Event Driver (ED) Section
BOX_01 ======
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| DISPLAY EVENTS BY PERSON THEN BY THE ORDER OF |
| ENTRY - THAT IS, IN THE ORDER BY PROVIDER PROBES, |
| AND THEN ANY ADDITIONS. |
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LOOP_01 =======
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| FOR EACH ELEMENT IN PERSON’S-MEDICAL-EVENTS- |
| ROSTER, ASK ED01 - END_LP01. |
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| 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 |
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ED01 ====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{The next questions ask detail about each of the times
(PERSON) received medical or dental care.}
THERE {IS/ARE} {NUMBER} {EVENT/EVENTS} REMAINING TO BE
PROCESSED FOR (PERSON).
PRESS ENTER TO CONTINUE.
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| DISPLAY ‘The....care.’ IF FIRST EVENT TO BE ASKED |
| ABOUT FOR THIS PERSON. |
| |
| 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. |
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LOOP_02 =======
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| For each of the following: |
| |
| EVENT NOT YET CODED AS ‘INFORMATION OK’ AT ED02 |
| |
| ask ED02 - END_LP02 |
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ED02 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
Let's talk about {the hospital stay for (PERSON) at (PROVIDER)
that began on (ADMIT DATE)/when (PERSON) visited the emergency
room at (PROVIDER) on (VISIT DATE)/when (PERSON) received
medical care from an outpatient department at (PROVIDER) on
(VISIT DATE)/when (PERSON) received medical care from (PROVIDER)
on (VISIT DATE)/when (PERSON) received dental care from
(PROVIDER) on (VISIT DATE)/the {OME ITEM GROUP NAME} used by
(PERSON) since (START DATE)/the services (PERSON) received at
home from (PROVIDER) during (MONTH)}.
CODE '1' UNLESS RESPONDENT VOLUNTEERS CORRECTION.
INFORMATION OK ......................... 1 {END_LP02}
CORRECTIONS NEEDED:
PROVIDER MISSPELLED/INCOMPLETE ......... 2
DATE(S) INCORRECT ...................... 3
WRONG EVENT TYPE ....................... 4
WRONG PROVIDER ......................... 5
WRONG OME ITEM GROUP ................... 6
EVENT NOT FOR THIS PERSON .............. 7
EVENT ENTERED IN ERROR ................. 8
WANT TO REVIEW (PERSON)’S EVENTS OR
ADD EVENT FOR ANY RU MEMBER ............ 9 {ED09}
[Code One]
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| 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...home...(MONTH)’ IF EVENT TYPE |
| IS HH. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) AND |
| EVENT TYPE IS OM, DISPLAY THE FOLLOWING MESSAGE: |
| ‘THIS CODE NOT AVAILABLE FOR OM EVENTS. PRESS |
| ENTER TO CONTINUE.’ |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘2’ (PROVIDER MISSPELLED/INCOMPLETE) |
| AND EVENT TYPE IS NOT OM, DISPLAY THE FOLLOWING |
| MESSAGE: ‘THIS OPTION IS DISABLED. PLEASE RECORD|
| INFORMATION IN COMMENTS.’ THEN, GO TO END_LP02. |
----------------------------------------------------
----------------------------------------------------
| 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. PRESS ENTER TO |
| CONTINUE.’ |
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----------------------------------------------------
| 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. PRESS ENTER TO |
| CONTINUE.’ |
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| IF CODED ‘3’ (DATE(S)) INCORRECT AND EVENT TYPE |
| IS NOT HH OR OM, GO TO ED04 |
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| IF CODED ‘4’ (WRONG EVENT TYPE) AND EVENT TYPE IS |
| NOT HH OR OM, GO TO ED07 |
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| 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.’ |
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----------------------------------------------------
| 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 |
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| 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. PRESS ENTER TO CONTINUE.’ |
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| 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 |
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| IF CODED ‘6’ (WRONG OME ITEM GROUP) AND EVENT TYPE|
| IS OM, AND OM GROUP TYPE IS ‘ADDITIONAL’ |
| (EV02A=2), GO TO ED06A |
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| 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.’ |
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----------------------------------------------------
| 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.’ |
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| 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 |
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| 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 |
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----------------------------------------------------
| 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.’ |
----------------------------------------------------
ED03
====
OMITTED.
ED04 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: RE-TYPE THE ENTIRE EVENT DATE(S) TO CORRECT.
[Enter Month,Day,Year-4] - [Enter Month,Day,Year-4]
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| REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND |
| YEAR FIELDS BUT ARE DISALLOWED IN THE MONTH FIELD. |
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| COLLECT DISCHARGE DATE ONLY IF EVENT TYPE IS HS. |
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| WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.|
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| GO TO END_LP02 |
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ED05 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT PERSON FOR THIS EVENT.
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last
Name-35] ...............................
[2. First Name,[Middle Name],Last
Name-35] ...............................
[3. First Name,[Middle Name],Last
Name-35] ...............................
[Code One]
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| ROSTER DEFINITION: THIS ITEM DISPLAYS THE |
| RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| FLAG EVENT FOR DELETION FROM PERSON’S-MEDICAL- |
| EVENTS-ROSTER FOR PERSON ORIGINALLY ASSOCIATED |
| WITH EVENT AND ADD EVENT TO PERSON’S-MEDICAL- |
| EVENTS-ROSTER FOR PERSON SELECTED IN ED05. |
----------------------------------------------------
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| GO TO END_LP02 |
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BOX_02 ======
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| ASK THE PROVIDER ROSTER (PV) SECTION FOR THIS |
| EVENT. |
| AT COMPLETION OF PROVIDER ROSTER (PV) SECTION, |
| CONTINUE WITH BOX_03 |
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BOX_03 ======
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| WRITE PROVIDER CORRECTION TO PERSON’S-EVENT- |
| PROVIDER-PAIRS-ROSTER. |
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| GO TO END_LP02 |
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ED06 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
GLASSES OR CONTACT LENSES .............. 1
INSULIN ................................ 2
OTHER DIABETIC EQUIPMENT OR SUPPLIES ... 3
[Code One]
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| IF CODED ‘2’ (INSULIN), ADD ‘INSULIN’ TO |
| PERSON’S-PRESCRIBED-MEDICINES-ROSTER. |
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| IF CODED ‘3’ (OTHER DIABETIC EQUIPMENT OR |
| SUPPLIES), ADD ‘OTHER DIABETIC EQUIP/SUPPLIES’ |
| TO PERSON’S-PRESCRIBED-MEDICINES-ROSTER. |
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| CHANGE THE OME GROUP ORIGINALLY ASSOCIATED WITH |
| THE EVENT BEING ASKED ABOUT TO THE OME ITEM GROUP |
| SELECTED IN ED06. |
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| GO TO END_LP02 |
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ED06A =====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV}
INTERVIEWER: SELECT CORRECT OME ITEM GROUP.
AMBULANCE SERVICES ..................... 1 {BOX_ED06A}
ORTHOPEDIC ITEMS ....................... 2 {BOX_ED06A}
HEARING DEVICES ........................ 3 {BOX_ED06A}
PROSTHESES ............................. 4 {BOX_ED06A}
BATHROOM AIDS .......................... 5 {BOX_ED06A}
MEDICAL EQUIPMENT ...................... 6 {BOX_ED06A}
DISPOSABLE SUPPLIES .................... 7 {BOX_ED06A}
ALTERATIONS/MODIFICATIONS .............. 8 {BOX_ED06A}
OTHER ................................. 91
[Code One]
ED06AOV =======
ENTER OTHER GROUPING OF OTHER MEDICAL EXPENSES:
[Enter Other Specify] ..................
REF ................................... -7
DK .................................... -8
BOX_ED06A =========
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| CHANGE THE OME GROUP ORIGINALLY ASSOCIATED WITH |
| THE EVENT BEING ASKED ABOUT TO THE OME ITEM GROUP |
| SELECTED IN ED06A OR ENTERED IN ED06AOV. |
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| GO TO END_LP02 |
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ED07 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: SELECT CORRECT EVENT TYPE.
HOSPITAL STAY ......................... HS
HOSPITAL EMERGENCY ROOM ............... ER {END_LP02}
HOSPITAL OUTPATIENT DEPARTMENT ........ OP {END_LP02}
MEDICAL PROVIDER VISIT ................ MV {END_LP02}
DENTAL CARE ........................... DN {END_LP02}
[Code One]
PRESS F1 FOR DEFINITIONS OF EVENT TYPES.
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| 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. |
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----------------------------------------------------
| 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.’ |
----------------------------------------------------
ED08 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
INTERVIEWER: RE-TYPE ENTIRE EVENT DATE(S) TO CORRECT.
[Enter Month,Day,Year-4] - [Enter Month,Day,Year-4]
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| WRITE CORRECTION TO PERSON’S-MEDICAL-EVENTS-ROSTER.|
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| GO TO END_LP02 |
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| REFUSED AND DON’T KNOW ARE ALLOWED IN THE DAY AND |
| YEAR FIELDS BUT ARE DISALLOWED IN THE MONTH FIELD. |
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ED09 ====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {EV} {EVN-DT}
{OME ITEM GROUP: {NAME OF OME ITEM GROUP......}}
INTERVIEWER: SO FAR, THE FOLLOWING EVENTS HAVE BEEN RECORDED
FOR (PERSON):
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
| ED09_01. NAME MEDICAL PROVIDER |
ED09_02. EVENT TYPE |
ROSTER. DATE-DATE |
ED09_04. UTIL |
ED09_05. C/P |
|---|---|---|---|---|
| 1. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
| 2. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
| 3. [Display Medical Provider-35] |
[Display Event Code] |
[Display Month Day Year-4] |
[Display Selection] |
[Display Selection] |
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL CURRENT|
| ROUND EVENTS AND ALL EVENTS HELD OVER FROM THE |
| PREVIOUS ROUND (I.E., UTILIZATION AND CHARGE/ |
| PAYMENT WERE NOT MARKED AS PROCESSED) ON PERSON’S-|
| MEDICAL-EVENTS-ROSTER EXCEPT EVENTS WITH EVENT |
| TYPE ‘PM’. THE ROSTER IS DISPLAYED IN THE THIRD |
| COLUMN OF THE GRID. THE FIRST COLUMN OF THE GRID |
| WILL DISPLAY THE PROVIDER ASSOCIATED WITH THAT |
| PARTICULAR ROW ENTRY OF PERSON’S-MEDICAL-EVENTS- |
| ROSTER. THE SECOND COLUMN OF THE GRID WILL |
| DISPLAY THE EVENT TYPE ASSOCIATED WITH THAT |
| PARTICULAR ROW ENTRY OF PERSON’S-MEDICAL-EVENTS- |
| ROSTER. |
----------------------------------------------------
----------------------------------------------------
| CAPI DISPLAYS A CHECK MARK IN THE 'UTIL' COLUMN IF|
| THE EVENT BEING ASKED ABOUT HAS COMPLETED THE |
| APPROPRIATE UTILIZATION SECTION. |
| |
----------------------------------------------------
----------------------------------------------------
| CAPI DISPLAYS A CHECK MARK IN THE 'C/P' COLUMN IF |
| THE EVENT BEING ASKED ABOUT HAS COMPLETED THE |
| CHARGE/PAYMENT (CP) SECTION. |
----------------------------------------------------
----------------------------------------------------
| CONTINUE WITH ED09OV1 |
----------------------------------------------------
ED09OV1 =======
ADD AN EVENT?
YES .................................... 1
NO ..................................... 2 {END_LP02}
----------------------------------------------------
| ED09OV1 IS DISPLAYED BENEATH THE GRID ON ED09 |
| WHENEVER ED09 IS DISPLAYED. |
----------------------------------------------------
BOX_04 ======
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| 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 ========
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| 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. |
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| IF NO MORE EVENTS MEET THE STATED CONDITIONS, END |
| LOOP_01 AND CONTINUE WITH BOX_05 |
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BOX_05 ======
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| GO TO THE NEXT QUESTIONNAIRE SECTION |
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