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Context: System
Ask IDSCREEN: {Collect caseid}
Context: RU
Ask Reenumeration (RE-A) and (RE-B) Sections
Context: Person
LOOP_01 for each PERSON on RU-Members Roster WHERE {PERSON is a current or institutionalized RU member}
BEGINLOOP
Ask Priority Condition Enumeration (PE) Section
ENDLOOP_01
Context: RU
Ask Condition-Enumeration (CE) Section
Ask Health-Status (HE) Section
If {Round 2 or 4}
Ask Child Preventive Health Supplement (CS) Section
endif
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP), Event Roster (EV), and Provider Roster (PV) Sections
Context: Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event}
BEGINLOOP
Ask Event-Driver (ED) Section [including…
Context: PERSON-EVENT
LOOP_03 for each PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is emergency-room}
Ask Emergency-Room (ER) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is outpatient}
Ask Outpatient-Department (OP) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is medical-visit}
Ask Medical-Provider-Visits (MV) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is dental}
Ask Dental-Care (DN) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is home-health}
Ask Home-Health (HH) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
If {event-type is other-medical}
Ask Other Medical Expenses (OM) Section including Charge/Payment (CP)
and Flat Fee (FF) Sections
endif
ENDLOOP_03
ENDLOOP_02
Context: Person
LOOP_04 for each PERSON on RU-Members-Roster
BEGINLOOP
Ask Prescribed-Medicines (PM) Section including Charge/Payment (CP) Section
Ask Disability-Days (DD) Section
Ask Conditions (CN) Section
If {Round 3 or Round 5}
Ask Quality Supplement (PC) Section
Ask Preventive Care (AP) Section
endif
ENDLOOP_04
Context: RU
If {Round 2 or Round 4}
Ask Access-to-Care (AC) Section
endif
Context: Person
LOOP_05 for each PERSON on RU-Members-Roster WHERE {PERSON is 16 years or older or age categories 4-9}
BEGINLOOP
Ask Review-of-Employment-Information (RJ), Employment-Subsection-A (EM-A),
Employment-Subsection-B (EM-B), and Employment-Wage (EW) Sections
ENDLOOP_05
Context: RU
Ask Health-Insurance (HX), Old-Employment-and-Private-Related-Insurance (OE),
Old-Public-Related-Insurance (PR), Managed-Care (MC), Private-Health-Insurance-Detail (HP),
and Time-Period-Covered-Detail (HQ) Sections
If {Round 2 or Round 4}
Ask Satisfaction-with-Health-Plan (SP) Section
endif
If {Round 3 or Round 5}
Ask Income (IN) Section
endif
If {Round 5}
Ask Assets (AS) Section
endif
Ask Provider-Directory (PD) Section
Ask Closing (CL) Section
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