Attachment 57 Attachment 57 HC Hospital Stay Section

SpecWriter Data

Form Version:

9/8/2017 2:55:41 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

This is the cover page. Additional contents currently project specific.

HS - Page 1 of 13

MEPS_V2

Hospital Stay (HS) Section
(Rout

Full Detail Spec
BOX_00

(HS1000)

Route Details:

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10
04 S ingle S elect = HS 10, HS 30, HS 60, HS 70, HS 80, HS 90
06 S ingle S elect with Fill in Answer Text = HS 50
11 Multiple S elect with Add/Edit/Delete = HS 40, HS 100
19 Numeric Field = HS 20
Roster 3 = HS 40, HS 100

HS10
Item Type:

(HS1002)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: ConfIPStay
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
I have recorded that {you/{PERSON}} {{were/was} admitted to and discharged from {PROVIDER} on the same day./stayed
in {PROVIDER} {XX} {night/nights}}. Is that correct?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

HS - Page 2 of 13

HS30
HS20
HS30
HS30

(HS1015)
(HS1005)
(HS1015)
(HS1015)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec

Display
Instructions:

Display ‘were admitted to and discharged from {PROVIDER} on the same day.’ if the reported admit
and discharge dates for this stay were the same day. Otherwise, display ‘STAYED IN {PROVIDER}
{XX} {NIGHT/NIGHTS}.’
For “XX” display the number of nights in the hospital using the reported admit and discharge dates for
this stay.
Display ‘NIGHT’ if number of nights in the hospital is equal to 1. Otherwise, display ‘nights’.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

BLAISE NAME: NumNight

HS20
Item Type:

(HS1005)
Question

Type Class:

Integer

Answer Type:

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

)

Field kind: Datafield

ArrayMin:

Min value: 1

ArrayMax:

Max value: 99

Field Size: 2

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
How many nights did {you/{PERSON}} stay in {PROVIDER}?
ENTER NIGHTS.

Responses:
REFUSED
DON'T KNOW

RF
DK

HS - Page 3 of 13

HS30

(HS1015)

HS30
HS30

(HS1015)
(HS1015)

)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec

Programmer
Instructions:

Soft range 1-30.
Range check:
If number entered is above 30, display the following message: “A HOSPITAL STAY
LONGER THAN 30 NIGHTS IS UNLIKELY. VERIFY AND RE-ENTER IF NEEDED.”
If number entered is less than 1, display the following message: "EARLIER RU MEMBER
SAID THEY HAD A HOSPITAL STAY OF AT LEAST ONE NIGHT. VERIFY AND REENTER. OR GO BACK TO HS10 (ConflPStay)"
CAPI should give the option to return to HS10 to change their response on this message
screen.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS30
Item Type:

(HS1015)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: IPRelCond
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
Was this hospital stay related to any specific health condition or were any conditions discovered during this stay?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

HS - Page 4 of 13

HS40
HS50
HS50
HS50

(HS1020)
(HS1025)
(HS1025)
(HS1025)

)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS40
Item Type:

(HS1020)
Question

Type Class:

Enumerated

Answer Type:

TCONDITION

BLAISE NAME: IPCondRoster
Field kind: Datafield

Min value:

Field Size:
Answers allowed: 99 ArrayMax:

Help Available (CondHelp)
Context Header:

ArrayMin:

Show Card (

)

Max value:

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
What conditions were discovered or led {you/{PERSON}} to enter the hospital?
PROBE: Any other condition?
ENTER ALL THAT APPLY.
CTRL-A: ADD
CTRL-E: EDIT
CTRL-D: DELETE

Responses:

{MEDICAL CONDITION} 1
{MEDICAL CONDITION} 2
{MEDICAL CONDITION} 3
{MEDICAL CONDITION} 4
{MEDICAL CONDITION}N

1
2
3
4
5

HS - Page 5 of 13

HS50
HS50
HS50
HS50
HS50

(HS1025)
(HS1025)
(HS1025)
(HS1025)
(HS1025)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Display
Instructions:

Hospital Stay (HS) Section
(Que

Roster behavior:
1. Multiple select allowed.
2. Multiple add allowed.
3. Limited delete allowed. Interviewer may delete a condition added at this item until CAPI
creates the link between this condition and the event. The link is created when the collection
of utilization and/or charge/payment data is complete.
4. Limited edit allowed. Interviewer may edit a condition name newly added at this item until
CAPI creates the link between this condition and the event. The link is created when the
collection of utilization and/or charge/payment data is complete.

Roster 3 – add/edit/delete allowed
Roster definition:
This item displays person-medical-conditions-roster for selection and addition of one or many medical
conditions associated with this event. Display name of medical condition (COND.CONDNAM)
Roster filter:
Display all conditions on person's roster; display all.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS - Page 6 of 13

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec
HS50
Item Type:
Type Class:
Answer Type:

(HS1025)
Question
Enumerated
TRSNINHOS

Help Available (ResnHospHelp)
Context Header:

BLAISE NAME: ResnHosp
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (HS-1)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
&HS-1.
Please look at card HS-1 and tell me which category best describes the reason {you/{PERSON}} entered {PROVIDER} on
{ADMIT DATE}.
IF NECESSARY, PROBE: What was the main reason {you/he/she} entered {PROVIDER}?
HELP: F1

Responses:

OPERATION OR SURGICAL PROCEDURE
TREATMENT OR THERAPY, NOT
INCLUDING SURGERY
DIAGNOSTIC TESTS ONLY
{GIVE BIRTH TO A BABY - NORMAL OR
CAESAREAN SECTION (MOTHER)}
{TO BE BORN (BABY)}
{PREGNANCY-RELATED
COMPLICATIONS}
OTHER
REFUSED
DON'T KNOW

1
2

HS80
HS70

(HS1035)
(HS1030)

3
4

HS70

(HS1030)

5
6

HS70
HS70

(HS1030)
(HS1030)

91
RF
DK

HS70
HS70
HS70

(HS1030)
(HS1030)
(HS1030)

HS - Page 7 of 13

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec

Programmer
Instructions:

If HS50 is coded ‘1’ (OPERATION OR SURGICAL PROCEDURE), auto code HS70 as ‘1’
(YES) by CAPI.
NOTE: CAPI will present a follow-up question to determine whether a hospital stay event for
the baby/mother is present whenever HS50 is coded ‘4’ (GIVE BIRTH TO A BABY) or ‘5’
(TO BE BORN).

Display
Instructions:

Display response option ‘4’ (GIVE BIRTH TO A BABY) and response option '6' (PREGNANCYRELATED COMPLICATIONS) only if person is female and age 15 to 55 inclusive (or age categories 3
to 8). Otherwise, use a null display.
Display response option ‘5’ (TO BE BORN) only if person is < or = 1 year old (or age category 1).
Otherwise, use a null display.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS70
Item Type:

(HS1030)
Question

Type Class:

Enumerated
TYESNO

Answer Type:

Help Available (SurgProcHelp)
Context Header:

BLAISE NAME: IPSurgProc
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
Were any operations or surgical procedures performed on {you/{PERSON}} during this stay?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

HS - Page 8 of 13

HS80
HS80
HS80
HS80

(HS1035)
(HS1035)
(HS1035)
(HS1035)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS80
Item Type:

(HS1035)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (ICUHelp)
Context Header:

BLAISE NAME: ICU
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
Did {you/{PERSON}} spend any time in an intensive or critical care unit (ICU) during this stay?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS - Page 9 of 13

HS90
HS90
HS90
HS90

(HS1055)
(HS1055)
(HS1055)
(HS1055)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec
HS90
Item Type:
Type Class:
Answer Type:

(HS1055)
Question
Enumerated
TYESNO

Help Available (MEDPRESHelp)
Context Header:

BLAISE NAME: IPPmed
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
At the time {you/{PERSON}} {were/was} discharged, were any medicines prescribed for {you/him/her}? Please do not
include medications received while {you/he/she} {were/was} a patient in the hospital.
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS - Page 10 of 13

HS100
BOX_10
BOX_10
BOX_10

(HS1060)
(HS1065)
(HS1065)
(HS1065)

MEPS_V2

Hospital Stay (HS) Section
(Que

Full Detail Spec
HS100
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(HS1060)
Question
Enumerated

BLAISE NAME: IPPmedRoster
Field kind: Datafield

ArrayMin:

Field Size:
TPRESCRIBEDMED Answers allowed: 99 ArrayMax:

)

Show Card (

Min value:
Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
Please tell me the names of the prescribed medicines from this stay that were filled.
PROBE: Any other prescribed medicines from this stay that were filled?
ENTER ALL THAT APPLY.
CTRL-A: ADD
CTRL-E: EDIT
CTRL-D: DELETE

Responses:

{PRESCRIBED MEDICINE}1
{PRESCRIBED MEDICINE}2
{PRESCRIBED MEDICINE}3
{PRESCRIBED MEDICINE}4
{PRESCRIBED MEDICINE}N

1
2
3
4
5

HS - Page 11 of 13

BOX_10
BOX_10
BOX_10
BOX_10
BOX_10

(HS1065)
(HS1065)
(HS1065)
(HS1065)
(HS1065)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Hospital Stay (HS) Section
(Que

Roster behavior:
1. Multiple select allowed.
2. Multiple add allowed.
3. Limited delete allowed. Interviewer may delete a medicine added at this item until CAPI
creates the link between this medicine and the event. The link is created when the collection
of utilization and/or charge/payment data is complete.
4. Limited edit allowed. Interviewer may edit medicines added at this item until CAPI creates
the link between this medicine and the event. The link is created when the collection of
utilization and/or charge/payment data is complete.
NOTE: In order for the columns to display properly, 35 allowable characters for the
medicines will be accepted for display on the roster.
When adding a medicine in the pop-up manipula, a maximum of 60 characters will be
allowed.
When the CTRL-D or CTRL-E command is called, the pop-up manipula should display 60
characters for the medicine name.
General flag rules for medicines:
- Round medicine first created (by definition a medicine is selected the same time it is
created)
- Question number medicine first created
- Round medicine selected
- Event medicine is linked to (however, this is known by virtue that the medicine was
selected at HS100 for this event)

Display
Instructions:

Roster 3 – add/edit/delete allowed
Roster definition:
This item displays the Person’s-Prescribed-Medicines-Roster for selection and addition of prescribed
medicines. Display name of prescribed medicine.
Roster filter:
Display all medicines on person's roster; no filter.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.HS_Main
Variable stored at MEPSSpring2018_Event.HS_Main

HS - Page 12 of 13

MEPS_V2

Hospital Stay (HS) Section
(Rout

Full Detail Spec
BOX_10

Route Details:

(HS1065)

Item Type: Route

Type Class: If Then

Go to the Charge/Payment (CP) section if it needs to be asked for this event, i.e. its
status wasn’t set to ‘Completed’ because it was part of a Flat Fee situation where the
charges were collected in the CP section for another event in that Flat Fee group.
If the Charge/Payment (CP) section is completed for this Hospital S tay (HS ) event and
if HS 50 is coded '4' (GIVE BIRTH TO A BABY) or '5' (TO BE BORN) go to EF section.
Otherwise, go to the Event Driver (ED) section.

[End of HS]

HS - Page 13 of 13