BOX_00
CONTEXT HEADER DISPLAY INSTRUCTIONS:
DISPLAY PERS.FULLNAME, PROV.LORPNAME,
EVNT.EVNTBEGM, EVNT.EVNTBEGD, EVNT.EVNTBEGY
OP02
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
Did {you/(PERSON}} visit the outpatient department at
{PROVIDER}
on {VISIT DATE} in person or was this a
telephone call?
SAW PROVIDER ........................... 1 {OP04}
TELEPHONE CALL ......................... 2 {OP04}
REF ................................... -7 {OP04}
DK .................................... -8 {OP04}
[Code One]
NOTE: IF OP02 IS CODED PERSON‘S2’ (TELEPHONE CALL), ‘-7’
(REFUSED), OR ‘-8’ (DON’T KNOW) FLAG EVENT AS
‘OP-TELEPHONE’. (THIS EVENT IS FLAGGED IN SUCH A
WAY FOR PURPOSES OF SKIPS IN THE C/P SECTION.
HOWEVER, ‘RF’ AND ‘DK’ WILL USE THE SAME QUESTION
WORDING AS ‘OP-IN-PERSON’ EVENTS DURING THE
ADMINISTRATION OF THE OP SECTION.
OP04
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
{Did {you/{PERSON}} see a medical doctor during this
particular
visit?/Was this telephone call about {your/{PERSON}’s}
health with
a medical doctor?}
YES .................................... 1 {OP04A}
NO ..................................... 2 {OP05}
REF ................................... -7 {OP05}
DK .................................... -8 {OP05}
HELP AVAILABLE FOR DEFINITION OF MEDICAL DOCTOR.
DISPLAY ‘Did {you/{PERSON}} see a medical doctor
during this particular visit?’ IF OP02 IS CODED
‘1’ (SAW PROVIDER), ‘-7’ (REFUSED), OR ‘-8’
(DON’T KNOW) FOR THIS EVENT.
DISPLAY ‘Was this telephone call about {your/
{PERSON}’s} health with a medical doctor?’ IF OP02
IS CODED ‘2’ (TELEPHONE CALL) FOR THIS EVENT.
OP04A
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
What was the doctor’s specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN
PROVIDER.
ALLERGY/IMMUNOLOGY ..................... 1 {BOX_01}
ANESTHESIOLOGY ......................... 2 {BOX_01}
CARDIOLOGY (HEART) ..................... 3 {BOX_01}
DERMATOLOGY (SKIN) ..................... 4 {BOX_01}
ENDOCRINOLOGY/METABOLISM (DIABETES,
THYROID) ............................. 5 {BOX_01}
FAMILY PRACTICE ........................ 6 {BOX_01}
GASTROENTEROLOGY ....................... 7 {BOX_01}
GENERAL PRACTICE ....................... 8 {BOX_01}
GENERAL SURGERY ........................ 9 {BOX_01}
GERIATRICS (ELDERLY) .................. 10 {BOX_01}
GYNECOLOGY/OBSTETRICS ................. 11 {BOX_01}
HEMATOLOGY (BLOOD) .................... 12 {BOX_01}
HOSPITAL RESIDENCE .................... 13 {BOX_01}
INTERNAL MEDICINE (INTERNIST) ......... 14 {BOX_01}
NEPHROLOGY (KIDNEYS) .................. 15 {BOX_01}
NEUROLOGY ............................. 16 {BOX_01}
NUCLEAR MEDICINE ...................... 17 {BOX_01}
ONCOLOGY (TUMORS, CANCER) ............. 18 {BOX_01}
OPHTHALMOLOGY (EYES) .................. 19 {BOX_01}
ORTHOPEDICS ........................... 20 {BOX_01}
OSTEOPATHY (DO) ....................... 21 {BOX_01}
OTORHINOLARYNGOLOGY (EAR, NOSE,
THROAT) ............................. 22 {BOX_01}
PATHOLOGY ............................. 23 {BOX_01}
PEDIATRICIAN .......................... 24 {BOX_01}
PHYSICAL MEDICINE/REHAB ............... 25 {BOX_01}
PLASTIC SURGERY ....................... 26 {BOX_01}
PROCTOLOGY ............................ 27 {BOX_01}
PSYCHIATRY/PSYCHIATRIST ............... 28 {BOX_01}
PULMONARY ............................. 29 {BOX_01}
RADIOLOGY ............................. 30 {BOX_01}
RHEUMATOLOGY (ARTHRITIS) .............. 31 {BOX_01}
THORACIC SURGERY (CHEST) .............. 32 {BOX_01}
UROLOGY ............................... 33 {BOX_01}
OTHER DR SPECIALTY .................... 91 {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
[Code One]
OP05
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
What type of medical person did {you/{PERSON}} talk to
on {VISIT
DATE}?
IF TALKED TO MORE THAN ONE MEDICAL PERSON, PROBE FOR
MAIN
PROVIDER.
CHIROPRACTOR ........................... 1 {BOX_01}
DENTIST/DENTAL CARE PERSON ............. 2 {BOX_01}
MIDWIFE ................................ 3 {BOX_01}
NURSE/NURSE PRACTITIONER ............... 4 {BOX_01}
OPTOMETRIST ............................ 5 {BOX_01}
PODIATRIST ............................. 6 {BOX_01}
PHYSICIAN’S ASSISTANT .................. 7 {BOX_01}
PHYSICAL THERAPIST ..................... 8 {BOX_01}
OCCUPATIONAL THERAPIST ................. 9 {BOX_01}
PSYCHOLOGIST .......................... 10 {BOX_01}
SOCIAL WORKER ......................... 11 {BOX_01}
TECHNICIAN ............................ 12 {BOX_01}
ACUPUNCTURIST ......................... 14 {BOX_01}
MASSAGE THERAPIST ..................... 15 {BOX_01}
HOMEOPATHIC/NATUROPATHIC/HERBALIST .... 16 {BOX_01}
OTHER ALTERNATIVE/COMPLEMENTARY
CARE PROVIDER ....................... 17 {BOX_01}
OTHER ................................. 91 {BOX_01}
REF ................................... -7 {BOX_01}
DK .................................... -8 {BOX_01}
[Code One]
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
BOX_01
IF OP02 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’
(REFUSED), OR ‘-8’ (DON’T KNOW), GO TO OP08
IF OP02 IS CODED ‘1’ (SAW PROVIDER), CONTINUE
WITH OP07
OP07
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
SHOW CARD OP-1.
Please look at this card and tell me which category best describes
the care {you/{PERSON}} received during the visit to
the outpatient
department at {PROVIDER} on {VISIT DATE}.
GENERAL CHECKUP ........................ 1 {OP08}
DIAGNOSIS OR TREATMENT ................. 2 {OP08}
EMERGENCY (E.G., ACCIDENT OR INJURY) ... 3 {OP08}
PSYCHOTHERAPY OR MENTAL HEALTH
COUNSELING ........................... 4 {OP08}
FOLLOW-UP OR POST-OPERATIVE VISIT ...... 5 {OP08}
IMMUNIZATIONS OR SHOTS ................. 6 {OP08}
VISION EXAM ............................ 7 {OP08}
PREGNANCY-RELATED (INCLUDING PRENATAL
CARE AND DELIVERY) ................... 8 {OP08}
WELL CHILD EXAM ........................ 9 {OP08}
LASER EYE SURGERY ..................... 10 {OP08}
OTHER ................................. 91 {OP08}
REF ................................... -7 {OP08}
DK .................................... -8 {OP08}
[Code One]
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
IF CODED ‘8’ (PREGNANCY-RELATED (INCLUDING
PRENATAL CARE AND DELIVERY)), CHECK THAT PERSON
IS FEMALE. IF NOT, DISPLAY THE FOLLOWING MESSAGE:
“CODE 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}
Was this {visit/telephone call} related to any
specific health
condition or were any conditions discovered during
this {visit/
telephone call}?
YES .................................... 1 {OP09}
NO ..................................... 2 {BOX_02}
REF ................................... -7 {BOX_02}
DK .................................... -8 {BOX_02}
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW
PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)
FOR THIS EVENT. DISPLAY ‘telephone call’ IF OP02
IS CODED ‘2’(TELEPHONE CALL) FOR THIS EVENT.
OP09
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
What conditions were discovered or led {you/{PERSON}}
to make this
{visit/telephone call}?
PROBE: Any other condition?
IF CONDITION IS ALREADY LISTED, SELECT ENTRY ON
ROSTER.
[1. Medical Condition]
[2. Medical Condition]
[3. Medical Condition]
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW
PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)
FOR THIS EVENT. DISPLAY ‘telephone call’ IF OP02
IS CODED ‘2’(TELEPHONE CALL) FOR THIS EVENT.
DISPLAY ‘ADD CONDITION’ AS AN OPTION ON THIS
SCREEN.
GO TO BOX_02
ROSTER DETAILS:
Title: PERS_COND_1
COL #1 HEADER: MEDICAL CONDITION
INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION
(COND.CONDNAM)
ROSTER DEFINITION:
DISPLAY THE PERSON-MEDICAL-CONDITIONS-ROSTER FOR
SELECTION AND ADDITION OF ONE OR MANY MEDICAL
CONDITION(S) ASSOCIATED WITH THIS EVENT.
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.
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.
ROSTER FILTER:
DISPLAY ALL CONDITIONS ON PERSON’S ROSTER; NO
FILTER.
BOX_02
IF OP02 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’
(REFUSED), OR ‘-8’ (DON’T KNOW), GO TO OP14
IF OP02 IS CODED ‘1’ (SAW PROVIDER), CONTINUE
WITH OP11
OP11
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
SHOW CARD OP-2.
Looking at this card, which of these services, if any,
did {you/
{PERSON}} have during this visit?
CHECK ALL THAT APPLY.
LABORATORY TESTS ....................... 1 {OP12}
SONOGRAM OR ULTRASOUND ................. 2 {OP12}
X-RAYS ................................. 3 {OP12}
MAMMOGRAM .............................. 4 {OP12}
MRI OR CATSCAN ......................... 5 {OP12}
EKG OR ECG ............................. 6 {OP12}
EEG .................................... 7 {OP12}
VACCINATION ............................ 8 {OP12}
ANESTHESIA ............................. 9 {OP12}
OTHER DIAGNOSTIC TEST ................. 10 {OP12}
THROAT SWAB ........................... 11 {OP12}
NO SERVICES RECEIVED .................. 95 {OP12}
REF ................................... -7 {OP12}
DK .................................... -8 {OP12}
[Code All That Apply]
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
SOFT CHECK:
IF CODED ‘4’ (MAMMOGRAM) AND PERSON BEING ASKED
ABOUT IS MALE OR IS FEMALE AND < OR = 17 YEARS OF
AGE (OR AGE CATEGORIES 1-3), DISPLAY THE FOLLOWING
MESSAGE: “UNLIKELY RESPONSE FOR {MALES/CHILDREN
17 AND YOUNGER}. VERIFY AND RE-ENTER.”
DISPLAY ‘MALE’ IN ERROR MESSAGE IF PERSON BEING
ASKED ABOUT IS A MALE > 17 YEARS OF AGE (OR AGE
CATEGORIES 4 THROUGH 9). DISPLAY ‘CHILDREN 17
AND YOUNGER’ IN THE ERROR MESSAGE IF PERSON BEING
ASKED ABOUT IS MALE OR FEMALE AND < OR = 17 YEARS
OF AGE (OR AGE CATEGORIES 1-3).
ALLOW CODE ‘95’ (NO SERVICES RECEIVED), ‘-7’
(REFUSED), AND ‘-8’ (DON’T KNOW) 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.”
NOTE: CODE ‘11’ (THROAT SWAB) IS DISPLAYED ON
THE SCREEN AND ON THE SHOW CARD BETWEEN CODES ‘1’
(LABORATORY TESTS) AND ‘2’ (SONOGRAM OR
ULTRASOUND).
OP12
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
Was a surgical procedure performed on {you/{PERSON}}
during this
visit?
YES .................................... 1 {OP14}
NO ..................................... 2 {OP14}
REF ................................... -7 {OP14}
DK .................................... -8 {OP14}
HELP AVAILABLE FOR DEFINITION OF SURGICAL PROCEDURE.
OP14
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
During this {visit/telephone call}, were any medicines
prescribed for
{you/{PERSON}}? Please include only prescriptions
which were filled.
YES .................................... 1 {OP15}
NO ..................................... 2 {BOX_04}
REF ................................... -7 {BOX_04}
DK .................................... -8 {BOX_04}
HELP AVAILABLE FOR DEFINITION OF PRESCRIBED MEDICINE.
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW
PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)
FOR THIS EVENT. DISPLAY ‘telephone call’ IF OP02
IS CODED ‘2’(TELEPHONE CALL) FOR THIS EVENT.
OP15
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
Please tell me the names of the prescriptions from
this {visit/
telephone call} that were filled.
PROBE: Any other prescribed medicines from this
{visit/telephone
call} that were filled?
[1. Prescribed Medicine]
[2. Prescribed Medicine]
[3. Prescribed Medicine]
DISPLAY ‘ADD MEDICINE’ AS AN OPTION ON THIS
SCREEN.
DISPLAY ‘visit’ IF OP02 IS CODED ‘1’ (SAW
PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)
FOR THIS EVENT. DISPLAY ‘telephone call’ IF OP02
IS CODED ‘2’ (TELEPHONE CALL) FOR THIS EVENT.
GO TO BOX_04
ROSTER DETAILS:
TITLE: PERSON’S_PRESCRIBED_MEDICINES_1
COL # 1 HEADER: PRESCRIBED MEDICINE
INSTRUCTIONS: DISPLAY NAME OF PRESCRIBED MEDICINE
(DRUG.DRUGNAME)
ROSTER DEFINITION:
THIS ITEM DISPLAYS THE PERSON’S-PRESCRIPTION-
MEDICINES-ROSTER FOR SELECTION AND ADDITION OF
PRESCRIBED MEDICINES.
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.
3. EDIT DISALLOWED.
ROSTER FILTER:
DISPLAY ALL MEDICINES ON PERSON’S ROSTER; NO
FILTER.
BOX_04
IF OP02 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’
(REFUSED), OR ‘-8’ (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
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
OP19
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
Earlier I recorded that {you/{PERSON}} had some other
visits to an
outpatient department at {PROVIDER}. Were any of these
visits
related to any condition associated with
{your/his/her} visit on
{VISIT DATE}? That is, were any of the other visits
for the
(READ CONDITIONS BELOW) and did {you/PERSON}} receive
{(READ
SERVICES BELOW)/the same services}?
CONDITIONS SERVICES
{PERSON’S OP Medical Condition} {Services Received}
{PERSON’S OP Medical Condition} {Services Received}
{PERSON’S OP Medical Condition} {Services Received}
YES .................................... 1 {OP20}
NO ..................................... 2 {BOX_10}
REF ................................... -7 {BOX_10}
DK .................................... -8 {BOX_10}
HELP AVAILABLE FOR DEFINITION OF REPEAT VISITS.
DISPLAY ‘(READ SERVICES BELOW)’ IF OP11 IS NOT
CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED),
OR ‘-8’ (DON’T KNOW). IF OP11 IS CODED ‘95’ (NO
SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’
(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 CODE ENTERED 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
OP20
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
Did any of these visits or calls cost the same amount
as {your/
{PERSON}’s} visit on {VISIT DATE}?
IF R SAYS ‘DON’T KNOW’ – PROBE ABOUT COPAYMENTS. IF
ANY OF THESE
VISITS OR CALLS HAD THE SAME COPAYMENT OR PERSON DID
NOT PAY
ANYTHING, CODE ‘YES’.
YES .................................... 1 {OP21}
NO ..................................... 2 {BOX_10}
REF ................................... -7 {BOX_10}
DK .................................... -8 {BOX_10}
HELP AVAILABLE FOR DEFINITION OF COST THE SAME AMOUNT.
NOTE: 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.
OP21
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
PROVIDER} {EVN-DT}
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 CONDITION} {SERVICES RECEIVED}
{PERSON’S OP MEDICAL CONDITION} {SERVICES RECEIVED}
{PERSON’S OP MEDICAL CONDITION} {SERVICES RECEIVED}
[1. Month,Day,Year-4]
[2. Month,Day,Year-4]
[3. Month,Day,Year-4]
DISPLAY ‘(READ SERVICES BELOW)’ IF OP11 IS NOT
CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED),
OR ‘-8’ (DON’T KNOW). IF OP11 IS CODED ‘95’ (NO
SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’
(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 ENTERED 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
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.
GO TO OP22
ROSTER DETAILS:
TITLE: PERS_EVNT_1
COL # 1 HEADER: MONTH/DAY/YEAR
INSTRUCTIONS: DISPLAY EVENT BEGIN DATE
(EVNT.EVNTBEGM, EVNT.EVNTBEGD, EVNT.EVNTBEGY)
ROSTER DEFINITION:
THIS ITEM DISPLAYS ALL MEDICAL EVENTS (DATES) ON
PERSON’S-MEDICAL-EVENTS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR:
1. MULTIPLE SELECT ALLOWED.
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}
INTERVIEWER: RECORD ‘NAME OF REPEAT VISIT GROUP’ FOR
EVENTS
SELECTED IN PREVIOUS QUESTION:
[Enter Repeat Visit Group] ............ {BOX_10}
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
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