Provider Roster (PV) Section

BOX_00

CONTEXT HEADER DISPLAY INSTRUCTIONS:
DISPLAY PERS.FULLNAME AND EVNT.EVNTTYPE.


BOX_00A
CAPI SETS PROV.PROVTYPE USING DATA FROM MULTIPLE
QUESTIONS, NOT JUST PV01. ULTIMATELY, THE VALUES
ARE AS FOLLOWS:
1 – FACILITY
2 – PERSON
3 – PERSON IN FACILITY


PV01

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

{[What is the name of the person or place that provided health
care to {you/{PERSON}}?]}

INTERVIEWER: IS THE PROVIDER {ASSOCIATED WITH THIS EVENT} A
PERSON OR A FACILITY (INCLUDING GROUP PRACTICES AND HMOs)?

{IF FACILITY NAMED, PROBE: If {you/{PERSON}} usually {see/sees}
a particular person at this place, please give me the
name of that person first.}

PERSON ................................. 1
FACILITY ............................... 2 {BOX_01}

HELP AVAILABLE FOR DEFINITION OF PERSON/FACILITY.
DISPLAY ‘[What is ... {you/{PERSON}}?]’ AND
‘ASSOCIATED WITH THIS EVENT’ IF THE PROVIDER
ROSTER (PV) SECTION WAS NOT CALLED FROM THE ACCESS
TO CARE (AC) SECTION. IF THE PV SECTION WAS
CALLED FROM THE AC SECTION, USE A NULL DISPLAY.

DISPLAY ‘IF FACILITY NAMED, PROBE: ... person
first.’ IF THE PV SECTION WAS CALLED FROM THE AC
SECTION. IF THE PV SECTION WAS NOT CALLED FROM
THE AC SECTION, USE A NULL DISPLAY.
IF CODED ‘1’ (PERSON), SET PROVIDER TYPE TO
‘PERSON-TYPE-PROVIDER’.
IF CODED ‘2’ (FACILITY), SET PROVIDER TYPE TO
‘FACILITY-PROVIDER’.
IF NO PERSON-PROVIDERS ON RU-MEDICAL-PROVIDERS-
ROSTER AND PV01 IS CODED ‘1’, THEN CREATE A NEW
PROV RECORD.
IF CODED ‘1’ (PERSON) AND NO PROVIDERS THAT ARE
TYPE ‘PERSON-PROVIDER’ ON RU-MEDICAL-PROVIDERS-
ROSTER, GO TO PV04
IF CODED ‘1’ (PERSON) AND AT LEAST ONE PROVIDER
THAT IS TYPE ‘PERSON-PROVIDER’ ON RU-MEDICAL-
PROVIDERS-ROSTER, CONTINUE WITH PV02
HARD CHECK: IF EVENT TYPE IS HS, ER, OP, OR IC,
PV01 CANNOT BE CODED ‘1’ (PERSON). IF PV01 IS
CODED ‘1’ (PERSON) FOR AN HS, ER, OP, OR IC EVENT,
THE ERROR HANDLER WILL FORCE THE INTERVIEWER TO
RECTIFY THE DATA.


PV02

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the name of the person that {provided health
care to {you/{PERSON}}/{you/{PERSON}} usually {go/goes} to if
{you/he/she} {are/is} sick}?

SELECT CORRECT {USUAL SOURCE OF CARE} PROVIDER {ASSOCIATED
WITH THE EVENT}.

ROSTER. PERSON-TYPE-PROVIDER PV02_02. FACILITY PV02_03. STREET
1. [Display Truncated Person-
Provider-25]
[Display Truncated
Facility-Provider-30]
[Display Truncated
Street Address-15]
2. [Display Truncated Person-
Provider-25]
[Display Truncated
Facility-Provider-30]
[Display Truncated
Street Address-15]
3. [Display Truncated Person-
Provider-25]
[Display Truncated
Facility-Provider-30]
[Display Truncated
Street Address-15]

DISPLAY ‘provided health care to {you/{PERSON}}’
IF THE PROVIDER ROSTER (PV) SECTION WAS NOT CALLED
FROM THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, DISPLAY
‘{you/{PERSON}} usually {go/goes} to if {you/he/
she} (are/is) sick’.
DISPLAY ‘USUAL SOURCE OF CARE’ IF THE PROVIDER
ROSTER (PV) SECTION WAS CALLED FROM THE ACCESS TO
CARE (AC) SECTION. OTHERWISE, USE A NULL DISPLAY.

DISPLAY ‘ASSOCIATED WITH THE EVENT’ IF THE
PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM
THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, USE A NULL
DISPLAY.

DISPLAY AN ‘ADD NEW PROVIDER’ OPTION ON THIS
SCREEN.
IF 'ADD NEW PROVIDER' IS SELECTED, GO TO PV04
OTHERWISE, CONTINUE WITH PV03
ROSTER DETAILS:
TITLE: RU_PROV_SELECTONE_1

COL # 1 HEADER: PERSON-TYPE-PROVIDER
INSTRUCTIONS: DISPLAY TRUNCATED PERSON-PROVIDER
NAME (PROV.DRFNAME (10), PROV.LORPNAME (15))

COL # 2 HEADER: FACILITY
INSTRUCTIONS: DISPLAY FACILITY-PROVIDER NAME
(PROV.PVASSOC (30)) (IF NO FACILITY, USE NULL
DISPLAY)

COL # 3 HEADER: STREET
INSTRUCTIONS: DISPLAY TRUNCATED STREET ADDRESS
(PROV.PVSTRT1, PROV.PVSTRT2 (15))
ROSTER DEFINITION:
THIS ITEM DISPLAYS RU-MEDICAL-PROVIDERS-ROSTER
FOR SELECTING ONE MEDICAL PROVIDER.
ROSTER BEHAVIOR:
1. SELECT ALLOWED. INTERVIEWER MAY SELECT ONE
FROM THE LISTED MEDICAL PROVIDERS.

2. MULTIPLE SELECT DISALLOWED.

3. ADD ALLOWED USING THE ‘ADD NEW PROVIDER’
BUTTON.

4. DELETE AND EDIT ARE NOT ALLOWED.

5. IF PROVIDER IS A PERSON-PROVIDER NOT ASSOCIATED
WITH A FACILITY (PROV.PROVTYPE=2), THE FACILITY
COLUMN IS EMPTY FOR THAT ROW.
ROSTER FILTER:
DISPLAY PERSON PROVIDERS (PROV.PROVTYPE = 2)
AND PERSON-IN-FACILITY PROVIDERS (PROV.PROVTYPE =
3).


PV03

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

Is the address of (READ NAME AND ADDRESS OF PROVIDER BELOW)...

{PERSON-TYPE-PROVIDER NAME SELECTED AT PV02}
{FACILITY-PROVIDER ASSOC W/ PERSON-TYPE-PROVIDER}
{PERSON-TYPE-PROVIDER STREET ADDRESS LINE1}
{PERSON-TYPE-PROVIDER STREET ADDRESS LINE2}

TO EDIT ADDRESS MAKE A COMMENT.

ADDRESS {& FACILITY NAME} CORRECT ...... 1 {BOX_02}
ADD NEW ADDRESS (2ND LOCATION) FOR
PROVIDER ABOVE........................ 2 {PV06}
ADD NEW/DIFFERENT FACILITY (GROUP
PRACTICE) FOR PROVIDER ABOVE ......... 3 {BOX_01}
SELECTED WRONG PROVIDER/ADDRESS ........ 5
REF ................................... -7 {BOX_02}
DK .................................... -8 {BOX_02}

[Code One]
FOR {PERSON-TYPE-PROVIDER NAME SELECTED AT PV02},
DISPLAY THE PERSON-TYPE-PROVIDER NAME SELECTED AT
PV02.
FOR {FACILITY-PROVIDER ASSOC W/ PERSON-TYPE-
PROVIDER.}, DISPLAY THE FACILITY PROVIDER NAME
ASSOCIATED WITH THE PERSON-PROVIDER SELECTED AT
PV02. IF NO FACILITY ASSOCIATED WITH THIS
PERSON PROVIDER, USE A NULL DISPLAY.
FOR {PERSON-TYPE-PROVIDER STREET ADDRESS LINE1}
AND {PERSON-TYPE-PROVIDER STREET ADDRESS LINE2},
DISPLAY LINES 1 & 2 OF THE ADDRESS FOR THE PERSON
PROVIDER SELECTED AT PV02.

DISPLAY ‘& FACILITY NAME’ IF THERE IS A FACILITY-
PROVIDER NAME ASSOCIATED WITH THE PERSON PROVIDER
SELECTED AT PV02. IF NO FACILITY ASSOCIATED WITH
THIS PROVIDER, USE A NULL DISPLAY.
IF "ADD NEW ADDRESS FOR PROVIDER" SELECTED, CREATE
A NEW PROVIDER RECORD FOR THIS PROVIDER. SET
PROVIDER TYPE AS ‘PERSON-TYPE-PROVIDER’
(PROVTYPE=2).
IF CODED ‘5’ (SELECTED WRONG PROVIDER/ADDRESS),
CAPI REDISPLAYS PV02 TO ALLOW INTERVIEWER TO
SELECT CORRECT PROVIDER.


PV04

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the first and last name of the person that {provided
health care to {you/{PERSON}}/{you/{PERSON}} usually {go/goes} to if
{you/he/she} {are/is} sick}?

ENTER COMPLETE PROVIDER NAME {ASSOCIATED WITH THIS EVENT}
AND VERIFY SPELLING.

[Enter Provider Name-65] ............... {PV05}
DISPLAY ‘provided health care to {you/{PERSON}}’
IF THE PROVIDER ROSTER (PV) SECTION WAS NOT CALLED
FROM THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, DISPLAY
‘{you/{PERSON}} usually {go/goes} to if {you/he/
she} {are/is} sick’.
DISPLAY ‘ASSOCIATED WITH THIS EVENT’ IF THE
PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM
THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, USE A
NULL DISPLAY.
DISPLAY ‘CLICK ‘ADD PROVIDER’ TO ADD A NEW
PROVIDER.’ IF THERE ARE NO RECORDS IN THE ROSTER.
CREATE A NEW PERSON-PROVIDER ON THE RU-MEDICAL-
PROVIDERS-ROSTER.


PV05

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}

Is {PROVIDER} in a group practice, that is, do other doctors
practice at the same office (or are part of an HMO)?

YES .................................... 1 {BOX_01}
NO ..................................... 2 {PV06}
REF ................................... -7 {PV06}
DK .................................... -8 {PV06}
IF CODED ‘1’ (YES), FLAG PROVIDER AS ‘PERSON-IN-
FACILITY-PROVIDER’ (PROVTYPE=3).
IF CODED ‘2’ (NO), FLAG PROVIDER AS ‘PERSON-
PROVIDER’ (PROVTYPE=2).


PV06

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}

What is the {new} street address for {PROVIDER}?

ENTER STREET ADDRESS AND VERIFY SPELLING. IF PROVIDER HAS
MORE THAN ONE LOCATION, RECORD LOCATION PERSON VISITED.

PROVIDER_STR1: [_____________]
PROVIDER_STR2: [_____________]
DISPLAY ‘new’ IF PV03 IS CODED ‘2’ (ADD NEW
ADDRESS FOR PROVIDER). OTHERWISE, USE A NULL
DISPLAY.
CODES '-7' (REF) AND '-8' (DK) ARE ALLOWED ON EACH
ADDRESS FIELD.
IF PV04 WAS ASKED, ASSOCIATE ADDRESS WITH
PERSON-TYPE-PROVIDER ENTERED AT PV04.
IF PV03 WAS CODED ‘2’ (ADD NEW ADDRESS PROVIDER),
RECORD ADDRESS IN THE NEW PROVIDER RECORD CREATED
AT PV03.

IF A FACILITY WAS DISPLAYED AS PART OF PROVIDER’S
ADDRESS AT PV03, ASSOCIATE THAT FACILITY WITH THE
NEW PROVIDER RECORD AND FLAG THE PERSON
PROVIDER AS A ‘PERSON-IN-FACILITY-PROVIDER’
(PROVTYPE=3).
GO TO BOX_02


PV07

OMITTED.


BOX_01
IF NO PROVIDERS THAT ARE ‘FACILITY-PROVIDER’
(PROVTYPE=1) ON RU-MEDICAL-PROVIDERS-ROSTER, GO
TO PV10
OTHERWISE, CONTINUE WITH PV08


PV08

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

What is the name of the place that {provided health
care to {you/{PERSON}}/{you/{PERSON}} usually {go/goes} to if
{you/he/she} {are/is} sick}?

SELECT CORRECT {USUAL SOURCE OF CARE} {PROVIDER/FACILITY}
{ASSOCIATED WITH THE EVENT}.

ROSTER. FACILITY-PROVIDERS PV08_02. STREET
[Display Truncated Facility-Provider-30] [Display Truncated Street Address-15]
[Display Truncated Facility-Provider-30] [Display Truncated Street Address-15]
[Display Truncated Facility-Provider-30] [Display Truncated Street Address-15]

DISPLAY ‘provided health care to {you/{PERSON}}’
IF THE PROVIDER ROSTER (PV) SECTION WAS NOT CALLED
FROM THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, DISPLAY
‘{you/{PERSON}} usually {go/goes} to if {you/he/
she} {are/is} sick’.
DISPLAY ‘USUAL SOURCE OF CARE’ IF THE PROVIDER
ROSTER (PV) SECTION WAS CALLED FROM THE ACCESS TO
CARE (AC) SECTION. OTHERWISE, USE A NULL DISPLAY.

DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’
(PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED
‘2’ (FACILITY).

DISPLAY ‘ASSOCIATED WITH THE EVENT’ IF THE
PROVIDER ROSTER (PV) SECTION WAS NOT CALLED FROM
THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, USE A NULL
DISPLAY.

DISPLAY AN 'ADD NEW PROVIDER' OR ‘ADD NEW
FACILITY’ OPTION ON THIS SCREEN.
IF ‘ADD NEW PROVIDER’ OR ‘ADD NEW FACILITY’ IS
SELECTED, GO TO PV10 (NOTE THAT PV10 IS ACTUALLY
A POPUP ON PV08 AND PV09)
OTHERWISE, CONTINUE WITH PV09
ROSTER DETAILS:
TITLE: RU_PROV_SELECTONE_2

COL # 1 HEADER: FACILITY-PROVIDER
INSTRUCTIONS: DISPLAY TRUNCATED FACILITY-PROVIDER
(PROV.LORPNAME)

COL # 2 HEADER: STREET
INSTRUCTIONS: DISPLAY TRUNCATED STREET ADDRESS
(PROV.PVSTRT1, PROV.PVSTRT2)
ROSTER DEFINITION:
THIS ITEM DISPLAYS RU-MEDICAL-PROVIDERS-ROSTER
FOR SELECTING ONE FACILITY TYPE MEDICAL PROVIDER.
ROSTER BEHAVIOR:
1. SELECT ALLOWED. INTERVIEWER MAY SELECT ONE
FROM THE LISTED MEDICAL PROVIDERS.

2. MULTIPLE SELECT DISALLOWED.

3. DELETE AND EDIT ARE NOT ALLOWED.

4. ADD ALLOWED. INTERVIEWER CAN SELECT THE ‘ADD
NEW PROVIDER’ OR ‘ADD NEW FACILITY BUTTON’.
ROSTER FILTER:
DISPLAY FACILITY TYPE (PROV.PROVTYPE = 1)
PROVIDERS.


PV09

{PERSON'S FIRST MIDDLE AND LAST NAME} {EV}

Is the address of (READ NAME AND ADDRESS OF
({PROVIDER/FACILITY}) BELOW)...

{FACILITY NAME SELECTED AT PV08}
{FACILITY STREET ADDRESS LINE1}
{FACILITY STREET ADDRESS LINE2}

TO EDIT ADDRESS, MAKE A COMMENT.

FACILITY NAME AND ADDRESS CORRECT ...... 1 {BOX_02}
ADD NEW ADDRESS FOR FACILITY ........... 2 {PV10A}
SELECTED WRONG FACILITY/ADDRESS ........ 4
REF ................................... -7 {BOX_02}
DK .................................... -8 {BOX_02}

[Code One]
DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’
(PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED
‘2’ (FACILITY).

FOR: {FACILITY NAME SELECTED AT PV08}, DISPLAY
THE FACILITY-PROVIDER NAME SELECTED AT PV08.
FOR: {FACILITY STREET ADDRESS LINE1.} AND
{FACILITY STREET ADDRESS LINE2.}, DISPLAY LINES
1 AND 2 OF THE ADDRESS FOR THE FACILITY-PROVIDER
SELECTED AT PV08.
IF CODED ‘1’ (FACILITY NAME AND ADDRESS CORRECT)
AND PV01 IS CODED ‘1’ (PERSON), LINK THE FACILITY
SELECTED AT PV08 TO THE PERSON PROVIDER FLAGGED
AS ‘PERSON-IN-FACILITY-PROVIDER’.
IF FACILITY-PROVIDER WAS SELECTED AT PV08 AND
PV09 WAS CODED ‘2’ (ADD NEW ADDRESS FOR FACILITY),
CREATE ANOTHER RECORD FOR THE FACILITY-PROVIDER ON
THE RU-MEDICAL-PROVIDERS-ROSTER AND ASSOCIATE
ADDRESS THAT WILL BE ENTERED AT PV10A WITH THAT
NEW PROVIDER RECORD. FLAG NEW PROVIDER AS
FACILITY (PROVTYPE=1).
IF CODED '4' (SELECTED WRONG FACILITY/ADDRESS),
CAPI REDISPLAYS PV08 TO ALLOW INTERVIEWER TO
SELECT CORRECT FACILITY.


PV10

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}

What is the {new} name and street address of the place that
{provided health care to {you/{PERSON}}/{you/{PERSON}}
usually {go/goes} to if {you/he/she} {are/is} sick}?

ENTER {NAME AND} STREET ADDRESS AND VERIFY SPELLING. IF
({PROVIDER/FACILITY}) HAS MORE THAN ONE LOCATION, RECORD LOCATION
PERSON VISITED.

FACILITY_NAME (PV10_01): [_____________]
FACILITY_STR1 (PV10_02): [_____________] {BOX_02}
FACILITY_STR2 (PV10_03): [_____________] {BOX_02}
REF ................................... -7 {BOX_02}
DK .................................... -8 {BOX_02}
DISPLAY ‘provided health care to {you/{PERSON}}’
IF THE PROVIDER ROSTER (PV) SECTION WAS NOT CALLED
FROM THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, DISPLAY
‘{you/{PERSON}} usually {go/goes} to if {you/he/
she} {are/is} sick’.
DISPLAY ‘new’ IF PV09 IS CODED ‘2’ (ADD NEW
ADDRESS FOR FACILITY). OTHERWISE, USE A NULL
DISPLAY. DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’
(PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED ‘2’
(FACILITY). DISPLAY ‘NAME AND’ IF ‘ADD PROVIDER’
WAS SELECTED AT PV08 OR PV08 WAS NOT ASKED.
IF ‘ADD PROVIDER’ WAS SELECTED AT PV08 OR
PV08 WAS NOT ASKED, THE CONTEXT HEADER WILL NOT
DISPLAY THE NAME OF THE MEDICAL CARE PROVIDER.
THE CONTEXT HEADER WILL DISPLAY THE NAME OF THE
PROVIDER(S) ASSOCIATED WITH THE EVENT ONLY IF PV09
WAS CODED ‘2’ (ADD NEW ADDRESS FOR FACILITY).
DISPLAY AN ‘ADD NEW PROVIDER’ OR ‘ADD NEW
FACILITY’ OPTION ON THIS SCREEN.
CODES '-7' (REF) AND '-8' (DK) ARE ALLOWED ON
THE STREET ADDRESS FIELDS ONLY.
IF FACILITY-PROVIDER NOT SELECTED AT PV08 (I.E.,
PV08 WAS NOT ASKED OR ‘NONE OF THE ABOVE’ WAS
SELECTED), ADD A FACILITY-PROVIDER TO THE
RU-MEDICAL-PROVIDERS-ROSTER. FLAG NEW PROVIDER AS
FACILITY (PROVTYPE=1).

IF PV01 IS CODED ‘1’ (PERSON), LINK THE FACILITY
TO THE PERSON-TYPE-PROVIDER FLAGGED AS
‘PERSON-IN-FACILITY-PROVIDER’.


PV10A

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}

What is the {new} name and street address of the place that
{provided health care to {you/{PERSON}}/{you/{PERSON}} usually
{go/goes} to if {you/he/she} {are/is} sick}?

ENTER STREET ADDRESS AND VERIFY SPELLING. IF ({PROVIDER/FACILITY})
HAS MORE THAN ONE LOCATION, RECORD LOCATION PERSON VISITED.

FACILITY_STR1 (PV10a): [_____________] {BOX_02}
FACILITY_STR2 (PV10b): [_____________] {BOX_02}
REF ................................... -7 {BOX_02}
DK .................................... -8 {BOX_02}
DISPLAY ‘provided health care to {you/{PERSON}}’
IF THE PROVIDER ROSTER (PV) SECTION WAS NOT CALLED
FROM THE ACCESS TO CARE (AC) SECTION. IF THE PV
SECTION WAS CALLED FROM THE AC SECTION, DISPLAY
‘{you/{PERSON}} usually {go/goes} to if {you/he/
she} {are/is} sick’.
DISPLAY ‘new’ IF PV09 IS CODED ‘2’ (ADD NEW
ADDRESS FOR FACILITY). OTHERWISE, USE A NULL
DISPLAY. DISPLAY ‘PROVIDER’ IF PV01 IS CODED ‘1’
(PERSON). DISPLAY ‘FACILITY’ IF PV01 IS CODED ‘2’
(FACILITY). THE CONTEXT HEADER DISPLAYS THE NAME
OF THE PROVIDER(S) ASSOCIATED WITH THE EVENT IF
PV09 WAS CODED ‘2’ (ADD NEW ADDRESS FOR FACILITY).
CODES '-7' (REF) AND '-8' (DK) ARE ALLOWED ON
THE STREET ADDRESS FIELDS ONLY.
NOTE: PV10A DOES NOT COLLECT THE FACILITY NAME
BUT COLLECTS ONLY NEW ADDRESSES ASSOCIATED WITH
EXISTING FACILITY NAMES. THE NEW PROVIDER RECORD
FOR THIS FACILITY WAS ALREADY CREATED AT PV09.


PV11

OMITTED.


BOX_02
RETURN TO QUESTIONNAIRE SECTION FROM WHICH THE
PROVIDER ROSTER (PV) SECTION WAS CALLED.

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