Attachment 32 Attachment 32 – Attachment 32 HC Calendar Section

SpecWriter Data

Form Version:

9/15/2017 1:45:14 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

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

CA - Page 1 of 32

MEPS_V2

Calendar (CA) Section
(Rout

Full Detail Spec
BOX_00

(CA1000)

Route Details:

Item Type: Route

Type Class: If Then

01 Box = BOX_10, BOX_20, BOX_30, BOX_40, BOX_50
02 Loop = LOOP_10, LOOP_20, LOOP_30
03 End Loop = END_LP10, END_LP20, END_LP30
04 Single Select = CA10, CA20, CA60, CA90, CA100
05 Single Select with Roster Display = CA30_01, CA30_02, CA30_03, CA30_04, CA30_
05, CA30_06, CA30_07, CA80_01
16 Date Picker = CA70
20 OS Text Field = CA30_08
24 Information Screen = CA40, CA50
Grid 2 = CA30_01, CA30_02, CA30_03, CA30_04, CA30_05, CA30_06, CA30_07,
CA30_08, CA80_01

CA10
Item Type:

(CA1005)
Question

Type Class:

Enumerated

Answer Type:

THASRECORDS

Help Available (

)

BLAISE NAME: AnyRec
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

Question Text:
To answer the next set of questions, you will find it helpful to refer to records about the health care {you/{REFERENCE
PERSON}/{your/{REFERENCE PERSON}’s} household} received since {START OF REFERENCE PERIOD}. Records
that identify the place or person that provided the health care, the dates of health care visits, and any charges for the care will
help answer the questions.
Any records you refer to should cover health care {since {START DATE OF REFERENCE PERIOD}/between {START
DATE OF REFERENCE PERIOD} and {END DATE OF REFERENCE PERIOD}}.
Do you have any records you can use to help answer this next set of questions?

Responses:

HAS RECORD KEEPING MATERIALS
FOR AT LEAST 1 PERSON
DOES NOT HAVE ANY RECORDS
WILL NOT USE RECORDS

1
2
3

CA - Page 2 of 32

CA30_01

(CA1015)

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Programmer
Instructions:

RF/DK disallowed
If Round 2-5 and CA10 is coded ‘2’ (DOES NOT HAVE ANY RECORDS) or ‘3’ (WILL
NOT USE RECORDS) and CA30 was not asked in the prior round, go to CA40
(Preload.UseRecLRnd=Empty).
If Round 2-5 and CA10 is coded ‘2’ (DOES NOT HAVE ANY RECORDS) or ‘3’ (WILL
NOT USE RECORDS) and CA30 was asked in the prior round, go to CA20
(Preload.UseRecLRnd=Yes).
Otherwise, go to CA40.

Display
Instructions:

If a 1 person RU display ‘you/{REFERENCE PERSON}’. Otherwise, display ‘{your/{REFERENCE
PERSON}’s} household’.
Display ‘you’ if RU member respondent. Otherwise display ‘{REFERENCE PERSON}’ substituting
the name of the reference person.
Display ‘your’ if RU member respondent. Otherwise, display ‘{REFERENCE PERSON}’s’
substituting the name of the reference person.
Display ‘since {START DATE OF REFERENCE PERIOD}’ if Rounds 1-4, substituting the reference
period start date. Otherwise, display ‘between {START DATE OF REFERENCE PERIOD} and {END
DATE OF REFERENCE PERIOD}’ substituting the reference period start and end dates.
For "START DATE OF REFERENCE PERIOD", display the RU level reference period start date
(typically-but not always Jan 1 if Round 1 or the previous round interview date if Rds 2-5).
For "END DATE OF REFERENCE PERIOD", display the RU level reference period end date
(typically but not always current round interview date if Rds 1-4 or Dec 31 if Round 5).

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main
Variable stored at MEPSSpring2018.CA_Main

CA - Page 3 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA20
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1010)
Question
Enumerated
THASRECORDS

)

BLAISE NAME: LRndRec
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

Question Text:
During the last interview, we used {{a calendar},} {{provider or insurance statements},}
{{patient portal information},} {{payment records},} {{medicine bottles, tubes, containers, or other prescription
records},} {CA30_08 text string/OM90 text string} to help answer the next set of questions. Do you have any of
these same records or any other records available that cover the health care each person in {your/this} household
received {since {START DATE OF REFERENCE PERIOD}/between {START DATE OF REFERENCE
PERIOD} and {END DATE OF REFERENCE PERIOD}}?

Responses:

HAS RECORD KEEPING MATERIALS
FOR AT LEAST 1 PERSON
DOES NOT HAVE ANY RECORDS
WILL NOT USE RECORDS

1

CA30_01

(CA1015)

2
3

CA40
CA40

(CA1055)
(CA1055)

CA - Page 4 of 32

)

MEPS_V2
Full Detail Spec

Display
Instructions:

Calendar (CA) Section
(Que

If proxy respondent, display "this", otherwise, "your".
Display the following text when there was at least 1 YES response for this record type or it
was selected at OM80 for at least one RU member in the previous round.
If CA30_ 01 was coded ‘1’ (Calendar with Health Care Entries)
or OM80 was coded ‘1’ for at least one RU member in the previous round, display
"a calendar" (Preload.UseCalndrFlag=Yes). Otherwise, use a null display.
If CA30_02 was coded ‘1’ (Provider or Insurance Statements)
or OM80 was coded ‘2’ for at least one RU member in the previous round, display
"provider or insurance statements" (Preload.ProvHinsstmtFlag=Yes). Otherwise, use
a null display.
If CA30_03 was coded ‘1’ (Patient Portal) or OM80 was coded ‘3’ for at least one RU
member in the previous round, display “patient portal information”
(Preload.PtntPortalFlag=Yes). Otherwise, use a null display.
If CA30_04 was coded ‘1’ (Payment Records) or OM80 was coded ‘4’for at least one
RU member in the previous round, display "payment records"
(Preload.PymtRecFlag=Yes).
Otherwise, use a null display.
If CA30_05 was coded ‘1’ (RX Records/Bottles) or OM80 was coded ‘5’ for at least
one RU member in the previous round, display "medicine bottles, tubes,
containers, or other prescription records' (Preload.RxRecBottleFlag=Yes).
Otherwise, use a null display.
If CA30_07 was coded ‘1’ (Other record) or OM80 was coded ‘7’ for at least one RU
member in the previous round, display "{CA30_08 text string/OM90 text string}"
(Preload.OthRecFlag=Yes). Display only one, if both had values set in the prior
round, CA30_07 supersedes what was entered at OM90 (Use
Preload.OthRecOSPrev). Otherwise, use a null display.
Display ‘and’ before the last record in the question text.
Display the ‘,’ in between multiple records, otherwise, if only one record displayed,
do not display the comma.
Display 'and' if only two records are displayed. Do not display the comma.
For "START DATE OF REFERENCE PERIOD", display the RU level reference period
start date (typically-but not always Jan 1 if Round 1 or the previous round interview
date if Rds 2-5).
For "END DATE OF REFERENCE PERIOD", display the RU level reference period end date
(typically but not always current round interview date if Rds 1-4 or Dec 31 if Round 5).

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main
Variable stored at MEPSSpring2018.CA_Main

CA - Page 5 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_01
Item Type:
Type Class:

(CA1015)
Question
Enumerated

Answer Type:

THASCALDR

Help Available (

)

BLAISE NAME: UseCalndr
Field kind: Datafield
Field Size:
Answers allowed: 1

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

Question Text:
{Thanks for keeping these records. Let me review the records with you first.}
Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, or something else.
{Do/Does} {you/{PERSON}} have a calendar with health entries?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

YES, HAS CALENDAR WITH HEALTH
CARE ENTRIES FOR {PERSON}
NO, DOES NOT HAVE CALENDAR WITH
HEALTH CARE ENTRIES FOR {PERSON}

1
2

CA - Page 6 of 32

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Programmer
Instructions:

Preloaded Grid Type 2: flexible navigation, including CA30_01, CA30_02, CA30_03, CA30
_04, CA30_05, CA30_06, CA30_07, and CA30_08
Allow empty.
RF/DK not allowed.
Enable movement on screen so interviewer can enter record types for all persons by row.

Display
Instructions:

Roster Report 1
Display RU-Members-Roster
Col #1 Header: Records for RU member
Instructions: Display RU members' first, middle, and last names (FULLNAME)
Format response pane in columns with headers: Col#2 Header: CA30_01 Calendar with health care
entries, Col# 3 Header: CA30_02 Provider or Insurance Statements, Col# 4 Header: CA30_03 Patient
Portal, Col# 5 Header: CA30_04 Payment Records, Col# 6 Header: CA30_05 RX Records/Bottles,
Col# 7 Header: CA30_06 PR/MB Follow-Up, Col# 8 Header: CA30_07
Other, Col# 9 Header: CA30_08 Other Specify, Col#10 Header : CA30DONE
Roster filter:
Display all RU members.
Display "Thanks for keeping these records. Let me review the record with you first." Only for the first
person in the grid. Otherwise, use null display.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 7 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_02
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1020)
Question
Enumerated

BLAISE NAME: ProvHinsStmt
Field kind: Datafield

Field Size:
THASPROVORINSS Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
{Do/Does} {you/{PERSON}} have provider or insurance statements?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

Display
Instructions:

YES, HAS PROVIDER OR INSURANCE
STATEMENT(S) FOR {PERSON}
NO, DOES NOT HAVE PROVIDER OR
INSURANCE STATEMENTS FOR
{PERSON}

1
2

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 8 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_03
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1025)
Question
Enumerated
THASPPORTAL

BLAISE NAME: PtntPortal
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (

)

Look Up File (

)

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
{Do/Does} {you/{PERSON}} have a patient portal?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

Display
Instructions:

YES, HAS PATIENT PORTAL FOR
{PERSON}
NO, DOES NOT HAVE PATIENT PORTAL
FOR {PERSON}

1
2

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 9 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_04
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1030)
Question
Enumerated

BLAISE NAME: PymtRec
Field kind: Datafield

Field Size:
THASPAYMTRECO Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
{Do/Does} {you/{PERSON}} have payment records?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

Display
Instructions:

YES, HAS PAYMENT RECORDS FOR
{PERSON}
NO, DOES NOT HAVE PAYMENT
RECORDS FOR {PERSON}

1
2

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 10 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_05
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1035)
Question
Enumerated

BLAISE NAME: RxRecBottle
Field kind: Datafield

Field Size:
THASPRESMEDBOT Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

)

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
{Do/Does} {you/{PERSON}} have prescription records such as medicine bottles, tubes, or containers?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

Programmer
Instructions:

Display
Instructions:

YES, HAS PRESCRIPTION
RECORDS/MEDICINE BOTTLES FOR
{PERSON}
NO, DOES NOT HAVE PRESCRIPTION
RECORDS/MEDICINE BOTTLES FOR
{PERSON}

1

2

If coded ‘1’ (YES) for anyone in the RU, go to CA30_06, otherwise, go to CA30_07.

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 11 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_06
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1037)
Question
Enumerated
TCABottle

)

BLAISE NAME: RxRecBottleInfo
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
Does this prescription record/medicine bottle for {PERSON} contain information for a health care visit that occurred between
{START DATE} and {END DATE}?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

Programmer
Instructions:

Display
Instructions:

YES, PRESCRIPTION
RECORD/MEDICINE BOTTLE CONTAINS
HEALTH CARE VISIT INFORMATION
FOR {PERSON}
NO, PRESCRIPTION RECORD/MEDICINE
BOTTLE DOES NOT CONTAIN HEALTH
CARE VISIT INFORMATION FOR
{PERSON}

1

2

Allow Empty. Display this cell as active only if RU member coded CA30_05 '1' (YES,HAS
PRESCRIPTION RECORD/MEDICINE BOTTLES FOR {PERSON} ).
Otherwise, display cell as inactive.

For "START DATE", display the person level reference period start date.
For "END DATE", display the person level reference period end date.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 12 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_07
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1040)
Question
Enumerated

BLAISE NAME: OthRec
Field kind: Datafield

Field Size:
THASOTHERRECOR Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
{Do/Does} {you/{PERSON}} have another type of record?

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

YES, HAS OTHER RECORD FOR
{PERSON}
NO, DOES NOT HAVE OTHER RECORD
FOR {PERSON}

1
2

CA - Page 13 of 32

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Calendar (CA) Section
(Que

If coded ‘1’ (YES), go to CA30_08, for each person in the grid, otherwise, go to BOX_10. .
Hard check: at least one cell in grid (CA30_01 through CA30_07) should be coded ‘1’ (YES,
HAS RECORDS).
If not, display error message: AT {CA10 (AnyRec)/CA20 (LRndRec)} YOU INDICATED
SOMEONE IN THIS HOUSEHOLD HAD RECORDS, GO BACK TO REVIEW GRID. IF NO ONE IN
THIS HOUSEHOLD HAS RECORDS, BACK UP TO {CA10 (AnyRec)/CA20 (LRndRec)} AND
CHANGE YOUR ANSWER TO CONTINUE.
Error message should display two options: to return to CA10 (AnyRec)/CA20 (LRndRec) or
return to the last question in the grid answered NO.
If “AnyRec” selected, CAPI should go back to CA10 or CA20, whichever was answered.
Display the question that was answered either {CA10/CA20} in display error message and
the response options. Go to BOX_10.

Display
Instructions:

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 14 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA30_08
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1045)
Question
String

BLAISE NAME: OthRecOS
Field kind: Datafield
Field Size: 40

{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

Question Text:
[Please tell me who the record is for, and the type of record you’re looking at, such as a calendar, or a provider or insurance
statement, patient portal information, payment records, prescription records such as medicine bottles, tubes, or containers or
something else.]
ENTER OTHER RECORD.
NOTE: BE AS SPECIFIC AS POSSIBLE BECAUSE YOU WILL BE REFERRING TO THIS TEXT IN THE NEXT
ROUND.

NAVIGATION: Complete the grid in order of respondent's answers.

Responses:

CA - Page 15 of 32

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Programmer
Instructions:

RF/DK disallowed.
Display this cell as active only if RU member coded CA30_07 '1' (YES, HAS OTHER RECORD
FOR {PERSON}). Otherwise, display cell as inactive.
Hard check: at least one cell in grid (CA30_01 through CA30_07) should be coded ‘1’ (YES,
HAS RECORDS).
If not, display error message: AT {CA10 (AnyRec)/CA20 (LRndRec)} YOU INDICATED
SOMEONE IN THIS HOUSEHOLD HAD RECORDS, GO BACK TO REVIEW GRID. IF NO ONE IN
THIS HOUSEHOLD HAS RECORDS, BACK UP TO {CA10 (AnyRec)/CA20 (LRndRec)} AND
CHANGE YOUR ANSWER TO CONTINUE.
Error message should display two options: to return to CA10 (AnyRec)/CA20 (LRndRec) or
return to the last question in the grid answered NO.
If “AnyRec” or "LRndRec" selected, CAPI should go back to CA10 or CA20, whichever was
answered.
Display the question that was answered either {CA10 (AnyRec)/CA20 (LRndRec)} in display
error message and the response options.

Display
Instructions:

Display "Please tell me who the record is for..." text in grayed out in lighter text and in brackets.

Display the interviewer instruction 'NAVIGATION: Complete the grid in order of respondent's
answers.' in red text.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]
Variable stored at MEPSSpring2018.CA_Main.CA30Grid.CA30Grid[1..25]

CA - Page 16 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA40
Item Type:

(CA1055)
Question
Enumerated

Type Class:
Answer Type:

TContinue

Help Available (

BLAISE NAME: GiveCalndr
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (

)

Look Up File (

)

Question Text:
GIVE RESPONDENT A MONTHLY PLANNER (CALENDAR). Through the rest of the interview, there are questions that
will ask for dates. When you do not remember the date, we can refer to this calendar for help.
CIRCLE {TODAY’S DATE/12/31/{YEAR}} {AND DATE OF LAST INTERVIEW ({PREV RD INTV DT})}.
PRESS 1 AND ENTER TO CONTINUE.

Responses:

Display
Instructions:

CONTINUE

BOX_10

(CA1060)

Display "today's date" is not round 5. Display "12/31/{year}" if round 5. For {year} display
second year of panel.
Display "and date of last interview" if not round 1. Otherwise, use a null display.
For "(PREV RD INTV DT)", display the date of the previous round interview. Typically, but not

Testing/Editing
Notes:

BOX_10

Route Details:

Variable collected at MEPSSpring2018.CA_Main
Variable stored at MEPSSpring2018.CA_Main

(CA1060)

Item Type: Route

Type Class: If Then

(If rounds 2-5) and (if at least one open HS, IC, or HH event continue with LOOP_10.
Otherwise, go to BOX_30

CA - Page 17 of 32

MEPS_V2

Calendar (CA) Section
(Rout

Full Detail Spec
LOOP_10

Route Details:

(CA1065)

Item Type: Route

Type Class: Begin Loop

For each element in the RU-Members-Roster, ask LOOP_20-END_LP10
Loop definition: LOOP_10 cycles on persons who had an open HS, IC, or HH event in the
previous round. This loop cycles on RU members who meet any of the following
conditions (Preload.CaseID, Preload.EvntID, Preload.PersID, Preload.ProvID,
Preload.EvntType, Preload.EvntEndDt, Preload.EvntEndM, Preload.EvntEndD,
Preload.EvntEndY):
-Person had an HS event during the previous round and one of person’s HS
events had a discharge date coded ‘95’ (STILL IN HOSPITAL).
-Person had at least one IC event during the previous round and one of person’s
IC events had a discharge date coded ‘95’ (STILL IN INSTITUTION).
-Person had an HH event coded "1" (YES) during the previous round interview
month.
Note: If the respondent is eligible for this loop, CAPI should cycle on the respondent first,
followed by eligible RU members in PID order.

LOOP_20

Route Details:

(CA1070)

Item Type: Route

Type Class: Begin Loop

For each element in person’s-medical-events-roster, ask BOX_15-END_LP20
Loop definition: Loop_10 closes out HS, IC, or HH event that were “OPEN” in the previous
round. This loop cycles on this person’s events that meet any of the following conditions:
-Event type is HS and event had a discharge date reported in the previous round
as code ‘95’ (STILL IN HOSPITAL).
-Event type is IC and event had a discharge date reported in the previous round
as ‘95’ (STILL IN INSTITUTION).
-Event type is HH and EV70 for the previous round interview month was coded ‘1’ (YES).

BOX_15

(CA1071)

Item Type: Route

Type Class: If Then

CA - Page 18 of 32

MEPS_V2

Calendar (CA) Section
(Rout

Full Detail Spec

Programmer
Instructions:

(If rounds 2-5) and if at least one open HS, or IC event and preload.providerID=empty for
any RU member from the previous round, go to the Provider Roster (PV) section. At the
completion of the PV section, continue with CA50.
(If rounds 2-5) and if at least one open HH event and preload.providerID=empty for any RU
member from the previous round, go to CA43. Otherwise, continue with CA50.

CA43
Item Type:

(CA1072)
Question

Type Class:

Enumerated

Answer Type:

THHTYPE

Help Available (HHEvntTpHelp)
Context Header:

BLAISE NAME: CA43
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:
{{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 receiving care at home/when you were receiving
care at home} at the time of the last interview on {PREV RD INTV DT}.
Thinking about the health care {you/{PERSON}} received at home, was the person who provided the care a friend or
neighbor, a relative, a volunteer, or some type of provider who was paid? Please do not include health care received from
friends or relatives living here.
PROBE: Do you have a brochure, folder, binder of papers, telephone listing, or anything which might help?
NOTE: SELECT ONLY ONE TYPE OF PROVIDER AT THIS TIME.
HELP: F1

Responses:

FRIEND/NEIGHBOR
RELATIVE
VOLUNTEER
OTHER - PAID
VOLUNTEER: MEAL DELIVERY SERVICE

1
2
3
4
5

CA - Page 19 of 32

CA80_01
CA80_01
CA80_01
CA46
END_LP20

(CA1095)
(CA1095)
(CA1095)
(CA1073)
(CA1115)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Calendar (CA) Section
(Que

If coded ‘1’ (FRIEND/NEIGHBOR):
-Add ‘FRIEND(S) OR NEIGHBOR(S)’ to the RU-medical-providers-roster, persontype-provider name column. No address information is necessary.
If coded ‘2’ (RELATIVE):
-Add ‘RELATIVE(S)’ to the RU-medical-providers-roster, person-type-provider name
column. No address information is necessary.
If coded ‘3’ (VOLUNTEER):
-Add ‘VOLUNTEER(S)’ to the RU-medical-providers-roster, person-type-provider name
column. No address information is necessary.
If coded ‘5’ (VOLUNTEERED: MEAL DELIVERY SERVICE), create an event record with HH as
the event type and the only attribute for this record is VOLUNTEERED: MEAL DELIVERY
SERVICE. No other information is necessary.
If CA43 is coded '1' (FRIEND/NEIGHBOR), '2' (RELATIVE), or '3' (VOLUNTEER), flag provider as
‘INFORMAL’ for PROV.HHTYPE (this will have to be replaced when we know what variable it
is being stored as).

Display
Instructions:

Display 'Before we discuss the health care events..." if it’s the first open HH event with
preload.providerID=empty being cycled on.
Otherwise, if it's not the first open HH event with preload.providerID=empty being cycled on,
display 'Next'.
Display “who was receiving care at home” if the person being looped on is not the
respondent.
Otherwise, display “when you were receiving care at home”.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20
Variable stored at MEPSSpring2018_Event.CA_Loop20

CA - Page 20 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA46
Item Type:

(CA1073)
Question
Enumerated

Type Class:
Answer Type:

TSELFAGEN

Help Available (
Context Header:

)

BLAISE NAME: CA46
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:
Did this person work for a home health agency, hospital, or nursing home or did they work for themselves?
PROBE: Do you have a brochure, folder, binder of papers, telephone listing, or anything which might help?

Responses:

WORKED FOR AGENCY, HOSPITAL, OR
NURSING HOME
WORKED FOR SELF
REFUSED
DON'T KNOW

1

BOX_18

(CA1074)

2
RF
DK

BOX_18
BOX_18
BOX_18

(CA1074)
(CA1074)
(CA1074)

Display
Instructions:

Testing/Editing
Notes:

BOX_18

Route Details:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20
Variable stored at MEPSSpring2018_Event.CA_Loop20

(CA1074)

Item Type: Route

Type Class: If Then

Ask Provider Roster (PV) section for this event.
If CA46 is coded '1' (WORKED FOR AGENCY, HOSPITAL, OR NURSING HOME), flag provider
just collected in PV section as ‘AGENCY’ for PROV.HHTYPE.
If CA46 is coded '2' (WORKED FOR SELF), 'RF' (REFUSED), or 'DK' (DON'T KNOW), flag
provider just collected in PV section as ‘PAID INDEPENDENT’ for PROV.HHTYPE.
(After flagging, continue with BOX_20.)

CA - Page 21 of 32

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA50
Item Type:
Type Class:
Answer Type:

Help Available (

(CA1075)
Question
Enumerated
TContinue

)

BLAISE NAME: ContinEvnt
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

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 {PERSON} who {was in the hospital/was staying at a residential care facility/was
receiving care at home} at the time of the last interview on {PREV RD INTV DT}. {Please refer to any of the
records that you might have for {you/{PERSON}}.}
{I have a few more questions to ask about the {hospital stay/stay at a residential care facility/home health care}
recorded for {PERSON} at the time of the last interview on {PREV RD INTV DT} {Please refer to any of the
records you have for {you/{PERSON}}.}
PRESS 1 AND ENTER TO CONTINUE.

Responses:

CONTINUE

BOX_20

CA - Page 22 of 32

(CA1080)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Display
Instructions:

Display instructions for the first paragraph:
First cycle of LOOP_10 and not coming from the PV section display: ‘Before we discuss the
health care events for each household member since {START DATE}" Otherwise, if it's not
the first cycle and not coming from the PV section, display "Next". Do not display the second
paragraph if not coming from the PV section, "I have a few more questions to ask about
the..."
If cycling on open HS event: "was in the hospital"
If cycling on open IC event: "was staying at a residential care facility" If cycling on open HH
event: "receiving care at home"
If at least one code ‘1’ (YES, HAS RECORD TYPE) at CA30_01 through CA30_06 for this
person, display: "Please refer to any records that you might have for {you/{PERSON}}.
Otherwise, use a null display.
For "PREV RD INTV DT", display the date of the previous round interview. Typically, but not
always, the current round RU reference period start date if rounds 2-5, and Jan 1 if round 1.
Display instructions for the second paragraph:
Display "I have a few more questions to ask for..." if coming from the PV section, and do not
display the first paragraph "{Before we discuss the health care events for each household
member since..."
If at least one code ‘1’ (YES, HAS RECORD TYPE) at CA30_01 through CA30_06 for this
person, display: "Please refer to any records that you might have for {you/{PERSON}}."
Otherwise, use a null display.
If cycling on open HS event: "was in the hospital"
If cycling on open IC event: "was staying at a residential care facility" If cycling on open HH
event: "receiving care at home"

Testing/Editing
Notes:

BOX_20

Route Details:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20
Variable stored at MEPSSpring2018_Event.CA_Loop20

(CA1080)

Item Type: Route

Type Class: If Then

If cycling on an open HS or IC event and the respondent is not the person this event is
for, continue with CA60. Otherwise, go to CA70.
If cycling on an open HH event, go to CA80_01.

CA - Page 23 of 32

MEPS_V2

Calendar (CA) Section
(Rout

Full Detail Spec

CA60
Item Type:

(CA1085)
Question

Type Class:

Enumerated

Answer Type:

TYES_NO

Help Available (
Context Header:

)

BLAISE NAME: StillHSIC
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER….}

Question Text:
Last time, we recorded that {PERSON} entered {PROVIDER} on {DAY OF WEEK, MONTH, DAY, YEAR OF ADMIT
DATE}. Was {he/she} discharged from {PROVIDER}?

Responses:

YES
NO

Programmer
Instructions:

If coded ‘2’ (NO), set this event to ’95’ (STILL IN HOSPITAL/IC FACILITY).

Display
Instructions:

Testing/Editing
Notes:

1
2

CA70
END_LP20

(CA1090)
(CA1115)

Display the admit date for this event for {DAY OF WEEK, MONTH, DAY, YEAR OF ADMIT
DATE}.

Variable collected at MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20
Variable stored at MEPSSpring2018_Event.CA_Loop20

CA - Page 24 of 32

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA70
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(CA1090)
Question
Date

BLAISE NAME: DischDate
Field kind: Datafield

Field Size:
{Continuous Answer.} Answers allowed: 1

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL CARE
PROVIDER….}

Question Text:
On what date {were/was} {you/he/she} discharged from {PROVIDER}?
PRESS ALT AND DOWN ARROW KEY TO SELECT THE DATE FROM THE CALENDAR. PRESS ENTER TO
CONTINUE.

Responses:
REFUSED
DON'T KNOW

RF
DK

CA - Page 25 of 32

END_LP20

(CA1115)

END_LP20
END_LP20

(CA1115)
(CA1115)

)

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Calendar (CA) Section
(Que

Pressing the ALT- down arrow key will bring up the pop-up calendar, or it can be entered
manually.
CAPI should record this date to the event array as the hospital end date for this now closed
event.
Hard check:
If open event occurred in round 1, admit date allowed to be 1 year prior to the start of the
person’s reference period. The discharge date must be after the admit date. If a date
outside of this range is entered, display the following message: “UNLIKELY RESPONSE. DATE
MUST BE ON OR AFTER ADMITTANCE DATE AND BEFORE THE PERSON'S REFERENCE PERIOD
END DATE. CONFIRM DATES WITH RESPONDENT.”
If open event occurred in rounds 2-4, date entered must be between the person’s reference
period begin date (BegRefM, BegRefD, BegRefY) and the person’s reference period end date
(EndRefM, EndRefD, EndRefY). If a date outside of this range is entered, display the
following message: "DATE CANNOT BE AFTER PERSON’S REFERENCE PERIOD END DATE OR
BEFORE PERSON’S REFERENCE PERIOD BEGIN DATE. VERIFY WITH RESPONDENT AND
REENTER."
NOTE: If the open event was created in round 1, admit date allowed to be 1 year prior to the
start of the person’s reference period. The discharge date must be after the admit date. If a
date outside of this range is entered, display the following message: “UNLIKELY RESPONSE.
DATE MUST BE ON OR AFTER ADMITTANCE DATE. CONFIRM DATES WITH RESPONDENT.”

Display
Instructions:

Display the empty date field for entry.
Default to display the previous round interview month.

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20
Variable stored at MEPSSpring2018_Event.CA_Loop20

CA - Page 26 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
CA80_01
Item Type:
Type Class:
Answer Type:

Help Available (
Context Header:

(CA1095)
Question
Enumerated
TYESNO

)

BLAISE NAME: EvpvBegMM
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….}

Question Text:
On {PREV ROUND INTV DATE}, we recorded that {you/{PERSON}} received care at home from {someone from}
{PROVIDER} during some part of {PREV ROUND INTERVIEW MONTH}.
Did you continue to receive care at home from {someone from} {PROVIDER} into {MONTH AFTER PREV ROUND INTV
MONTH}?
PROBE: How about in {MONTH}?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

CA - Page 27 of 32

MEPS_V2
Full Detail Spec

Programmer
Instructions:

Calendar (CA) Section
(Que

Preloaded grid type 1: forced navigation including CA80_01, CA80_02, CA80_03, CA80_
04, CA80_N.
The CA80 grid has to accommodate at least 10 months.

Display
Instructions:

Roster 1- Report
Col #1 Header: Month
Instructions: Display months in person’s reference period in the form pane
Roster Filter:
Grid displays all the months of the person’s reference period excluding the previous round
interview month.
Display ‘someone from’ if provider is a facility. Otherwise, use a null display.
Display the months of the person’s reference period excluding the current month, as that
was asked about in the last round. For example, for a round 2 interview the person’s
reference period is March 5-August 15, CAPI would display months ‘APRIL’,
‘MAY’, ‘JUNE’, ‘JULY’, and ‘AUGUST’.
RF (REFUSED) and DK (DON’T KNOW) are allowed for CA80_01, CA80_02, CA80_03,
CA80_04, CA80_N but will be treated as a ‘NO’ when creating events.
If current interview month is coded ‘1’ (YES), display the following message: “HOME HEALTH
UTILIZATION SEC FOR {INT MONTH} WLL NOT BE ASKED UNTIL NEXT ROUND.”
Variable question text display for each of the question in the grid: CA80_02: “…during the
month of {MONTH_2}? “
CA80_03: “How about during the month of {MONTH_3}?” CA80_04: “…during the month of
{MONTH_4}?” CA80_N: “ …during the month of {MONTH_N}?”
Repeat question text from CA80_02-CA80_N for months displayed beyond.
Display “on {PREV ROUND INTV DATE}…” in bold black text every fourth month displayed,
otherwise, display in lighter grayed out text.
"PREV ROUND INTV DATE", display the date of the previous round interview. Typically, but
not always, the current round RU reference period start date.
For "PREV ROUND INTERVIEW MONTH", display the full month name of previous round
interview month for this HH event that is being carried forward for this person-provider pair
(Preload.EvntEndDt, Preload.EvntEndM).
For "MONTH AFTER PREV ROUND INTV MONTH", display the first full month of the person's

Testing/Editing
Notes:

Variable collected at
MEPSSpring2018.CA_Main.CA_Loop10[1..25].CA_Loop20.CA80.CA80Grid[1..12]
Variable stored at MEPSSpring2018_Event.CA_Loop20.CA80.CA80Grid[1..12]

CA - Page 28 of 32

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec
END_LP20

Route Details:

(CA1115)

Item Type: Route

Type Class: End Loop

Cycle on next event for this person being looped on that meets the conditions stated in the
loop definition.
If no more events meet the stated conditions, end LOOP_20 and continue with END_LP10.

END_LP10

Route Details:

(CA1120)

Item Type: Route

Type Class: End Loop

Cycle on next person in RU-Members-Roster that meets the conditions stated in the
loop definition.
If no more persons meet the stated conditions, end LOOP_10 and continue with BOX_
30.

BOX_30

Route Details:

(CA1125)

Item Type: Route

Type Class: If Then

If coded 1 ‘YES, HAS RECORD’ for at least one RU member at either CA30_01, CA30_
02, CA30_03, CA30_04, or CA30_07 continue with LOOP_30. Otherwise, go to BOX_50.
If CA30_05 is the only item in the CA30 grid that is coded and it is coded ‘1’ (YES), check
to see if CA30_06 is coded ‘1’ (YES) and continue with LOOP_30, otherwise (if CA30_05
is coded ‘1’ (YES) and CA30_06 is coded ‘2’ (NO), go to BOX_50.

CA - Page 29 of 32

MEPS_V2

Calendar (CA) Section
(Rout

Full Detail Spec
LOOP_30

(CA1130)

Item Type: Route

Type Class: Begin Loop

For each of the following:

Route Details:

Record 1
Record 2
Record 3
Record 4
Ask BOX_40-END_LP30.
Loop definition: LOOP_30 enumerates events from records. The response to CA90 or
CA100 determines if the loop cycles again. If CA90 or CA100 is coded ‘1’ (YES ), the
loop cycles to collect the next even from records. When both CA90 and CA100 are
coded ‘2’ (NO), ‘RF’ (REFUS ED), or ‘DK’ (DON’T KNOW), the loop ends.

BOX_40

(CA1135)

Route Details:

Item Type: Route

Type Class: If Then

Ask the Event Roster (EV) S ection for record collection.
At completion of the EV section, continue with CA90.

CA90
Item Type:

(CA1140)
Question

Type Class:

Enumerated

Answer Type:

TYES_NO

Help Available (

)

BLAISE NAME: AnotherEvnt
Field kind: Datafield

ArrayMin:

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Show Card (

)

Look Up File (

Question Text:
CODE ‘YES’ IF THE RECORD YOU ARE LOOKING AT HAS ANOTHER HEALTH CARE EVENT NOT YET
ENTERED INTO CAPI. THE HEALTH CARE EVENT CAN BE FOR ANY PERSON.
IF UNSURE, ASK: Is there another health care visit covered in that record?

Responses:

YES
NO

1
2

CA - Page 30 of 32

END_LP30
CA100

(CA1150)
(CA1145)

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Programmer
Instructions:

RF and DK disallowed.

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop30[1..2]
Variable stored at MEPSSpring2018.CA_Main.CA_Loop30[1..2]

CA100
Item Type:
Type Class:

(CA1145)
Question

Answer Type:

TYES_NO

Help Available (

Enumerated

)

BLAISE NAME: AnotherRec
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

Show Card (

ArrayMax:

Max value:

)

Look Up File (

Question Text:
CODE ‘YES’ IF YOU HAVE ANOTHER RECORD NOT YET REVIEWED WHICH CONTAINS HEALTH CARE
EVENT INFORMATION. THE RECORD CAN BE FOR ANY PERSON.
IF UNSURE, ASK: Do you have another record for any person in the household?

Responses:

YES
NO

1
2

CA - Page 31 of 32

END_LP30
END_LP30

(CA1150)
(CA1150)

)

MEPS_V2

Calendar (CA) Section
(Que

Full Detail Spec

Programmer
Instructions:

RF and DK disallowed.
Soft Check: If coded ‘2’ (NO), check that every person who has a record reported at CA30
grid has at least one health care event recorded through the EV section. If at least one
person
who reported a record at CA30 grid, does not have a health care event recorded through
the
EV section, display the following message: “You mentioned earlier that {you/{PERSON
1, }} {PERSON 2, } {PERSON 3, } {PERSON 4, } {PERSON N} had a record to help them
report their health care, but you didn’t report any health care events for them yet. TO ADD
A
HEALTH CARE EVENT, SELECT YES AT THIS QUESTION.”
Display the names of the RU members that have records reported in the CA30 grid, but do
not

Display
Instructions:

Testing/Editing
Notes:

END_LP30

Route Details:

Variable collected at MEPSSpring2018.CA_Main.CA_Loop30[1..2]
Variable stored at MEPSSpring2018.CA_Main.CA_Loop30[1..2]

(CA1150)

Item Type: Route

Type Class: End Loop

If CA90 or CA100 is coded ‘1’ (YES ), cycle to collect next event from records.
If both CA90 and CA100 are coded ‘2’ (NO), end LOOP_30 and continue with BOX_
50.

BOX_50

Route Details:

(CA1155)

Item Type: Route

Type Class: If Then

Go to next questionnaire section, Provider Probes (PP) section.

[End of CA]

CA - Page 32 of 32