40 Quality Supplement Section

SpecWriter Data

Form Version:

8/8/2023 2:20:36 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL300.MEPSSpring2024

Spec Label:

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

QS - Page 1 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(QS1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_35, BOX_40, BOX_50, BOX_60

02 Loop = LOOP_10

03 End Loop = END_LP10

04 Single Select = QS05, QS07, QS20_01, QS20_02, QS20_04, QS20_06, QS20_07

20 OS Text Field = QS20_03, QS20_06OS, QS20_08

24 Information Screen = QSIntro, QS03, QS10, QS20_05

BOX_10

Route Details:

(QS1005)

Item Type: Route

Type Class: If Then

Context Header Display Instructions: SEE CONTEXT HEADER SPEC

QS - Page 2 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QSIntro
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1007)
Question
Enumerated
TContinue
)

BLAISE NAME: QSIntro
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

Question Text:
CAPI WILL NOW DETERMINE IF ANY SAQS ARE REQUIRED FOR THIS HOUSEHOLD.
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

1

Display
Instructions:

QS - Page 3 of 32

BOX_20

(QS1010)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
BOX_20

Route Details:

(QS1010)

Item Type: Route

Type Class: If Then

Note: AHRQ will determine what hard copy materials are distributed and followed-up on
during each round. This section needs to be configurable to allow for the addition of other
supplemental materials as they are needed in future panels.
The QS section is currently asked in any round with a hard copy supplement that is eligible
for data collection and Panel 24 Round 1 (Spring 2019 only). If there are no hard copy
supplements eligible for data collection, CAPI will continue to the next section in the
questionnaire.
DCS Collection Rules:
DCS: Distribution only in rounds that cross two calendar years or the final round of the
panel (RndType=Cross or Final) for all panel years.
SAQ Collection Rules for Spring 2018 only:
SAQ (core+CAHPS): Follow-up in Panel 22, Round 3 and Panel 21, Round 5.
SAQ Collection Rules Beginning in Fall 2018 (P23R2/P22R4) and Later:
SAQ (core+CAHPS): Distribution in Rounds 2 and follow-up in Round 3 for Panels whose
R1 collection occurred in an odd year (FirstPanYear=odd).
SAQ (core+CAHPS): Distribution in Rounds 4 and follow-up in Round 5 for Panels whose
R1 collection occurred in an even year (FirstPanYear=even).
SAQ (core+CAHPS): Distribution in Rounds 6 and follow-up in Round 7 for Panels whose
R1 collection occurred in an odd year (FirstPanYear=odd).
SAQ (core+CAHPS): Distribution in Rounds 8 and follow-up in Round 9 for Panels whose
R1 collection occurred in an even year (FirstPanYear=even).
PSAQ (core + prevention): Distribution in Rounds 2 and follow-up in Round 3 for Panels
whose R1 collection occurred in an even year (FirstPanYear=even).
PSAQ (core + prevention): Distribution in Rounds 4 and follow-up in Round 5 for Panels
whose R1 collection occurred in an odd year (FirstPanYear=odd).
PSAQ (core + prevention): Distribution in Rounds 6 and follow-up in Round 7 for Panels
whose R1 collection occurred in an even year (FirstPanYear=even).
PSAQ (core + prevention): Distribution in Rounds 8 and follow-up in Round 9 for Panels
whose R1 collection occurred in an odd year (FirstPanYear=odd).
VSAQ (Veteran's SAQ): Collection Rules for Spring 2019 (P24R1, P23R3, P22R5) only:
VSAQ: Distribution only in Rounds 1, 3, and 5 for just Spring 2019.
SDOH (Social Determinants of Health): Follow-up Rules for Fall 2021 only (P26R2,
P25R4, P24R6, P23R8): SDOH: Follow-up only in Rounds 2, 4, 6, and 8 Fall 2021.
(Distribution occurred during the SD section in Spring 2021)

QS - Page 4 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
BOX_30

Route Details:

(QS1015)

Item Type: Route

Type Class: If Then

If at least one RU member where:

• SAQFlag=YES OR
• DCSFlag=YES OR
• SAQFlagFlwUp=YES OR
• PSAQFlag=YES OR
• PSAQFlagFlwUp=YES OR
• VSAQFlag=YES OR
• SDOHFlagFlwUp=YES

Continue with BOX_35.

Otherwise, go to BOX_60.

QS - Page 5 of 32

MEPSSpring2024
Full Detail Spec
Programmer
Instructions:

Quality Supplement (QS) Section
(Rout

Determine the number of DCS’s and (P)SAQ’s required for this household: Refer to the
Global Spec item: AgeCalculation for all age calculations required for the flags. Set flags as
described for each RU member that meets the required criteria.
DCS (RndType=Cross or Final)
-If current round crosses two calendar years OR is the final round of the panel
(RndType=Cross or final)
AND
-person is => 18 years of age or in age categories 4-9
AND
-person is a current RU member (included in person array)
AND
-person is Key (CtrlPersKey=Yes)
AND
-person is not deceased (PersRndStatus ≠Deceased)
AND
- 'DIABETES' is on person's-medical-conditions-roster and was created in the PE section (in
any round), then set Person.DCSFlag=YES.
SAQ (RndType=Within), core+CAHPS)
-[(If round 2 and panel year is odd (FirstPanYear=odd)) OR (If round 4 and panel year is even
(FirstPanYear=even)) OR (If round 6 and panel year is odd (FirstPanYear=odd)) OR (If round 8
and panel year is even (FirstPanYear=even))]
AND
-person is a current RU member (included in person array)
AND
- person is Key (CtrlPersKey=Yes)
AND
-person is not deceased or institutionalized (PersRndStatus ≠Deceased or institutionalized)
AND
-person is in the RU at the current round's interview date (EndRefDt = EndRefM, EndRefD,
EndRefY).
AND
-RU member is = > 18 years of age or in age categories 4-9 on July 1, {YEAR}, where ‘YEAR’ is
the first calendar year of the panel (FirstPanYear), if round 2
or on July 1, {YEAR}, where ‘YEAR’ is the second calendar year of the panel (SecondPanYear),
if round 4,
or on July 1, {YEAR}, where 'YEAR' is the third calendar year of the panel (ThirdPanYear), if
round 6,
or on July 1, {YEAR} where 'YEAR' is the fourth calendar year of the panel (FourthPanYear), if
round 8,
or has turned 18 between July 1, {YEAR}, where ‘YEAR’ is the first calendar year of the panel,
and the date of the interview if round 2,
or July 1, {year}, where ‘YEAR’ is the second calendar year of the panel, and the date of the
interview if round 4,
or July 1, {YEAR}, where 'YEAR' is the third calendar year of the panel, and the date of the
interview if round 6,
or July 1, {YEAR}, where 'YEAR' is the fourth calendar year of the panel, and the date of the
interview if round 8,
then set Person.SAQFlag=YES.

QS - Page 6 of 32

MEPSSpring2024
Full Detail Spec

Quality Supplement (QS) Section
(Rout

SAQ Follow-up (RndType=Cross or Final, core+CAHPS)
-[(If Panel 22, Round 3 or Panel 21, Round 5) or (If current round is a round that crosses two
calendar years (RndType=Cross) and panel year is odd
(FirstPanYear=odd)) OR (If current round is the final round of the panel (RndType=Final) and
panel year is even (FirstPanYear=even))]
AND
-person is a current RU member (included in person array)
AND
-person was prompted for an SAQ in Round 2 (if Round 3) or 4 (if Round 5) or 6 (if Round 7)
or 8 (if Round 9) and that SAQ is
outstanding [PL_Person.SAQRecCtrlStatus= ‘3’ (REFUSED), ‘5’ (BLANK), ‘6’ (WRONG TYPE), ‘7’
(WRONG YEAR USED), '8' (NOT RECEIVED)], then set
Person.SAQFlagFlwUp=YES.
PSAQ (RndType=Within, core+prevention)
-[(If round 2 or round 6 and panel year is even (FirstPanYear=even)) OR (If round 4 or round
8 and panel year is odd (FirstPanYear=odd))]
AND
-person is a current RU member (included in person array)
AND
- person is Key (CtrlPersKey=Yes)
AND
-person is not deceased or institutionalized (PersRndStatus ≠Deceased or institutionalized)
AND
-person is in the RU at the current round's interview date (EndRefDt = EndRefM, EndRefD,
EndRefY).
AND
-RU member is = > 18 years of age or in age categories 4-9 on July 1, {YEAR}, where ‘YEAR’ is
the first calendar year of the panel (FirstPanYear), if round 2
or on July 1, {YEAR}, where ‘YEAR’ is the second calendar year of the panel (SecondPanYear),
if round 4,
or on July 1, {YEAR}, where 'YEAR' is the third calendar year of the panel (ThirdPanYear), if
round 6,
or on July 1, {YEAR}, where 'YEAR' is the fourth calendar year of the panel (FourthPanYear), if
round 8,
or has turned 18 between July 1, {YEAR}, where ‘YEAR’ is the first calendar year of the panel,
and the date of the interview if round 2,
or July 1, {year}, where ‘YEAR’ is the second calendar year of the panel, and the date of the
interview if round 4,
or July 1, {YEAR}, where 'YEAR' is the third calendar year of the panel, and the date of the
interview if round 6,
or July 1, {YEAR}, where 'YEAR' is the fourth calendar year of the panel, and the date of the
interview if round 8
then set Person.PSAQFlag=YES.
PSAQ Follow-up (RndType=Cross or Final), core+prevention)
-[(If current round is a round that crosses two calendar years (RndType=Cross)
OR
(If current round is the final round of the panel (RndType=Final) and panel year is odd
(FirstPanYear=odd))]
AND
-person is a current RU member (included in person array)
AND
-person was prompted for an PSAQ in Round 2 (if Round 3) or 4 (if Round 5) or 6 (if Round 7)
QS - Page 7 of 32

MEPSSpring2024
Full Detail Spec

Quality Supplement (QS) Section
(Rout

or 8 (if Round 9) and that PSAQ is
outstanding [PL_Person.PSAQRecCtrlStatus= ‘3’ (REFUSED), ‘5’ (BLANK), ‘6’ (WRONG TYPE),
‘7’ (WRONG YEAR USED), '8' (NOT RECEIVED)], then set Person.PSAQFlagFlwUp=YES.

QS - Page 8 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec

VSAQ (Spring 2019, rounds 1, 3 and 5)
-If P24R1, P23R3, and P22R5 AND
-person is => 18 years of age or in age categories 4-9 AND
-person is a current RU member (included in person array) AND
-person is Key (CtrlPersKey=Yes) AND
- person is not deceased or institutionalized (PersRndStatus ≠Deceased or institutionalized)
AND
- person is in the RU at the round 1, 3, or 5 interview date (EndRefDt = EndRefM, EndRefD,
EndRefY) AND
- RE111 or RE1102 is coded ‘2’ (NO, WAS ON ACTIVE DUTY IN THE PAST, BUT NOT NOW),
‘RF’ (REFUSED) or ‘DK’ (DON’T KNOW) for this person
then set
Person.VSAQFlag=YES.
SDOH Follow-up
-If P26R2, P25R4, P24R6, or P23R8
AND
- person is a current RU member (included in person array)
AND
-person was prompted for an SDOH in Spring 2021 and that SDOH is
outstanding [PL_Person.SDOHRecCtrlStatus= ‘3’ (REFUSED), ‘5’ (BLANK),
'8' (NOT RECEIVED)], then set Person.SDOHFlagFlwUp=YES.

BOX_35

Route Details:

(QS1016)

Item Type: Route

Type Class: If Then

If RndType=Within, continue with QS03. If RndType=Cross or Final, go to QS10.

QS - Page 9 of 32

MEPSSpring2024
Full Detail Spec
Programmer
Instructions:

Quality Supplement (QS) Section
(Rout

For all RU members with Person.DCSFlag=YES OR Person.SAQFlagFlwUp=YES, set
Person.SAQMode=2 (Paper).
For all RU members with Person.SAQFlag=1, set Person.SAQMode:
If contact information recorded for person [(Person.EmailAddr<>Empty) OR
(Person.Cellphone<>Empty and (Person.CMTextCell=1 (YES) or Person.CMTextCell=3
(PENDING)))] set Person.SAQMode=1 (Web).

Otherwise, set Person.SAQMode=2 (Paper).
If Person.SAQMode=2 (Paper), set Person.ContactMode=4 (Paper).

For all RU members with Person.SAQMode=1 (Web), set Person.ContactMode:

If email recorded for person (Person.EmailAddr<>Empty) AND cellphone recorded with text
permissions yes or pending (Person.Cellphone<>Empty and (Person.CMTextCell=1 (YES) or
Person.CMTextCell=3 (PENDING))), set Person.ContactMode=1 (Both).
If email recorded for person (Person.EmailAddr<>Empty) AND no cellphone or text
permissions recorded (Person.Cellphone<>Empty or (Person.CMTextCell<>1,3)), set
Person.ContactMode=2 (Email).
If no email recorded for person (Person.EmailAddr=Empty) AND cellphone recorded with
text permissions yes or pending (Person.Cellphone<>Empty and (Person.CMTextCell=1
(YES) or Person.CMTextCell=3 (PENDING))), set Person.ContactMode=3 (SMS).

QS - Page 10 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS03
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1017)
Question
Enumerated
TContinue

BLAISE NAME: SAQSumm
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (

)

Look Up File (

)

Question Text:
RU Member SAQ Mode Contact Mode
{FULLNAME_1} {SAQ MODE} {CONTACT MODE}
{FULLNAME_2} {SAQ MODE} {CONTACT MODE}
{FULLNAME_3} {SAQ MODE} {CONTACT MODE}
{FULLNAME_4} {SAQ MODE} {CONTACT MODE}
{FULLNAME_N} {SAQ MODE} {CONTACT MODE}
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

Programmer
Instructions:

If any RU member has Person.SAQMode=1 (Web), continue with QS05. Otherwise, go to
QS10.

Display
Instructions:

1

Roster 1 - Report
Roster definition:
This item displays RU-members-roster for display of RU-members. Display RU members’ first, middle,
and last names (Person.FullName).
Roster filter:
Display RU-members who meet the following conditions:
1. Person is eligible for the SAQ (Person.SAQFlag=YES) or PSAQ (Person.PSAQFlag=YES)
Display the following columns formatted in the info in nonproportional text:
Column Header #1: RU Member
Display the full name (Person.FullName) of each RU member meeting the roster filter definition.
Column Header #2: SAQ Mode
For {SAQ MODE}, display Person.SAQMode for each RU member. Display “Web” if
Person.SAQMode=1 (Web). Display “Paper” if Person.SAQMode=2 (Paper).
Column Header #3: Contact Mode
For {CONTACT MODE}, display the SAQ contact mode (Person.ContactMode) for each RU member.
Display “Email/Text” if Person.ContactMode=1 (Both). Display “Email” if Person.ContactMode=2
(Email). Display “Text” if Person.ContactMode=3 (SMS). Display “Paper” if Person.ContactMode=4
(Paper).

QS - Page 11 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS05
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1018)
Question
Enumerated
TWebIntro
)

BLAISE NAME: SAQWebIntro
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
We have a request for {PERSON 1, PERSON 2, PERSON 3, PERSON 4, PERSON N }.
We are asking {you/each of you/them} to complete a short online survey about health and health opinions. The survey is
voluntary, and all of {your/their} responses will be kept private.
In a few days, invitations will be sent by text or email using the contact information we have on file.
{Would you please share this card so they know to expect the survey?
PERSONALIZE SAQ CARD AND GIVE TO RESPONDENT.}

Responses:

CONTINUE
IF VOLUNTEERED: UNWILLING TO
ACCESS ONLINE SURVEY

Programmer
Instructions:

If coded ‘2’, continue with QS07.
Else, if any RU member has SAQMode=2 (Paper), go to QS10.
Otherwise, go to BOX_60.

Display
Instructions:

1
2

For “PERSON 1, PERSON 2, PERSON 3, PERSON 4, PERSON N” display the first names
(Person.FName) of all RU members with SAQMode=1 (Web). Substitute “you” for the person’s first
name if the respondent is included in this list. If exactly two names displayed, separate names with the
word “and” and no comma. If more than two names listed, separate names using commas, except for
between the last two names displayed. Between the last two names displayed, separate names using the
word “and”.
Display “you” if the only eligible person for the SAQ is the respondent. Display “each of you” if at least
two RU members are eligible for the SAQ and one of them is the respondent. Otherwise, display
“them”.
Display “your” if the eligible RU members include the respondent. Otherwise, display “their”.
Display ‘Would you please share this card... PERSONALIZE SAQ CARD AND GIVE TO
RESPONDENT.’ if at least one RU member besides the respondent has SAQMode=1 (Web).
Otherwise, (the only RU member with SAQMode=1 (Web) is the respondent), use a null display.

QS - Page 12 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS07
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1019)
Question
Enumerated

BLAISE NAME: PaperSAQ
Field kind: Datafield

Field Size:
TFIRSTMIDLASTNA Answers allowed: 1
)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

Question Text:
INTERVIEWER: SELECT RU MEMBERS TO RECEIVE PAPER QUESTIONNAIRE.
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:

Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Roster Behavior
1. Multiple select allowed.
For anyone selected, change Person.SAQMode to ‘2’ (Paper) and Person.ContactMode to ‘4’
(Paper). Then go to QS10.

Roster 2- No Add/Edit/Delete Roster Definition:
Roster definition:
This item displays RU-members-roster for display of RU-members. Display RU members’ first, middle,
and last names (Person.FullName).
Roster filter:
Display RU-members who meet the following condition:
1. Person is eligible for web SAQ (Person.SAQMode=1 (Web)
Refused and Don’t Know disallowed.

QS - Page 13 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS10
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1020)
Question
Enumerated

BLAISE NAME: FormMatrl

TContinue

Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (

)

Look Up File (

Question Text:
FOR THIS SECTION, YOU WILL NEED THE FOLLOWING HARDCOPY MATERIALS FOR THIS
HOUSEHOLD:
{{NUMBER 1} A SURVEY ABOUT YOUR DIABETES CARE FORMS (DCS) }
{{NUMBER 2} YOUR HEALTH AND HEALTH OPINION FORMS (SAQ) }
{{NUMBER 3} YOUR HEALTH AND HEALTH OPINION FORMS (PSAQ-MALE=BLUE)}
{{NUMBER 4} YOUR HEALTH AND HEALTH OPINION FORMS (PSAQ-FEMALE=PURPLE)}
{{NUMBER 5} A SURVEY FOR VETERANS (VSAQ) }
{{NUMBER 6} Social and Health Experiences Survey (SDOH) }
PLEASE PULL THESE MATERIALS OUT NOW.
In this next section, I will be distributing {and collecting} some hardcopy materials.
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

1

QS - Page 14 of 32

LOOP_10

(QS1025)

)

MEPSSpring2024
Full Detail Spec
Display
Instructions:

Quality Supplement (QS) Section
(Ques

Display “{NUMBER 1} ... (DCS)” if at least one person where Person.DCSFlag=Yes. Otherwise, use a
null display. For “NUMBER 1”, display the count of Person.DCSFlag=Yes for this RU.

Display “{NUMBER 2} ... (SAQ)” if [at least one person where Person.SAQFlag=Yes AND
Person.SAQMode=2 (Paper)] or [Person.SAQFlagFlwUp=Yes]. Otherwise, use a null display. For
“NUMBER 2”, display the count of Person.SAQMode=2 and Person.SAQFlagFlwUp=Yes for this RU.

Display “{NUMBER 3} ... (PSAQ-MALE=BLUE)” if at least one male RU member where
Person.PSAQFlag=Yes or Person.PSAQFlagFlwUp=Yes. Otherwise, use a null display. For
“NUMBER 3”, display the count of male RU members where Person.PSAQFlag=Yes or
Person.PSAQFlagFlwUp=Yes for this RU.

Display “{NUMBER 4} ... (PSAQ-FEMALE=PURPLE)” if at least one female (or gender=DK/RF) RU
member where Person.PSAQFlag=Yes or Person.PSAQFlagFlwUp=Yes. Otherwise, use a null display.
For “NUMBER 4”, display the count of female (or gender=DK/RF) RU members where
Person.PSAQFlag=Yes or Person.PSAQFlagFlwUp=Yes for this RU.

Display “{NUMBER 5} ... (VSAQ)” if at least one person where Person.VSAQFlag=Yes. Otherwise,
use a null display. For “NUMBER 5”, display the count of Person.VSAQFlag=Yes for this RU.

Display “{NUMBER 6} ... (SDOH)” if at least one person where Person.SDOHFlagFlwUp=Yes.
Otherwise, use a null display. For “NUMBER 6”, display the count of Person.SDOHFlagFlwUp=Yes
for this RU.

Display “and collecting” if at least one person in the RU has Person.SAQFlagFlwUp=YES or
Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES or Person.SDOHFlagFlwUp=Yes in the
current round. Otherwise, use a null display.

Testing/Editing
Notes:

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

QS - Page 15 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
LOOP_10

Route Details:

(QS1025)

Item Type: Route

Type Class: Begin Loop

For each element in the RU-members-roster, ask BOX_40 - END_LP10.

Loop definition: LOOP_10 distributes all hardcopy materials to each eligible RU member.
This loop cycles on persons who meet the following conditions:

RU member has at least one of the following flags set for in the current round:

⦁ Person.DCSFlag=YES
OR
⦁ Person.SAQFlag=YES and PERSON.SAQMode=2 (Paper)
OR
⦁ Person.SAQFlagFlwUp=YES
OR
⦁ Person.PSAQFlag=YES
OR
⦁ Person.PSAQFlagFlwUp=YES
OR
⦁ Person.VSAQFlag=YES
OR
⦁ Person.SDOHFlagFlwUp=YES
Continue with BOX_40

QS - Page 16 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
BOX_40

Route Details:

(QS1030)

Item Type: Route

Type Class: If Then

If Person.DCSFlag=YES, continue with QS20_01. If [Person.SAQFlag=YES and
PERSON.SAQMode=2 (Paper)] or [Person.VSAQFlag=YES], go to QS20_05.
Otherwise, go to QS20_04.

Display Instructions:
Each flag that has been set should display a row for the corresponding hardcopy
questionnaire.
-Display “DCS” on Col #1, Row #1 as an uneditable, protected cell
-Display “SAQ” on Col#1, Row #2 as an uneditable, protected cell
-Display “PSAQ” on Col#1, Row #3 as an uneditable, protected cell
-Display “SDOH” on Col#1, Row #4 as an uneditable, protected cell

Row #1 should display as active if Person.DCSFlag-YES.
Row #2 should display as active if Person.SAQFlag=Yes or Person.SAQFlwUpFlag=YES.
Row #3 should display as active if Person.PSAQFlag=Yes or
Person.PSAQFlwUpFlag=YES.
Row #4 should display as active if Person.VSAQFlag=Yes and if P22R4, P23R1, P22R5.
Row #4 should display as active if Person.SDOHFlwUpFlag=YES and if P26R2, P25R4,
P24R6, or P23R8.

(NOTE: An RU member will never have BOTH the SAQ and PSAQ active in the same
round.)

Roster Report 1
Format the form pane column headers as follows:

Roster Definition: Display the hardcopy materials required for this RU member set at
BOX_ 30

Col#2 Header: DCS Type (QS20_01) Col#3 Header: Proxy Reason (QS20_02) Col#4
Header: Proxy Other (QS20_03)
Col#5 Header: Form Available? (QS20_04)
QS - Page 17 of 32

MEPSSpring2024
Full Detail Spec

Quality Supplement (QS) Section
(Rout

Col#6 Header: Distribute Form (QS20_05)
Col#7 Header: Final Status (QS20_06)
Col#8 Header: Specify Status (QS20_06OS)
Col#9 Header: Refusal Reason (QS20_07)
Col#10 Header: Specify Refusal (QS20_08)

Programmer
Instructions:

For each flag RU member has set (Person.DCSFlag= YES, Person.SAQFlag=YES,
Person.SAQFlagFlwUp=YES, Person.PSAQFlag=YES, Person.PSAQFlagFlwUp=YES,
Person.VSAQ=YES, Person.SDOHFlagFlwUp=Yes) configure the QS20 grid in the following
manner:
The grid should be Preloaded Grid Type 1: forced navigation, including QS20_01, QS20_02,
QS20_03, QS20_04, QS20_05, QS20_06, QS20_06OS, QS20_07, and QS20_08.
NOTE TO PROGRAMMERS: This grid needs to be configurable to accommodate the addition
of other required hardcopy materials as requested by the client in future panels.

QS - Page 18 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_01
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1035)
Question
Enumerated
TDIABRESP
)

BLAISE NAME: FormType
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:
{During an earlier interview, it/It} was mentioned that {you/{PERSON}} {have/has} diabetes. To obtain more
information on the care of adults with diabetes, we have a short questionnaire for {you/him/her}.
DETERMINE IF SELF OR PROXY DIABETES CARE SUPPLEMENT (DCS) SHOULD BE DISTRIBUTED: SELF DCS: FOR ANY
CURRENT RU MEMBER (18 YEARS OR OLDER) WHO HAS DIABETES.
PROXY DCS: FOR ANY RU MEMBER (18 OR OLDER) WHO IS INSTITUTIONALIZED, OR OTHERWISE INCAPACITATED.
ENTER TYPE OF DCS DISTRIBUTED NECESSARY FOR {PERSON}. {ACTION: PERSON IS INSTITUTIONALIZED AND
MAY REQUIRE PROXY DCS.}
CTRL-S: SWITCH TO DISTRIBUTE DOCS FOR A DIFFERENT PERSON.

Responses:

SELF
PROXY

1
2

QS - Page 19 of 32

QS20_05
QS20_02

(QS1054)
(QS1040)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
Programmer
Instructions:
Display
Instructions:

RF/DK not allowed.

Display ‘During an earlier interview, it’ if diabetes was not created during the current round
for the person being looped on. Display ‘It’ if diabetes created during the current round for
the person being looped on.
Display “ACTION: PERSON IS INSTITUTIONALIZED AND MAY REQUIRE PROXY DCS.” if the
person being asked about is institutionalized (PersRndStatus=Institutionalized) for the
current round. Otherwise, use a null display.
The label ACTION: should be displayed in the traditional interviewer instruction font size –
but in red. The text after “ACTION” should be displayed in the traditional blue interviewer
instruction size and color.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS20_02
Item Type:

(QS1040)
Question

Type Class:

Enumerated
TProxyDCS

Answer Type:
Help Available (
Context Header:

BLAISE NAME: FormProxyResn
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}

Question Text:
ENTER REASON FOR PROXY DCS.

Responses:

INSTITUTIONALIZED
OTHER

2
3

QS - Page 20 of 32

QS20_05
QS20_03

(QS1054)
(QS1045)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
Programmer
Instructions:

RF/DK not allowed.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

BLAISE NAME: FormProxyResnOS

QS20_03
Item Type:

(QS1045)
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: 45

)

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
SPECIFY OTHER REASON FOR PROXY DCS:

1

Responses:
Programmer
Instructions:

QS20_05

RF/DK not allowed.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 21 of 32

(QS1054)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_04
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1050)
Question
Enumerated

BLAISE NAME: FormCmpl
Field kind: Datafield

Field Size:
TQUESTIONAIRERE Answers allowed: 1
)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
{Now} I would like to ask {you/{PERSON}} to complete a brief survey about {health and health opinions/social
and health experiences}. {You/{PERSON}} may have already received this in the mail.
I want to check if {you/{PERSON}} completed that questionnaire already or {need/needs} a replacement.
{IF SDOH SAQ COLLECTED, SAY: We will mail {you/him/her} $20 after the MEPS office receives the completed
survey.}
{{SAQ/PSAQ/SDOH} STATUS FROM PREVIOUS ROUND: {PREVIOUS ROUND STATUS -40}}
{COLLECT {MALE (BLUE)/FEMALE (PURPLE)} PSAQ. IF INCORRECT COLOR PSAQ COMPLETED, CODE ‘2’ (NEEDS
REPLACEMENT) TO FILL OUT CORRECT COLOR PSAQ.}
{PERSON IS {DECEASED/INSTITUTIONALIZED/PARTIALLY ELIGIBLE - MOVED FROM RU}. IF {SAQ/PSAQ/SDOH}
ALREADY COMPLETED BECAUSE IT WAS MAILED TO HOUSEHOLD, COLLECT IT. HOWEVER, IF NOT ALREADY
COMPLETED, CODE ‘3’ AND DO NOT DISTRIBUTE NEW {SAQ/PSAQ/SDOH}.}
{CTRL-S: SWITCH TO DISTRIBUTE DOCS FOR A DIFFERENT PERSON.}

Responses:

COMPLETED /RETURNING
QUESTIONNAIRE
NEEDS REPLACEMENT
{NOT COMPLETED-NO REPLACEMENT
NECESSARY}

1

QS20_06

(QS1055)

2
3

QS20_05
BOX_50

(QS1054)
(QS1075)

QS - Page 22 of 32

)

MEPSSpring2024
Full Detail Spec
Programmer
Instructions:
Display
Instructions:

Quality Supplement (QS) Section
(Ques

RF/DK not allowed.

Display “Now” if QS20_01 was on route for the person being looped on. Otherwise, use a
null display.
Display “health and health opinions” if asking about SAQ or PSAQ (Person.SAQFlag=YES or
Person.SAQFlagFlwUp=YES or Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES) for the
person being looped on. Display “social and health experiences” if asking SDOH
(Person.SDOHFlagFlwUp=YES) for the person being looped on.
Display ‘IF SDOH SAQ COLLECTED, SAY: We will mail {you/him/her} $20 after the MEPS
office receives the completed survey.’ if asking about SDOH (Person.SDOHFlagFlwUp=YES).
Otherwise, use a null display.

Display "{SAQ/PSAQ/SDOH} STATUS FROM PREVIOUS ROUND: {PREVIOUS ROUND
STATUS -40}” if person was prompted for an SAQ/PSAQ/SDOH in previous round and that
SAQ/PSAQ/SDOH is outstanding (Person.SAQFlagFlwUp=YES or Person.PSAQFlagFlwUp=Yes
or Person.SDOHFlagFlwUp=YES). Otherwise, use a null display.
Display “SAQ” if Person.SAQFlag=YES or Person.SAQFlagFlwUp=YES for the person being
looped on.
Display “PSAQ” if Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES for the person being
looped on.
Display “SDOH” if Person.SDOHFlagFlwUp=YES for the person being looped on.
For ‘PREVIOUS ROUND STATUS-40’, display the following text:
If PL_Person.SAQRecCtrlStatus=3 display 'REFUSED'.
If PL_Person.SAQRecCtrlStatus=5 display 'BLANK'.
If PL_Person.SAQRecCtrlStatus=6 display 'WRONG TYPE'.
If PL_Person.SAQRecCtrlStatus=7 display 'WRONG YEAR USED'.
If PL_Person.SAQRecCtrlStatus=8 display 'NOT RECEIVED'.
If PL_Person.PSAQRecCtrlStatus=3 display 'REFUSED'.
If PL_Person.PSAQRecCtrlStatus=5 display 'BLANK'.
If PL_Person.PSAQRecCtrlStatus=6 display 'WRONG TYPE'.
If PL_Person.PSAQRecCtrlStatus=7 display 'WRONG YEAR USED'.
If PL_Person.PSAQRecCtrlStatus=8 display 'NOT RECEIVED'.
If PL_Person.SDOHRecCtrlStatus=3 display 'REFUSED'.
If PL_Person.SDOHRecCtrlStatus=5 display 'BLANK'.
If PL_Person.SDOHRecCtrlStatus=8 display 'NOT RECEIVED'.
Display “COLLECT {MALE (BLUE)/FEMALE (PURPLE)} PSAQ. IF INCORRECT COLOR PSAQ
COMPLETED, CODE ‘2’ (NEEDS REPLACEMENT) TO FILL OUT CORRECT COLOR PSAQ..” If
Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES for the person being looped on.
Otherwise, use a null display.
Display “MALE (BLUE)” if person being looped on is male. Otherwise, display “FEMALE
(PURPLE)”.
If Person.SAQFlagFlwUp=YES or Person.PSAQFlagFlwUp=YES or SDOHFlagFlwUp and (person
is NOT in the RU at the current round's interview date (EndRefDt ≠ EndRefM, EndRefD,
QS - Page 23 of 32

MEPSSpring2024
Full Detail Spec

Quality Supplement (QS) Section
(Ques

EndRefY)), then display FI instruction “PERSON…NEW DOCUMENT.” and response option ‘3’
(NOT COMPLETED, NO REPLACEMENT NECESSARY). Otherwise, use a null display.
Display “DECEASED” if PersRndStatus=Deceased. Display “INSTITUTIONALIZED” if
PersRndStatus=Institutionalized. Otherwise, display “PARTIALLY ELIGIBLE - MOVED FROM
RU.”
Display “CTRL-S: SWITCH TO DISTRIBUTE DOCS FOR A DIFFERENT PERSON.” If QS20_01 was
not on route for the person being looped on. Otherwise, use a null display.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 24 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_05
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1054)
Question
Enumerated
TContinue

BLAISE NAME: FormPrep
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:
{PREPARE {SELF/PROXY} DIABETES CARE SUPPLEMENT (DCS) FOR {PERSON}: WRITE IN PERSON’S NAME, DOB,
PID, AND RUID.
NAME: {FIRST NAME} {MIDDLE NAME} {LAST NAME}
DOB: {MM/DD/YYYY} PID: {PID}
RU ID: {RU ID}
STATUS: {CURRENT/INSTITUTIONALIZED}
HAND PREPARED {SELF/PROXY} DCS TO RESPONDENT AND SAY:
We hope that {{you/{PERSON}}/you or someone else in the family} would be able to fill out this short
questionnaire on the care {{you/{PERSON}}/{PERSON}} {{get/gets}/gets} for diabetes. {{You/He/She}/You} can
give it to me before I leave today, or I can pick it up later.}
{PREPARE {MALE (BLUE)/FEMALE (PURPLE)} {SAQ/PSAQ/VSAQ/SDOH} FOR {PERSON} USING THE INFORMATION
BELOW:
REGION: {REGION} RU ID: {RU ID} PID: {PID}
NAME: {FIRST NAME} {MIDDLE NAME} {LAST NAME}
{SDOH NAME: {SDOHFNAME} {SDOHLNAME}}
DOB: {MM/DD/YYYY}
HAND PREPARED {SAQ/PSAQ/VSAQ/SDOH} {AND RETURN ENVELOPE} TO RESPONDENT AND SAY:
We hope {you/{PERSON}} will be able to fill out this short questionnaire about {health and health
opinions/health choices/health care needs of military veterans/social and health experiences}. {You/He/She} can
give it to me before I leave today, or I can pick it up later./Once {you are finished, please/he is finished, he
should/she is finished, she should} place it back in the return envelope and seal it. {You/He/She} can give it to
me before I leave today, or drop it in the mail once it’s completed. We will mail {you/him/her} $20 after the
MEPS office receives the completed survey.}
{CTRL-S: SWITCH TO DISTRIBUTE DOCS FOR A DIFFERENT PERSON.}
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

1

QS - Page 25 of 32

QS20_06

(QS1055)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
Programmer
Instructions:

When asking about DCS for this RU member display ‘PREPARE {SELF/PROXY} DIABETES…
{{You/He/She}/You} can give it to me before I leave today, or I can pick it up later.’ Do not
display the other fills on SAQ. When asking about SAQ use a null display.
Display 'SELF', '{you/{PERSON}}', '{you/{PERSON}}', ‘{get/gets}’ and ‘{You/He/She}’ if
QS20_01 is coded ‘1’ (SELF).
Display 'PROXY', 'you or someone else in the family', ‘{Person}’, ‘gets’ and ‘You’ if QS20_
01 is coded ‘2’ (PROXY).
Display date of birth for person being asked about for 'MM/DD/YYYY.' Display PID of
person being asked about for 'PID'.
Display the RU ID for the current case for 'RUID'.
Display ‘CURRENT’ if the person being asked about is a current RU member (person included
on person array) and is not institutionalized or deceased (PersRndStatus≠ Institutionalized
or Deceased). Display “INSTITUTIONALIZED” if the person being asked about is
institutionalized (PersRndStatus=Institutionalized).
When asking about SAQ/PSAQ/SDOH for this RU member display ‘PREPARE {MALE
(BLUE)/FEMALE (PURPLE)} {SAQ/PSAQ/SDOH} FOR {PERSON}…or I can pick it up later.’ Do
not display the other fills on DCS. When asking about DCS use a null display.
Display region for the current case being asked about for ‘REGION’. Display the RU ID for the
current case for 'RUID'.
Display PID of RU member being asked about for 'PID'.
Display date of birth for RU member being asked about for 'MM/DD/YYYY.'
RF/DK not allowed.

Display
Instructions:

When asking about the DCS, display all the fill text in bold black, “FIRST NAME”, “MIDDLE
NAME”, “LAST NAME”,“MM/DD/YYYY”,“PID”,“RUID”
“CURRENT/INSTITUTIONALIZED”. All other text should adhere to the UI document
specifications.
Display “SDOH NAME: {SDOHFNAME} {SDOHLNAME}”, if the person whose cell the cursor is
in has an alias (Person.SDOHAliasFlag=Yes). If Person.SDOHAliasFlag<>Yes, use a null display.
When asking about the SAQ/PSAQ/VSAQ/SDOH, display all the fill text in bold black:
“REGION”, “RUID”, “PID” “FIRST NAME”, “MIDDLE NAME”, “LAST NAME”, “MM/DD/YYYY”.
All other text should adhere to the UI document specifications.
Display “{MALE (BLUE)/FEMALE (PURPLE)}” If Person.PSAQFlag=YES or
Person.PSAQFlagFlwUp=YES for the person being looped on. Otherwise, use a null display.
Display “MALE (BLUE)” if person being looped on is male. Otherwise, display “FEMALE
(PURPLE)”.
Display “SAQ” if Person.SAQFlag=YES or Person.SAQFlagFlwUp=YES for the person being
looped on.
Display “PSAQ” if Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES for the person being
QS - Page 26 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
looped on.

Display “VSAQ” if Person.VSAQFlag=YES for the person being looped on.
Display “SDOH” if Person.SDOHFlagFlwUp=YES for the person being looped on.
Display ‘AND RETURN ENVELOPE’ when asking about the SDOH. Otherwise, use a null
display.
Display 'health and health opinions' when asking about the SAQ. Display 'health choices'
when asking about PSAQ. Display ‘health care needs of military veterans’ when asking
about the VSAQ. Display ‘social and health experiences’ when asking about the SDOH.
Display ‘{You/He/She} can give it to me before I leave today, or I can pick it up later.’ if
asking about a form other than the SDOH. Display ‘Once {you are finished, please/he is
finished, he should/she is finished, she should} place it back in the return envelope and seal
it. {You/He/She} can give it to me before I leave today, or drop it in the mail once it’s
completed. We will mail {you/him/her} $20 after the MEPS office receives the completed
survey.’ if asking about the SDOH.
Display “CTRL-S: SWITCH TO DISTRIBUTE DOCS FOR A DIFFERENT PERSON.” If both QS20_01
and QS20_04 were not on route for the person being looped on. Otherwise, use a null
display.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 27 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_06
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1055)
Question
Enumerated

BLAISE NAME: FormCollect

TSAQCOMP
)

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:
COLLECT {PERSON}’S COMPLETED {SAQ/PSAQ/SDOH/DCS}.

Responses:

Programmer
Instructions:
Display
Instructions:

COMPLETED AND GIVEN TO
INTERVIEWER
NOT COMPLETED, WILL PICK UP AT A
LATER DATE
NOT COMPLETED, WILL MAIL TO
OFFICE
MAILED TO SAQ RESPONDENT
REFUSED TO COMPLETE (NO FORM
LEFT)
NOT COMPLETED, WILL COLLECT
AFTER INTERVIEW
OTHER

1

BOX_50

(QS1075)

2

BOX_50

(QS1075)

3

BOX_50

(QS1075)

4
5

BOX_50
QS20_07

(QS1075)
(QS1060)

6

BOX_50

(QS1075)

QS20_06OS

(QS1057)

91

RF/DK not allowed.

Display “SAQ” if Person.SAQFlag=YES or Person.SAQFlagFlwUp=YES for the person being
looped on.
Display “PSAQ” if Person.PSAQFlag=YES or Person.PSAQFlagFlwUp=YES for the person being
looped on.
Display “SDOH” if Person.SDOHFlagFlwUp=YES for the person being looped on.
Display “DCS” if Person.DCSFlag=YES for the person being looped on.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 28 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_06OS
Item Type:
Type Class:
Answer Type:
Help Available (

(QS1057)
Question
String

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

{Continuous Answer.} Answers allowed: 1
)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

Question Text:
PERSON: {First Middle Last Name} PID: {PID} FORM: {SAQ/PSAQ ({BLUE/PURPLE})/DCS/VSAQ/SDOH}
SPECIFY OTHER STATUS: .........................................1

Responses:
Programmer
Instructions:

Display
Instructions:

1
Go to BOX_50.
Refused and Don’t Know disallowed.

For "{First Middle Last Name}", display the first, middle and last names of the person being
looped on. Use Person.FName, Person.MName, and Person.LName.
For "{PID}", display the Person ID for the person being looped on. Use PersID. Display "SAQ"
if on row for SAQ.
Display "PSAQ ({BLUE/PURPLE})" if on row for PSAQ. Display "(BLUE)" if person being looped
on is male. Otherwise, display "(PURPLE)".
Display "DCS" if on row for DCS.
Display "VSAQ" if on row for VSAQ.
Display "SDOH" if on row for SDOH.
Display the first line of interviewer instructions, PERSON, PID, FORM, in grayed out text.

QS - Page 29 of 32

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_07
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1060)
Question
Enumerated

BLAISE NAME: FormRfResn

TSAQREF

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:
SELECT MAIN REASON FOR REFUSAL:

Responses:

Programmer
Instructions:

TOO BUSY
TOO PERSONAL/SENSITIVE
INFORMATION
TOO MUCH OF A PHYSICAL/MENTAL
HARDSHIP
HAS ALREADY GIVEN ENOUGH
INFORMATION
WANTS MORE INFORMATION
NOT INTERESTED
NO REASON GIVEN
OTHER

1
2

BOX_50
BOX_50

(QS1075)
(QS1075)

3

BOX_50

(QS1075)

4

BOX_50

(QS1075)

5
6
7
91

BOX_50
BOX_50
BOX_50
QS20_08

(QS1075)
(QS1075)
(QS1075)
(QS1065)

RF/DK not allowed.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 30 of 32

)

MEPSSpring2024

Quality Supplement (QS) Section
(Ques

Full Detail Spec
QS20_08
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(QS1065)
Question
String

BLAISE NAME: FormRfOS
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}

Question Text:
ENTER OTHER REASON FOR REFUSAL:

1

Responses:
Programmer
Instructions:

END_LP10

RF/DK not allowed.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)
YYYY.QS_Main.AuxQS_Loop10.QS20.QS20Grid[1..3]
Variable stored at MEPS(Fall/Spring)
YYYY.QS_Main.QS_Loop10[1..25].QS20.QS20Grid[1..3]

QS - Page 31 of 32

(QS1080)

)

MEPSSpring2024

Quality Supplement (QS) Section
(Rout

Full Detail Spec
BOX_50

Route Details:

(QS1075)

Item Type: Route

Type Class: If Then

If Row #1 (DCS) completed and [Person.SAQFlagFlwUp=Yes or Person.PSAQFlag=Yes
or Person.PSAQFlagFlwUp=Yes, go to QS20_04 to complete Row
#2/Row #3 (SAQ/PSAQ) for this person.

If Row #1 (DCS) completed and Row #2/Row #3 (SAQ/PSAQ) also completed and
Person.SDOHFlagFlwUp=YES, go to QS20_04 to complete Row #4 for this person.

If all rows and cells are completed for this person, continue with END_LP10.

END_LP10

Route Details:

(QS1080)

Item Type: Route

Type Class: End Loop

Cycle on the next RU member that meets the conditions of LOOP_10.
If no more RU members meet those criteria, continue with BOX_60.

BOX_60

Route Details:

(QS1085)

Item Type: Route

Type Class: If Then

Go to the next questionnaire section.

[End of QS]

QS - Page 32 of 32