Attachment 67 Attachment 67 HC Provider Roster Section

SpecWriter Data

Form Version:

10/13/2017 1:25:18 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

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

PV - Page 1 of 49

MEPS_V2

Provider Roster (PV) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(PV1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10, BOX_20, BOX_30
04 Single Select = PV10, PV40
06 Single Select with Fill in Answer Text = PV80
12 Address-Newly Confirmed = PV50_01, PV50_02, PV50_03, PV50_04, PV50_05,
PV50_06, PV50_07, PV50_08, PV60_01, PV60_02, PV60_03, PV60_04, PV60_05,
PV60_06, PV60_07
24 Information Screen = PV15
28 Trigram Lookup = PV20LU, PV30LU
29 Single Select with Fill in Answer Text and Display Roster = PV70
Grid 1= PV20LU, PV30LU
Roster 3 = PV20LU, PV30LU, PV70, PV80

BOX_10

Route Details:

(PV1005)

Item Type: Route

Type Class: If Then

Context Header Instructions:
Display PERS.FULLNAME and EVNT.EVNTTYPE.
If the Provider Roster section is launched from the Access to Care section,
event type will not be displayed in the context header.

PV - Page 2 of 49

MEPS_V2

Provider Roster (PV) Section
(Rout

Full Detail Spec
BOX_20

(PV1010)

Route Details:

Item Type: Route

Type Class: If Then

If coming from the Event Roster and event type is MV, go to PV10.
If coming from the Event Roster section and event type is DN, go to PV80.
If coming from the Calendar section BOX_15, go to PV15. If coming from
the Calendar section BOX_18, go to PV20LU.
If coming from the Access to Care section go to PV30LU. Otherwise, go to
PV20LU.

PV10
Item Type:

(PV1015)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (
Context Header:

)

BLAISE NAME: MPPartGrp
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} {EV}

Question Text:

To the best of your knowledge, is the provider that provided the health care to
{you/{PERSON}} associated with any group practice, HMO, or clinic?
Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 3 of 49

PV20LU
PV20LU
PV20LU
PV20LU

(PV1020)
(PV1020)
(PV1020)
(PV1020)

)

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV15
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1016)
Question
Enumerated
TContinue

)

BLAISE NAME: IntroFromCA
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} {EV}

Question Text:
{{Before we discuss the health care events for each household member since {PREV RD INTV DT}/Next} I
need to update the information for {you/{PERSON}} {who {was in the hospital/was staying at a residential care
facility/was receiving care at home/when you were {in the hospital/staying at a residential care facility/receiving
care at home}} at the time of the last interview on {PREV RD INTV DT}.
PRESS 1 AND ENTER TO CONTINUE.

Responses:

Display
Instructions:

CONTINUE

PV20LU

(PV1020)

Display 'Before we discuss the health care events..." if coming from the CA section and it's the first
open event being cycled on.
Otherwise, if it's not the first open event being cycled on, display 'Next'.

Display “who {was in the hospital… at home” if the person being looped on is not the
respondent.
Otherwise, display “when you were…at home”.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 4 of 49

)

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV20LU
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1020)
Question
Enumerated
TContinueEmpty

)

BLAISE NAME: ProvLookup
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} {EV}

Question Text:
(I have a directory to look up medical providers.) To get us started, please tell me just the {last} name, the street
name, city, or the telephone number of the {individual} {or} {hospital/facility/home health agency/group
practice, HMO, or clinic} that provided health care to {you/{PERSON}}.
{SELECT ONE PROVIDER - PRESS 1 AND ENTER TO SELECT A PROVIDER./TO ADD A PROVIDER PRESS CTRL-A.}
VERIFY FULL PROVIDER NAME AND ADDRESS BEFORE SELECTING.

CTRL-A:
ADD
CTRL-E: EDIT
CTRL-D: DELETE
{{number of providers displayed} out of {total number of providers} providers shown – scroll for more}

Responses:

CONTINUE
EMPTY

Empty

PV - Page 5 of 49

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Preloaded Grid Type 2 including PV20 - Flexible navigation, allow empty.
If PV20LU is EMPTY for all of the medical providers and interviewer tries to move off of this
page display the message: “YOU MUST SELECT A MEDICAL PROVIDER BEFORE CONTINUING.
PRESS ENTER TO RETURN TO PV20LU.”
If coming from the CA section, after a provider is selected return immediately to the
calendar section.
If provider selected (PV20LU='1' for one provider) and event type is OP or MV and linked to
a facility-provider (either facility provider was selected from NPI or from the roster or PV40
is coded = '2' (FACILITY PROVIDER)), immediately go to PV70.
Otherwise, after a provider is selected (PV20LU='1' for one provider), immediately return to
the Event Roster (EV) section.
Once a provider is added, that provider should be automatically selected. If the interviewer
adds a provider, but then decides to ‘unselect’ it, another provider could be added. CTRL-A
should not work if there is already a provider selected on this screen.
Hard Check:
1. If CTRL-E is pressed for a provider that is linked to a NPI ID or the provider was added
during a previous round, display the following error message: "THIS PROVIDER CAN’T BE
EDITED BECAUSE IT WAS ADDED DURING A PREVIOUS ROUND OR IT IS LINKED TO A NPI
ID.”
2. If CTRL-D is pressed for a provider that was not added at the current question, display
the following error message: “THIS PROVIDER CAN’T BE DELETED. ONLY PROVIDERS
ADDED AT THE CURRENT QUESTION CAN BE DELETED.“
3. If the provider selected is linked to a person-provider and the event type is HS, ER,
OP or IC, display the following error message: “A FACILITY PROVIDER MUST BE
SELECTED FOR THIS EVENT TYPE. SELECT/ADD ANOTHER PROVIDER.”
4. CTRL-A: Only one provider can be selected per this instance of PV. If FI tries to back
up and add another provider, display the following hard check: ‘YOU MUST DESELECT
THE CURRENT PROVIDER TO SELECT A DIFFERENT PROVIDER TO ASSOCIATE WITH THIS
EVENT'. CAPI should go back to PV20LU.
Roster Behavior:
1. Display roster entries in the following order: Display by provider last name or facility
name. Entries that are added during the current round will appear at the bottom of the
list of entries until the next round.
Grid Behavior:
1. The ‘Type of Provider’, ‘Provider’, ‘Address’, ‘City’, ‘State’, ‘Zip Code’, ‘Phone
Number’, and ‘Editable’ are protected columns. No changes are allowed.
2. In the ‘PV20’ column, only one provider can be selected by pressing 1 and enter in
the active field for that provider.
3. In the ‘PV20’ column a provider that is not linked to an NPI ID and was added during
PV - Page 6 of 49

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

the current round, can be edited by navigating to that providers active field and
pressing CTRL-E.
4. In the ‘PV20’ column a provider that was added at the current question, can be
deleted by navigating to that providers active field and pressing CTRL-D.
5. The provider roster entries are displayed in the form pane. To maximize the number
of rows that we can display in the form pane without vertical scrolling, reduce the size
of the info pane to fit the question text displayed. Thirteen rows display at one time
before scrolling is necessary.
When CTRL-A is selected the provider directory should pop-up. The following fields should
be displayed in the look-up: Name1, Name 2, Address, City, Phone number, Taxonomy.
There should be an option on the look-up for ‘PROVIDER NOT FOUND’. When 'PROVIDER
NOT FOUND' is selected, go to BOX_30 to start the collect of provider information using
PV50_01-PV50_08 or PV60_01-PV60_07. After the completion of these questions, the
provider will be added to the medical provider roster and the interview should route back to
PV20LU. At PV20LU, the provider that was just added from PV50_01-PV50_08 or PV60_01PV60_07 should appear at the bottom of the grid with a '1' prefilled in the PV20 field.
Interviewers must press Enter to confirm their selection.
If the provider selected (either at PV20LU or within the NPI look-up window) is linked to a
person-provider and the event type is HS, ER, OP or IC, display the following error message:
“A FACILITY PROVIDER MUST BE SELECTED FOR THIS EVENT TYPE. SELECT ANOTHER
PROVIDER.” After the FI has viewed the error message they will return to the provider
directory pop-up. The same search string will still be listed in the field.
The following search rules should appear at the bottom of the pop-up: “SEARCH RULES:
⦁ Fewer words often work better than lots of words - but you
must type at least 5 letters
⦁ Unusual or unique aspects of provider name or address finds
better matches
⦁ Common identifiers (e.g., medical center, office, associates,
group, health) can increase the number of ‘extra’ matches
displayed
⦁ If searching by address - include street number and name, but
not office, suite, or room number
⦁ If searching by phone number – do not include hyphens
⦁ Review the DETAILS line at the top to verify correct selection
After the FI picks a provider and presses ‘SELECT’, the provider will appear at the bottom of
the grid with a ‘1’ prefilled in the PV20 field for this provider. FI’s must press ENTER to
confirm their selection.
When CTRL-E is selected for a person-provider that is not linked to a NPI ID and that was
added during the current round, go to PV50_01. PV50_01-PV50_08 will be used to update
the providers information. After PV50_08, update the provider roster entry and return to
PV20LU.
When CTRL-E is selected for a facility-provider that is not linked to a NPI ID and that was
added during the current round, go to PV60_01. PV60_01-PV60_09 will be used to update
the provider's information. After PV60_09, update the provider roster entry and return to
PV - Page 7 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV20LU.

When CTRL-D is selected for a provider that was added at the current question, a
verification screen will appear to confirm that the interviewer wants to delete this provider.

Display
Instructions:

Roster 3 – Add, Edit, Delete Allowed
Roster Definition:
Display the RU medical providers roster for selection of one medical provider. The ‘medical
providers roster’ excludes dental providers which is now on the ‘dental providers roster’.
Display the following columns formatted on the form pane:
Column Header #1: PV20
This field is used to select, edit, or delete a provider.
Column Header #2: Type of Provider
Display “P” to represent a person-provider, “F” to represent a facility-provider, or “F (&p)”
to represent a facility-provider ever linked to an MV or OP event AND a specific department
or a doctor.
Column Header #3: Provider
Display the first and last name of the person-provider or the name of the facility. Set
truncation length to 50 characters.
Column Header #4: Address
Display address 1 and address 2 for the provider. Set truncation length to 45 characters.
Column Header #5: City
Display the city for the provider. Set truncation length to 25 characters.
Column Header #6: State
Display the two letter state abbreviation for the provider.
Column Header #7: Zip code
Display the zip code for the provider.
Column Header #8: Phone Number
Display the telephone number for the provider
Column Header #9: Editable
Display ‘Yes’ if the provider is not linked to an NPI ID and added in the current round.
Display ‘No’ if the provider is linked to an NPI ID or if the provider was added during a
previous round (Provider[I].OrigRnd).
Roster Filter:
Exclude home health provider entries - ‘FRIEND(S) OR NEIGHBOR(S)’, ‘RELATIVE(S)’, and
‘VOLUNTEER(S)’.
Display 'last' if PV10 was coded '2' NO and the event type is MV.
Display ‘individual’ if PV10 was coded ‘2’ NO, RF, or DK OR if the event type is HH Paid
Independent.
PV - Page 8 of 49

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

Otherwise, use a null display.
Display ‘or’ if PV10 was coded DK or RF. Otherwise, use a null display. Display ‘hospital’ if the
event type is HS. Display ‘facility’ if the event type is
OP, ER, or IC. Display ‘home health agency’ if the event type is HH Agency. Display ‘group
practice, HMO, or clinic’ if PV10 was coded ‘1’ YES, DK or RF. Otherwise, use a null display.
Display ‘SELECT ONE PROVIDER - PRESS 1 AND ENTER TO SELECT A PROVIDER’ if at least one
provider appears on the roster, otherwise, if the roster is empty, display ‘TO ADD A
PROVIDER PRESS CTRL-A.
Display “{number of providers displayed} OUT OF {total number of providers} PROVIDERS
SHOWN - SCROLL TO SEE MORE" in red text only if there are more than the 13 providers,
otherwise, use null display.
Note: The display for the CTRL-A, CTRL-E, CTRL-D instructions does not follow the UI rules
for display. It will display as follows: CTRL-D will display on the same line as the second
interviewer instruction. There will not be a line separating the two interviewer instructions.
This is for maximum use of space for the form pane.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main.PV20LU_Table.PV20LU[1..120]
Variable stored at MEPSSpring2018.PV_Main.PV20LU_Table.PV20LU[1..120]

PV - Page 9 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV30LU
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1025)
Question
Enumerated
TContinueEmpty

)

BLAISE NAME: ProvLookupUSC
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:
Please give me the name of the {medical person}{,} {doctor’s office, clinic, health center, or other place} that
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about {your/his/her}
health.
PRESS 1 AND ENTER TO SELECT A PROVIDER.
VERIFY FULL PROVIDER NAME AND ADDRESS BEFORE SELECTING.
TO LAUNCH THE PROVIDER DIRECTORY AND ADD A NEW PROVIDER, PRESS CTRL-A.
CTRL-A: ADD
CTRL-E: EDIT
CTRL-D: DELETE
{{number of providers displayed} out of {total number of providers} providers shown - scroll for more}

Responses:

CONTINUE
EMPTY

Empty

PV - Page 10 of 49

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Preloaded Grid Type 2 including PV30 - Flexible navigation, allow empty.
If PV30LU is EMPTY for all of the medical providers and interviewer tries to move off of
this page, display the following message: ‘YOU MUST SELECT A MEDICAL PROVIDER
BEFORE CONTINUING. PRESS ENTER TO RETURN TO PV30LU.
If provider selected (PV30LU='1' for one provider) and it is a person-provider, immediately
return to the Access to Care section.
If provider selected (PV30LU='1' for one provider) and it is a facility-provider (either facility
provider was selected from NPI or from the roster or PV40 is coded= '2' (FACILITY
PROVIDER)), immediately go to PV70.
Flag the providers selected to the RU level provider roster that displays at PV20LU and
PV30LU.
Hard Check:
1. If CTRL-E is pressed for a provider that is linked to a NPI ID or the provider was
added during a previous round, display the following error message: "THIS
PROVIDER CAN’T BE EDITED BECAUSE IT WAS ADDED DURING A
PREVIOUS ROUND OR IT IS LINKED TO A NPI ID.”
2. If CTRL-D is pressed for a provider that was not added at the current question,
display the following error message: " THIS PROVIDER CAN’T BE DELETED.
ONLY PROVIDERS ADDED AT THE CURRENT QUESTION CAN BE
DELETED.“
Roster Behavior:
1. Display roster entries in the following order:
⦁ Display by provider last name or facility name. Entries that are added during
the current round will appear at the bottom of the list of entries until the next
round.
Grid Behavior:
1. The ‘TYPE OF PROVIDER’, ‘PROVIDER’, ‘ADDRESS’, ‘CITY’, ‘STATE’,
‘ZIP CODE’, ‘PHONE NUMBER’, and ‘EDITABLE’ are protected columns. No
changes are allowed.
2. In the ‘PV30’ column, only one provider can be selected by pressing 1 and enter
in the active field for that provider.
3. In the ‘PV30’ column a provider that is not linked to an NPI ID and was added
during the current round, can be edited by navigating to that providers active field
and pressing CTRL-E.
4. In the ‘PV30’ column a provider that was added at the current question, can be
deleted by navigating to that providers active field and pressing CTRL-D.
5. The provider roster entries are displayed in the form pane. To maximize the
number of rows that we can display in the form pane without vertical scrolling,
reduce the size of the info pane to fit the question text displayed. At a minimum, at
least 10 rows should be displayed in the form pane but 15 rows would be ideal.
When CTRL-A is selected the provider directory should pop-up.
The following fields should be displayed in the look-up: Name1, Name 2, Address,
City, Phone number, Taxonomy.
There should be an option on the look-up for ‘PROVIDER NOT FOUND’. When
'PROVIDER NOT FOUND' is selected, go to BOX_30 to start the collection of
provider information using PV50_01-PV50_08 or PV60_01-PV60_07. After the
PV - Page 11 of 49

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

completion of these questions, the provider will be added to the medical provider
roster and the interview should route back to PV30LU. At PV30LU the provider that
as just added from PV50_01-PV50_08 or PV60_01-PV60_07 should appear at the
bottom of the grid with a '1' prefilled in the PV30 field. Interviewers must press
Enter to confirm their selection.
The following search rules should appear at the bottom of
the pop-up:

“SEARCH RULES:
⦁ Fewer words often work better than lot of
words – but you must type at least 5 letters
⦁ Unusual or unique aspects of provider name
or address finds better matches
⦁ Common identifiers (e.g., medical center,
office, associates, group, health) can increase
the number of ‘extra’ matches displayed
⦁ If searching by address – include street
number and name, but not office, suite, or
room number
⦁ If searching by phone number – do not
include hyphens
⦁ Review the DETAILS line at the top to verify
correct selection
After the FI picks a provider and presses ‘SELECT’, the provider will appear at the
bottom of the grid with a ‘1’ prefilled in the PV30 field for this provider. FI’s must press
ENTER to confirm their selection.
When CTRL-E is selected for a facility-provider that is not linked to a NPI ID and that was
added during the current round , go to PV60_01. PV50_01-PV50_08 will be used to
update the provider's information. After PV50_08, update the provider roster entry and
return to PV30LU.
When CTRL-E is selected for a person-provider that is not linked to a NPI ID and that
was added during the current round, go to PV50_01. PV50_01-PV50_08 will be used to
update the provider's information. After PV50_08, update the provider roster entry and
return to PV30LU.
When CTRL-D is selected for a provider that was added at the current question, a
verification screen will appear to confirm that the interviewer wants to delete this provider.

Display
Instructions:

Roster 3 – Add, Edit, Delete Allowed
Roster Definition:
Display the RU medical providers roster for selection of one medical provider. The
PV - Page 12 of 49

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

‘medical providers roster’ excludes dental providers which is now on the ‘dental
providers roster’. Display the following columns formatted on the form pane:
Column Header #1: PV30
This field is used to select, edit, or delete a provider.
Column Header #2: Type of Provider
Display “P” to represent a person-provider, “F” to represent a facility-provider, or
“F (&p)” to represent a facility-provider ever linked to an MV or OP event AND a
specific department or a doctor.
Column Header #3: Provider
Display the first and last name of the person-provider or the name of the facility.
Set truncation length to 50 characters.
Column Header #4: Address
Display address 1 and address 2 for the provider. Set truncation length to 45
characters.
Column Header #5: City
Display the city for the provider. Set truncation length to 25 characters.
Column Header #6: State
Display the two letter state abbreviation for the provider.
Column Header #7: Zip code
Display the zip code for the provider.
Column Header #8: Phone Number
Display the telephone number for the provider
Column Header #9: Editable
Display ‘Yes’ if the provider is not linked to an NPI ID. Display ‘No’ if the provider is
linked to an NPI ID.
Roster Filter:
-Exclude home health provider entries - ‘FRIEND(S) OR
NEIGHBOR(S)’, ‘RELATIVE(S)’, and ‘VOLUNTEER(S)'.
Display ‘medical person’ if AC30 is coded ‘1’ (OWN PRACTICE, NOT
PART OF GROUP/FACILITY), ‘RF’ (REFUSED) or ‘DK’ (DON’T KNOW).
Otherwise, use a null display
Display ‘doctor’s office, clinic, health center, or other place’ if AC30 is coded ‘2’ (PRACTICE IS
ASSOCIATED WITH GROUP/FACILITY), ‘RF’ (REFUSED) or ‘DK’ (DON’T KNOW). Otherwise, use
a null display.
Display "{,}" if AC30 is coded 'RF' (REFUSED) or 'DK' (DON'T KNOW). Otherwise, use a null
display.
Display "{{number of providers displayed} OUT OF {total number of providers}
PROVIDERS SHOWN - SCROLL TO SEE MORE}" in red text only if there are more than
12 providers, otherwise, use a null display.

PV - Page 13 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec

Variable collected at MEPSSpring2018.PV_Main.PV30LU_Table.PV30LU[1..120]
Variable stored at MEPSSpring2018.PV_Main.PV30LU_Table.PV30LU[1..120]

Testing/Editing
Notes:

BOX_30

(PV1030)

Route Details:

Item Type: Route

Type Class: If Then

If ‘PROVIDER NOT FOUND’ was selected from the provider directory and
the event type is MV or HH or the provider roster section was launched
from the access to care section, go to PV40.
If 'PROVIDER NOT FOUND’ was selected from the provider directory and
event type is HS, ER, OP, IC, code ‘FACILITY-PROVIDER’ at PV40 and go to
PV60_01.

PV40
Item Type:

(PV1035)
Question

Type Class:

Enumerated

Answer Type:

TPERSFACPROV

Help Available (
Context Header:

BLAISE NAME: MPTp
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} {EV}

Question Text:

INTERVIEWER: SELECT WHETHER {EVENT TYPE} HEALTH CARE FOR {PERSON} WAS TO A
PERSON OR A FACILITY.
Responses:

PERSON-PROVIDER
FACILITY-PROVIDER

1
2

PV - Page 14 of 49

PV50_01
PV60_01

(PV1040)
(PV1085)

)

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec

Programmer
Instructions:
Display
Instructions:

Testing/Editing
Notes:

Refused and Don’t Know are not allowed.

Display ‘MV’ for ‘EVENT TYPE’ if the current event is MV. Display ‘HH’ for
‘EVENT TYPE’ if the current event is HH. Otherwise, use a null display.

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

BLAISE NAME: MPFName
Field kind: Datafield
ArrayMin:

PV50_01
Item Type:

(PV1040)
Question

Type Class:

String

Answer Type:

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

Min value:

Field Size: 20

)

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON} } usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?} }
What is the first name?
ENTER FIRST NAME AND VERIFY SPELLING.
PV50_02

Responses:

PV - Page 15 of 49

(PV1045)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:
Display
Instructions:

Provider Roster (PV) Section
(Que

Refused and Don’t Know are not allowed.

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display "I was not able to...advice about {your/his/her} health?}" if a new
provider is being added to the RU medical provider roster. Otherwise, use a
null display.
Display "provided health care to {you/{PERSON}}{at home}?" if PV section
was launched from the EV section. Display "{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?" if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider's first name in the info pane if an existing medical
provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 16 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_02
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1045)
Question
String

BLAISE NAME: MPLName
Field kind: Datafield
Field Size: 45

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON} } usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?}]}
What is the last name?
ENTER LAST NAME AND VERIFY SPELLING.
PV50_03

Responses:

PV - Page 17 of 49

(PV1050)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:
Display
Instructions:

Provider Roster (PV) Section
(Que

Refused and Don’t Know are not allowed.

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find…advice about {your/his/her} health?}' in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display "provided health care to {you/{PERSON}}{at home}?" if PV section
was launched from the EV section. Display "{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{you/his/her} health?" if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider's last name in the info pane if an existing medical
provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 18 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_03
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1050)
Question
String

BLAISE NAME: MPStrt1
Field kind: Datafield
Field Size: 30

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who provided health care to
{you/{PERSON}} {at home}?}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick
or {need/needs} advice about {your/his/her} health?}]}
What is the street address?
ENTER STREET ADDRESS.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 19 of 49

PV50_04

(PV1055)

PV50_04
PV50_04

(PV1055)
(PV1055)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider’s street address in the info pane if an existing medical
provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 20 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_04
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1055)
Question
String

BLAISE NAME: MPStrt2
Field kind: Datafield
Field Size: 30

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?}]}
ENTER BUILDING OR ADDITIONAL ADDRESS INFORMATION, IF AVAILABLE. IF NONE, PRESS
ENTER.
Responses:
EMPTY
REFUSED
DON'T KNOW

Empty
RF
DK

PV - Page 21 of 49

PV50_05

(PV1060)

PV50_05
PV50_05
PV50_05

(PV1060)
(PV1060)
(PV1060)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider’s second address, if available, in the info pane if an
existing medical provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 22 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_05
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1060)
Question
String

BLAISE NAME: MPCity
Field kind: Datafield
Field Size: 30

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?}]}
What is the city?
ENTER CITY.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 23 of 49

PV50_06

(PV1065)

PV50_06
PV50_06

(PV1065)
(PV1065)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Prefill the provider’s city in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 24 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_06
Item Type:
Type Class:
Answer Type:

(PV1065)
Question
String

BLAISE NAME: MPSt
Field kind: Datafield
Field Size: 2

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?}]}
What is the state?
ENTER STATE.
TYPE THE FIRST LETTER OF THE STATE, THEN USE ARROW KEYS IF NEEDED TO LOCATE STATE,
AND PRESS ENTER TO SELECT.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 25 of 49

PV50_07

(PV1070)

PV50_07
PV50_07

(PV1070)
(PV1070)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Use the state lookup file.
Note: The entry Foreign Country (FC is allowed).

Display
Instructions:

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider’s state in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 26 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_07
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1070)
Question
String

BLAISE NAME: MPZip
Field kind: Datafield
Field Size: 5

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health?}]}
What is the zip code?
ENTER ZIP CODE.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 27 of 49

PV50_08

(PV1075)

PV50_08
PV50_08

(PV1075)
(PV1075)

)

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

Programmer
Instructions:

Hard check: Exactly 5 digit numeric entry required. If less than 5 numeric
digits entered or any characters entered that are not numeric, display the
following message: "ZIP CODE ENTRY REQUIRES EXACTLY 5
NUMBERS. PROBE AND RE-ENTER OR ENTER F5 (DON'T KNOW) IF
FULL ZIP CODE IS NOT KNOWN."

Display
Instructions:

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider’s zip code in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 28 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV50_08
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1075)
Question
Integer

BLAISE NAME: MPPhone
Field kind: Datafield
Field Size: 10

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value: 0000000000

ArrayMax:

Max value: 9999999999

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. What is the first and last name, street
address, city, state, zip code, and phone number of the person who {provided health care to
{you/{PERSON}} {at home}?/{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is}
sick or {need/needs} advice about {your/his/her} health?}]}
What is the telephone number?
ENTER TELEPHONE NUMBER.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 29 of 49

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Ten digit entry required.
Use number input mask (xxx-xxx-xxxx) in the response field.
If the provider roster section was launched from the access to care section, go back to
PV30LU. Otherwise, go back to PV20LU.

Display
Instructions:

Display PV50_01, PV50_02, PV50_03, PV50_04, PV50_05, PV50_06, PV50_
07 and PV50_08 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health?}’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “provided health care to {you/{PERSON}} {at home}?” if PV section
was launched from the EV section. Display “{you/{PERSON}} usually
{go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health?” if PV section was launched from AC section.
Display ‘at home’ if event type is HH and a new provider is being added to
the RU medical provider roster. Otherwise, use a null display.
Prefill the provider’s telephone number in the info pane if an existing
medical provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 30 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_01
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1085)
Question
String

BLAISE NAME: FacMPName
Field kind: Datafield
Field Size: 45

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{I was not able to find that provider in my directory. Please give me the name, street
address, city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care/place that provided home care to {you/{PERSON}}/ place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health}}
What is the name of the {hospital/provider/facility/place} {that provided the care {at
home}}?
ENTER FACILITY NAME AND VERIFY SPELLING.
Responses:

PV60_02

PV - Page 31 of 49

(PV1090)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:
Display
Instructions:

Provider Roster (PV) Section
(Que

Refused and Don’t Know are not allowed.

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display “I was not able to… advice about {your/his/her} health}.” if a new
provider is being added to the RU medical provider roster. Otherwise, use a
null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Display “that provided the care {at home}” if PV section was launched from
the EV section. Otherwise, use a null display.
Display “at home” if PV section was launched from the EV section and the
event type is HH. Otherwise, use a null display.
Prefill the providers name in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 32 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_02
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1090)
Question
String

BLAISE NAME: FacMPStrt1
Field kind: Datafield
Field Size: 30

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street
address, city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care / place that provided home care to {you/{PERSON}}/place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health}.]}
What is the street address?
ENTER STREET ADDRESS.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 33 of 49

PV60_03

(PV1095)

PV60_03
PV60_03

(PV1095)
(PV1095)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Prefill the provider’s street address in the info pane if an existing medical
provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 34 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_03
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1095)
Question
String

BLAISE NAME: FacMPStrt2
Field kind: Datafield
Field Size: 30

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street
address, city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care/place that provided home care to {you/{PERSON}}/ place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health}.]}
ENTER BUILDING OR ADDITIONAL ADDRESS INFORMATION, AS NECESSARY. IF NONE, PRESS
ENTER.
Responses:
EMPTY
REFUSED
DON'T KNOW

Empty
RF
DK

PV - Page 35 of 49

PV60_04

(PV1100)

PV60_04
PV60_04
PV60_04

(PV1100)
(PV1100)
(PV1100)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.

Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Prefill the provider’s second street address, if available, in the info pane if an
existing medical provider entry is being edited/updated.
Prefill the provider's name in the info pane in an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 36 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_04
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1100)
Question
String

BLAISE NAME: FacMPCity
Field kind: Datafield
Field Size: 20

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street
address, city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care / place that provided home care to {you/{PERSON}}/place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health}.]}
What is the city?
ENTER CITY.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 37 of 49

PV60_05

(PV1105)

PV60_05
PV60_05

(PV1105)
(PV1105)

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Provider Roster (PV) Section
(Que

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Prefill the provider’s city in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 38 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_05
Item Type:
Type Class:
Answer Type:

(PV1105)
Question
String

BLAISE NAME: FacMPSt
Field kind: Datafield
Field Size: 2

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street address,
city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care / place that provided home care to {you/{PERSON}}/place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice
about {your/his/her} health}.]}
What is the state?
ENTER STATE.
TYPE THE FIRST LETTER OF THE STATE, THEN USE ARROW KEYS IF NEEDED TO LOCATE STATE,
AND PRESS ENTER TO SELECT.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 39 of 49

PV60_06

(PV1110)

PV60_06
PV60_06

(PV1110)
(PV1110)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Use the state lookup file.
Note: The entry Foreign Country (FC is allowed).

Display
Instructions:

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Prefill the provider’s state in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 40 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_06
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1110)
Question
String

BLAISE NAME: FacMPZip
Field kind: Datafield
Field Size: 5

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street address,
city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care / place that provided home care to {you/{PERSON}}/place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice
about {your/his/her} health}.]}
What is the zip code?
ENTER ZIP CODE.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 41 of 49

PV60_07

(PV1115)

PV60_07
PV60_07

(PV1115)
(PV1115)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Display
Instructions:

Provider Roster (PV) Section
(Que

Hard check: Exactly 5 digit numeric entry required. If less than 5 numeric
digits entered or any characters entered that are not numeric, display the
following message: "ZIP CODE ENTRY REQUIRES EXACTLY 5
NUMBERS. PROBE AND RE-ENTER OR ENTER F5 (DON'T KNOW) IF
FULL ZIP CODE IS NOT KNOWN."

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if
PV section was launched from the EV section and the event type is not HH.
Display “place that provided home care to {you/{PERSON}}” if PV section
was launched from the EV section and the event type is HH. Display “place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or
{need/needs} advice about {your/his/her} health” if PV section was
launched from AC section.
Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.

Display “hospital” if PV section was launched from the EV section and the
event type is HS. Display “provider” if PV section was launched from the EV
section and the event type is MV. Display “facility” if PV section was
launched from the EV section and the event type is ER, OP, or IC. Otherwise,
display “place”.
Prefill the provider’s zip code in the info pane if an existing medical provider
entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 42 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV60_07
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1115)
Question
Integer

BLAISE NAME: FacMPPhone
Field kind: Datafield
Field Size: 10

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value: 0000000000

ArrayMax:

Max value: 9999999999

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

{[I was not able to find that provider in my directory. Please give me the name, street
address, city, state, zip code, and phone number of the {{hospital/provider/facility} where
{you/{PERSON}} received care / place that provided home care to {you/{PERSON}}/place
{you/{PERSON}} usually {go/goes} if {you/he/she} {are/is} sick or {need/needs} advice about
{your/his/her} health}.]}
What is the telephone number?
ENTER TELEPHONE NUMBER.
Responses:
REFUSED
DON'T KNOW

RF
DK

PV - Page 43 of 49

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Ten digit entry required.
Use number input mask (xxx-xxx-xxxx) in the response field.
If the provider roster section was launched from the access to care section,
go back to PV30LU. Otherwise, go back to PV20LU.

Display
Instructions:

Display PV60_01, PV60_02, PV60_03, PV60_04, PV60_05, PV60_06 and
PV60_07 on the same form pane.
Display ‘I was not able to find… advice about {your/his/her} health}.’ in
brackets and grayed-out text if a new provider is being added to the RU
medical provider roster. Otherwise, use a null display.
Display “{hospital/provider/facility} where {you/{PERSON}} received care” if PV section
was launched from the EV section and the event type is not HH. Display “place that
provided home care to {you/{PERSON}}” if PV section was launched from the EV section and
the event type is HH. Display “place {you/{PERSON}} usually {go/goes} if {you/he/she}
{are/is} sick or {need/needs} advice about {your/his/her} health” if PV section was launched
from AC section.

Display “hospital” if event type is HS. Display “provider” if event type is MV.
Otherwise, display “facility”.
Display “hospital” if PV section was launched from the EV section and the event type is
HS. Display “provider” if PV section was launched from the EV section and the event
type is MV. Display “facility” if PV section was launched from the EV section and the
event type is ER, OP, or IC. Otherwise, display “place”.

Prefill the provider’s telephone number in the info pane if an existing
medical provider entry is being edited/updated.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 44 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV70
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1130)
Question
Enumerated

BLAISE NAME: RosterMPPersDept
Field kind: Datafield

Field Size:
TPROV_DOC_DEPT Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:
{If it will help you remember the details, I can enter the name of the particular medical doctor or health care
provider {you/{PERSON}} saw or talked to, or the particular department {you/{PERSON}} visited / If there is a
particular medical doctor or health care professional that {you/{PERSON}} {see/sees} at {PROVIDER}, please
give me that name. }.
{Previously, we have recorded {{PROVIDER DOCTOR OR DEPT}1, {PROVIDER DOCTOR OR DEPT}2,
{PROVIDER DOCTOR OR DEPT}3, {PROVIDER DOCTOR OR DEPT}4, {PROVIDER DOCTOR OR
DEPT}N} as health care providers or departments associated with {PROVIDER}.} TO ADD A NEW DOCTOR
OR DEPARTMENT, PRESS CTRL-A.
{DO NOT SELECT OR ADD A DEPARTMENT AS A USUAL SOURCE OF CARE PROVIDER.}

CTRL-A: ADD
CTRL-E: EDIT
CTRL-D: DELETE
Responses:

{VISIT/USUAL SOURCE OF CARE} NOT
LINKED TO SPECIFIC DOCTOR
{PROVIDER DOCTOR OR DEPT}1
{PROVIDER DOCTOR OR DEPT}2
{PROVIDER DOCTOR OR DEPT}3
{PROVIDER DOCTOR OR DEPT}4
{PROVIDER DOCTOR OR DEPT}N

0
1
2
3
4
5

PV - Page 45 of 49

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

If the provider roster section was launched from the EV section, return to
the EV section.
If the provider roster section was launched from the AC section, return to
the AC section.
Hard Check:
1. If CTRL-E is pressed for a doctor/department that was not added
at the current question, display the following error message: " THIS
DOCTOR/DEPARTMENT CAN’T BE EDITED. ONLY
DOCTORS/DEPARTMENTS ADDED AT THE CURRENT QUESTION CAN
BE EDITED.“
2. If CTRL-D is pressed for a doctor/department that was not added
at the current question, display the following error message: " THIS
DOCTOR/DEPARTMENT CAN’T BE DELETED. ONLY
DOCTORS/DEPARTMENTS ADDED AT THE CURRENT QUESTION CAN
BE DELETED.“
Roster 3 behavior:
1. Single select allowed.
2. Add allowed.
3. Delete is allowed for roster entries added at the current question.
4. Edit is allowed for roster entries added at the current question.

Display
Instructions:

Roster 1 – Report
Roster Definition:
Display the doctors and departments linked to this facility provider
pair. For ‘PROVIDER DOCTOR OR DEPT’ display the doctors first and
last name or the department name (Note that doctors name and
department name are stored in the same variable).
Roster filter:
None. Display all doctors and departments
Roster 3 – add/edit/delete allowed
Roster Definition:
Display the doctors and departments linked to this facility provider
pair. For ‘PROVIDER DOCTOR OR DEPT’ display the doctors first and
last name or the department name.
Roster filter:
PV - Page 46 of 49

MEPS_V2
Full Detail Spec

Provider Roster (PV) Section
(Que

None. Display all doctors and departments

Display ‘If there is a particular medical doctor or health care professional
that {you/{PERSON}} {see/sees} at {PROVIDER}, I can enter that name now.’
if the provider roster section was launched from the access to care section.
Otherwise, display ‘If it will help you remember the details, I can enter the
name of the particular medical doctor or health care provider
{you/{PERSON}} saw or talked to, or the particular department
{you/{PERSON}} visited’.
Display ‘PREVIOUSLY, WE HAVE…WITH {PROVIDER}’ if the
provider roster section was not launched from the access to care section
and there is at least one doctor/department entry on the roster. Otherwise,
use a null display.
Display the interviewer instruction, ‘DO NOT SELECT OR ADD A
DEPARTMENT AS A USUAL SOURCE OF CARE PROVIDER’ only if the provider
roster section was launched from the Access to Care section, otherwise use
a null display
When CTRL-A selected, display the following customized question wording
in the pop-up:
“Please give me the name of the {doctor or department/provider}.
VERIFY SPELLING”
Display "doctor or department" if the provider roster section was launched
from the event roster section. Display "provider" if the provider section was
launched from the access to care section.
Display "USUAL SOURCE OF CARE" if PV30LU was asked (PV section
was launched from Access to Care). Otherwise, display "VISIT".

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

PV - Page 47 of 49

MEPS_V2

Provider Roster (PV) Section
(Que

Full Detail Spec
PV80
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(PV1135)
Question
Enumerated

BLAISE NAME: RosterDNProv
Field kind: Datafield

Field Size:
TDENTALPROVNA Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {EV}

Question Text:

Can you please give me the name of the dental provider or dental practice {you/PERSON}
visited?
VERIFY PROVIDER NAME BEFORE SELECTING.
TO ADD A NEW DENTAL PROVIDER, PRESS CTRL-A.
CTRL-A: ADD
CTRL-E: EDIT
CTRL-D: DELETE
Responses:

{DENTAL PROVIDER NAME}1
{DENTAL PROVIDER NAME}2
{DENTAL PROVIDER NAME}3
{DENTAL PROVIDER NAME}4
{DENTAL PROVIDER NAME}N

1
2
3
4
5

PV - Page 48 of 49

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Provider Roster (PV) Section
(Que

Note: MPTp=Facility for providers added to PV80 (dental providers)
Return to the Event Roster section.
Hard Check:
1. If CTRL-E is pressed for a provider that was not added at the
current question, display the following error message: " THIS
PROVIDER CAN’T BE EDITED. ONLY PROVIDERS ADDED AT
THE CURRENT QUESTION CAN BE EDITED.“
2. If CTRL-D is pressed for a provider that was not added at the
current question, display the following error message: " THIS
PROVIDER CAN’T BE DELETED. ONLY PROVIDERS ADDED
AT THE CURRENT QUESTION CAN BE DELETED.“
Roster behavior:
1. Single select allowed.
2. Add allowed.
3. Delete is allowed for roster entries added at the current question.
4. Edit is allowed for roster entries added at the current question.

Display
Instructions:

Roster 3 – add/edit/delete allowed
Roster Definition:
Display the RU dental providers roster.
Roster filter:
None. Display all dental providers.
When CTRL-A selected, display the following customized question wording
in the pop-up:
“Please give me the name of the dental provider or dental practice.
VERIFY SPELLING”

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.PV_Main
Variable stored at MEPSSpring2018.PV_Main

[End of PV]

PV - Page 49 of 49