Attachment 59 Attachment 59 HC Medical Provider Section

SpecWriter Data

Form Version:

9/22/2017 1:41:21 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

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

MV - Page 1 of 29

MEPS_V2

Medical Visit (MV) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(MV1000)

Type Class: If Then

Item Type: Route

01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60
04 Single Select = MV10, MV20, MV30, MV40, MV60, MV80, MV100, MV110
05 Single Select with Display Roster = MV130
06 Single Select with Fill in Answer Text = MV50
08 Multiple Select = MV90
11 Multiple Select with Add/Edit/Delete = MV70, MV120
23 Text Field = MV150
28 Trigram Lookup = MV20LU
30 Multiple Select with Fill in Answer Text and Display Roster = MV140
Roster 2 = MV140
Roster 3 = MV70, MV120

BOX_10

Route Details:

(MV1001)

Item Type: Route

Type Class: If Then

Context Header Display Instructions:
DIS PLAY 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).
If a provider is flagged as a person-provider and MV10 has already been asked for this
person-provider in this round (for any RU member), auto-code MV10 with the response
that was coded when it was first looped on and go to BOX 20.
Otherwise, continue with MV10.

MV - Page 2 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV10
Item Type:
Type Class:
Answer Type:

(MV1015)
Question
Enumerated
TYESNO

Help Available (MDDOTypes)
Context Header:

BLAISE NAME: MVSeeDoc
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:
{Is {PROVIDER} a medical doctor?/Did {you/{PERSON}} see a medical doctor during this particular visit?}
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If MV10 is coded ‘1’ (YES) and provider associated with event is a facility-provider, go to
MV20.
If MV10 is coded ‘2’ (NO), ‘RF’ or ‘DK’ and provider associated with event is a facilityprovider, go to MV30.
Otherwise, continue with BOX_20.

Display
Instructions:

Testing/Editing
Notes:

1
2
RF
DK

Display ‘Is {PROVIDER} a medical doctor?’ if Provider linked to this event is flagged as a ‘personprovider’. Otherwise, display ‘Did {you/{PERSON}} see a medical doctor during this particular visit?’

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 3 of 29

MEPS_V2

Medical Visit (MV) Section
(Rout

Full Detail Spec
BOX_20

Route Details:

(MV1017)

Item Type: Route

Type Class: If Then

If MV10 is coded ‘1’ (YES ) and provider associated with event is a person -provider, and
person-provider already has MV20/20OS (specialty) recorded this round (for any RU
member) or in a previous round (for any RU member) (preload.MVDocS pecFlag),
OR
If MV10 is coded ‘2’ (NO), ‘DK’, or ‘RF’ and provider associated with event is a person provider, and person-provider already has MV30 (provider type) recorded this round (for
any RU member) or in a previous round (for any RU member)
(preload.MVMedTypeFlag),
Go to BOX_30.
If MV10 is coded ‘1’ (YES ) and provider associated with event is a person -provider, and
person-provider does NOT already have MV20/20OS (specialty) recorded this round
(for any RU member) or in a previous round (for any RU member), go to MV20
(preload.MVDocS pecFlag).
If MV10 is coded ‘2’ (NO), ‘DK’, or ‘RF’ and provider associated with event is a person provider, and person-provider does NOT already have MV30 (provider type) recorded
this round (for any RU member) or in a previous round (for any RU member), go to
MV30 (preload.MVMedTypeFlag).

MV - Page 4 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV20
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(MV1020)
Question
Enumerated

BLAISE NAME: MVDocSpeclty
Field kind: Datafield

Field Size:
TDRSPLTY_MV_RE 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:

ALLERGY/IMMUNOLOGY
CARDIOLOGY (HEART)
DERMATOLOGY (SKIN)
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
PSYCHIATRY/PSYCHIATRIST
UROLOGY
OTHER DR SPECIALTY
REFUSED
DON'T KNOW

1
3
4
5

BOX_30
BOX_30
BOX_30
BOX_30

(MV1030)
(MV1030)
(MV1030)
(MV1030)

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

BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30

(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)

24
28
33
91
RF
DK

BOX_30
BOX_30
BOX_30
MV20LU
BOX_30
BOX_30

(MV1030)
(MV1030)
(MV1030)
(MV1023)
(MV1030)
(MV1030)

MV - Page 5 of 29

)

MEPS_V2
Full Detail Spec

Medical Visit (MV) Section
(Que

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 6 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV20LU
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(MV1023)
Question
Enumerated
TDRSPLTY

)

BLAISE NAME: MVDocSpecltyLU
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

MV - Page 7 of 29

)

MEPS_V2

Medical Visit (MV) 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 BOX_30.
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:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 8 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV30
Item Type:
Type Class:
Answer Type:

(MV1025)
Question
Enumerated
TMVMEDPER

Help Available (MPTpHelp)
Context Header:

BLAISE NAME: MVMPTp
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

BOX_30
BOX_30
BOX_30
BOX_30

(MV1030)
(MV1030)
(MV1030)
(MV1030)

5
6

BOX_30
BOX_30

(MV1030)
(MV1030)

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

BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30
BOX_30

(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)
(MV1030)

MV - Page 9 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

BOX_30

Route Details:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

(MV1030)

Type Class: If Then

Item Type: Route

IF MV10 IS CODED '1' (YES), GO TO MV50.
If MV10 is coded ‘2’ (NO), ‘RF’ or ‘DK’ and MV40 was coded ‘1’ (YES) for this person-type
provider in this round for any RU member, auto code MV40 for this event as ‘1’ (YES) and
go to MV50.
If MV10 is coded ‘2’ (NO), ‘RF’ or ‘DK’ and MV40 was coded ‘2’ (NO), ‘RF’ OR ‘DK’ for this
same person-type provider in the current round, auto code MV40 for this event with the
same response (NO, RF, DK) and go to MV50.
OTHERWISE, CONTINUE WITH MV40.

MV - Page 10 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV40
Item Type:
Type Class:
Answer Type:

(MV1035)
Question
Enumerated
TYESNO

Help Available (MDDOTypes)
Context Header:

BLAISE NAME: MVDocLoctn
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:
TYPE OF PERSON HAD CONTACT: {MEDICAL PERSON TYPE FROM MV30}
CODE WITHOUT ASKING IF OBVIOUS. OTHERWISE, ASK:
Do any medical doctors work at {the same location as {PROVIDER}/{PROVIDER}}?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

MV - Page 11 of 29

MV50
MV50
MV50
MV50

(MV1040)
(MV1040)
(MV1040)
(MV1040)

MEPS_V2
Full Detail Spec

Display
Instructions:

Medical Visit (MV) Section
(Que

Display ‘the same location as {PROVIDER}’ if provider is flagged as
‘PERSON-TYPE-PROVIDER’. Display ‘{PROVIDER}’ if provider is flagged as ‘FACILITYPROVIDER’.
For ‘MEDICAL PERSON TYPE FROM MV30’, display the following text for each code selected
at MV30 (regardless if MV30 was collected for this RU member or in a previous round)
(Provider[I]. MVMPTp):
Code ‘1’= ACUPUNCTURIST
Code ‘2’ = CHIROPRACTOR
Code ‘3’ = DENTIST/DENTAL CARE PERSON
Code ‘4’= HOMEOPATHIC/NATUROPATHIC/HERBALIST/ OTHER
ALTERNATIVE/COMPLEMENTARY CARE PROVIDER
Code ‘5’= MASSAGE THERAPIST
Code ‘6’= MENTAL HEALTH COUNSELOR/MARITAL OR FAMILY THERAPIST
Code ‘7’ = MIDWIFE
Code ‘8’ = NURSE/NURSE PRACTITIONER
Code ‘9’ = OPTOMETRIST
Code ‘10’ = PHYSICAL’/ OCCUPATIONAL THERAPIST
Code ‘11’ = PHYSICIAN’S ASSISTANT
Code ‘12’ = PODIATRIST
Code ‘13’= PSYCHOLOGIST
Code ‘14’= SOCIAL WORKER
Code ‘15’= TECHNICIAN
Code ‘91’= OTHER
Code ‘RF’= REFUSED PROVIDER TYPE
Code ‘DK’= DON’T KNOW PROVIDER TYPE

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 12 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV50
Item Type:
Type Class:
Answer Type:

(MV1040)
Question
Enumerated
TVSTCTGRY

Help Available (VSTCTGRYHelp
Context Header:

BLAISE NAME: MVVstCat
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (MV-1)

Look Up File (

)

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

Question Text:
&MV-1.
Please look at card MV-1 and tell me which category best describes the care {you/{PERSON}} received during the visit to
{ {DOC OR DEPT} 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

MV60
MV60
MV60

(MV1045)
(MV1045)
(MV1045)

4

MV60

(MV1045)

5
6
7
8

MV60
MV60
MV60
MV60

(MV1045)
(MV1045)
(MV1045)
(MV1045)

9
10
91
RF
DK

MV60
MV60
MV60
MV60
MV60

(MV1045)
(MV1045)
(MV1045)
(MV1045)
(MV1045)

MV - Page 13 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec

Display
Instructions:

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

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV60
Item Type:

(MV1045)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (CondHelp)
Context Header:

BLAISE NAME: MVSpecCond
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

MV - Page 14 of 29

MV70
MV80
MV80
MV80

(MV1050)
(MV1055)
(MV1055)
(MV1055)

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec

Display
Instructions:

Display ‘Other than {your/his/her} {general checkup/well child exam}, was’ if MV50 was coded ‘1’
(GENERAL CHECKUP) OR ‘9’ (WELL CHILD EXAM). Otherwise, display ‘Was’.
Display ‘general checkup’ if MV50 was coded ‘1’ (GENERAL CHECKUP). Display ‘well child
exam’ if MV50 was coded ‘9’ (WELL CHILD EXAM).

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV70
Item Type:
Type Class:

(MV1050)
Question

Answer Type:

TCONDITION

Enumerated

BLAISE NAME: MVCondRoster
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.
CTRL-A: ADD
CTRL-E: EDIT
CTRL-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

MV - Page 15 of 29

MV80
MV80
MV80
MV80
MV80

(MV1055)
(MV1055)
(MV1055)
(MV1055)
(MV1055)

MEPS_V2

Medical Visit (MV) 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 allowed.
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.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV80
Item Type:

(MV1055)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (SurgProcHelp)
Context Header:

BLAISE NAME: MVSurgProc
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
MV - Page 16 of 29

MV90
MV90
MV90
MV90

(MV1070)
(MV1070)
(MV1070)
(MV1070)

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV90
Item Type:

(MV1070)
Question

Type Class:

Enumerated

Answer Type:

TMEDSVCTYPE

Help Available (MedServHelp)
Context Header:

BLAISE NAME: MVSvcTp
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 7

Show Card (MV-2)

Look Up File (

)

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

Question Text:
&MV-2.
Looking at card MV-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

MV - Page 17 of 29

MV100
MV110
MV110
MV110
MV110
MV110
MV110
MV110
MV110
MV110

(MV1075)
(MV1080)
(MV1080)
(MV1080)
(MV1080)
(MV1080)
(MV1080)
(MV1080)
(MV1080)
(MV1080)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Medical Visit (MV) Section
(Que

Soft check:
If MV90 (MVSvcTp) 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 {MALES/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 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 MV90 (MVSvcTp) 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 RE-ENTER."

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 18 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV100
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(MV1075)
Question
Enumerated

BLAISE NAME: WhereLabTest
Field kind: Datafield

Field Size:
TPLACERCVLABTE 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:
Did {you/{PERSON}} receive the lab tests at {{PROVIDER/{PROVIDER}’s office}} or somewhere else?

Responses:

THIS PROVIDER
SOMEWHERE ELSE
REFUSED
DON'T KNOW

Programmer
Instructions:

NOTE: CAPI will present a follow-up question to determine whether the separate lab event
has already been recorded whenever MV100 is coded ‘2’ (SOMEWHERE ELSE).

Display
Instructions:

Testing/Editing
Notes:

1
2
RF
DK

MV110
MV110
MV110
MV110

(MV1080)
(MV1080)
(MV1080)
(MV1080)

Display ‘{PROVIDER}’ if provider associated with this event is a facility provider. Otherwise, display
‘{PROVIDER}’s office.’

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 19 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV110
Item Type:
Type Class:
Answer Type:

(MV1080)
Question
Enumerated
TYESNO

Help Available (MEDPRESHelp)
Context Header:

BLAISE NAME: MVPmed
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.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 20 of 29

MV120
BOX_40
BOX_40
BOX_40

(MV1085)
(MV1095)
(MV1095)
(MV1095)

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV120
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(MV1085)
Question
Enumerated

BLAISE NAME: MVPmedRoster
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

MV - Page 21 of 29

BOX_40
BOX_40
BOX_40
BOX_40
BOX_40

(MV1095)
(MV1095)
(MV1095)
(MV1095)
(MV1095)

MEPS_V2

Medical Visit (MV) 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 MV120 for this event)

Display
Instructions:

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

Testing/Editing
Notes:

BOX_40

Route Details:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

(MV1095)

Item Type: Route

Type Class: If Then

If no condition is associated with this visit to this provider for this person, go to BOX_60.
Otherwise, continue with BOX_50.

MV - Page 22 of 29

MEPS_V2

Medical Visit (MV) Section
(Rout

Full Detail Spec

BOX_50

(MV1100)

Route Details:

Item Type: Route

Type Class: If Then

If 1 or more visits to this provider for this person have not completed the medical
provider visits utilization module and if this event is not part of a flat fee group, continue
with MV130. 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_60.

MV130
Item Type:

(MV1105)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

BLAISE NAME: MVOthSameCond
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} {EVN-DT}

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

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

MV - Page 23 of 29

MV140
BOX_60
BOX_60
BOX_60

(MV1115)
(MV1125)
(MV1125)
(MV1125)

MEPS_V2
Full Detail Spec

Display
Instructions:

Medical Visit (MV) Section
(Que

{DOC OR DEPT} should not display in context header.
Display ‘Were any of these visits related to {your/his/her} {PERSON’S MV MEDICAL
CONDITION}?’ if only one condition selected or added to Person’s-Medical-Conditions-Roster at
MV70. Display ‘Were any of the other visits also for {your/his/her} {PERSON’S MV MEDICAL
CONDITION} or {PERSON’S MV MEDICAL CONDITION} {or {PERSON’S MV MEDICAL
CONDITION}}?’ if exactly 2 or 3 conditions selected or added to Person’s-Medical-Conditions-Roster
at MV70. Otherwise, display ‘Were any of the other visits also for one of these conditions (READ
CONDITIONS BELOW):”
Display ‘or {PERSON’S MV MEDICAL CONDITION’ if exactly 3 conditions selected or added to
Person’s-Medical-Conditions-Roster at MV70. Otherwise, use a null display.
For ‘PERSON’S MV MEDICAL CONDITION’ display the condition selected from or added to
Person’s-Medical-Conditions-Roster at MV70.
Display the header ‘CONDITIONS’ and the list of conditions if more than three conditions selected or
added to Person’s-Medical-Conditions-Roster at MV70. Otherwise, use a null display. For
‘PERSON’S MV MEDICAL CONDITION’, display all conditions selected from or added to Person’sMedical-Conditions-Roster at MV70.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 24 of 29

MEPS_V2

Medical Visit (MV) Section
(Que

Full Detail Spec
MV140
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(MV1115)
Question
Enumerated

BLAISE NAME: MVRepVstRoster
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 MV MEDICAL CONDITION} {{or
{your/his/her}/,} {PERSON’S MV MEDICAL CONDITION}} {or {your/his/her} {PERSON’S MV 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 MV MEDICAL CONDITION}1
{PERSON'S MV MEDICAL CONDITION}2
{PERSON'S MV MEDICAL CONDITION}3
{PERSON'S MV MEDICAL CONDITION}4
{PERSON'S MV 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

MV - Page 25 of 29

MV150
MV150
MV150
MV150
MV150
MV150

(MV1120)
(MV1120)
(MV1120)
(MV1120)
(MV1120)
(MV1120)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Medical Visit (MV) 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 MV140 as a repeat visit related to the event being asked about.
(NOTE: The event being cycled on through this MV section administration is the “stem”
repeat visit. The events selected at MV140 are the “leaves”. The event driver (ED) section
will not serve these repeat visits for the MV 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 definition:
This item displays all medical events (dates) on person's medical- events-roster for selection.
Display event begin date (EVNT.EVNTBEGM,EVNT.EVNTBEGD,EVNT.EVNTBEGY)
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 ‘MV’.
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 MV
MEDICAL CONDITION} {{or {your/his/her}/,} {PERSON’S MV MEDICAL CONDITION}} {or
{your/his/her} {PERSON’S MV MEDICAL CONDITION}}?’ if three or less conditions selected or
added to Person’s-Medical-Conditions-Roster at MV70. Otherwise display, ‘Which of the following
visits were also for one of these conditions (READ CONDITIONS BELOW)?’
Display ‘{or {your/his/her}/,} {PERSON’S MV MEDICAL CONDITION}’ if two or three conditions
selected or added to Person’s-Medical-Conditions-Roster at MV70. Otherwise, use a null display.
Display “or {your/his/her}” if exactly two conditions selected or added to Person’s-MedicalConditions-Roster at MV70. Otherwise, display ‘,’.
Display ‘or {your/his/her} {PERSON’S MV MEDICAL CONDITION}’ if exactly three conditions
selected or added to Person’s-Medical-Conditions-Roster at MV70. Otherwise, use a null display.
For ‘PERSON’S MV MEDICAL CONDITION’ display the condition selected from or added to
Person’s-Medical-Conditions-Roster AT MV70.
Display the header ‘CONDITIONS’ and the list of conditions if more than three conditions selected or
added to Person’s-Medical-Conditions-Roster at MV70. Otherwise, use a null display. For
‘PERSON’S MV MEDICAL CONDITION’, display all conditions selected from or added to Person’sMedical-Conditions-Roster at MV70.
For "MONTH,DAY,YEAR" in the response option area, display visit dates as "MON DD, YYYY".
Abbreviate the month name as three letters.
MV - Page 26 of 29

MEPS_V2
Full Detail Spec

Medical Visit (MV) Section
(Que

MV - Page 27 of 29

MEPS_V2

Medical Visit (MV) 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.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

BLAISE NAME: MVEvntVstGrp

MV150
Item Type:

(MV1120)
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_60

Responses:

Programmer
Instructions:
Display
Instructions:

Testing/Editing
Notes:

'RF/DK not allowed'

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

Variable collected at MEPSSpring2018.MV_Main
Variable stored at MEPSSpring2018_Event.MV_Main

MV - Page 28 of 29

(MV1125)

)

MEPS_V2

Medical Visit (MV) Section
(Rout

Full Detail Spec
BOX_60

Route Details:

(MV1125)

Item Type: Route

Type Class: If Then

Go to the Charge/Payment (CP) section if it needs to be asked for this event, i.e. its
status wasn’t set to ‘Completed’ because it was part of a Flat Fee situation where the
charges were collected in the CP section for another event in that Flat Fee group.
If the Charge/Payment (CP) section is completed for this Medical Provider Visit (MV)
event and MV100 is coded '2' (S OMEWHERE ELS E) go to EF section.
Otherwise, go to the Event Driver (ED) section.

[End of MV]

MV - Page 29 of 29