Medical Provider Visits (MV) SectionBOX_00
CONTEXT HEADER DISPLAY INSTRUCTIONS: DISPLAY PERS.FULLNAME, PROV.LORPNAME, EVNT.EVNTBEGM, EVNT.EVNTBEGD, EVNT.EVNTBEGY MV01
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
NOTE: IF MV01 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’, (REFUSED), OR ‘-8’ (DON’T KNOW), FLAG EVENT AS ‘MV-TELEPHONE’. (THIS EVENT IS FLAGGED FOR PURPOSES OF SKIPS IN THE C/P SECTION. HOWEVER ‘-7’ AND ‘-8’ WILL USE THE SAME QUESTION WORDING AS IN ‘MV-IN-PERSON’ EVENTS DURING THE ADMINISTRATION OF THE MV SECTION.) MV03
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘Did {you/{PERSON}} see a medical doctor during this particular visit?’ IF MV01 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 MV01 IS CODED ‘2’ (TELEPHONE CALL) FOR THIS EVENT. MV03A
PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE MV04
PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE BOX_01
IF MV01 IS CODED ‘1’ (SAW PROVIDER) AND MV03 IS CODED ‘1’ (YES), GO TO MV07
IF MV01 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW) AND MV03 IS CODED ‘1’ (YES), GO TO MV08
OTHERWISE, CONTINUE WITH MV06 MV06
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘the same location as {PROVIDER}’ IF PROVIDER IS FLAGGED AS ‘PERSON-TYPE-PROVIDER’. DISPLAY ‘{PROVIDER}’ IF PROVIDER IS FLAGGED AS ‘FACILITY-PROVIDER’.
FOR ‘MEDICAL PERSON TYPE FROM MV04’, DISPLAY THE FOLLOWING TEXT FOR EACH CODE SELECTED AT MV04: CODE ‘1’ = CHIROPRACTOR CODE ‘2’ = DENTIST/DENTAL CARE PERSON CODE ‘3’ = MIDWIFE CODE ‘4’ = NURSE/NURSE PRACTITIONER CODE ‘5’ = OPTOMETRIST CODE ‘6’ = PODIATRIST CODE ‘7’ = PHYSICIAN’S ASSISTANT CODE ‘8’ = PHYSICAL THERAPIST CODE ‘9’ = OCCUPATIONAL THERAPIST CODE ‘10’= PSYCHOLOGIST CODE ‘11’= SOCIAL WORKER CODE ‘12’= TECHNICIAN CODE ‘13’= RECEPTIONIST/CLERK/SECRETARY CODE ‘14’= ACUPUNCTURIST CODE ‘15’= MASSAGE THERAPIST CODE ‘16’= HOMEOPATHIC/NATUROPATHIC/HERBALIST CODE ‘17’= OTHER ALTERNATIVE/COMPLEMENTARY CARE PROVIDER CODE ‘91’= OTHER CODE ‘-7’= REFUSED PROVIDER TYPE CODE ‘-8’= DON’T KNOW PROVIDER TYPE
IF MV01 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW), GO TO MV08
OTHERWISE, CONTINUE WITH MV07 MV07
PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
HARD CHECK: EDITS: IF MV07 IS 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 MV07 IS CODED ‘9’ (WELL CHILD EXAM), CHECK THAT PERSON IS < 7 YEARS OLD (OR AGE CATEGORIES 1 THROUGH 3). IF NOT, DISPLAY THE FOLLOWING MESSAGE: “CODE UNAVAILABLE FOR PERSONS 7 AND OLDER. VERIFY AND RE-ENTER.” MV08
PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘visit’ IF MV01 IS CODED ‘1’ (SAW PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW) FOR THIS EVENT. DISPLAY ‘telephone call’ IF MV01 IS CODED ‘2’(TELEPHONE CALL) FOR THIS EVENT. MV09
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘visit’ IF MV01 IS CODED ‘1’ (SAW PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW) FOR THIS EVENT. DISPLAY ‘telephone call’ IF MV01 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 MV01 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW), GO TO MV14
IF MV01 IS CODED ‘1’ (SAW PROVIDER), CONTINUE WITH MV11 MV11
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
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.
‘NO SERVICES RECEIVED’ IS 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). MV12
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE MV14 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘visit’ IF MV01 IS CODED ‘1’ (SAW PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW) FOR THIS EVENT. DISPLAY ‘telephone call’ IF MV01 IS CODED ‘2’(TELEPHONE CALL) FOR THIS EVENT. MV15 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘ADD MEDICINE’ AS AN OPTION ON THIS SCREEN.
DISPLAY ‘visit’ IF MV01 IS CODED ‘1’ (SAW PROVIDER), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW) FOR THIS EVENT. DISPLAY ‘telephone call’ IF MV01 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.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT 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 IN PERSON’S ROSTER; NO FILTER. BOX_04
IF MV01 IS CODED ‘1’ (SAW PROVIDER), CONTINUE WITH BOX_05
IF MV01 IS CODED ‘2’ (TELEPHONE CALL), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW), GO TO BOX_07 BOX_05
IF NO CONDITION IS ASSOCIATED WITH THIS VISIT TO THIS PROVIDER FOR THIS PERSON, GO TO BOX_07
OTHERWISE, CONTINUE WITH BOX_06 BOX_06
IF 2 OR MORE VISITS TO THIS PROVIDER FOR THIS PERSON HAVE NOT COMPLETED THE MEDICAL PROVIDER VISITS UTILIZATION MODULE AND IF THIS EVENT IS NOT PART OF A FLAT FEE GROUP, CONTINUE WITH MV16
OTHERWISE, GO TO BOX_07 MV16 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘(READ SERVICES BELOW)’ IF MV11 IS NOT CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW). IF MV11 IS CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW), DISPLAY ‘the same services’.
FOR ‘PERSON’S MV MEDICAL CONDITION’, DISPLAY ALL CONDITIONS SELECTED FROM OR ADDED TO PERSON’S- MEDICAL-CONDITIONS-ROSTER AT MV09. FOR ‘SERVICES RECEIVED’, DISPLAY THE FOLLOWING TEXT FOR EACH SERVICE SELECTED AT MV11: 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 MV17 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
NOTE: THE ISSUES OF COST WHEN THE PERSON HAS A COPAY AND DOES NOT KNOW THE TOTAL CHARGE WILL BE HANDLED IN THE HELP DEFINITION. MV18 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘and (READ SERVICES BELOW)’ IF MV11 IS NOT CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW). IF MV11 IS CODED ‘95’ (NO SERVICES RECEIVED), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW), DISPLAY ‘and the same services’.
FOR ‘PERSON’S MV MEDICAL CONDITION’, DISPLAY ALL CONDITIONS SELECTED OR ADDED TO PERSON’S-MEDICAL- CONDITIONS-ROSTER AT MV09. FOR ‘SERVICES RECEIVED’, DISPLAY THE FOLLOWING TEXT FOR EACH SERVICE SELECTED AT MV11: 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’
FLAG EACH VISIT SELECTED AT MV18 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 MV SECTION.
GO TO MV19
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 ‘MV’. 4. EVENT IS ASSOCIATED WITH THE SAME PROVIDER AS THE EVENT BEING ASKED ABOUT. MV19 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE BOX_07
IF THE CHARGE/PAYMENT (CP) SECTION IS NOT COMPLETED FOR THIS MEDICAL PROVIDER VISIT (MV) EVENT, GO TO THE CHARGE/PAYMENT (CP) SECTION
OTHERWISE, GO TO THE EVENT DRIVER (ED) SECTION |