Attachment 40 Attachment 40 – HC Dental Care Section

SpecWriter Data

Form Version:

9/8/2017 2:59:13 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

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

DN - Page 1 of 6

MEPS_V2

Dental Visit (DN) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(DN1000)

Item Type: Route

01 Box = BOX_00, BOX_10
08 Multiple Select = DN10, DN20
20 OS Text Field = DN20OS

DN10
Item Type:

(DN1001)
Question

Type Class:

Enumerated

Answer Type:

TDVisType

BLAISE NAME: CodeAllDNProvTp
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 5

Help Available (CodeAllDNProvHelp)
Context Header:

Type Class: If Then

Show Card (DN-1)

Look Up File (

)

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

Question Text:
&DN-1.
Looking at card DN-1, what type of dental care provider did {you/{PERSON}} see during this visit?
PROBE: Any other type of dental care person?
ENTER ALL THAT APPLY
HELP: F1

Responses:

GENERAL DENTIST
PEDIATRIC DENTIST
DENTAL SPECIALIST (E.G,
ORTHODONTIST, ENDODONTIST,
PERIODONTIST)
DENTAL HYGIENIST
OTHER
REFUSED
DON'T KNOW

1
2
3

DN20
DN20
DN20

(DN1005)
(DN1005)
(DN1005)

4
91
RF
DK

DN20
DN20
DN20
DN20

(DN1005)
(DN1005)
(DN1005)
(DN1005)

DN - Page 2 of 6

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Dental Visit (DN) Section
(Que

For specifications purposes only (CAPI handles automatically) : CAPI does not allow RF or
DK in combination with any other code.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.DN_Main
Variable stored at MEPSSpring2018_Event.DN_Main

DN - Page 3 of 6

MEPS_V2

Dental Visit (DN) Section
(Que

Full Detail Spec
DN20
Item Type:
Type Class:
Answer Type:

(DN1005)
Question
Enumerated
TDentSvc

Help Available (DentProcHelp)
Context Header:

BLAISE NAME: CodeAllDNSvc
Field kind: Datafield

ArrayMin:

Field Size:
Answers allowed: 13 ArrayMax:

Show Card (DN-2)

Min value:
Max value:

Look Up File (

)

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

Question Text:
&DN-2.
Looking at card DN-2, what did {you/{PERSON}} have done during this visit?
PROBE: What else was done?
ENTER ALL THAT APPLY.
HELP: F1

Responses:

GENERAL EXAM, CHECKUP, OR
CONSULTATION
CLEANING, PROPHYLAXIS, OR
POLISHING, PERIODONTAL RECALL
VISIT (PERIODIC OR REGULAR)
X-RAYS, RADIOGRAPHS, OR BITEWINGS
FLUORIDE TREATMENT
SEALANT (PLASTIC COATINGS ON
BACK TEETH)
FILLINGS, INLAYS, CROWNS OR CAPS
ROOT CANAL
PERIODONTAL SCALING, ROOT
PLANING, OR GUM SURGERY
EXTRACTION, TOOTH PULLED OR
OTHER ORAL SURGERY
IMPLANTS
FIXED BRIDGES, DENTURES OR
REMOVABLE PARTIAL DENTURES,
RELINING OR REPAIR OF BRIDGES OR
DENTURES
ORTHODONTIA, BRACES, OR
RETAINERS
OTHER
REFUSED
DON'T KNOW

1
2

3
4
5
6
7
8
9
10
11

12
91
RF
DK

DN - Page 4 of 6

MEPS_V2

Dental Visit (DN) Section
(Que

Full Detail Spec

Programmer
Instructions:

If code ‘91’ (OTHER) entered alone or in combination with any other code, continue with
DN20OS.
Otherwise, go to BOX_10.
Headings and code categories will appear in the response pane (except for DIAGNOSTIC OR
PREVENTIVE and ORAL SURGERY which are programmatically included in the info
pane, but will look like they are part of the response list pane), on the help screen and show
card DN-2. Headings should be associated with codes as follows:
*DIAGNOSTIC OR PREVENTIVE = CODES 1-5
*RESTORATIVE OR ENDODONTIC = CODES 6-7
*PERIODONTIC (GUM TREATMENT) = CODE 8
*ORAL SURGERY = CODES 9-10
*PROSTHETICS = CODES 11
*ORTHODONTICS = CODE 12
*ADDITIONAL PROCEDURES = CODE 91
The response pane should contain two even columns (as possible) with headers directly above
response categories.
The headers should be underlined.
For specifications purposes only (CAPI handles automatically): CAPI does not allow RF or
DK in combination with any other code.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.DN_Main
Variable stored at MEPSSpring2018_Event.DN_Main

BLAISE NAME: DNSvcOS
Field kind: Datafield
ArrayMin:

DN20OS
Item Type:
Type Class:

(DN1010)
Question

Answer Type:

{Continuous Answer.} Answers allowed: 1

Help Available (

String

Min value:

Field Size: 25

)

Show Card (

ArrayMax:

Max value:

)

Look Up File (

Question Text:
SPECIFY: OTHER TYPE OF DENTAL CARE:

Responses:
REFUSED
DON'T KNOW

RF
DK

DN - Page 5 of 6

BOX_10

(DN1025)

BOX_10
BOX_10

(DN1025)
(DN1025)

)

MEPS_V2

Dental Visit (DN) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

BOX_10

Route Details:

Variable collected at MEPSSpring2018.DN_Main
Variable stored at MEPSSpring2018_Event.DN_Main

(DN1025)

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.
Otherwise, go to the event driver (ED) section.

[End of DN]

DN - Page 6 of 6