DN20 (DN1005)BLAISE NAME: CodeAllDNSvc
Context Header: (PERSON'S FIRST MIDDLE AND LAST NAME) (NAME OF MEDICAL CARE PROVIDER) (EVN-DT)
Question Text:
DN-2.
Looking at card DN-2, what did (you/(PERSON)) have done during this visit?
PROBE: What else was done?
ENTER ALL THAT APPLY.
HELP: F1
Responses:
GENERAL EXAM, CHECKUP, OR CONSULTATION 1
CLEANING, PROPHYLAXIS, OR POLISHING, PERIODONTAL RECALL VISIT (PERIODIC OR REGULAR) 2
X-RAYS, RADIOGRAPHS, OR BITEWINGS 3
FLUORIDE TREATMENT 4
SEALANT (PLASTIC COATINGS ON BACK TEETH) 5
FILLINGS, INLAYS, CROWNS OR CAPS 6
ROOT CANAL 7
PERIODONTAL SCALING, ROOT PLANING, OR GUM SURGERY 8
EXTRACTION, TOOTH PULLED OR OTHER ORAL SURGERY 9
IMPLANTS 10
FIXED BRIDGES, DENTURES OR REMOVABLE PARTIAL DENTURES, RELINING OR REPAIR OF BRIDGES OR DENTURES 11
ORTHODONTIA, BRACES, OR RETAINERS 12
OTHER 91
REFUSED RF
DON'T KNOW DK
Programmer Instructions:
If code ?91? (OTHER) entered alone or in combination with any other code, continue with DN20OS.
Otherwise, go to BOX_10.
Headings and code categories will appear in the response pane (except for DIAGNOSTIC OR PREVENTIVE and ORAL SURGERY which are programmatically included in the info pane, but will look like they are part of the response list pane), on the help screen and show card DN-2. Headings should be associated with codes as follows:
*DIAGNOSTIC OR PREVENTIVE equal to CODES 1-5
*RESTORATIVE OR ENDODONTIC equal to CODES 6-7
*PERIODONTIC (GUM TREATMENT) equal to CODE 8
*ORAL SURGERY equal to CODES 9-10
*PROSTHETICS equal to CODES 11
*ORTHODONTICS equal to CODE 12
*ADDITIONAL PROCEDURES equal to CODE 91
The response pane should contain two even columns (as possible) with headers directly above response categories.
The headers should be underlined.
For specifications purposes only (CAPI handles automatically): CAPI does not allow RF or DK in combination with any other code.
Display Instructions: