Outpatient Department (OP) SectionNovember 14, 2017 MEPS P21R5/P22R3/P23R1 NOTE: The MEPS instrument design changed beginning in Spring of 2018, affecting Panel 23 Round 1, Panel 22 Round 3, and Panel 21 Round 5, and affected the 2017 MEPS data files. The MEPS website releases the consolidated CAPI survey instruments each year for the Rounds 1 through 3 for the first year panel and Rounds 3 through 5 for the second year panel to accompany data releases. For the Full-Year 2017 PUFs, the Panel 22 Round 3 and Panel 21 Round 5 data were transformed to the degree possible to conform to the previous year (2016) design. For this reason, we are releasing 2016 CAPI survey instruments, updated to reflect 2017 dates, and users should note that not all changes to the instrument administered in the Spring of 2018 will be reflected in these documents. 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
NOTE: IF OP02 IS CODED ‘2’ (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
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 OP05
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE 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
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
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
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
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 OP14
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
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
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
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
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
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 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 |