Download:
pdf |
pdfSpecWriter Data
Form Version:
6/17/2021 11:05:33 AM
Report Type:
Full Detail
Project Database:
Language:
English
WESSQL300.MEPSSpring2022
Spec Label:
This is the cover page. Additional contents currently project specific.
ER - Page 1 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Rout
Full Detail Spec
BOX_00
Route Details:
(ER1000)
Item Type: Route
Type Class: If Then
01 Box = BOX_00, BOX_10, BOX_20
04 Single Select = ER20, ER40, ER60
06 Single Select with Fill in Answer Text = ER10
08 Multiple Select = ER50
11 Multiple Select with Add/Edit/Delete = ER30, ER70
Roster 3 = ER30, ER70
BOX_10
Route Details:
(ER1001)
Item Type: Route
Type Class: If Then
Context header display instructions: SEE CONTEXT HEADER SPEC
ER - Page 2 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER10
Item Type:
Type Class:
Answer Type:
(ER1010)
Question
Enumerated
TERVSTCATER02
Help Available (ERVstCatHelp)
Context Header:
BLAISE NAME: ERVstCat
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 1
ArrayMax:
Max value:
Show Card (ER-1)
Look Up File (
)
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Question Text:
&ER-1.
Please look at card ER-1 and tell me which category best describes the care {you/{PERSON}} received during the visit to
{PROVIDER} emergency room on {VISIT DATE}.
HELP: F1
Responses:
Display
Instructions:
Testing/Editing
Notes:
DIAGNOSIS OR TREATMENT
EMERGENCY (E.G., ACCIDENT OR
INJURY)
PSYCHOTHERAPY OR MENTAL
HEALTH COUNSELING
FOLLOW-UP OR POST-OPERATIVE VISIT
IMMUNIZATIONS OR SHOTS
{PREGNANCY-RELATED (INCLUDING
PRENATAL CARE AND DELIVERY)}
OTHER
REFUSED
DON'T KNOW
1
2
ER20
ER20
(ER1015)
(ER1015)
3
ER20
(ER1015)
4
5
6
ER20
ER20
ER20
(ER1015)
(ER1015)
(ER1015)
91
RF
DK
ER20
ER20
ER20
(ER1015)
(ER1015)
(ER1015)
Display response option ‘6’ (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.
Variable collected at MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 3 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER20
Item Type:
Type Class:
Answer Type:
(ER1015)
Question
Enumerated
TYESNO
Help Available ( )
Context Header:
BLAISE NAME: ERSpecCond
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} {EVN-DT}
Question Text:
Was this visit related to any specific health condition or were any conditions discovered during this visit?
Responses:
YES
NO
REFUSED
DON'T KNOW
1
2
RF
DK
ER30
ER40
ER40
ER40
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 4 of 13
(ER1020)
(ER1023)
(ER1023)
(ER1023)
)
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER30
Item Type:
Type Class:
Answer Type:
(ER1020)
Question
Enumerated
TCONDITION
BLAISE NAME: ERCondRoster
Field kind: Datafield
Field Size:
Answers allowed: 99 ArrayMax:
Help Available (CondHelp)
Context Header:
ArrayMin:
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:
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
ER - Page 5 of 13
ER40
ER40
ER40
ER40
ER40
(ER1023)
(ER1023)
(ER1023)
(ER1023)
(ER1023)
MEPSSpring2022
Full Detail Spec
Programmer
Instructions:
Emergency Room (ER) Section
(Ques
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.
CONDITION LOOKUP SPECIFICATIONS
For complete Condition Lookup specifications, refer to the Global (GL) Specifications.
Display
Instructions:
Roster 3 – add/edit/delete allowed
Roster definition:
Display the person-medical-conditions-roster for the 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 MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 6 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER40
Item Type:
Type Class:
Answer Type:
(ER1023)
Question
Enumerated
TYESNO
Help Available (SurgProcHelp)
Context Header:
BLAISE NAME: ERSurgProc
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} {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
ER50
ER50
ER50
ER50
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 7 of 13
(ER1025)
(ER1025)
(ER1025)
(ER1025)
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER50
Item Type:
Type Class:
Answer Type:
(ER1025)
Question
Enumerated
TMEDSVCTYPE
Help Available (MedServHelp)
Context Header:
BLAISE NAME: CodeAllERSvc
Field kind: Datafield
ArrayMin:
Min value:
Field Size:
Answers allowed: 7
ArrayMax:
Max value:
Show Card (ER-2)
Look Up File (
)
{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER} {EVN-DT}
Question Text:
&ER-2.
Looking at this card, 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
ER - Page 8 of 13
ER60
ER60
ER60
ER60
ER60
ER60
ER60
ER60
ER60
ER60
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
(ER1035)
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
Programmer
Instructions:
Soft Check:
If 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 REENTER.”
Display ‘MALE’ 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.
Note: 'NONE OF THESE SERVICES RECEIVED' is not displayed on show card.
Hard check:
Edit: if coded ‘95’ (NONE OF THESE SERVICES RECEIVED), no other service categories
can be coded.
If interviewer selects another code with NONE OF THESE SERVICES RECEIVED, 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 MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 9 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER60
Item Type:
Type Class:
Answer Type:
(ER1035)
Question
Enumerated
TYESNO
Help Available (MEDPRESHelp)
Context Header:
BLAISE NAME: ERPmed
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} {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
ER70
BOX_20
BOX_20
BOX_20
Display
Instructions:
Testing/Editing
Notes:
Variable collected at MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
ER - Page 10 of 13
(ER1040)
(ER1045)
(ER1045)
(ER1045)
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
ER70
Item Type:
Type Class:
Answer Type:
(ER1040)
Question
Enumerated
Field kind: Datafield
ArrayMin:
Field Size:
TPRESCRIBEDMED Answers allowed: 99 ArrayMax:
Help Available ( )
Context Header:
BLAISE NAME: ERPmedRoster
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:
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
ER - Page 11 of 13
BOX_20
BOX_20
BOX_20
BOX_20
BOX_20
(ER1045)
(ER1045)
(ER1045)
(ER1045)
(ER1045)
MEPSSpring2022
Emergency Room (ER) Section
(Ques
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.
Soft Check:
If 2 or more of the same following text strings are found in a single medicine entry (e.g.
DROXIA 200MG CAPMAXALT 10MG) upon leaving the single entry field by pressing ‘TAB’ or
‘ENTER:
• MG
• ML
• CAP
• MCG
• TAB
• GM
•%
Or if the following text combinations strings are found in a single medicine entry (e.g. aspirin
5mg triamcinolone acetonide .5% ointment) upon leaving the single entry field by pressing
‘TAB’ or ‘ENTER:
⦁ MG and %
⦁ MCG and MG
Display a separate pop-up below the field that triggered the soft check with the message:
“Verify only one medicine per field is entered. If entry is a compound medicine (medicine
label lists two or more different medicines) select ‘Suppress’. If entry error was made, select
‘GoTo’ and re-enter each medicine in a separate field. Press ‘TAB’ between each separate
entry.”
At the top of the pop-up above the message, display the medicine that triggered the soft
check. With the text string that triggered the check displayed in bold.
Prescribed Medicine Soft Check Flag (PMedSoftChk):
The purpose of this flag is to ensure that once the soft check is triggered, that particular entry
row will not trigger the soft check again, even when the text entry of the field has changed.
The flag records whether the interviewer selected “Suppress” or “GoTo”. Suppressing the
soft check may not indicate that the medicine is a compound drug as a medicine name could
have the targeted text string in both the form/strength and drug name, such as “captopril
capsule”. When the interviewer selects ‘GoTo’ to return to the field to make a correction, the
soft check will not run again to check the entry.
Pressing ‘tab’ then selecting ‘Suppress’ or ‘GoTo’ closes the soft check pop-up and moves the
cursor to the next empty field.
Pressing ‘enter’ then selecting ‘Suppress’ closes the soft check pop-up and moves the focus
back to the prescribed medicine roster. Or if ‘GoTo’ is selected moves the cursor back to the
entry field that triggered the soft check.
ER - Page 12 of 13
MEPSSpring2022
Emergency Room (ER) Section
(Ques
Full Detail Spec
PMED LOOKUP SPECIFICATIONS
For complete PMed Lookup specifications, refer to the Global (GL) Specifications.
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 on person's roster; no filter.
Testing/Editing
Notes:
BOX_20
Route Details:
Variable collected at MEPS(Fall/Spring)YYYY.ER_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.ER_Main
(ER1045)
Item Type: Route
Type Class: If Then
Go to the Charge/Payment (CP) section if it needs to be asked for this emergency
room event, i.e. its status wasn’t set to ‘Completed’ because it was part of a Flat Fee
situation where the charges were collected in the CP section for another event in that
Flat Fee group.
Otherwise, go to the event driver (ED) section.
[End of ER]
ER - Page 13 of 13
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 2021-06-17 |