27 Institutional Care Stay Section

SpecWriter Data

Form Version:

7/11/2022 10:01:43 AM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL300.MEPSSpring2023

Spec Label:

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

IC - Page 1 of 6

MEPSSpring2023

Institutional Care Stay (IC) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(IC1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_05, BOX_10
04 Single Select = IC10, IC20
11 Multiple Select with Add/Edit/Delete = IC30
Roster 3 = IC30

BOX_05

Programmer
Instructions:

(IC1005)

Item Type: Route

Type Class: If Then

If provider already has IC10 (provider type) recorded for this round (for any RU member) or
in a previous round (for any RU member) (preload.ICPlaceTp=1) go to IC20, otherwise,
continue with IC10.

IC - Page 2 of 6

MEPSSpring2023

Institutional Care Stay (IC) Section
(Ques

Full Detail Spec
IC10
Item Type:
Type Class:
Answer Type:

(IC1010)
Question
Enumerated
TIC10_PLACE

BLAISE NAME: ICPlaceTP
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Help Available (ICPlaceHelp)
Context Header:

Show Card (IC-1)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
&IC-1.
Looking at card IC-1, what kind of place is {PROVIDER}?
HELP: F1

Responses:

INPATIENT REHABILITATION FACILITY
OR CONVALESCENT HOME
NURSING HOME
RESIDENTIAL MENTAL HEALTH
TREATMENT CENTER
RESIDENTIAL EATING DISORDER
TREATMENT CENTER
RESIDENTIAL DRUG AND ALCOHOL OR
ADDICTION TREATMENT CENTER
RESIDENTIAL HOSPICE CARE
RESIDENTIAL RESPITE CARE
OTHER
REFUSED
DON'T KNOW

1

IC20

(IC1015)

2
3

IC20
IC20

(IC1015)
(IC1015)

4

IC20

(IC1015)

5

IC20

(IC1015)

6
7
91
RF
DK

IC20
IC20
IC20
IC20
IC20

(IC1015)
(IC1015)
(IC1015)
(IC1015)
(IC1015)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.IC_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.IC_Main

IC - Page 3 of 6

MEPSSpring2023

Institutional Care Stay (IC) Section
(Ques

Full Detail Spec
IC20
Item Type:
Type Class:
Answer Type:

(IC1015)
Question
Enumerated
TYESNO

Help Available ( )
Context Header:

BLAISE NAME: ICRelCond
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......} {ADM-DT}
{DIS-DT}

Question Text:
Was {your/{PERSON}’s} stay at {PROVIDER} related to any specific health condition or were any conditions discovered
during this stay?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

IC30
BOX_10
BOX_10
BOX_10

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.IC_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.IC_Main

IC - Page 4 of 6

(IC1020)
(IC1025)
(IC1025)
(IC1025)

)

MEPSSpring2023

Institutional Care Stay (IC) Section
(Ques

Full Detail Spec
IC30
Item Type:
Type Class:
Answer Type:

(IC1020)
Question
Enumerated
TCONDITION

BLAISE NAME: ICCondRoster
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Help Available (CondHelp)
Context Header:

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER......} {ADM-DT}
{DIS-DT}

Question Text:
What conditions were discovered or led {you/{PERSON}} to enter {PROVIDER}?
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

IC - Page 5 of 6

BOX_10
BOX_10
BOX_10
BOX_10
BOX_10

(IC1025)
(IC1025)
(IC1025)
(IC1025)
(IC1025)

MEPSSpring2023

Institutional Care Stay (IC) 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 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:
This item displays Person-Medical-Conditions-Roster for selection and addition of one or many
medical conditions associated with this event. Display name of medical condition (COND.CONDNAM)
Roster filter:
Display all conditions on person's roster; display all.

Testing/Editing
Notes:

BOX_10

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.IC_Main
Variable stored at MEPS(Fall/Spring)YYYY_Event.IC_Main

(IC1025)

Item Type: Route

Type Class: If Then

The Charge/Payment (CP) section is not required for this Institutional Care Stay (IC)
event.
Go to the Event Driver (ED) section.

[End of IC]

IC - Page 6 of 6