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Language:
English
WESSQL6.MEPS_V2
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This is the cover page. Additional contents currently project specific.
EV - Page 1 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_00
Route Details:
(EV1000)
Item Type: Route
Type Class: If Then
01 Box - BOX_00, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60, BOX_70,
BOX_80, BOX_90, BOX_100, BOX_110, BOX_120, BOX_130, BOX_140, BOX_150,
BOX_160
02 Loop - LOOP_10, LOOP_20, LOOP_30
03 End Loop - END_LP10, END_LP20, END_LP30
04 Single Select - EV50, EV60, EV80, EV110, EV130, EV150, EV180, EV200, EV230,
EV250
05 Single Select with Display Roster - EV70_01
06 Single Select with Fill in Answer Text - EV10, EV20, EV100, EV170, EV220
10 Multiple Select with Fill in Answer Text - EV90, EV160, EV210
16 Date Picker - EV30, EV40
31 Date Item Single Field = EV120, EV140, EV190, EV240, EV260
24 Information Screen - EV15, EV25
Grid 1 - EV70_01
Roster 2 - EV10, EV90, EV100, EV160, EV170, EV210, EV220
23 Text Field = EV45
BOX_10
Route Details:
(EV1001)
Item Type: Route
Type Class: If Then
Context header display instructions:
Display PERS .FULLNAME, PROV.DRFNAM, PROV.LORPNAME (if EVNT.PROVNUM
^= -1), EVNT.EVNTTYPE (if set), EVNT.EVNTBEGM, D (EVNTBEGM only for HH),
(PRND.BEGREFMM, DD for OM), EVNT.EVNTENDM, D (if EVNT = HS ),
(PRND.ENDREFMM, DD for OM).
When creating an event, set the following:
1. Round the event was created in
2. The question number the event was created at
EV - Page 2 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_20
(EV1005)
Route Details:
Type Class: If Then
Item Type: Route
If coming from Calendar (CA) Section, Event Follow-Up (EF) Section, or from Off Path
route, continue with EV10.
Otherwise (coming from EE section, where Person is already known), go to EV20.
BLAISE NAME: EvntPersRoster
EV10
Item Type:
(EV1010)
Question
Type Class:
Enumerated
Answer Type:
TFIRSTMIDLASTNA Answers allowed: 1
Help Available (
)
Field kind: Datafield
ArrayMin:
Min value:
ArrayMax:
Max value:
Field Size:
Show Card (
)
Look Up File (
)
Question Text:
{INTERVIEWER: SELECT CORRECT PERSON FOR THIS EVENT.}
{{Next I need to enter some basic information about the health care visits from the records you have for the
people in this household.} Let’s {start/continue} with this {next} record. Please tell me who {(else)} this record is
for.}
Responses:
{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N
1
2
3
4
5
EV - Page 3 of 48
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Roster behavior:
1. Single select only.
If person selected at EV10 has NOT reported at least one ‘1’ (YES, HAS RECORD TYPE) at
CA30_01 through CA30_08, go to EV15. Otherwise, go to EV20.
NOTE TO PROGRAMMER: For each person selected at EV10 without at least one value of 1
(YES, HAS RECORD TYPE) at CA30_01 through CA30_08, CAPI will display this person’s name
at either PP10 or PP170 in a fill.
Display
Instructions:
Roster 2 - no add/edit/delete
Roster definition:
Display the RU members-Roster for selection.
Roster filter:
No filter; display all RU members.
-Display “INTERVIEWER: SELECT CORRECT PERSON FOR THIS EVENT” if coming
from the Off path route or the Event Follow-Up (EF) Section. Otherwise, use a null display.
Display paragraph “{Next I need … this record is for?}” if coming from Calendar (CA) Section.
Otherwise, use a null display.
-Display ‘Next I need to enter some basic information about the health care visits from the
records you have for the people in this household.’ if first time going through LOOP_30 in CA
section, otherwise, use null display.
-Display “start” if first time EV10 is being asked. Otherwise, display “continue.”
Display “next” if CA100 was coded ‘1’ (YES) to loop again. Otherwise, use a null display.
Display “(else)” if CA90 was coded ‘1’ (YES) to loop again for this record. Otherwise, use a
null display.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 4 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV15
Item Type:
Type Class:
Answer Type:
Help Available (
(EV1015)
Question
Enumerated
TContinue
)
BLAISE NAME: ProbeReminder
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 1
ArrayMax:
Max value:
Show Card (
)
Look Up File (
)
Question Text:
At the moment, we‘re going to focus on {{you}/{and} {NAMES OF PEOPLE WITH RECORDS}} since you have
records to help you report {your/their} health care. We’ll talk about health care for {you/{PERSON }} a little later
in the interview. I will remind you when we get to that section.
PRESS 1 AND ENTER TO CONTINUE.
Responses:
CONTINUE
Programmer
Instructions:
Go to BOX_160.
NOTE TO PROGRAMMERS: A person level variable needs to store the response to EV15. If
EV15 has a value, the Provider Probes section (PP10 or PP170) will use the information to
determine a fill display for a person in the family or non-family subunit item sequence.
Display
Instructions:
Display the RU members’ names that have at least 1 record reported at CA30_01-CA30_08.
Display RU member’s name (or you for respondent) selected at EV10 who didn’t report at
least one record ‘1’ (YES HAS RECORD) at CA30_01-CA30_08.
Display ‘you” if the respondent has reported at least 1 record at CA30_01-CA30_08.
Display “and” if both the respondent and another RU member has at least 1 record reported
at CA30_01 –CA30_08.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 5 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV20
Item Type:
Type Class:
Answer Type:
(EV1020)
Question
Enumerated
TEVNTTYPE2
Help Available (EvntTpHelp)
Context Header:
BLAISE NAME: EvntTp
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 1
ArrayMax:
Max value:
Show Card (EV-1A,EV-1B)
Look Up File (
)
{PERSON'S FIRST MIDDLE AND LAST NAME}
Question Text:
&
EV-1{A/B}
{Looking at show card EV-1{A/B}, at what type of place did {you/{PERSON}} receive the care?/
Looking at show card EV-1{A/B}, tell me if {you/{PERSON}} received the care at {a hospital/a hospital
emergency room/home/a residential or long term care facility} or at some other type of place listed on the card?}
REFER TO QUICK REFERENCE GUIDE FOR EVENT TYPE FOLLOW-UP PROBES.
HELP: F1
Responses:
HOSPITAL (HS)
HOSPITAL EMERGENCY ROOM (ER)
HOSPITAL OUTPATIENT DEPARTMENT
(OP)
DENTAL OFFICE (DN)
MEDICAL PROVIDER OFFICE OR CLINIC
(MV)
CARE RECEIVED AT HOME (HH)
RESIDENTIAL OR LONG TERM CARE
FACILITY (IC)
{GLASSES/CONTACT LENSES}
{OTHER MEDICAL EXPENSES}
1
2
3
BOX_30
BOX_30
BOX_30
(EV1030)
(EV1030)
(EV1030)
4
5
BOX_30
BOX_30
(EV1030)
(EV1030)
6
7
EV50
BOX_30
(EV1050)
(EV1030)
8
9
EV - Page 6 of 48
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
If coming from Calendar (CA) or Event Follow-Up (EF) and coded ‘8’
(GLASSES/CONTACTS), create an OM(E) record “GLASSES/CONTACTS” and go to
BOX_160.
If coming from Off Path Section (OF) and coded ‘8’ (GLASSES/CONTACTS), display the
following message “RECORD THE PURCHASE OF GLASSES IN THE OM SECTION IF
AT (OR BEFORE) THE OM SECTION FOR THIS PERSON. OTHERWISE, MAKE A
COMMENT.” and then go to BOX_160.
If coming from Calendar (CA) or Event Follow-Up (EF) and coded ‘9’ (OTHER MEDICAL
EXPENSES), go to EV25.
If coming from Off Path Section (OF) and coded ‘9’ (OTHER MEDICAL EXPENSES),
display the following message “RECORD THE PURCHASE OF OTHER MEDICAL
EXPENSES IN THE OM SECTION IF AT (OR BEFORE) THE OM SECTION FOR THIS
PERSON. OTHERWISE, MAKE A COMMENT.” and then go to BOX_160.
Display
Instructions:
If coming from Off Path Route, Calendar (CA) or Event Follow-Up (EF) sections, display ‘B’.
Otherwise, display ‘A’. If coming from Off Path Route, Calendar (CA) or Event Follow-Up (EF)
sections, display response options for “GLASSES/CONTACT LENSES” and “OTHER MEDICAL
EXPENSES” Otherwise, use a null display.
Display “Looking at show card EV-1{A/B}, tell me if {you/{PERSON}} received the care at…”
If the event is coming from PP10, PP170, PP20, PP180, PP140, PP300, PP150, PP310, or if
coming from the EE section and EE30=1 and the instance of EE is launched from any of those
questions (PP10, PP170, PP20, PP180, PP140, PP300, PP150, PP310) AND
Display “a hospital” if coming from PP10 or PP170, or if coming from EE30, and EE30=1 and
instance of EE was launched from PP10 or PP170.
Display “a hospital emergency room” if coming from PP20 or PP180 or if coming from EE30
and EE30=1 and instance of EE was launched from PP20 or PP180.
Display “at home” if coming from PP140 or PP300 or if coming from EE30 and EE30=1 and
instance of EE was launched from PP140 or PP300.
Display “a residential or long term care facility” if coming from PP150 or PP310 or if coming
from EE30 and EE30=1 and instance of EE was launched from PP150 or PP310.
Otherwise, display "Looking at show card EV-1{A/B}, at what type of place did {you/{PERSON}}
receive the care?}
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 7 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV25
Item Type:
(EV1025)
Question
Enumerated
Type Class:
Answer Type:
TContinue
Help Available (
Context Header:
)
BLAISE NAME: OMReminder
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}
Question Text:
At this time we are just recording visits to health care providers. I have recorded this information and will
remind you to tell me about {your/{PERSON}’s} medical purchases at a later point in the interview.
PRESS 1 AND ENTER TO CONTINUE.
Responses:
CONTINUE
Programmer
Instructions:
Go to BOX_160.
NOTE TO PROGRAMMERS: A person level variable needs to store the response to EV25. If
EV25 has a value, the Other Medical Expenses (OM) Section will use the information to
determine a question display for the person being cycled on through the OM section.
Display
Instructions:
Testing/Editing
Notes:
BOX_30
Route Details:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
(EV1030)
Item Type: Route
Type Class: If Then
Ask Provider Roster (PV) section for this event.
At completion of the PV section, go to BOX_40.
EV - Page 8 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_40
(EV1035)
Route Details:
Item Type: Route
Type Class: If Then
If event type is HS or IC, continue with EV30.
Otherwise, go to EV40.
EV30
Item Type:
(EV1040)
Question
Type Class:
Enumerated
Answer Type:
TContinueEmpty
Help Available (
Context Header:
)
BLAISE NAME: HSICDatePicker
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}{STR-DT}{END-DT}{EV} {NAME
OF MEDICAL CARE PROVIDER......}
Question Text:
When {were/was} {you/{PERSON}} admitted to and discharged from {PROVIDER}? If {you/he/she} went
more than once, please tell me all stays between {START DATE} and {END DATE}.
PRESS 1 AND ENTER TO LAUNCH DATE PICKER.
Responses:
CONTINUE
EMPTY
Empty
EV - Page 9 of 48
BOX_60
(EV1070)
BOX_60
(EV1070)
)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Launch range date picker when ‘1’ (CONTINUE) is selected. CAPI will copy the dates selected
at this instance of EV and move it into the Event Array. Control Variables must be set so that
the dates selected at this instance are saved, to be used later in the EV section. Set a
variable (e.g. CurrEventsIDs) to a dash delimited string with all EventIDs created at this EV30
instance.
Ideally, although these dates will be saved to the event array once FI moves past this screen,
if FI was to back up, we would like for the dates that were selected during this instance to
display as active and editable, with the option of “cancel” to move away and keep backing
up or going forward without making any changes. If an FI backs-up over EV30, the ‘1’
(CONTINUE) should be emptied out so that the FI must select ‘1’ again to launch the
datepicker. The datepicker should not automatically display during back-up and moving
forward.
Hard Check: Before an interviewer moves off EV30 for the first time during this instance,
there should be a check to determine that at least 1 event date was added at the datepicker. If
at least one date was not added, display the datepicker and the message “At least one stay
must be added.”
Edit check: If round 1 only, allow an admit date of one year prior to the start of the person's
reference period begin date (BegRefM, BegRefD, BegRefY).
At completion of date picker, go to BOX_60.
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 10 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV40
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1045)
Question
Enumerated
TContinueEmpty
)
BLAISE NAME: OthEvntDatePicker
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}{STR-DT}{END-DT} {EV} {NAME
OF MEDICAL CARE PROVIDER......}-{DOC or DEPT}
Question Text:
When did {you/{PERSON}} visit {PROVIDER} - {DOC or DEPT}? Please tell me all the dates between
{START DATE} and {END DATE}.
PRESS 1 AND ENTER TO LAUNCH DATE PICKER.
Responses:
CONTINUE
EMPTY
Empty
EV - Page 11 of 48
BOX_60
(EV1070)
BOX_60
(EV1070)
)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Launch standard date picker when ‘1’ (CONTINUE) is selected. CAPI will copy the dates
selected at this instance of EV and move it into the Event Array. Control Variables must be
set so that the dates selected at this instance are saved, to be used later in the EV section. Set a
variable (e.g. CurrEventsIDs) to a dash delimited string with all EventIDs created at this
EV40 instance.
Ideally, although these dates will be saved to the event array once FI moves past this screen, if
FI was to back up, we would like for the dates that were selected during this instance to
display as active and editable, with the option of “cancel” to move away and keep backing up
or going forward without making any changes. If an FI backs-up over EV40, the ‘1’
(CONTINUE) should be emptied out so that the FI must select ‘1’ again to launch the
datepicker. The datepicker should not automatically display during back-up and moving
forward.
Hard Check: Before an interviewer moves off EV40 for the first time during this instance,
there should be a check to determine that at least 1 event date was added at the datepicker. If
at least one date was not added, display the datepicker and the message “At least one visit
must be added.”
Note: The datepicker will only display the dates within the person's reference period.
At completion of date picker go to BOX_60.
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 12 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV50
Item Type:
Type Class:
Answer Type:
(EV1050)
Question
Enumerated
THHTYPE
Help Available (HHEvntTpHelp)
Context Header:
BLAISE NAME: HHEvntTp
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}{STR-DT}{END-DT}
Question Text:
Thinking about the health care {you/{PERSON}} received at home, was the person who provided the care a friend or
neighbor, a relative, a volunteer, or some type of provider who was paid? Please do not include health care received from
friends or relatives living here.
PROBE: Do you have a brochure, folder, binder of papers, telephone listing, or anything which might help?
NOTE: SELECT ONLY ONE TYPE OF PROVIDER AT THIS TIME.
HELP: F1
Responses:
FRIEND/NEIGHBOR
RELATIVE
VOLUNTEER
OTHER - PAID
VOLUNTEER: MEAL DELIVERY SERVICE
1
2
3
4
5
EV - Page 13 of 48
EV70_01
EV70_01
EV70_01
EV60
BOX_160
(EV1065)
(EV1065)
(EV1065)
(EV1055)
(EV1235)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
If coded ‘1’ (FRIEND/NEIGHBOR):
-Add ‘FRIEND(S) OR NEIGHBOR(S)’ to the RU-medical-providers-roster, persontype-provider name column. No address information is necessary.
If coded ‘2’ (RELATIVE):
-Add ‘RELATIVE(S)’ to the RU-medical-providers-roster, person-type-provider
name column. No address information is necessary.
If coded ‘3’ (VOLUNTEER):
-Add ‘VOLUNTEER(S)’ to the RU-medical-providers-roster, person-type-provider name
column. No address information is necessary.
If coded ‘5’ (VOLUNTEERED: MEAL DELIVERY SERVICE), create an event record with HH as
the event type and the only attribute for this record is VOLUNTEERED: MEAL DELIVERY
SERVICE. No other information is necessary.
If EV50 is coded '1' (FRIEND/NEIGHBOR), '2' (RELATIVE), or '3' (VOLUNTEER), flag provider as
‘INFORMAL’ for PROV.HHTYPE (this will have to be replaced when we know what variable it
is being stored as).
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
EV - Page 14 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV60
Item Type:
(EV1055)
Question
Enumerated
Type Class:
Answer Type:
TSELFAGEN
Help Available (
Context Header:
)
BLAISE NAME: EvntAgencySelf
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} {STR-DT}{END-DT}
Question Text:
Did this person work for a home health agency, hospital, or nursing home or did they work for themselves?
PROBE: Do you have a brochure, folder, binder of papers, telephone listing, or anything which might help?
Responses:
WORKED FOR AGENCY, HOSPITAL, OR
NURSING HOME
WORKED FOR SELF
REFUSED
DON'T KNOW
1
BOX_50
(EV1060)
2
RF
DK
BOX_50
BOX_50
BOX_50
(EV1060)
(EV1060)
(EV1060)
Display
Instructions:
Testing/Editing
Notes:
BOX_50
Route Details:
Variable collected at MEPSSpring2018.EV_Main
Variable stored at MEPSSpring2018.EV_Main
(EV1060)
Item Type: Route
Type Class: If Then
Ask Provider Roster (PV) section for this event.
If EV60 is coded '1' (WORKED FOR AGENCY, HOSPITAL, OR NURSING HOME),
flag provider just collected in PV section as ‘AGENCY’ for PROV.HHTYPE.
If EV60 is coded '2' (WORKED FOR SELF), 'RF' (REFUSED), or 'DK' (DON'T KNOW),
flag provider just collected in PV section as ‘PAID INDEPENDENT’ for PROV.HHTYPE.
(After flagging, continue with EV70_01.)
EV - Page 15 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV70_01
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1065)
Question
Enumerated
TYESNO
)
BLAISE NAME: HHMth1
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}{STR-DT}{END-DT} {EV}{NAME
OF MEDICAL CARE PROVIDER…}
Question Text:
Did {someone from} {PROVIDER} provide home care services for {you/{PERSON}}…
…during the month of {MONTH_1}?
Responses:
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
EV - Page 16 of 48
)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Preloaded Grid Type 1- forced navigation including EV70_01, EV70_02, EV70_03, EV70_
04…, EV70_N.
If the current round interview month is coded ‘1’ (YES), the HH utilization section will not be
asked this round and set the status of this event to ‘95’ (OPEN HH EVENT) to be followed
up on in the next round.
Grid must accommodate at least 10 months.
‘RF’ (REFUSED) and ‘DK’ (DON’T KNOW) are allowed for EV70_01, EV70_02, EV70_
03, EV70_04…, EV70_N. However, they will be treated as a ‘NO’ when creating events.
For each month that is coded '1' (YES), CAPI will create one event for that person-provider
pair.
Go to BOX_160.
Display
Instructions:
Roster 1 Report.
Display Months
Col#1 Header: Months
Instructions: Display months according to specifications in roster filter.
Roster Filter:
Display all months in person’s reference period including the previous round interview
month.
If, however, the previous round interview month was already coded ‘YES’ during the
previous interview do not display here. Display the subsequent month. Display the following
variable question text wording in person’s reference period for the months following the first:
EV70_02. How about in {MONTH_2}?
EV70_03. How about in {MONTH_3}?
EV70_04. …during the month of {MONTH_4}?
EV70_N. How about in {MONTH_N}?
Repeat variable question text for EV70_01EV70_N for months beyond.
Display “Did {someone from} {PROVIDER} provide home care services for…” in black
bold text for every fourth question in this grid, otherwise, display in lighter grayed-out text.
Display ‘someone from’ if provider is a facility. Otherwise, use a null display.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EV_Main.EV70_table.EV70[1..10]
Variable stored at MEPSSpring2018.EV_Main.EV70_table.EV70[1..10]
EV - Page 17 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_60
(EV1070)
Route Details:
Item Type: Route
Type Class: If Then
If event was created at EV20 and was coded ‘2’ (HOSPITAL EMERGENCY ROOM),
continue with EV80.
If event was created at EV20 and was coded ‘1’ (HOSPITAL STAY), go to EV150.
If event was created at EV20 and was coded ‘7’ (RESIDENTIAL/LONG TERM CARE
FACILITY), go to EV200.
Otherwise, go to BOX_160.
EV80
Item Type:
(EV1075)
Question
Type Class:
Enumerated
Answer Type:
TYESNO
Help Available (
Context Header:
)
BLAISE NAME: HSFollowER
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 1
Show Card (
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME} {EV} {NAME OF MEDICAL CARE
PROVIDER…}
Question Text:
Did {any of} {your/PERSON}’s} {visit/visits} to the emergency room lead to an admission to the hospital on the
same day or the next day?
Responses:
)
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
EV - Page 18 of 48
BOX_160
BOX_160
BOX_160
(EV1235)
(EV1235)
(EV1235)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Use the variable CurrEventIDs created at EV40. If CurrEventIDs consists of exactly one
EventID then use a null display for the first fill and display "visit" for the second fill. If
CurrEventIDs consists of more than one EventID, then display "any of" for the first fill and
display "visits" for the second fill.
If EV80 is coded ‘1’ (YES) and more than one emergency room (ER) event record at EV40
in this pass through the EV section, continue with EV90.
If EV80 is coded ‘1’ (YES) and exactly one emergency room (ER) event record at EV40 in
this pass through the EV section, auto-code that ER event at EV90 and then go to LOOP_10.
If EV80 is coded ‘1’ (YES), create another event record for the person currently looping on
this instance of the EV section and the type is an HS event. The provider and date will be
collected in LOOP_10 for this newly created linked HS event.
Display
Instructions:
Display “any of” if more than 1 ER event record at EV40 in this pass through the EV section.
Otherwise, use a null display.
Display “visit” if exactly 1 ER event record at EV40 in this pass through the EV section.
Otherwise, display “visits”.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.Follow_Lead
Variable not stored
EV - Page 19 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV90
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1080)
Question
Enumerated
BLAISE NAME: ERLinkRoster1
Field kind: Datafield
ArrayMin:
Field Size:
TMTHDAYYRPROV Answers allowed: 99 ArrayMax:
)
Show Card (
)
Max value:
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME} {EV} {NAME OF MEDICAL CARE
PROVIDER…}
Question Text:
Which emergency room visit or visits were followed by a hospital stay?
ENTER ALL THAT APPLY.
Date
Provider
Responses:
Min value:
{MONTH, DAY, YEAR} {PROVIDER}1
{MONTH, DAY, YEAR} {PROVIDER}2
{MONTH, DAY, YEAR} {PROVIDER}3
{MONTH, DAY, YEAR} {PROVIDER}4
{MONTH, DAY, YEAR} {PROVIDER}N
1
2
3
4
5
EV - Page 20 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Use the variable CurrEventIDs created at EV40 to be able to list the correct response options
for event dates and provider names.
For each ER visits selected at EV90, create another event record. The event type is HS, and
the person is the RU member in the context header. The two events are linked in BOX_90.
Go to LOOP_10.
Roster Behavior:
1. Multiple select allowed.
Display
Instructions:
Roster type 2- no add/edit/delete allowed
Roster definition:
Display only ER events that were just recorded at EV40 in this current pass through the EV
section.
The headings Date and Provider should appear in the response pane located directly above
the {MONTH, DAY, YEAR} and {PROVIDER} displayed in two columns.
Roster Filter:
Display only those events with the following characteristics:
1. Event was created this round.
2. Event is for this person.
3. Event has event type of ‘ER’
4. Event recorded at EV40 in this current pass through the EV section.
Testing/Editing
Notes:
LOOP_10
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LinkRoster
Variable not stored/div>
(EV1085)
Item Type: Route
Type Class: Begin Loop
For each ER event selected at EV90 as being followed by a hospital stay event on this
person medical-events roster, ask BOX_70-END_LP10.
Loop definition: LOOP_10 cycles on each ER event selected at EV90 as being followed by
a hospital stay event. Cycle (ask BOX_70-END_LP10) on all events that meet the following
conditions:
-Event type is ER and was selected at EV90.
EV - Page 21 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_70
(EV1090)
Route Details:
(EV1093)
Question
Type Class:
Enumerated
Answer Type:
TMDYMDYProv
Context Header:
Type Class: If Then
Check to see if any HS events have been recorded with has an admit date after the ER visit
date selected at EV90 that is currently being looped on, for person being looped on. If
person has reported at least one HS event that meets this criteria, go to EV100, otherwise,
go to EV110.
EV100
Item Type:
Help Available (
Item Type: Route
)
BLAISE NAME: HSLinkRoster1
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} {STR-DT}{END-DT} {EV} {NAME
OF MEDICAL CARE PROVIDER…}
Question Text:
Which hospital stay followed {your/{PERSON}’s} emergency room visit to {PROVIDER} on {VISIT DATE}?
Admit date Discharge date Provider
Responses:
)
HOSPITAL STAY NOT YET RECORDED
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 1
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 2
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 3
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 4
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} N
0
1
2
3
4
5
EV - Page 22 of 48
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Roster behavior:
1. Single select allowed.
If HS event selected, go to BOX_90. If EV100 is coded ‘0’ (HOSPITAL STAY NOT
LISTED) go to EV110.
Display
Instructions:
Roster 2 - no add/edit/delete
Roster definition:
This item displays all HS events reported for this person during this round.
The headings Admit Date, Discharge date, and Provider should appear in the response pane
located directly above the {MONTH, DAY, YEAR} {MONTH, DAY, YEAR} and
{PROVIDER} displayed in three columns.
Roster Filter:
Display only those events with the following characteristics:
1. Event was created this round or was created in the immediate previous round and had a
discharge date of ‘95’ (STILL IN HOSPITAL).
2. Event is for this person.
3. Event has event type of ‘HS’.
4. Event has an admit date after the ER visit date selected at EV90 that is currently being
looped on.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.LinkRoster
Variable not stored
EV - Page 23 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV110
Item Type:
(EV1095)
Question
Enumerated
Type Class:
Answer Type:
TYESNO
Help Available (
Context Header:
)
BLAISE NAME: ERHSSameProv1
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} {STR-DT}{END-DT} {EV}{NAME
OF MEDICAL CARE PROVIDER…}
Question Text:
Was the hospital stay that followed {your/{PERSON}’s} emergency room visit on {VISIT DATE} also to
{PROVIDER}?
Responses:
YES
NO
REFUSED
DON'T KNOW
Programmer
Instructions:
If coded ‘1’ (YES), ‘RF’ (REFUSED), or ‘DK’ (DON’T KNOW), link the HS event record
in process of being created to the same provider as the ER event being looped on.
Display
Instructions:
Testing/Editing
Notes:
BOX_80
Route Details:
1
2
RF
DK
EV120
BOX_80
EV120
EV120
(EV1110)
(EV1105)
(EV1110)
(EV1110)
Display the "VISIT DATE" selected at EV90.
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.SameProv
Variable not stored
(EV1105)
Item Type: Route
Type Class: If Then
Ask Provider Roster (PV) section for this event. Link the HS event record being created to
the provider added or selected in the PV section.
At completion of the PV section, continue with EV120.
EV - Page 24 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV120
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1110)
Question
Date
BLAISE NAME: HSBegDate
Field kind: Datafield
Field Size:
{Continuous Answer.} Answers allowed: 1
)
Show Card (
ArrayMin:
Min value:
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} after
{your/{PERSON}’s} emergency room visit on {VISIT DATE} {also} to {ER EVENT PROVIDER}?
PRESS ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.
ENTER ADMIT DATE:
EV130
Responses:
EV - Page 25 of 48
(EV1115)
)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Hard check: The HS admittance date entered at EV120 should be on or within 5 days after the
ER visit date selected at EV90 and currently being cycled on. If the admittance date for the
hospital stay is >6 days after the ER visit, display the following message: "HOSPITAL STAY
FOLLOWING THIS ER VISIT ON {VISIT DATE} MUST HAVE BEEN ON OR WITHIN
5 DAYS AFTER THE {VISIT DATE}. CORRECT DATE ON BACK-UP TO EV80
(HSFollowER) AND DO NOT LINK THIS HOSPITAL STAY TO THIS ER VISIT. THE
HOSPITAL STAY SHOULD BE ENTERED AS A STAND-ALONE EVENT."
Hard check: The admittance date entered at EV120 should be after the ER visit selected at
EV90, and is currently being cycled on. If the admittance date entered is before the ER visit,
display the following message: HOSPITAL STAY THAT FOLLOWED THE EMERGENCY
ROOM VISIT ON {VISIT DATE} CANNOT BEGIN AFTER {VISIT DATE}. HOSPITAL
STAY THAT FOLLOWED THE ER VISIT MUST HAVE BEEN ON OR WITHIN 5
DAYS AFTER {VISIT DATE}. CORRECT DATE OR BACK-UP TO EV90
(ERLinkRoster1) AND DO NOT LINK THIS HOSPITAL STAY TO THE ER VISIT. THE
HOSPITAL STAY SHOULD BE ENTERED AS A STAND-ALONE EVENT."
Hard check: If date entered is before the RU member's reference period, display the following
message: 'YOU MUST SELECT AN ADMITTANCE DATE WITHIN THE REFERENCE
PERIOD'.
Display
Instructions:
Display EV120, EV130, and EV140 on the same form pane.
Display “also” if EV110 is coded ‘1’ (YES), otherwise use null display. Display “VISIT DATE” if
looping on more than one date in LOOP_10.
For {HS EVENT PROVIDER} display the provider name of the HS event currently looping on
selected or added at EV100.
For {ER EVENT PROVIDER} display the provider name of the ER event selected at EV90.
Display the date field for the Admit date here. The FI should be able to either type in the full date or use
the pop-up calendar. Pressing the alt and down arrow key, would bring up the pop- up calendar
defaulted to display the month of the ER visit. Once the FI selects the date on the pop-up calendar,
CAPI will fill in the date in this format:
/__ /____ , pressing enter to continue will take the FI to the next screen.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.BegDate
Variable not stored
EV - Page 26 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV130
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1115)
Question
Enumerated
BLAISE NAME: StillInHS
Field kind: Datafield
Field Size:
TADMDTDISCDT3_ Answers allowed: 1
)
Show Card (
ArrayMin:
Min value:
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME} {EV} {NAME OF MEDICAL CARE
PROVIDER….}
Question Text:
[What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} after
{your/{PERSON}’s}emergency room visit on {VISIT DATE} {also} to {ER EVENT PROVIDER}?]
PRESS 1 AND ENTER TO SELECT A DISCHARGE DATE. PRESS 95 TO INDICATE PERSON IS STILL IN THE
HOSPITAL.
Responses:
Display
Instructions:
DISCHARGE DATE
STILL IN THE HOSPITAL
1
95
EV140
BOX_90
(EV1117)
(EV1120)
Display EV120, EV130, and EV140 on the same form pane.
For {HS EVENT PROVIDER} display the provider name of the HS event currently looping on
selected or added at EV100.
For {ER EVENT PROVIDER} display the provider name of the ER event selected at EV90.
Display “What date were…” in brackets and lighter grayed out text.
Testing/Editing
Notes:
)
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.StillIn
Variable not stored
EV - Page 27 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV140
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1117)
Question
Date
BLAISE NAME: HSEndDate
Field kind: Datafield
Field Size:
{Continuous Answer.} Answers allowed: 1
)
Show Card (
ArrayMin:
Min value:
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME} {EV} {NAME OF MEDICAL CARE PROVIDER….}
Question Text:
[What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} after
{your/{PERSON}’s}emergency room visit on {VISIT DATE} {also} to {ER EVENT PROVIDER}?]
PRESS THE ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.
DISCHARGE DATE:
BOX_90
Responses:
EV - Page 28 of 48
(EV1120)
)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Hard check: Discharge date must be on or after Admit date. If the FI selects a date before
the Admit date display: DISCHARGE DATE MUST ON OR AFTER ADMITTANCE DATE.
CONFIRM DATES WITH RESPONDENT.
Hard check: If date entered is after the RU member's reference period, display the following
message: 'YOU MUST SELECT A DISCHARGE DATE WITHIN THE REFERENCE
PERIOD'.
Display
Instructions:
Display EV120, EV130, and EV140 on the same form pane.
For {HS EVENT PROVIDER} display the provider name of the HS event currently looping on
selected or added at EV100.
For {ER EVENT PROVIDER} display the provider name of the ER event selected at EV90.
Display the date field for the discharge date here. The FI should be able to either type in the
full date or use the pop-up calendar. Pressing the Alt and down arrow key, will bring up the
pop-up calendar defaulted to display the month of the ER visit. Once the FI selects the date
on the pop-up calendar, CAPI will fill in the date in this format:
/ /
, pressing enter to continue will take the FI to the next screen. Display “What date
were…” in brackets and lighter grayed out text.
Testing/Editing
Notes:
BOX_90
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.EndDate
Variable not stored
(EV1120)
Item Type: Route
Type Class: If Then
Create ER-HS link between ER event being looped on and HS event selected/created at
EV100-EV140. Set the LinkedTo variable for the ER event to the EventID of the HS event
and vice versa.
Continue with END_LP10.
EV - Page 29 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
END_LP10
(EV1125)
Route Details:
Item Type: Route
Type Class: End Loop
Cycle on next ER event in Person’s-Medical-Events-Roster that meets the conditions stated
in the loop definition.
If no more ER events meet the stated conditions, end LOOP_10 and go to BOX_160.
EV150
Item Type:
(EV1130)
Question
Type Class:
Enumerated
Answer Type:
TYESNO
Help Available (
Context Header:
)
BLAISE NAME: ERLeadHS
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} {STR-DT} {END-DT} {EV} {NAME
OF MEDICAL CARE PROVIDER…}
Question Text:
Did a visit to the emergency room lead to {any of} {your/{PERSON}’s} admission{s} to the hospital that began
on {ADMIT DATE}?
Responses:
)
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
EV - Page 30 of 48
BOX_160
BOX_160
BOX_160
(EV1235)
(EV1235)
(EV1235)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
If EV150 is coded ‘1’ (YES) and more than 1 HS event recorded at EV30 in this pass through
of the EV section, continue with EV160.
If EV150 is coded ‘1’ (YES) and exactly 1 HS event recorded at EV30 in this pass through
the EV section, auto-code that HS event at EV160 and go to LOOP_20.
If EV150 is coded ‘1’ (YES), create another event record for the person currently looping on
this instance of the EV section and the type is an ER event. The provider and date will be
collected in LOOP_20 for this newly created linked ER event.
Display
Instructions:
Testing/Editing
Notes:
Use the variable CurrEventIDs created at EV30. If CurrEventIDs consists of exactly one
EventID then use a null display for the first fill and display “admission” for the second fill. If
CurrEventIDs consists of more than one EventID, then use "any of" for the first fill and
display “admissions” for the second fill.
Variable collected at MEPSSpring2018.EVMain.Box60.Follow_Lead
Variable not stored
BLAISE NAME: HSLinkRoster2
EV160
Item Type:
(EV1135)
Question
Type Class:
Enumerated
Field Size:
TMTHDAYYRPROV Answers allowed: 99 ArrayMax:
Answer Type:
Help Available (
Context Header:
)
Field kind: Datafield
Show Card (
ArrayMin:
)
Max value:
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} {END-DT} {EV} {NAME
OF MEDICAL CARE PROVIDER…}
Question Text:
Which hospital stay(s) were preceded by a visit to the emergency room?
ENTER ALL THAT APPLY.
Admit Date Discharge Date Provider
Responses:
Min value:
{MONTH, DAY, YEAR} {PROVIDER}1
{MONTH, DAY, YEAR} {PROVIDER}2
{MONTH, DAY, YEAR} {PROVIDER}3
{MONTH, DAY, YEAR} {PROVIDER}4
{MONTH, DAY, YEAR} {PROVIDER}N
1
2
3
4
5
EV - Page 31 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Use the variable CurrEventIDs created at EV30 to be able to list the correct response options
for event dates and provider names.
For each HS stay selected at EV160, create another event record. The event type is ER, and
the person is the RU member in the context header. The two events are linked in BOX_120.
Go to LOOP_20.
Roster behavior:
1. Multi-select allowed.
Display
Instructions:
Roster type 2- no add/edit/delete allowed
Roster definition:
This item displays all HS events reported for this person during this round.
The headings Admit Date, Discharge Date, and Provider should appear in the response pane
located directly above the {MONTH, DAY, YEAR} {MONTH, DAY, YEAR} and
{PROVIDER} displayed in three columns.
Roster filter:
Display only those events with the following characteristics:
1. Event was created this round.
2. Event is for this person.
3. Event has event type “HS”.
4. Event recorded at EV30 in this current pass through the EV section.
Testing/Editing
Notes:
LOOP_20
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LinkRoster
Variable not stored/div>
(EV1140)
Item Type: Route
Type Class: Begin Loop
For each HS event selected at EV160 as being preceded by an emergency room event on
this person’s medical-events-roster, ask BOX_100-END_LP20.
Loop definition: LOOP_20 cycles on each HS event selected at EV160 as being preceded
by an emergency room event. Cycle (BOX_100-END_LP20) on all events that meet the
following conditions:
-Event type is HS and was selected at EV160.
EV - Page 32 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_100
(EV1145)
Route Details:
Type Class: If Then
Item Type: Route
Check to see if any ER events with a visit date that are not after the HS admit date
selected at EV160, have been recorded for person being looped on. If person has reported
at least one ER event that meet this criteria, go to EV170, otherwise, go to EV180.
BLAISE NAME: ERLinkRoster2
EV170
Item Type:
(EV1150)
Question
Type Class:
Enumerated
Answer Type:
TMONTHDAYYEAR Answers allowed: 1
Help Available (
Context Header:
)
Field kind: Datafield
ArrayMin:
Min value:
ArrayMax:
Max value:
Field Size:
Show Card (
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
Which emergency room visit led to {your/{PERSON}’s} admission on {ADMIT DATE}?
Date Provider
Responses:
ER VISIT NOT YET RECORDED
{MONTH, DAY, YEAR} {PROVIDER} 1
{MONTH, DAY, YEAR} {PROVIDER} 2
{MONTH, DAY, YEAR} {PROVIDER} 3
{MONTH, DAY, YEAR} {PROVIDER} 4
{MONTH, DAY, YEAR} {PROVIDER} N
0
1
2
3
4
5
EV - Page 33 of 48
)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Roster behavior:
1. Single select only.
If ER event is selected, go to BOX_120. If EV170 is coded ‘0’ (EMERGENCY ROOM
VISIT NOT LISTED), go to EV180.
Display
Instructions:
Roster 2 – No add/edit/delete allowed
Roster definition:
Display all ER events reported for this person in this round.
The headings Date and Provider should appear in the response pane located directly above
the {MONTH, DAY, YEAR} and {PROVIDER} displayed in two columns.
Roster filter:
Display only those events with the following characteristics.
1. Event was created this round.
2. Event is for this person.
3. Event has event type of ‘ER’.
4. Event visit date is not after the HS admit date selected at EV160.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.LinkRoster
Variable not stored
EV180
Item Type:
(EV1155)
Question
Type Class:
Enumerated
Answer Type:
TYESNO
Help Available (
Context Header:
)
BLAISE NAME: ERHSSameProv2
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} {STR-DT} {END-DT} {EV} {NAME OF
MEDICAL CARE PROVIDER…}
Question Text:
Was the emergency room visit that led to {your/{PERSON}’s} hospital stay that started on {ADMIT DATE} also to
{PROVIDER}?
Responses:
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
EV - Page 34 of 48
EV190
BOX_110
EV190
EV190
(EV1165)
(EV1160)
(EV1165)
(EV1165)
)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
If coded ‘1’ (YES), ‘RF’ (REFUSED), or ‘DK’ (DON’T KNOW), link event in process of
being created to the same provider as the HS event being looped on.
Programmer
Instructions:
Display
Instructions:
Display the {ADMIT DATE} of the HS event selected at EV160.
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.SameProv
Variable not stored
Testing/Editing
Notes:
BOX_110
(EV1160)
Route Details:
Item Type: Route
Type Class: If Then
Ask Provider Roster (PV) section for this event. Link the ER event being created to the
provider added or selected in the PV section.
At completion of the PV section, continue with EV190.
BLAISE NAME: ERDate
Field kind: Datafield
ArrayMin:
EV190
Item Type:
(EV1165)
Question
Type Class:
Date
Answer Type:
{Continuous Answer.} Answers allowed: 1
Help Available (
Context Header:
)
Min value:
Field Size:
Show Card (
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
What date did {you/{PERSON}} visit the emergency room at {ER EVENT PROVIDER} that led to {your/his/her} hospital
stay on {ADMIT DATE} {also} to {HS EVENT PROVIDER}?
PRESS THE ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.
BOX_120
Responses:
EV - Page 35 of 48
(EV1170)
)
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Hard check: The emergency room visit date entered at EV190 should be <=5 days prior to the
admit date of the hospital stay selected at EV160 and is currently being cycled on. If the visit
date entered is >6 days prior to the admit date of this HS stay, display the following message:
"EMERGENCY ROOM VISIT LEADING TO THIS HOSPITAL STAY ON {ADMIT
DATE} MUST HAVE BEEN ON OR WITHIN 5 DAYS BEFORE {ADMIT DATE}.
CORRECT DATE OR BACK-UP TO EV150 (ERLeadHS) AND DO NOT LINK THIS ER
VISIT TO THE HOSPITAL STAY. THE ER VISIT SHOULD BE ENTERED AS A
STAND-ALONE EVENT."
Hard check: The emergency room visit date entered at EV190 should be before the admit date
of the hospital stay selected at EV160 and is currently being looped on. If the visit date
entered is after the admit date of the HS stay, display the following message: "EMERGENCY
ROOM VISIT LEADING TO HOSPITAL STAY ON {ADMIT DATE} CANNOT BEGIN
AFTER {ADMIT DATE}. ER VISIT LEADING TO HS STAY MUST HAVE BEEN ON
OR WITHIN 5 DAYS BEFORE {ADMIT DATE}. CORRECT DATE OR BACK-UP TO
EV150 (ERLeadHS) AND DO NOT LINK THIS ER VISIT TO THE HOSPITAL STAY.
THE ER VISIT SHOULD BE ENTERED AS A STAND-ALONE EVENT."
Hard check: If date entered is before the RU member's reference period, display the following
message: 'YOU MUST SELECT A VISIT DATE WITHIN THE REFERENCE PERIOD'.
Display
Instructions:
Display “also” if EV180 is coded ‘1’ (YES), otherwise use null display.
Display the date field for the visit date here. The FI should be able to either type in the full date or use
the pop-up calendar. Pressing the alt and down arrow key, will bring up the pop-up calendar defaulted
to display the month of the ER visit. Once the FI selects the date on the pop-up calendar, CAPI will fill
in the date in this format:
/ /
, pressing enter to continue will take the FI to the next screen
For {ER EVENT PROVIDER} display the provider name of the ER event currently looping on
selected or added at EV170.
For {HS EVENT PROVIDER} display the provider name for the HS event selected at EV160.
Testing/Editing
Notes:
BOX_120
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.BegDate
Variable not stored
(EV1170)
Item Type: Route
Type Class: If Then
Create HS-ER link between HS event being looped on and ER event selected/created at
EV170-EV190. Set the LinkedTo variable for the HS event to the EventID of the ER event
and vice versa.
Continue with END_LP20.
EV - Page 36 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
END_LP20
(EV1175)
Route Details:
Item Type: Route
Type Class: End Loop
Cycle on next HS event in Person’s Medical-Events-Roster that meets the conditions stated
in the loop definition.
If no more HS events meet the stated conditions, end LOOP_20 and go to BOX_160.
EV200
Item Type:
Type Class:
(EV1180)
Question
Answer Type:
TYESNO
Help Available (
Context Header:
Enumerated
)
BLAISE NAME: ICFollowHS
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 1
Show Card (
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME}{EV}{NAME OF MEDICAL CARE
PROVIDER…}
Question Text:
Did an admission to the hospital lead to {any of} {your/{PERSON}’s}} stay{s} at {PROVIDER}?
Responses:
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
EV - Page 37 of 48
BOX_160
BOX_160
BOX_160
(EV1235)
(EV1235)
(EV1235)
)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Use the variable CurrEventIDs created at EV30. If CurrEventIDs consists of exactly one
EventID then use a null display for the first fill and display "stay" for the second fill. If
CurrEventIDs consists of more than one EventID, then display "any of" for the first fill and
display "visits" for the second fill.
If EV200 is coded ‘1’ (YES) and more than 1 IC event recorded at EV30 in this pass through
the EV section, continue with EV210.
If EV200 is coded ‘1’ (YES) and exactly 1 IC event recorded at EV30 in this pass through the
EV section, auto-code that IC event at EV210 and go to LOOP_30.
If EV200 is coded ‘1’ (YES), create event record for person currently looping on where the
event type is HS. Provider and date will be collected in LOOP_30 for this newly created
linked HS event.
Display
Instructions:
Display “any of” and “s” on stays if more than 1 IC event record at EV30 in this pass through
the EV section. Otherwise, use a null display.
For {PROVIDER} display the name of the IC provider currently being looped on.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.Follow_Lead
Variable not stored
EV - Page 38 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV210
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1185)
Question
Enumerated
{User Defined.}
)
BLAISE NAME: ICLinkRoster
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 99 ArrayMax:
Show Card (
)
Max value:
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME} {EV} {NAME OF MEDICAL CARE
PROVIDER…}
Question Text:
Which stay(s) at {PROVIDER} was preceded by a hospital stay?
ENTER ALL THAT APPLY.
Admit Date Discharge Date Provider
Responses:
Min value:
{MONTH, DAY, YEAR} {MONTH, DAY,
YEAR} {PROVIDER}1
{MONTH, DAY, YEAR} {MONTH, DAY,
YEAR} {PROVIDER}2
{MONTH, DAY, YEAR} {MONTH, DAY,
YEAR} {PROVIDER}3
{MONTH, DAY, YEAR} {MONTH, DAY,
YEAR} {PROVIDER}4
{MONTH, DAY, YEAR} {MONTH, DAY,
YEAR} {PROVIDER}N
1
2
3
4
5
EV - Page 39 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
Programmer
Instructions:
Use the variable CurrEventIDs created at EV30 to be able to list the correct response options
for event dates and provider names.
For each IC stay selected at EV210, create another event record. The event type is HS, and
the person is the RU member in the context header. The two events are linked in BOX_150.
Go to LOOP_30.
Roster Behavior:
1. Multi-select allowed.
Display
Instructions:
Roster 2-no add/edit/delete.
Roster definition: This item displays the IC events that were just recorded at EV30 in this
current pass through of the EV section.
The headings Admit Date, Discharge date, and Provider should appear in the response pane
located directly above the {MONTH, DAY, YEAR} {MONTH, DAY, YEAR} and
{PROVIDER} displayed in three columns.
Roster filter: Display only those events with the following characteristics.
1. Event was created this round.
2. Event was created for this person.
3. Event has event type ‘IC’.
4. Event recorded at EV30 in this current pass through the EV section.
For {PROVIDER} display the name of the IC provider currently being looped on.
Testing/Editing
Notes:
LOOP_30
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LinkRoster
Variable not stored/div>
(EV1190)
Item Type: Route
Type Class: Begin Loop
For each IC event selected at EV210 as being preceded by a hospital stay event on this
person’s medical-events roster, ask BOX_130-END_LP30.
Loop definition: LOOP_30 cycles on each IC event selected at EV210 as being preceded
by a hospital stay event. Cycle (ask BOX_130-END_LP30) on all events that meet the
following conditions:
-Event type is IC and was selected at EV210.
EV - Page 40 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_130
(EV1195)
Route Details:
Check to see if any HS events that have an admit date that does not take place after the
admit date of the IC event selected at EV210 currently looping on, have been recorded for
person being looped on. If person has reported at least one HS event, that meet this
criteria, go to EV220. Otherwise, go to EV230
EV220
Item Type:
(EV1200)
Question
Type Class:
Enumerated
Answer Type:
TMDYMDYProv
Help Available (
Context Header:
Type Class: If Then
Item Type: Route
)
BLAISE NAME: HSLinkRoster3
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} {STR-DT} {END-DT}{EV} {NAME OF
MEDICAL CARE PROVIDER…}
Question Text:
Which hospital stay led to {your/{PERSON}’s} admission to {PROVIDER} on {ADMIT DATE}?
Admit Date Discharge Date Provider
Responses:
)
HOSPITAL STAY NOT YET RECORDED
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 1
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 2
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 3
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} 4
{MONTH, DAY, YEAR} {MONTH,
DAY,YEAR} {PROVIDER} N
0
1
2
3
4
5
EV - Page 41 of 48
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Roster behavior:
1. Single select only.
If HS event is selected, go to BOX_150. If EV220 is coded ‘0’ (HOSPITAL STAY NOT
LISTED), go to EV230.
Display
Instructions:
Roster 2-no add/edit/delete.
The headings Admit Date, Discharge date, and Provider should appear in the response pane
located directly above the {MONTH, DAY, YEAR} {MONTH, DAY, YEAR} and
{PROVIDER} displayed in three columns.
Roster definition:
Display all HS events linked to this person.
Roster filter:
Display only those events with the following characteristics.
1. Event was created this round or was created in the immediate previous round and had a
discharge date of ‘95’ (STILL IN HOSPITAL).
2. Event is for this person.
3. Event has event type of ‘HS’.
4. Event has an admit date that does not take place after the admit date of the IC event
selected at EV210 currently looping on.
For {PROVIDER} display the name of the IC provider currently being looped on.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.LinkRoster
Variable not stored
EV - Page 42 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV230
Item Type:
(EV1205)
Question
Enumerated
Type Class:
Answer Type:
TYESNO
Help Available (
Context Header:
)
BLAISE NAME: HSICSameProv
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} {STR-DT} {END-DT}{EV} {NAME OF
MEDICAL CARE PROVIDER…}
Question Text:
Was the hospital stay that led to {your/{PERSON}’s} admission to {PROVIDER} on {ADMIT DATE} also to
{PROVIDER}?
Responses:
YES
NO
REFUSED
DON'T KNOW
Programmer
Instructions:
If coded ‘1’ (YES), ‘RF’ (REFUSED) or ‘DK’ (DON’T KNOW), link event in process of
being created as to the same provider as the IC event being looped on.
Display
Instructions:
1
2
RF
DK
EV240
BOX_140
EV240
EV240
(EV1215)
(EV1210)
(EV1215)
(EV1215)
Display the “ADMIT DATE” for the IC event currently being looped on.
For {PROVIDER} display the name of the IC provider currently being looped on in both the question
text fill and also the context header.
Testing/Editing
Notes:
BOX_140
Route Details:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.SameProv
Variable not stored
(EV1210)
Item Type: Route
Type Class: If Then
Ask Provider Roster (PV) section for this event. Link the HS event record being created to
the provider added or selected in the PV section.
At completion of the PV section, continue with EV240.
EV - Page 43 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BLAISE NAME: HSBegDate2
Field kind: Datafield
ArrayMin:
EV240
Item Type:
(EV1215)
Question
Type Class:
Date
Answer Type:
{Continuous Answer.} Answers allowed: 1
Help Available (
Context Header:
)
Min value:
Field Size:
Show Card (
ArrayMax:
Max value:
)
Look Up File (
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} that led to
{your/his/her} stay on {ADMIT DATE} {also} to {IC EVENT PROVIDER}?
PRESS THE ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.
ENTER ADMIT DATE:
EV250
Responses:
EV - Page 44 of 48
(EV1220)
)
MEPS_V2
Full Detail Spec
Programmer
Instructions:
Event Roster (EV) Section
(Que
Hard check: The admittance date entered at EV240 should be before the IC visit selected at
EV210, and is currently being cycled on. If the HS admittance date entered is after the IC
visit, display the following message: IT IS UNLIKELY THAT THE HOSPITAL
ADMISSION DATE IS AFTER THE STAY AT {PROVIDER} ON {ADMIT DATE}.
RESPONDENT SAID THEY HAD A HOSPITAL ADMISSION BEFORE THEIR STAY
AT {PROVIDER} VISIT. CHECK TO MAKE SURE THE DATE IS CORRECT AND
MAKE THE NECESSARY CORRECTIONS.
Display the IC provider currently being looped on for {PROVIDER} for the hard check
message.
Hard check: If date entered is before the RU member's reference period, display the following
message: 'YOU MUST SELECT AN ADMITTANCE DATE WITHIN THE REFERENCE
PERIOD'.
Display
Instructions:
Display “also” if EV230 is coded ‘1’ (YES), otherwise use null display.
For {HS EVENT PROVIDER} display the provider name of the HS event selected at EV220.
For {IC EVENT PROVIDER} display the provider name of the IC event selected or added at EV220.
Display EV240, EV250, and EV260 on the same form pane.
Display the date field for the Admit date here. The FI should be able to either type in the full date or use
the pop-up calendar. Pressing the alt and down arrow key will bring up the pop- up calendar defaulted
to display the month of the IC stay. Once the FI selects the date on the pop-up calendar, CAPI will fill
in the date in this format:
/ /
, pressing enter to continue will take the FI to the next screen.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.BegDate
Variable not stored
EV - Page 45 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV250
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1220)
Question
Enumerated
BLAISE NAME: StillInHS2
Field kind: Datafield
Field Size:
TADMDTDISCDT3_ Answers allowed: 1
)
Show Card (
ArrayMin:
Min value:
ArrayMax:
Max value:
)
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
[What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} that led to
{your/his/her} stay on {ADMIT DATE} {also} to {IC EVENT PROVIDER}?]
PRESS 1 AND ENTER TO SELECT THE DISCHARGE DATE. PRESS 95 TO INDICATE PERSON IS STILL IN THE
HOSPITAL.
Responses:
Display
Instructions:
DISCHARGE DATE
STILL IN THE HOSPITAL
1
95
EV260
BOX_150
(EV1222)
(EV1225)
Display EV240, EV250, and EV260 on the same form pane.
Display “also” if EV230 is coded ‘1’ (YES), otherwise use null display.
For {HS EVENT PROVIDER} display the provider name of the HS event selected at EV220.
For {IC EVENT PROVIDER} display the provider name of the IC event selected or added at EV210.
Display “What date were…” in brackets and lighter grayed out text.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.StillIn
Variable not stored
EV - Page 46 of 48
MEPS_V2
Event Roster (EV) Section
(Que
Full Detail Spec
EV260
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:
(EV1222)
Question
Date
BLAISE NAME: HSEndDate2
Field kind: Datafield
Field Size:
{Continuous Answer.} Answers allowed: 1
)
Show Card (
ArrayMin:
Min value:
ArrayMax:
Max value:
)
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME}
Question Text:
[What date {were/was} {you/{PERSON}} admitted to and discharged from {HS EVENT PROVIDER} that led to
{your/his/her} stay on { ADMIT DATE} {also} to {IC EVENT PROVIDER}?]
PRESS THE ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.
ENTER DISCHARGE DATE:
BOX_150
Responses:
Programmer
Instructions:
(EV1225)
Hard check: Discharge date must be on or after Admit date. If the FI selects a date before the
Admit date display: DISCHARGE DATE MUST BE ON OR AFTER ADMITTANCE
DATE. CONFIRM DATES WITH RESPONDENT.
Hard check: If date entered is after the RU member's reference period, display the following
message: 'YOU MUST SELECT A DISCHARGE DATE WITHIN THE REFERENCE
PERIOD'.
Display
Instructions:
Display EV240, EV250, and EV260 on the same form pane.
For {HS EVENT PROVIDER} display the provider name of the HS event selected at EV220.
For {IC EVENT PROVIDER} display the provider name of the IC event selected or added at EV220.
Display the date field for visit date. Pressing the ALT AND DOWN arrow key will bring up the pop-up
calendar defaulted to display the month the interview is taking place. The interviewer may also
manually enter the date. Pressing enter to continue will take the FI to the next screen.
Testing/Editing
Notes:
Variable collected at MEPSSpring2018.EVMain.Box60.LOOP_.EndDate
Variable not stored
EV - Page 47 of 48
MEPS_V2
Event Roster (EV) Section
(Rout
Full Detail Spec
BOX_150
Route Details:
(EV1225)
Item Type: Route
Type Class: If Then
Create IC-HS link between IC event being looped on and HS event selected/created at
EV220-EV260. Set the LinkedTo variable for the HS event to the EventID of the IC event
and vice versa.
Continue with END_LP30.
END_LP30
Route Details:
(EV1230)
Item Type: Route
Type Class: End Loop
Cycle on next IC event in Person’s Medical-Events-Roster that meets the conditions stated
in the loop definition.
If no more IC events meet the stated conditions, end LOOP_30 and go to BOX_160.
BOX_160
Route Details:
(EV1235)
Item Type: Route
Type Class: If Then
Return to original questionnaire section in CA, EE, ED, EF, or OF.
[End of EV]
EV - Page 48 of 48
| File Type | application/pdf |
| File Modified | 2018-02-21 |
| File Created | 2017-09-22 |