Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Event Roster Begin Date RV Pop Up
Item #:

EVBEGMM
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

EVA1010

EVNT.EVBEGMM
Integer
TMonthInt
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

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EventRosterA - EVBEGDD ( EVA1015 )

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EventRosterA - EVBEGDD ( EVA1015 )

9:03:53 AM Thursday, December 20, 2007

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Mask:

01
12

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EventRosterA - EVBEGDD ( EVA1015 )

Page 1 of 5

Event Roster Begin Date RV Pop Up
Item #:

EVBEGDD
Cheshire Name:

EVA1015

EVNT.EVBEGDD
If Field 1 - VISTTYPE = 1/SingleVisit, allow entry.
Else disallow entry.

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

Integer
TDayDKRF
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

Route
EventRosterA - EVBEGYY ( EVA1020 )

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EventRosterA - EVBEGYY ( EVA1020 )

9:03:56 AM Thursday, December 20, 2007

FieldSize:
Min Value:
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2
1
31

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EventRosterA - EVBEGYY ( EVA1020 )

Page 2 of 5

Event Roster Begin Date RV Pop Up
Item #:

EVBEGYY
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

EVA1020

EVNT.EVBEGYY
Integer
TYear2DKRF
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

Route
EventRosterA - RVTIMES ( EVA1035 )

Refusal

EventRosterA - RVTIMES ( EVA1035 )

9:03:58 AM Thursday, December 20, 2007

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00
99

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EventRosterA - RVTIMES ( EVA1035 )

Page 3 of 5

Event Roster Begin Date RV Pop Up
Item #:

RVTIMES
Cheshire Name:

EVA1035

EVNT.RVTIMES
If Field 1 - VISTTYPE = 2/RepeatVisit, allow entry.
Else disallow entry.

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

Integer
TRvtimes
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

Route
EventRosterA - VISTTYPE ( EVA1040 )

Refusal

EventRosterA - VISTTYPE ( EVA1040 )

9:03:59 AM Thursday, December 20, 2007

FieldSize:

Min Value:
Max Value:
Mask:

1

90

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EventRosterA - VISTTYPE ( EVA1040 )

Page 4 of 5

Event Roster Begin Date RV Pop Up
Item #:

VISTTYPE
Cheshire Name:

EVA1040

EVNT.VISTTYPE

Display VISTTYPE=1/SingleVisit as the default selection.

Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:

Enumerated
TVisitType

1

No
No

Number Label
1 SingleVisit

2

English text: SINGLE VISIT
RepeatVisit

FieldSize:

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Max Value:
Mask:

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EventRosterA - EVBEGMM ( EVA1010 )
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EventRosterA - EVBEGMM ( EVA1010 )
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English text: REPEAT VISIT

9:04:02 AM Thursday, December 20, 2007

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