Event Driver (ED) Section
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 ====
{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 TO CONTINUE.
---------------------------------------------------- | 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. | ----------------------------------------------------
LOOP_02 =======
---------------------------------------------------- | For each of the following: | | | | EVENT NOT YET CODED AS ‘INFORMATION OK’ AT ED02 | | | | ask ED02 - END_LP02 | ----------------------------------------------------
ED02 ====
{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)}.
CODE '1' UNLESS RESPONDENT VOLUNTEERS CORRECTION. INFORMATION OK ......................... 1 {END_LP02} CORRECTIONS NEEDED: PROVIDER MISSPELLED/INCOMPLETE ......... 2 DATE(S) INCORRECT ...................... 3 WRONG EVENT TYPE ....................... 4 WRONG PROVIDER ......................... 5 WRONG OME ITEM GROUP ................... 6 EVENT NOT FOR THIS PERSON .............. 7 EVENT ENTERED IN ERROR ................. 8
WANT TO REVIEW (PERSON)’S EVENTS OR ADD EVENT FOR ANY RU MEMBER ............ 9 {ED09}
[Code One]
---------------------------------------------------- | 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...home...(MONTH)’ IF EVENT TYPE | | IS HH. | ----------------------------------------------------
---------------------------------------------------- | IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND | | EVENT TYPE IS OM, DISPLAY THE FOLLOWING MESSAGE: | | ‘THIS CODE NOT AVAILABLE FOR OM EVENTS. PRESS | | ENTER TO CONTINUE.’ | ----------------------------------------------------
---------------------------------------------------- | 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.’ THEN, GO TO END_LP02. | ----------------------------------------------------
---------------------------------------------------- | 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,| | DELETE AND RE-ADD THIS HH EVENT. PRESS ENTER TO | | CONTINUE.’ | ----------------------------------------------------
---------------------------------------------------- | 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,| | DELETE AND RE-ADD THIS OM EVENT. PRESS ENTER TO | | CONTINUE.’ | ----------------------------------------------------
---------------------------------------------------- | 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 IS ALREADY| | LINKED TO A FLAT FEE BUNDLE, DISPLAY THE FOLLOWING| | MESSAGE: ‘CHANGE OF PROVIDER DISALLOWED. RECORD | | ALREADY LINKED TO OTHER EVENTS.’ | ----------------------------------------------------
---------------------------------------------------- | 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 NOT OM, DISPLAY THE FOLLOWING MESSAGE: ‘THIS | | CODE ONLY AVAILABLE FOR OM EVENTS. ENTER NEW | | CODE. PRESS ENTER TO CONTINUE.’ | ----------------------------------------------------
---------------------------------------------------- | 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 | | 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 ‘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 | ----------------------------------------------------
---------------------------------------------------- | 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.’ | ----------------------------------------------------
ED03 ==== OMITTED.
ED04 ====
{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.
[Enter Month,Day,Year-4] - [Enter Month,Day,Year-4]
----------------------------------------------------- | 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. | -----------------------------------------------------
----------------------------------------------------- | WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.| -----------------------------------------------------
----------------------------------------------------- | GO TO END_LP02 | -----------------------------------------------------
ED05 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT PERSON FOR THIS EVENT.
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER. TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-35] ............................... [2. First Name,[Middle Name],Last Name-35] ............................... [3. First Name,[Middle Name],Last Name-35] ...............................
[Code One]
---------------------------------------------------- | ROSTER DEFINITION: THIS ITEM DISPLAYS THE | | RU-MEMBERS-ROSTER. | ----------------------------------------------------
---------------------------------------------------- | FLAG EVENT FOR DELETION FROM PERSON’S-MEDICAL- | | EVENTS-ROSTER FOR PERSON ORIGINALLY ASSOCIATED | | WITH EVENT AND ADD EVENT TO PERSON’S-MEDICAL- | | EVENTS-ROSTER FOR PERSON SELECTED IN ED05. | ----------------------------------------------------
---------------------------------------------------- | GO TO END_LP02 | ----------------------------------------------------
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 | ----------------------------------------------------
ED06 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE PROVIDER......} {EV}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
GLASSES OR CONTACT LENSES .............. 1 INSULIN ................................ 2 OTHER DIABETIC EQUIPMENT OR SUPPLIES ... 3
[Code One]
---------------------------------------------------- | IF CODED ‘2’ (INSULIN), ADD ‘INSULIN’ TO | | PERSON’S-PRESCRIBED-MEDICINES-ROSTER. | ----------------------------------------------------
---------------------------------------------------- | IF CODED ‘3’ (OTHER DIABETIC EQUIPMENT OR | | SUPPLIES), ADD ‘OTHER DIABETIC EQUIP/SUPPLIES’ | | TO PERSON’S-PRESCRIBED-MEDICINES-ROSTER. | ----------------------------------------------------
---------------------------------------------------- | CHANGE THE OME GROUP ORIGINALLY ASSOCIATED WITH | | THE EVENT BEING ASKED ABOUT TO THE OME ITEM GROUP | | SELECTED IN ED06. | ----------------------------------------------------
---------------------------------------------------- | GO TO END_LP02 | ----------------------------------------------------
ED06A =====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE PROVIDER......} {EV}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
AMBULANCE SERVICES ..................... 1 {BOX_ED06A} ORTHOPEDIC ITEMS ....................... 2 {BOX_ED06A} HEARING DEVICES ........................ 3 {BOX_ED06A} PROSTHESES ............................. 4 {BOX_ED06A} BATHROOM AIDS .......................... 5 {BOX_ED06A} MEDICAL EQUIPMENT ...................... 6 {BOX_ED06A} DISPOSABLE SUPPLIES .................... 7 {BOX_ED06A} ALTERATIONS/MODIFICATIONS .............. 8 {BOX_ED06A} OTHER ................................. 91
[Code One]
ED06AOV =======
ENTER OTHER GROUPING OF OTHER MEDICAL EXPENSES:
[Enter Other Specify] .................. REF ................................... -7 DK .................................... -8
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 | ----------------------------------------------------
ED07 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT EVENT TYPE.
HOSPITAL STAY ......................... HS HOSPITAL EMERGENCY ROOM ............... ER {END_LP02} HOSPITAL OUTPATIENT DEPARTMENT ........ OP {END_LP02} MEDICAL PROVIDER VISIT ................ MV {END_LP02} DENTAL CARE ........................... DN {END_LP02}
[Code One]
PRESS F1 FOR DEFINITIONS OF EVENT TYPES.
----------------------------------------------------- | 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-TYPE-PROVIDER, DISPLAY THE FOLLOWING | | MESSAGE: ‘YOU MUST CHANGE TO A FACILITY PROVIDER | | BEFORE CHANGING THE EVENT TYPE.’ | ----------------------------------------------------
ED08 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: RE-TYPE ENTIRE EVENT DATE(S) TO CORRECT.
[Enter Month,Day,Year-4] - [Enter Month,Day,Year-4]
----------------------------------------------------- | WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.| -----------------------------------------------------
----------------------------------------------------- | GO TO END_LP02 | -----------------------------------------------------
----------------------------------------------------- | REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND | | YEAR FIELDS BUT ARE DISALLOWED IN THE MONTH FIELD. | -----------------------------------------------------
ED09 ====
{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):
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
ED09_01. NAME MEDICAL PROVIDER |
ED09_02. EVENT TYPE |
ROSTER. DATE-DATE |
ED09_04. UTIL |
ED09_05. C/P |
---|---|---|---|---|
1. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
2. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
3. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
---------------------------------------------------- | ROSTER DEFINITION: THIS ITEM DISPLAYS ALL CURRENT| | ROUND EVENTS AND ALL EVENTS HELD OVER FROM THE | | PREVIOUS ROUND (I.E., UTILIZATION AND CHARGE/ | | PAYMENT WERE NOT MARKED AS PROCESSED) ON PERSON’S-| | MEDICAL-EVENTS-ROSTER EXCEPT EVENTS WITH EVENT | | TYPE ‘PM’. THE ROSTER IS DISPLAYED IN THE THIRD | | COLUMN OF THE GRID. THE FIRST COLUMN OF THE GRID | | WILL DISPLAY THE PROVIDER ASSOCIATED WITH THAT | | PARTICULAR ROW ENTRY OF PERSON’S-MEDICAL-EVENTS- | | ROSTER. THE SECOND COLUMN OF THE GRID WILL | | DISPLAY THE EVENT TYPE ASSOCIATED WITH THAT | | PARTICULAR ROW ENTRY OF PERSON’S-MEDICAL-EVENTS- | | ROSTER. | ----------------------------------------------------
---------------------------------------------------- | CAPI DISPLAYS A CHECK MARK IN THE 'UTIL' COLUMN IF| | THE EVENT BEING ASKED ABOUT HAS COMPLETED THE | | APPROPRIATE UTILIZATION SECTION. | | | ----------------------------------------------------
---------------------------------------------------- | CAPI DISPLAYS A CHECK MARK IN THE 'C/P' COLUMN IF | | THE EVENT BEING ASKED ABOUT HAS COMPLETED THE | | CHARGE/PAYMENT (CP) SECTION. | ----------------------------------------------------
---------------------------------------------------- | CONTINUE WITH ED09OV1 | ----------------------------------------------------
ED09OV1 =======
ADD AN EVENT?
YES .................................... 1 NO ..................................... 2 {END_LP02}
---------------------------------------------------- | ED09OV1 IS DISPLAYED BENEATH THE GRID ON ED09 | | WHENEVER ED09 IS DISPLAYED. | ----------------------------------------------------
BOX_04 ======
---------------------------------------------------- | ASK THE EVENT ROSTER (EV) SECTION FOR THIS EVENT. | | AT COMPLETION OF EVENT ROSTER (EV) SECTION, | | CONTINUE WITH END_LP02 | ----------------------------------------------------
---------------------------------------------------- | 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-EVENTS- | | ROSTER 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 | -----------------------------------------------------