Revised Adult EDCS Screens

EDCS SSA-454 Form updates to EDCS screens
SSA-454 Adult form

Contents
Background ............................................................................................................................................................................. 2
SSA-454 Layout and Navigation .............................................................................................................................................. 3
454 Left Navigation- used for all EDCS 454 pages .............................................................................................................. 3
EDCS Frame ......................................................................................................................................................................... 3
EDCS Modal windows ..................................................................................................................................................... 4
SSA-454 Adult EDCS Screenshots ............................................................................................................................................ 5
SSA-454 Section 1 – Information About You: ..................................................................................................................... 5
SSA-454 Section 2 – Contacts.............................................................................................................................................. 6
SSA-454 Section 3 – Medical Info – Conditions .................................................................................................................. 7
SSA-454 Section 3 – Medical Info – Sources ....................................................................................................................... 8
Medical Sources Summary .................................................................................................................................................. 8
Medical Sources – Doctor/Therapist Information DETAIL (no edits) .............................................................................. 9
Medical sources – Hospital/Clinic Information ............................................................................................................. 10
SSA-454 Section 3 – Medical Info – Tests ......................................................................................................................... 11
Test Summary ............................................................................................................................................................... 11
Tests detail .................................................................................................................................................................... 12
SSA-454 Section 3 – Medical Info – Medicines ................................................................................................................. 13
Medicines Summary...................................................................................................................................................... 13
SSA-454 Section 3 – Medical Info – Assistive Devices ...................................................................................................... 15
Assistive Devices Summary ........................................................................................................................................... 15
SSA-454 Section 4 – Work ................................................................................................................................................. 16
SSA-454 Section 5 – Support Services ............................................................................................................................... 17
Support Services Summary ........................................................................................................................................... 17
Support Services Detail page ........................................................................................................................................ 18
SSA – 454 Section 6 – Other Medical Information............................................................................................................ 19
SSA – 454 Section 7 – Education, Training and Literacy ................................................................................................... 20
SSA+454 Section 8 – Daily Activities ................................................................................................................................. 22
SSA-454 Section 9 – Remarks ............................................................................................................................................ 23
SSA-454 Section 10 – Who is completing this form .......................................................................................................... 23

Background
The Electronic Disability Case Processing System (EDCS) is a mature software application that has been in production for
over 20 years. Due to the age of the application, any updates triggered by the new, streamlined SSA-454 form will
follow the existing design approach in EDCS. This will help ensure easy adoption of new content while limiting the need
for separate training on the newly implemented features.

SSA - 454 Layout and Navigation
454 Left Navigation- used for all EDCS 454 pages

EDCS Frame
This screenshot shows the layout of all EDCS pages.

Things to note:
•

The left-hand navigation tree displays links to each of the SSA-454 page screens.

•

Individual page screens display in the Page Area

•

Next/Previous buttons display at the bottom of the frame.

•

To save space, the left nav and EDCS Frame content are not included in the SSA-454 screenshots
depicting the updates

EDCS Modal windows
Sample

•

Some pages display as full-screen modal windows.

•

These pages have navigation buttons at the bottom center of the page.

•

To save space, these buttons are not included in the screenshots.

SSA - 454 Adult EDCS Screenshots
SSA - 454 Section 1 – Information About You:

SSA - 454 Section 2 – Contacts

SSA - 454 Section 3 – Medical Info – Conditions

SSA - 454 Section 3 – Medical Info – Sources
Medical Sources Summary

Medical Sources – Doctor/Therapist Information DETAIL (no edits)

Medical sources – Hospital/Clinic Information

SSA- - 454 Section 3 – Medical Info – Tests
Test Summary

Tests detail

SSA - 454 Section 3 – Medical Info – Medicines
Medicines Summary

Medicines Detail (no edits)

SSA - 454 Section 3 – Medical Info – Assistive Devices
Assistive Devices Summary (new)

Assistive Devices Detail (new)

SSA - 454 Section 4 – Work

SSA - 454 Section 5 – Support Services
Support Services Summary

Support Services Detail

SSA - 454 Section 6 – Other Medical Information

SSA - 454 Section 7 – Education, Training and Literacy

SSA - 454 Section 8 – Daily Activities
Claims Specialists will mention to respondents
that this question is optional

Claims Specialists will mention to respondents
that this question is optional

Claims Specialists will mention to respondents
that this question is optional

SSA - 454 Section 9 – Remarks

SSA - 454 Section 10 – Who is completing this form