTH
2
DURING THIS VISIT P RECEIVE ANESTHESIA
OPAT.OTHSVCE
2
DID P HAVE OTHER DIAG TESTS THIS VISIT
OPAT.THRTSWAB
2
CHECK ALL THAT APPLY.
1
LABORATORY TESTS
{OP12}
11
THROAT SWAB
{OP12}
2
SONOGRAM OR ULTRASOUND
{OP12}
3
X-RAYS
{OP12}
4
MAMMOGRAM
{OP12}
5
MRI OR CATSCAN
{OP12}
6
EKG OR ECG
{OP12}
7
EEG
{OP12}
8
VACCINATION
{OP12}
9
ANESTHESIA
{OP12}
10
OTHER DIAGNOSTIC TEST
{OP12}
95
NO SERVICES RECEIVED
{OP12}
RF
Refused
{OP12}
----------------------------------------------------------------------------------------------------------------------------------
13
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Outpatient Department (OP) Section
DK
Don't Know
{OP12}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
PROGRAMMER NOTES:
ALLOW CODE ‘4’ (MAMMOGRAM) ONLY IF PERSON IS FEMALE AND AGE IS
> 17 YEARS (OR AGE CATEGORIES 4 THROUGH 9).
ALLOW CODE '95' (NO SERVICES RECEIVED), 'RF' (REFUSED), 'DK'
(CON'T KNOW) AND ALONE ONLY. THESE RESPONSES MAY NOT BE
SELECTED WITH ANY OTHER RESPONSE.
'OTHER DIAGNOSTIC TEST' AND 'NO SERVICES RECEIVED' ARE NOT
DISPLAYED ON SHOW CARD.
Hard CHECK:
EDIT: IF CODED ‘95’ (NO SERVICES RECEIVED), NO OTHER TREATMENT CATEGORIES
CAN BE CODED. IF INTERVIEWER SELECTS ANOTHER CODE WITH 'NO SERVICES',
DISPLAY THE FOLLOWING MESSAGE: ‘NO SERVICES RECEIVED CANNOT BE SELECTED
WITH OTHER OPTIONS. VERIFY AND RE-ENTER.'
OP12
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(SURGPROCHELP)
Was a surgical procedure performed on (PERSON) during this visit?
Size
Variable Name
Label
OPAT.SURGPROC
2
WAS SURG PROC PERFORMED ON P THIS VISIT
1
YES
{OP14}
2
NO
{OP14}
RF
Refused
{OP14}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{OP14}
HELP AVAILABLE FOR DEFINITION OF SURGICAL PROCEDURE.
14
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Outpatient Department (OP) Section
OP14
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(MEDPRESHELP)
During this {visit/telephone call}, were any medicines prescribed for
(PERSON)? Please include only prescriptions which were filled.
Size
Variable Name
Label
OPAT.MEDPRESC
2
ANY MEDICINS PRESCRIBED FOR P THIS VISIT
1
YES
{OP15}
2
NO
{BOX_04}
RF
Refused
{BOX_04}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_04}
HELP AVAILABLE FOR DEFINITION OF PRESCRIBED MEDICINE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW PROVIDER), ‘RF’
(REFUSED), OR ‘DK’ (DON’T KNOW) FOR THIS EVENT. DISPLAY
‘telephone call’ IF OP02 IS CODED ‘2’(TELEPHONE CALL) FOR THIS
EVENT.
15
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Outpatient Department (OP) Section
OP15
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Please tell me the names of the prescriptions from this visit that were filled.
PROBE: Any other prescribed medicines from this visit that were filled?
Size
Variable Name
Label
PMED.PMEDID
12
PMED ID KEY: PERSID + COUNTER(3) + CD
PMED.PMEDRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
PMED.CREATEQ
4
QUESTION THAT CREATED PMED SEGMENT
PMED.PMEDNAME
30
NAME OF MEDS AND PRESCRIPTIONS FILLED
PMED.DRUGLINK
3
LINKS PMED TO DRUGID
PMED.STOREVAR
2
MATRIX TEMPORARY STORAGE VARIABLE
RXLK.RXLKID
24
RXLK ID KEY: EVENTID + PMEDID
RXLK.RXLKRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
RXLK.CREATEQ
4
QUESTION THAT CREATED RXLK RECORD
EVNT.EVNTID
12
EVNT ID KEY: PERSID + COUNTER(3) + CD
EVNT.EVNTRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
EVNT.CREATEQ
5
QUESTION THAT CREATED EVNT SEGMENT
EVNT.EVNTTYPE
2
EVENT TYPE
EVPV.EVPVID
23
EVPV ID KEY: EVNTID + PROVID
EVPV.EVPVRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
EVPV.CREATEQ
5
QUESTION THAT CREATED EVPV SEGMENT
EVPV.EVNTTYPE
2
EVENT TYPE
EVPV.EVPVTYPE
2
PROVIDER TYPE RELATED TO EVENT
DRUG.DRUGID
11
DRUG ID KEY: PERSID + COUNTER(3)
DRUG.DRUGRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
DRUG.CREATEQ
4
QUESTION THAT CREATED DRUG SEGMENT
DRUG.DRUGNAME
30
NAME OF MEDS AND PRESCRIPTIONS FILLED
DRUG.STOREVAR
2
MATRIX TEMPORARY STORAGE VARIABLE
[Prescribed Medicine]
[Prescribed Medicine]
[Prescribed Medicine]
{BOX_04}
PROGRAMMER NOTES:
DISPLAY 'ADD MEDICINE' AS AN OPTION ON THIS SCREEN.
16
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Outpatient Department (OP) Section
Title:
PERSON'S_PRESCRIBED-MEDICINES_1
Roster Details
Col #
Header
Instructions
1
PRESCRIBED
MEDICINE
Display name of prescribed medicine
DRUG.DRUGNAME
Roster Behavior:
1. Multiple select allowed and add allowed.
2. Limited delete allowed. Interviewer may
delete a PMED added on this screen as long
as CAPI has not yet created the link between
this PMED and the event. If the interviewer
attempts to delete a PMED name when delete
is not allowed, display the following error
message: "DELETE ALLOWED ONLY WHEN
MEDICINE IS FIRST ENTERED."
3. Limited edit allowed. Interviewer may edit
the name of a PMED added on this screen
as long as CAPI has not yet created the link
between this PMED and the event. If the
interviewer attempts to edit a PMED name
when editing is not allowed, display the
following message: "EDITING ALLOWED
ONLY WHEN MEDICINE IS FIRST ENTERED."
Roster Filter:
Display all medicines on person's roster; no filter.
Roster Definition:
This item displays the PERSON’S-PRESCRIPTION-MEDICINES-ROSTER
for selection and addition of prescribed medicines.
BOX_04
IF OP02 IS CODED '2' (TELEPHONE CALL), 'RF' (REFUSED), OR 'DK' (DON'T
KNOW), GO TO BOX_10.
IF OP02 IS CODED '1' (SAW PROVIDER), GO TO BOX_07.
BOX_07
IF NO CONDITION IS ASSOCIATED WITH THIS VISIT TO THIS PROVIDER FOR THIS
PERSON, GO TO BOX_10.
OTHERWISE, CONTINUE WITH BOX_08.
17
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Outpatient Department (OP) Section
BOX_08
IF 2 OR MORE VISITS TO THIS PROVIDER FOR THIS PERSON HAVE NOT COMPLETED
THE OUTPATIENT DEPARTMENT (OP) UTILIZATION SECTION, CONTINUE WITH BOX_09.
OTHERWISE, GO TO BOX_10.
BOX_09
IF THIS EVENT IS NOT PART OF A FLAT FEE GROUP, CONTINUE WITH OP19.
OTHERWISE, GO TO BOX_10.
18
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Outpatient Department (OP) Section
OP19
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(REPEATVSTHELP)
Earlier I recorded that (PERSON) had some other visits to an outpatient
department at (PROVIDER). Were any of these visits related to any condition
associated with (PERSON)’s visit on (VISIT DATE)? That is, were any of the
other visits for the (READ CONDITIONS BELOW) and did (PERSON) receive
{(READ SERVICES BELOW)/the same services}?
CONDITIONS
SERVICES
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
Size
Variable Name
Label
OPAT.SAMECOND
2
ANY OTH VST FOR SAME COND, SAME SERVICES
1
YES
{OP20}
2
NO
{BOX_10}
RF
Refused
{BOX_10}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_10}
HELP AVAILABLE FOR DEFINITION OF REPEAT VISITS.
19
Beta
Outpatient Department (OP) Section
DISPLAY INSTRUCTIONS:
DISPLAY ‘(READ SERVICES BELOW)’ IF OP11 IS NOT CODED ‘95’ (NO
SERVICES RECEIVED), ‘RF’ (REFUSED), OR ‘DK’ (DON’T KNOW). IF
OP11 IS CODED ‘95’ (NO SERVICES RECEIVED), ‘RF’ (REFUSED), OR
‘DK’ (DON’T KNOW), DISPLAY ‘the same services’.
FOR ‘PERSON’S OP MEDICAL CONDITION’, DISPLAY ALL CONDITIONS
SELECTED FROM OR ADDED TO PERSON’S-MEDICAL-CONDITIONS-ROSTER
AT OP09.
FOR ‘SERVICES RECEIVED’, DISPLAY THE FOLLOWING TEXT FOR EACH
SERVICE SELECTED AT OP11:
CODE ‘1’ = LABORATORY TESTS
CODE ‘2’ = SONOGRAM/ULTRASOUND
CODE ‘3’ = X-RAYS
CODE ‘4’ = MAMMOGRAM
CODE ‘5’ = MRI/CATSCAN
CODE ‘6’ = EKG/ECG
CODE ‘7’ = EEG
CODE ‘8’ = VACCINATION
CODE ‘9’ = ANESTHESIA
CODE ‘10’ = OTHER SERVICES
CODE '11' = THROAT SWAB
20
Beta
Outpatient Department (OP) Section
OP20
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
(SAMEAMTHELP)
Did any of these visits or calls cost the same amount as (PERSON)’s visit on
(VISIT DATE)?
Size
Variable Name
Label
OPAT.SAMEAMT
2
ANY SIM VISITS COST SAME AMT AS THIS VST
1
YES
{OP21}
2
NO
{BOX_10}
RF
Refused
{BOX_10}
----------------------------------------------------------------------------------------------------------------------------------
DK
Don't Know
{BOX_10}
HELP AVAILABLE FOR DEFINITION OF COST THE SAME AMOUNT.
PROGRAMMER NOTES:
THE ISSUE OF COST WHEN THE PERSON HAS A COPAY AND DOES NOT
KNOW THE TOTAL CHARGE WILL BE HANDLED IN THE HELP FILE
DEFINITION.
21
Beta
Outpatient Department (OP) Section
OP21
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Which of the following visits were related to the (READ CONDITIONS
BELOW) and {(READ SERVICES BELOW)/the same services} and cost the
same amount as the (VISIT DATE) visit we’ve just talked about?
PROBE: Any other visits related to this condition and cost the same amount?
CONDITIONS
SERVICES
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
{PERSON'S OP MEDICAL CONDITIONS}
{SERVICES RECEIVED}
Size
Variable Name
Label
EVNT.RVTYPE
2
REPEAT VISIT TYPE - STEM/LEAF
EVNT.RVSTEM
4
4-DIGIT EVENT NUMBER OF STEM RV
EVNT.PROCFLAG
2
EVNT UTILIZATION PROCESS FLAG
CLNK.CLNKID
24
CLNK ID KEY: CONDID + EVNTID
CLNK.CLNKRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
CLNK.CREATEQ
4
QUESTION THAT CREATED CLNK SEGMENT
CLNK.CLNKTYPE
2
TYPE OF EVENT CONDITION IS LINKED TO
EVPV.RVTYPE
2
REPEAT VISIT TYPE - STEM/LEAF
EVPV.RVSTEM
4
4-DIGIT EVENT NUMBER OF STEM RV
EVPV.CPFLAG
2
CHARGE PAYMENT PROCESS FLAG
OPAT.OPATID
12
OPAT ID KEY: PERSID + COUNTER(3) + CD
OPAT.OPATRURN
2
ROUND STAMP: RU LETTER + ROUND NUMBER
OPAT.CREATEQ
2
CREATION STAMP
[Month,Day,Year]
[Month,Day,Year]
[Month,Day,Year]
{OP22}
22
Beta
Outpatient Department (OP) Section
DISPLAY INSTRUCTIONS:
DISPLAY ‘(READ SERVICES BELOW)’ IF OP11 IS NOT CODED ‘95’ (NO
SERVICES RECEIVED), ‘RF’ (REFUSED), OR ‘DK’ (DON’T KNOW). IF
OP11 IS CODED ‘95’ (NO SERVICES RECEIVED), ‘RF’ (REFUSED), OR
‘DK’ (DON’T KNOW), DISPLAY ‘the same services’.
FOR ‘PERSON’S OP MEDICAL CONDITIONS’, DISPLAY ALL CONDITIONS
SELECTED FROM OR ADDED TO PERSON’S-MEDICAL-CONDITIONS-ROSTER
AT OP09.
FOR ‘SERVICES RECEIVED’, DISPLAY THE FOLLOWING TEXT FOR EACH
SERVICE SELECTED AT OP11:
CODE ‘1’ = LABORATORY TESTS
CODE ‘2’ = SONOGRAM/ULTRASOUND
CODE ‘3’ = X-RAY
CODE ‘4’ = MAMMOGRAM
CODE ‘5’ = MRI/CATSCAN
CODE ‘6’ = EKG/ECG
CODE ‘7’ = EEG
CODE ‘8’ = VACCINATION
CODE ‘9’ = ANESTHESIA
CODE ‘10’ = OTHER SERVICES
CODE '11' = THROAT SWAB
PROGRAMMER NOTES:
FLAG EACH VISIT SELECTED AT OP21 AS A REPEAT VISIT RELATED TO
THE EVENT BEING ASKED ABOUT.
FLAG THE CHARGE PAYMENT (CP) STATUS OF EACH REPEAT VISIT AS
'PROCESSED'.
LINK CONDITION(S) AND SERVICE(S) ASSOCIATED WITH THE EVENT
BEING ASKED ABOUT WITH EACH REPEAT VISIT.
THE EVENT DRIVER WILL NOT SERVE THESE REPEAT VISITS FOR THE OP
SECTION.
Title:
PERS_EVNT_1
Roster Details
Col #
Header
Instructions
1
MONTH/DAY/YEAR
Display Event Begin Date
EVNT.EVNTBEGM
EVNT.EVNTBEGD
EVNT.EVNTBEGY
Roster Behavior:
1. Multiple select allowed.
Roster Definition:
This item displays all medical events (dates) on person’s-
medical-events-roster for selection.
23
Beta
Outpatient Department (OP) Section
2. Add, delete, and edit disallowed.
Roster Filter:
Display only those events with the following
characteristics:
1. Event was created this round.
2. Event has not been processed in utilization.
3. Event has event type ‘OP’.
4. Event is associated with the same provider
as the event being asked about.
OP22
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Comment Enabled
Jump Back Enabled
Help Enabled
Size
Variable Name
Label
EVNT.RVNAME
30
NAME OF REPEAT VISIT GROUP
EVPV.RVNAME
30
NAME OF REPEAT VISIT GROUP
INTERVIEWER: RECORD ‘NAME OF REPEAT VISIT GROUP’ FOR
EVENTS SELECTED IN PREVIOUS QUESTION:
{BOX_10}
NAME: _______________________
24
Beta
Outpatient Department (OP) Section
BOX_10
IF CHARGE/PAYMENT (CP) SECTION IS NOT COMPLETED FOR THIS OUTPATIENT EVENT,
ASK THE CHARGE/PAYMENT (CP) SECTION.
OTHERWISE, GO TO EVENT DRIVER (ED) SECTION.
25
| File Type | application/pdf |
| File Title | \\rk29\vol2905\MEPSWVS\SpecWriter\BETA\op (beta).snp |
| Author | miller_n |
| File Modified | 2005-12-21 |
| File Created | 2005-12-21 |