Attachment 61 Attachment 61 HC Outpatient Department Section

SpecWriter Data

Form Version:

9/22/2017 1:24:31 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

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

OP - Page 1 of 24

MEPS_V2

Outpatient Department (OP) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(OP1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10 , BOX_20, BOX_30, BOX_40, BOX_50
04 Single Select = OP10, OP20, OP30, OP50, OP70, OP90
05 Single Select with Display Roster = OP110
06 Single Select with Fill in Answer Text = OP40
08 Multiple Select = OP80
30_Multiple Select with Fill in Answer Text and Display Roster = OP120
11 Multiple Select with Add/Edit/Delete = OP60, OP100
23 Text Field = OP130
28 Trigram Lookup = OP20LU
Roster 2 = OP120
Roster 3 = OP60, OP100

BOX_10

Route Details:

(OP1001)

Item Type: Route

Type Class: If Then

Context header display instructions:
Display PERS .FULLNAME, PROV.LORPNAME, EVNT.EVNTBEGM,
EVNT.EVNTBEGD, EVNT.EVNTBEGY.
If provider is flagged as facility provider, also display doctor or department linked to this
facility provider for this event (if available).

OP - Page 2 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP10
Item Type:
Type Class:
Answer Type:

(OP1010)
Question
Enumerated
TYESNO

Help Available (MDDOTypes)
Context Header:

BLAISE NAME: OPSeeDoc
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
Did {you/{PERSON}} see a medical doctor during this particular visit?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 3 of 24

OP20
OP30
OP30
OP30

(OP1015)
(OP1020)
(OP1020)
(OP1020)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP20
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(OP1015)
Question
Enumerated

BLAISE NAME: OPDocSpeclty
Field kind: Datafield

Field Size:
TDRSPLTY_OP_REV Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER}-{DOC OR DEPT} {EVN-DT}

Question Text:
What was the doctor's specialty?
IF TALKED TO MORE THAN ONE DOCTOR, PROBE FOR MAIN PROVIDER.

Responses:

CARDIOLOGY (HEART)
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID)
FAMILY PRACTICE
GASTROENTEROLOGY
GENERAL PRACTICE
GENERAL SURGERY
GYNECOLOGY/OBSTETRICS
INTERNAL MEDICINE (INTERNIST)
NEPHROLOGY (KIDNEYS)
NEUROLOGY
ONCOLOGY (TUMORS, CANCER)
OPHTHALMOLOGY (EYES)
ORTHOPEDICS
OTORHINOLARYNGOLOGY (EAR,
NOSE, THROAT)
PEDIATRICIAN
PHYSICAL MEDICINE/REHAB
PSYCHIATRY/PSYCHIATRIST
RADIOLOGY
UROLOGY
OTHER DR SPECIALTY
REFUSED
DON'T KNOW

3
5

OP40
OP40

(OP1030)
(OP1030)

6
7
8
9
11
14
15
16
18
19
20
22

OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40

(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)

OP40
OP40
OP40
OP40
OP40
OP20LU
OP40
OP40

(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1017)
(OP1030)
(OP1030)

24
25
28
30
33
91
RF
DK

OP - Page 4 of 24

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Outpatient Department (OP) Section
(Que

Display OP20 and OP20LU on the same form pane.

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 5 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP20LU
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(OP1017)
Question
Enumerated
TDRSPLTY

)

BLAISE NAME: OPDocSpecltyLU
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
ENTER OTHER DOCTOR SPECIALTY.

TYPE THE FIRST 3 LETTERS OF THE SPECIALTY, THEN USE ARROW KEYS IF
NEEDED TO LOCATE SPECIALTY, AND PRESS ENTER TO SELECT.
Responses:

ALLERGY/IMMUNOLOGY
ANESTHESIOLOGY
CARDIOLOGY (HEART)
DERMATOLOGY (SKIN)
ENDOCRINOLOGY/METABOLISM
(DIABETES, THYROID)
FAMILY PRACTICE
GASTROENTEROLOGY
GENERAL PRACTICE
GENERAL SURGERY
GERIATRICS (ELDERLY)
GYNECOLOGY/OBSTETRICS
HEMATOLOGY (BLOOD)
HOSPITAL RESIDENCE
INTERNAL MEDICINE (INTERNIST)
NEPHROLOGY (KIDNEYS)
NEUROLOGY
NUCLEAR MEDICINE
ONCOLOGY (TUMORS, CANCER)
OPHTHALMOLOGY (EYES)
ORTHOPEDICS
OSTEOPATHY (DO)
OTORHINOLARYNGOLOGY (EAR,
NOSE, THROAT)
PATHOLOGY
PEDIATRICIAN
PHYSICAL MEDICINE/REHAB
PLASTIC SURGERY
PROCTOLOGY
PSYCHIATRY/PSYCHIATRIST
PULMONARY

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

OP - Page 6 of 24

)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

RADIOLOGY
RHEUMATOLOGY (ARTHRITIS)
THORACIC SURGERY (CHEST)
UROLOGY
OTHER DR SPECIALTY
REFUSED
DON'T KNOW
Programmer
Instructions:

30
31
32
33
91
RF
DK

Go to OP40.
Responses listed are part of the provider specialty look-up file that works similar to a trigram
search.
Browser window should be labeled “SELECT SPECIALTY”.
Response code numbers should be stored behind the scenes and not visible in the look-up
window.

Display
Instructions:

Testing/Editing
Notes:

Display OP20 and OP20LU on the same form pane.

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 7 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP30
Item Type:
Type Class:
Answer Type:

(OP1020)
Question
Enumerated
TOPMEDPER

Help Available (MPTpHelp)
Context Header:

BLAISE NAME: OPMPTp
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
What type of medical person did {you/{PERSON}} talk to on {VISIT DATE}?
IF TALKED TO MORE THAN ONE MEDICAL PERSON, PROBE FOR MAIN PROVIDER.
HELP: F1

Responses:

ACUPUNCTURIST
CHIROPRACTOR
DENTIST/DENTAL CARE PERSON
HOMEOPATHIC/NATUROPATHIC/HERBA
LIST/OTHER
ALTERNATIVE/COMPLEMENTARY
CARE PROVIDER
MASSAGE THERAPIST
MENTAL HEALTH
COUNSELOR/MARITAL OR FAMILY
THERAPIST
MIDWIFE
NURSE/NURSE PRACTITIONER
OPTOMETRIST
PHYSICAL/OCCUPATIONAL THERAPIST
PHYSICIAN'S ASSISTANT
PODIATRIST
PSYCHOLOGIST
SOCIAL WORKER
TECHNICIAN
OTHER
REFUSED
DON'T KNOW

1
2
3
4

OP40
OP40
OP40
OP40

(OP1030)
(OP1030)
(OP1030)
(OP1030)

5
6

OP40
OP40

(OP1030)
(OP1030)

7
8
9
10
11
12
13
14
15
91
RF
DK

OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40
OP40

(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)
(OP1030)

OP - Page 8 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP40
Item Type:

(OP1030)
Question

Type Class:

Enumerated

Answer Type:

TVSTCTGRY

Help Available (VSTCTGRYHelp
Context Header:

BLAISE NAME: OPVstCat
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (OP-1)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER}-{DOC OR DEPT} {EVN-DT}

Question Text:
&OP-1.
Please look at card OP-1 and tell me which category best describes the care {you/{PERSON}} received during the visit to
{{DOC OR DEPT}/the outpatient department} at {PROVIDER} on {VISIT DATE}.
HELP: F1

Responses:

GENERAL CHECKUP
DIAGNOSIS OR TREATMENT
EMERGENCY (E.G., ACCIDENT OR
INJURY)
PSYCHOTHERAPY OR MENTAL
HEALTH COUNSELING
FOLLOW-UP OR POST-OPERATIVE VISIT
IMMUNIZATIONS OR SHOTS
VISION EXAM
{PREGNANCY-RELATED (INCLUDING
PRENATAL CARE AND DELIVERY)}
{WELL CHILD EXAM}
LASER EYE SURGERY
OTHER
REFUSED
DON'T KNOW

1
2
3

OP50
OP50
OP50

(OP1035)
(OP1035)
(OP1035)

4

OP50

(OP1035)

5
6
7
8

OP50
OP50
OP50
OP50

(OP1035)
(OP1035)
(OP1035)
(OP1035)

9
10
91
RF
DK

OP50
OP50
OP50
OP50
OP50

(OP1035)
(OP1035)
(OP1035)
(OP1035)
(OP1035)

OP - Page 9 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Display
Instructions:

Display ‘{DOC OR DEPT}’ if PROVIDER linked to this event is flagged as a facility provider and
there a doctor or department linked to this specific event. Otherwise, display ‘the outpatient
department’.
Display OP40 (OPVstCat) response option ‘8’ (PREGNANCY-RELATED (INCLUDING
PRENATAL CARE AND DELIVERY)) if person is female and aged 15-55 inclusive (or age categories
3 to 8). Otherwise, use a null display.
Display OP40 (OPVstCat) response option ‘9’ (WELL CHILD EXAM)if PERSON IS <7 YEARS
OLD (OR AGE CATEGORIES 1 TO 3). Otherwise, use a null display.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP50
Item Type:

(OP1035)
Question

Type Class:

Enumerated
TYESNO

Answer Type:

Help Available (CondHelp)
Context Header:

BLAISE NAME: OPSpecCond
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
{Other than {your/his/her} {general checkup/well child exam}, was/Was} this visit related to any specific health condition or
were any conditions discovered during this visit?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

OP - Page 10 of 24

OP60
OP70
OP70
OP70

(OP1040)
(OP1050)
(OP1050)
(OP1050)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Display
Instructions:

Display ‘Other than {your/his/her} {general checkup/well child exam}, was’ if OP40 (OPVstCat) was
coded ‘1’ (GENERAL CHECKUP) OR ‘9’ (WELL CHILD EXAM). Otherwise, display ‘Was’.
Display ‘general checkup’ if OP40 (OPVstCat) was coded ‘1’ (GENERAL CHECKUP). Display ‘well
child exam’ if OP40 (OPVstCat) was coded ‘9’ (WELL CHILD EXAM).

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP60
Item Type:
Type Class:

(OP1040)
Question

Answer Type:

TCONDITION

Enumerated

BLAISE NAME: OPCondRoster
Field kind: Datafield
ArrayMin:
Answers allowed: 99 ArrayMax:

Help Available (CondHelp)
Context Header:

Min value:

Field Size:

Show Card (

)

Max value:

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER}-{DOC OR DEPT} {EVN-DT}

Question Text:
What conditions were discovered or led {you/ {PERSON}} to make this visit?
PROBE: Any other condition?
ENTER ALL THAT APPLY
CRTL-A:ADD
CRTL-E:EDIT
CRTL-D:DELETE
HELP: F1

Responses:

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

1
2
3
4
5

OP - Page 11 of 24

OP70
OP70
OP70
OP70
OP70

(OP1050)
(OP1050)
(OP1050)
(OP1050)
(OP1050)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Programmer
Instructions:

Display
Instructions:

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 Allow
Roster definition:
Display the Person-Medical-Conditions-Roster for selection and addition of one or many medical
condition(s) associated with this event. Display name of medical condition (COND.CONDNAM).
Roster filter:
Display all conditions on person's roster; no filter.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP70
Item Type:
Type Class:

(OP1050)
Question

Answer Type:

TYESNO

Enumerated

Help Available (SurgProcHelp)
Context Header:

BLAISE NAME: OPSurgProc
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

)

Max value:

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER}-{DOC OR DEPT} {EVN-DT}

Question Text:
Was a surgical procedure performed on {you/{PERSON}} during this visit?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

OP - Page 12 of 24

OP80
OP80
OP80
OP80

(OP1060)
(OP1060)
(OP1060)
(OP1060)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP80
Item Type:

(OP1060)
Question

Type Class:

Enumerated

Answer Type:

TMEDSVCTYPE

Help Available (MedServHelp)
Context Header:

BLAISE NAME: CodeAllOPSvc
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 7

Show Card (OP-2)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER}-{DOC OR DEPT} {EVN-DT}

Question Text:
&OP-2.
Looking at card OP-2, which of these services, if any, did {you/ {PERSON}} have during this visit?
ENTER ALL THAT APPLY
HELP: F1

Responses:

LABORATORY TESTS
SONOGRAM OR ULTRASOUND
X-RAYS
MAMMOGRAM
MRI OR CATSCAN
EKG, ECG, OR EEG
VACCINATION
NONE OF THESE SERVICES RECEIVED
REFUSED
DON'T KNOW

1
2
3
4
5
6
7
95
RF
DK

OP - Page 13 of 24

OP90
OP90
OP90
OP90
OP90
OP90
OP90
OP90
OP90
OP90

(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)
(OP1070)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Outpatient Department (OP) Section
(Que

Soft check:
If OP80 (CodeAllOPSvc) is 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 {MALE/CHILDREN 17 AND YOUNGER}.
VERIFY AND RE-ENTER."
Display 'MALES' 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 OP80 (CodeAllOPSvc) code '95' (NONE OF THESE SERVICES RECEIVED), 'RF'
(REFUSED), and 'DK' (DON'T KNOW) alone only. These responses may not be selected
with any other response.
'NONE OF THESE SERVICES RECEIVED' is not displayed on show card.
Hard check:
Edit: If OP80 (CodeAllOPSvc) is coded ‘95’ (NONE OF THESE SERVICES RECEIVED),
no other treatment categories can be coded. If interviewer selects another code with 'NONE
OF THESE SERVICES', display the following message: "NONE OF THESE SERVICES
RECEIVED CANNOT BE SELECTED WITH OTHER OPTIONS. VERIFY AND REENTER."

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 14 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP90
Item Type:
Type Class:
Answer Type:

(OP1070)
Question
Enumerated
TYESNO

Help Available (MEDPRESHelp)
Context Header:

BLAISE NAME: OPPmed
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
During this visit, were any medicines prescribed for {you/{PERSON}}? Please include only prescriptions which were filled.
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 15 of 24

OP100
BOX_20
BOX_20
BOX_20

(OP1075)
(OP1085)
(OP1085)
(OP1085)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP100
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(OP1075)
Question
Enumerated

BLAISE NAME: OPPmedRoster
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}-{DOC OR DEPT} {EVN-DT}

Question Text:
Please tell me the names of the prescriptions from this visit that were filled.
PROBE: Any other prescribed medicines from this visit 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

OP - Page 16 of 24

BOX_20
BOX_20
BOX_20
BOX_20
BOX_20

(OP1085)
(OP1085)
(OP1085)
(OP1085)
(OP1085)

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Programmer
Instructions:

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 OP100 for this event)

Display
Instructions:

Roster 3- Add/Edit/Delete Allowed.
Roster definition:
This item displays the Person’s-Prescription-Medicines-Roster for selection and addition of prescribed
medicines. Display name of prescribed medicine (DRUG.DRUGMANE)
Roster filter:
Display all medicines on person's roster; no filter.

Testing/Editing
Notes:

BOX_20

Route Details:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

(OP1085)

Item Type: Route

Type Class: If Then

If no condition is associated with this visit to this provider for this person, go to BOX_50.
Otherwise, continue with BOX_30.

OP - Page 17 of 24

MEPS_V2

Outpatient Department (OP) Section
(Rout

Full Detail Spec

BOX_30

Route Details:

(OP1090)

Item Type: Route

Type Class: If Then

If 1 or more visits to this provider for this person have not completed the Outpatient
Department (OP) Utilization section, continue with BOX_40.
Note: If provider is a facility provider, check all events to the same facility provider
regardless of the doctor or department linked to the specific events).
Otherwise, go to BOX_50.

BOX_40

Route Details:

(OP1095)

Item Type: Route

Type Class: If Then

If this event is not part of a flat fee group, continue with OP110.
Otherwise, go to BOX_50.

OP - Page 18 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP110
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(OP1100)
Question
Enumerated

BLAISE NAME: OPOthSameCond

TYESNO

)

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} {EVN-DT}

Question Text:
Earlier I recorded that {you/{PERSON}} had some other visits to an outpatient department at {PROVIDER}. {Were any of
these visits related to {your/his/her} {PERSON’S OP MEDICAL CONDITION}?/Were any of the other visits also for
{your/his/her} {PERSON’S OP MEDICAL CONDITION} or {PERSON’S OP MEDICAL CONDITION} {or {PERSON’S
OP MEDICAL CONDITION}}?/Were any of the other visits also for one of these conditions (READ CONDITIONS
BELOW):}
{CONDITIONS
{PERSON'S OP MEDICAL CONDITION}1
{PERSON'S OP MEDICAL CONDITION}2
{PERSON'S OP MEDICAL CONDITION}3
{PERSON'S OP MEDICAL CONDITION}4
{PERSON'S OP MEDICAL CONDITION}N}

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

OP - Page 19 of 24

OP120
BOX_50
BOX_50
BOX_50

(OP1110)
(OP1120)
(OP1120)
(OP1120)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Outpatient Department (OP) Section
(Que

{DOC OR DEPT} should not display in context header.
Display ‘Were any of these visits related to {your/his/her} {PERSON’S OP MEDICAL
CONDITION}?’ if only one condition selected or added to Person’s-Medical-Conditions-Roster at
OP60. Display ‘Were any of the other visits also for {your/his/her} {PERSON’S OP MEDICAL
CONDITION} or {PERSON’S OP MEDICAL CONDITION} {or {PERSON’S OP MEDICAL
CONDITION}}?’ if exactly 2 or 3 conditions selected or added to Person’s-Medical-Conditions-Roster
at OP60. Otherwise, display ‘Were any of the other visits also for one of these conditions (READ
CONDITIONS BELOW):”
Display ‘or {PERSON’S OP MEDICAL CONDITION’ if exactly 3 conditions selected or added to
Person’s-Medical-Conditions-Roster at OP60 (PCondRoster) Otherwise, use a null display.
For ‘PERSON’S OP MEDICAL CONDITION’ display the condition selected from or added to
PERSON’S-MEDICAL-CONDITIONS-ROSTER AT OP60 (PCondRoster).
Display the header ‘CONDITIONS’ and the list of conditions if more than three conditions selected or
added to Person’s-Medical-Conditions-Roster at OP60 (PCondRoster). Otherwise, use a null display.
FOR ‘PERSON’S OP MEDICAL CONDITION’, DISPLAY ALL CONDITIONS SELECTED FROM
OR ADDED TO PERSON’S-MEDICAL-CONDITIONS-ROSTER AT OP60 (PCondRoster).

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

OP - Page 20 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec
OP120
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(OP1110)
Question
Enumerated

BLAISE NAME: OPRepVstRoster
Field kind: Datafield

ArrayMin:

Field Size:
TMONTHDAYYEAR 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} {EVN-DT}

Question Text:
{Which of the following visits were also for {your/{PERSON}’s} {PERSON’S OP MEDICAL CONDITION} {{or
{your/his/her}/,} {PERSON’S OP MEDICAL CONDITION}} {or {your/his/her} {PERSON’S OP MEDICAL
CONDITION}}?/ Which of the following visits were also for one of these conditions (READ CONDITIONS BELOW)?}
PROBE: Any other visits for the same condition?
ENTER ALL THAT APPLY
{CONDITIONS
{PERSON'S OP MEDICAL CONDITION}1
{PERSON'S OP MEDICAL CONDITION}2
{PERSON'S OP MEDICAL CONDITION}3
{PERSON'S OP MEDICAL CONDITION}4
{PERSON'S OP MEDICAL CONDITION}N}

Responses:

{SELECT ALL EVENTS}
{MONTH,DAY,YEAR} - {DOC OR DEPT}1
{MONTH,DAY,YEAR} - {DOC OR DEPT}2
{MONTH,DAY,YEAR} - {DOC OR DEPT}3
{MONTH,DAY,YEAR} - {DOC OR DEPT}4
{MONTH,DAY,YEAR} - {DOC OR
DEPT}N

0
1
2
3
4
5

OP - Page 21 of 24

OP130
OP130
OP130
OP130
OP130
OP130

(OP1115)
(OP1115)
(OP1115)
(OP1115)
(OP1115)
(OP1115)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Outpatient Department (OP) Section
(Que

If coded '0' SELECT ALL EVENTS, CAPI should automatically select all of the events
displayed on the roster and flag as being part of the repeat visit group.
Flag each visit selected at OP120 as a repeat visit related to the event being asked about.
(NOTE: The event being cycled on through this OP section administration is the “stem”
repeat visit. The events selected at OP120 are the “leaves”. The event driver (ED) section
will not serve these repeat visits for the OP section.)
Assign next repeat visit number at the household level. (NOTE: Each repeat visit grouping,
whether OP, MV, or HH is assigned this number at a household level. The number will start
over every round.)
Roster behavior:
1. Multiple select allowed.

Display
Instructions:

{DOC OR DEPT} should not display in context header.
Roster 2-no add/edit/delete
Roster filter:
Display only those event 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 (regardless of the doctor or
department linked to the specific event if provider is a facility provider).
5. Event is not already flagged as part of a flat fee bundle.
Next to each event date, display the doctor or department linked to that specific visit date.
Display ‘Which of the following visits were also for {your/{PERSON}’s} {PERSON’S OP MEDICAL
CONDITION} {{or {your/his/her}/,} {PERSON’S OP MEDICAL CONDITION}} {or {your/his/her}
{PERSON’S OP MEDICAL CONDITION}}?’ if three or less conditions selected or added to
Person’s-Medical-Conditions-Roster at OP60. Otherwise display, ‘Which of the following visits were
also for one of these conditions (READ CONDITIONS BELOW)?’
Display ‘{or {your/his/her}/,} {PERSON’S OP MEDICAL CONDITION}’ if two or three conditions
selected or added to Person’s-Medical-Conditions-Roster at OP60 (PCondRoster). Otherwise, use a
null display.
Display “or {your/his/her}” if exactly two conditions selected or added to Person’s-MedicalConditions-Roster at OP60 (PCondRoster). Otherwise, display ‘,’.
Display ‘or {your/his/her} {PERSON’S OP MEDICAL CONDITION}’ if exactly three conditions
selected or added to Person’s-Medical-Conditions-Roster at OP60 (PCondRoster). Otherwise, use a
null display.
For ‘PERSON’S OP MEDICAL CONDITION’ display the condition selected from or added to
Person’s-Medical-Conditions-Roster AT OP60 (PCondRoster).
Display the header ‘CONDITIONS’ and the list of conditions if more than three conditions selected or
added to Person’s-Medical-Conditions-Roster at OP60. Otherwise, use a null display. For
‘PERSON’S OP MEDICAL CONDITION’, display all conditions selected from or added to Person’sMedical-Conditions-Roster at OP60 (PCondRoster).
For "MONTH,DAY,YEAR" in the response option area, display visit dates as "MON DD, YYYY".
Abbreviate the month name as three letters.

OP - Page 22 of 24

MEPS_V2

Outpatient Department (OP) Section
(Que

Full Detail Spec

Display the response option '0' SELECT ALL EVENTS when there is more than one event to display
on the roster, otherwise use a null display.

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

Testing/Editing
Notes:

BLAISE NAME: OPEvntVstGrp

OP130
Item Type:

(OP1115)
Question

Type Class:

String

Answer Type:

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

)

Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size: 30

Show Card (

)

Look Up File (

)

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

Question Text:
INTERVIEWER: RECORD 'NAME OF REPEAT VISIT GROUP' FOR EVENTS SELECTED IN PREVIOUS QUESTION:

BOX_50

Responses:

Display
Instructions:

Testing/Editing
Notes:

BOX_50

Route Details:

(OP1120)

{DOC OR DEPT} should not display in context header.

Variable collected at MEPSSpring2018.OP_Main
Variable stored at MEPSSpring2018_Event.OP_Main

(OP1120)

Item Type: Route

Type Class: If Then

Go to the Charge/Payment (CP) section if it needs to be asked for this outpatient
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.
Otherwise, go to Event Driver (ED) section.

OP - Page 23 of 24

MEPS_V2
Full Detail Spec

Outpatient Department (OP) Section
(Rout

[End of OP]

OP - Page 24 of 24