Other Medical Expenses (OM) Section
BOX_01A =======
---------------------------------------------------- | IF ROUND 3, CONTINUE WITH BOX_01B | ----------------------------------------------------
---------------------------------------------------- | OTHERWISE (I.E., IF NOT ROUND 3), GO TO BOX_01 | ----------------------------------------------------
BOX_01B =======
---------------------------------------------------- | IF OM ITEM TYPE IS GLASSES/CONTACT LENSES, | | CONTINUE WITH OM01A | ----------------------------------------------------
---------------------------------------------------- | OTHERWISE (I.E., IF OM ITEM TYPE IS NOT GLASSES/ | | CONTACT LENSES), GO TO BOX_01 | ----------------------------------------------------
OM01A =====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
Of the times (PERSON) obtained glasses or contact lenses since (START DATE), how many were during 1999?
[Enter Number of Times]................. REF.................................... -7 DK..................................... -8
OM01B =====
{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
Of the times (PERSON) obtained glasses or contact lenses since (START DATE), how many were during 2000?
[Enter Number of Times]................. REF.................................... -7 DK..................................... -8
---------------------------------------------------- | IF THE CHARGE/PAYMENT (CP) SECTION HAS NOT BEEN | | ASKED FOR THE EVENT BEING ASKED ABOUT, GO TO THE | | CP SECTION. | ----------------------------------------------------
---------------------------------------------------- | OTHERWISE, GO TO THE EVENT DRIVER (ED) SECTION. | ----------------------------------------------------
BOX_01 ======
---------------------------------------------------- | IF THE OM ITEM TYPE IS NOT INSULIN OR OTHER | | DIABETIC EQUIPMENT OR SUPPLIES, CONTINUE WITH OM01| ----------------------------------------------------
---------------------------------------------------- | IF THE OM ITEM TYPE IS INSULIN OR OTHER DIABETIC | | EQUIPMENT OR SUPPLIES, GO TO OM02 | ----------------------------------------------------
OM01 ====
{PERSON'S FIRST MIDDLE AND LAST NAME}
NOTE:
NO UTILIZATION SECTION IS REQUIRED FOR {GLASSES OR CONTACT LENSES/AMBULANCE SERVICES/ORTHOPEDIC ITEMS/HEARING DEVICES/ PROSTHESES/BATHROOM AIDS/MEDICAL EQUIPMENT/DISPOSABLE SUPPLIES/ ALTERATIONS OR MODIFICATIONS/{TEXT FROM OTHER SPECIFY}}.
PRESS ENTER TO CONTINUE.
---------------------------------------------------- | DISPLAY ‘GLASSES OR CONTACT LENSES’ IF EVENT TYPE | | IS OM AND ITEM TYPE IS CODED ‘1’ (GLASSES OR | | CONTACT LENSES.) DISPLAY ‘AMBULANCE SERVICES’ | | IF EVENT TYPE IS OM AND ITEM TYPE IS CODED ‘4’ | | (AMBULANCE SERVICES). DISPLAY ‘ORTHOPEDIC ITEMS’ | | IF EVENT TYPE IS OM AND ITEM TYPE IS CODED ‘5’ | | (ORTHOPEDIC ITEMS). DISPLAY ‘HEARING DEVICES’ | | IF EVENT TYPE IS OM AND ITEM TYPE IS CODED ‘6’ | | (HEARING DEVICES). DISPLAY ‘PROSTHESES’ IF EVENT | | TYPE IS OM AND ITEM TYPE IS CODED ‘7’ | | (PROSTHESES). DISPLAY ‘BATHROOM AIDS’ IF EVENT | | TYPE IS OM AND ITEM TYPE IS CODED ‘8’ (BATHROOM | | AIDS). DISPLAY ‘MEDICAL EQUIPMENT’ IF EVENT TYPE | | IS OM AND ITEM TYPE IS CODED ‘9’ (MEDICAL | | EQUIPMENT). DISPLAY ‘DISPOSABLE SUPPLIES’ IS | | EVENT TYPE IS OM AND ITEM TYPE IS CODED ‘10’ | | (DISPOSABLE SUPPLIES). DISPLAY ‘ALTERATIONS OR | | MODIFICATIONS’ IF EVENT TYPE IS OM AND ITEM TYPE | | IS CODED ‘11’ (ALTERATIONS/MODIFICATIONS). FOR | | ‘TEXT FROM OTHER SPECIFY’, DISPLAY THE TEXT | | ENTERED IN THE OTHER SPECIFY FIELD FOR OM EVENTS | | WHEN OM ITEM TYPE IS CODED ‘91’ (OTHER). | ----------------------------------------------------
---------------------------------------------------- | IF THE CHARGE/PAYMENT (CP) SECTION HAS NOT BEEN | | ASKED FOR THE EVENT BEING ASKED ABOUT, GO TO THE | | CP SECTION | ----------------------------------------------------
---------------------------------------------------- | OTHERWISE, GO TO THE EVENT DRIVER (ED) SECTION | ----------------------------------------------------
OM02 ====
{PERSON'S FIRST MIDDLE AND LAST NAME}
NOTE:
{INSULIN/OTHER DIABETIC EQUIPMENT OR SUPPLIES} WILL BE PROCESSED LIKE A PRESCRIBED MEDICINE.
AT THIS TIME, NO UTILIZATION OR CHARGE/PAYMENT SECTION WILL BE ASKED.
PRESCRIBED MEDICINE QUESTIONS AND CHARGE/PAYMENT DATA WILL BE COLLECTED LATER.
PRESS ENTER TO CONTINUE.
---------------------------------------------------- | DISPLAY ‘INSULIN’ IF OM ITEM TYPE BEING ASKED | | ABOUT IS INSULIN. DISPLAY ‘OTHER DIABETIC | | EQUIPMENT OR SUPPLIES’ IF OM TYPE BEING ASKED | | ABOUT IS OTHER DIABETIC EQUIPMENT OR SUPPLIES. | ----------------------------------------------------
---------------------------------------------------- | FLAG THE OM CHARGE/PAYMENT (CP) SECTION AS | | ‘PROCESSED’. INSULIN AND OTHER DIABETIC EQUIPMENT| | AND SUPPLIES WILL BE PROCESSED THROUGH CP AS | | PRESCRIBED MEDICINES. | ----------------------------------------------------
BOX_02 ======
---------------------------------------------------- | GO TO THE EVENT DRIVER (ED) SECTION | ----------------------------------------------------