Event Driver (ED) SectionBOX_00
CONTEXT HEADER DISPLAY INSTRUCTIONS: DISPLAY PERS.FULLNAME, PROV.LORPNAME, EVPV.EVNTTYPE, EVPV.EVNTBEGM, EVPV.EVNTBEGD, AND EVPV.EVNTBEGY. 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 LOOP_02 - 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 LOOP_02
LOOP DEFINITION: LOOP_02 CORRECTS CURRENT ROUND EVENT INFORMATION COLLECTED IN THE EVENT ROSTER SECTION, AS NEEDED. THE 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 - EVENT IS NOT YET CODED AS ‘INFORMATION OK’ AT ED02 ASK ED02 – END_LP02 ED02 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY THE NAME OF THE MEDICAL PROVIDER AND THE EVENT DATE IN THE HEADER ONLY IF THE EVENT TYPE IS NOT ‘OM’.
DISPLAY ‘The....care.’ IF FIRST EVENT TO BE ASKED ABOUT FOR THIS PERSON.
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 NAME OF THE OME GROUP BEING LOOPED ON FOR ‘OME ITEM GROUP NAME’. DISPLAY ‘the...home...{MONTH}’ IF EVENT TYPE IS HH
DISPLAY ‘THIS IS AN OPEN EVENT. EVENT DATA WILL BE COLLECTED NEXT ROUND.’ IF THE EVENT TYPE IS HS AND THE DISCHARGE DATE IS CODED AS ‘STILL IN THE HOSPITAL’ OR IF EVENT TYPE IS HH AND EV13 FOR THE INTERVIEW MONTH IS CODED ‘1’ (YES). DO NOT DISPLAY IF EVENT TYPE IS HH AND ROUND 5. THERE CANNOT BE AN OPEN HH EVENT IN ROUND 5. DISPLAY ‘EVENT WILL BE PROCESSED AS A PRESCRIBED MEDICINE.’ IF EVENT TYPE IS OM AND ITEM TYPE IS INSULIN OR OTHER DIABETIC EQUIPMENT OR SUPPLIES. OTHERWISE, USE A NULL DISPLAY.
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.
{OME ITEM GROUP NAME}: DISPLAY THE NAME OF THE OTHER MEDICAL EXPENSES ITEM GROUP BEING ASKED ABOUT FOR THIS EVENT. DISPLAY ‘glasses or contact lenses’ IF EVENT TYPE IS OM AND THE OM ITEM GROUP IS ‘1’ (GLASSES OR CONTACT LENSES). DISPLAY ‘ambulance services’ IF THE OM ITEM GROUP IS ‘4’ (AMBULANCE SERVICES). DISPLAY ‘orthopedic items’ IF THE OM ITEM GROUP IS ‘5’ (ORTHOPEDIC ITEMS). DISPLAY ‘hearing devices’ IF THE OM ITEM GROUP IS ‘6’ (HEARING DEVICES). DISPLAY ‘prostheses’ IF THE OM ITEM GROUP IS ‘7’ (PROSTHESES). DISPLAY ‘bathroom aids’ IF THE OM ITEM GROUP IS ‘8’ (BATHROOM AIDS). DISPLAY ‘medical equipment’ IF THE OM ITEM GROUP IS ‘9’ (MEDICAL EQUIPMENT). DISPLAY ‘disposable supplies’ IF THE OM ITEM GROUP IS ‘10’ (DISPOSABLE SUPPLIES). DISPLAY ‘alterations or modifications’ IF THE OM ITEM GROUP IS ‘11’ (ALTERATIONS/MODIFICATIONS). DISPLAY {TEXT FROM OTHER SPECIFY} IF THE OM ITEM GROUP IS ‘91’ (OTHER). FOR ‘TEXT FROM OTHER SPECIFY’, DISPLAY THE TEXT CATEGORY ENTERED IN THE OTHER SPECIFY FIELD FOR OM EVENTS.
IF POSSIBLE ON SCREEN, INSERT A COLUMN HEADER BEFORE THE VALUE OF ‘2’, READING “CORRECTIONS NEEDED” AS SHOWN ON CAPI SCREEN. IN LABEL FOR ANSWER CATEGORY 9, DISPLAY “(PERSON)” IN PURPLE (TO BE READ FROM HEADER).
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.’
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.’
IF CODED ‘3’ (DATE(S)) INCORRECT AND EVENT TYPE IS DN, ER, OP, OR MV, CONTINUE WITH ED04A
IF CODED ‘3’ (DATE(S)) INCORRECT AND EVENT TYPE IS HS, GO TO ED04B
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.’
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.’ ED04A {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND YEAR FIELDS BUT ARE DISALLOWED IN THE MONTH FIELD.
WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.
GO TO END_LP02 ED04B {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND YEAR FIELDS BUT ARE DISALLOWED IN THE MONTH FIELD.
IF DISCHARGE DATE IS ‘95’ (STILL IN FACILITY), THIS HS EVENT IS NOT CLOSED IN THE CURRENT ROUND. FLAG EVENT AS PROCESSED AND FLAG CHARGE PAYMENT AS PROCESSED.
WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.
GO TO END_LP02 ED05 {NAME OF MEDICAL CARE PROVIDER......} {EV} {EVN-DT}
ROSTER DETAILS: TITLE: RU_MEMBERS_1 COL # 1 HEADER: NAME INSTRUCTIONS: DISPLAY RU MEMBERS’ FIRST, MIDDLE, AND LAST NAMES (PERS.FULLNAME)
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. MULTIPLE SELECT, ADD, DELETE, AND EDIT ARE DISALLOWED.
ROSTER FILTER: EXCLUDE THE PERSON CURRENTLY BEING LOOPED ON WHEN DISPLAYING THE RU MEMBERS ROSTER.
DELETE EVENT FROM PERSON’S-MEDICAL-EVENTS-ROSTER FOR PERSON ORIGINALLY ASSOCIATED WITH EVENT AND ADD EVENT TO PERSON’S-MEDICAL-EVENT-ROSTER FOR SELECTED PERSON.
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} {EV}
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}
IF THE SELECTED OME ITEM GROUP EXISTS, DISPLAY THE FOLLOWING MESSAGE: ‘OM OF THIS TYPE ALREADY EXISTS. PLEASE RE-SELECT OME GROUP.’ ED06AOV OTHER GROUP OF OTHER MEDICAL EXPENSES (OME) ITEMS: 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
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.’
IF THE SELECTED EVENT TYPE MATCHES THE EVENT TYPE ORIGINALLY ASSOCIATED WITH THE EVENT BEING ASKED ABOUT, DISPLAY THE FOLLOWING MESSAGE: ‘YOU MUST CHANGE THE EVENT TYPE. PLEASE RESELECT.’ ED08 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
WHEN SCREEN IS DISPLAYED, DISPLAY THE EVENT DATE AS THE ADMIT DATE AND LEAVE THE DISCHARGE DATE BLANK. BOTH DATES CAN BE CORRECTED.
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
CONTEXT HEADER DISPLAY INSTRUCTIONS: ADD TEXT FOR EVNT.OMTYPE CODE
ROSTER DETAILS: TITLE: PERS_EVNT_DISPLAY_1 COL # 1 NAME MEDICAL PROVIDER DISPLAY MEDICAL PROVIDER EVPV.LORPNAME, EVPV.DRFNAM, EVPV.DRMNAM COL # 2 EVENT TYPE DISPLAY EVENT TYPE EVNT.EVNTTYPE COL # 3 EVENT DATE DISPLAY EVENT DATE EVNT.EVNTBEGM, EVNT.EVNTBEGD, EVNT.EVNTBEGY EVNT.EVNTENDM, EVNT.EVNTENDD, EVNT.EVNTENDY COL # 4 UTIL DISPLAY SELECTION EVNT.UTFLAG COL # 5 C/P DISPLAY SELECTION EVNT.PROCFLAG
ROSTER DEFINITION: THIS ITEM DISPLAYS THE PERSON’S-MEDICAL-EVENTS-ROSTER FOR DISPLAY.
ROSTER BEHAVIOR: 1. SELECT, ADD, DELETE, AND EDIT DISALLOWED. 2. CAPI DISPLAYS A CHECK MARK IN THE ‘UTIL’ COLUMN IF THE EVENT HAS COMPLETED THE APPROPRIATE UTILIZATION SECTION. 3. CAPI DISPLAYS A CHECK MARK IN THE ‘C/P’ COLUMN IF THE EVENT HAS COMPLETED THE CHARGE/PAYMENT (CP) SECTION.
ROSTER FILTER: THIS ITEM DISPLAYS ALL EVENTS ON THE PERSON’S- MEDICAL-EVENTS_ROSTER THAT WERE CREATED IN THE CURRENT ROUND OR HELD OVER FROM THE PREVIOUS ROUND (I.E., UTIL AND THE CHARGE/PAYMENT (CP) SECTION WERE NOT MARKED AS PROCESSED, EXCEPT EVENTS WITH THE EVENT TYPE (EVPV.EVNTTYPE) ‘PM’.
CONTINUE WITH ED09OV1 ED09OV1 ADD AN EVENT?
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
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