MMIS DD SCREENING - ADD1

The ADD1 panel is the first panel in the DD (Developmental Disabilities) screening document. On the next page of this course you will view the remaining DD screening document panels.

In this table MMIS fields are populated with sample data to show how MMIS fields appear with valid values entered. Field entries containing Protected Health Information (PHI) appear as zeros in this example.

Table of MMIS DD SCREENING - ADD1 panel
NEXT: ADD2 MMIS DD SCREENING - ADD1 DOCUMENT NBR: 0000 000 0 000 DOC STAT: A APPROVED CURR LOC/DT: LAST FIRST MI RECIP NAME: LAST FIRST I RECIP ID: 00000000 SEX: F CO REF NBR: DATE SUB: MMDDYY DOB(MMDDYYYY): MMDDYYYY AGE: 000 REF DATE: MMDDYY GRDN STAT: 01 PRIV GRDN MAJ PROG: MA LA: 00 DIAG 1-4: 000.0 000.00 000.00 000.0 CO OF SVC/RES: 000 000 CFR: 000 CM NAME/NBR: LAST FIRST 0000000000 RECIP LGL REP CASE MGR QMRP OTHER PRES AT SCRNG(Y/N): Y Y Y Y N ACTION DT: 031809 ACTION TYPE: 01 FULL SCRN TEAM CONVENED(Y/N): Y MEDICAL: 03 ON-CALL VISION: 02 CORRECTED HEARING: 01 NO IMPAIR SEIZURES: 02 NO RECENT MOBILITY: 02 SHORT DIST FINE MOTOR SKILLS: 02 IMP MIN EXPRESSIVE: 01 EXP NORM RECEPTIVE: 01 REC CONV OVR LOC: LI EXC ST USER ID LI EXC ST USER ID LI EXC ST USER ID LI EXC ST USER ID ENTER---PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10---PF11--PF12 PAGE HELP S/EXT NAVIG SLIST N/EXT PREV NEXT OOPS

Table of MMIS DD SCREENING - ADD1 panel

 NEXT: ADD2                    MMIS DD SCREENING - ADD1  
                        DOCUMENT NBR: 0000 000 0 000                            
                                                                                
   DOC STAT: A APPROVED                          CURR LOC/DT:                   
                    LAST           FIRST    MI                                  
 RECIP NAME: LAST              FIRST        I       RECIP ID: 00000000  SEX: F  
 CO REF NBR:              DATE SUB: MMDDYY     DOB(MMDDYYYY): MMDDYYYY  AGE: 000
   REF DATE: MMDDYY      GRDN STAT: 01 PRIV GRDN      MAJ PROG: MA       LA: 00 
   DIAG 1-4: 000.0    000.00   000.00   000.0    CO OF SVC/RES: 000 000 CFR: 000
          CM NAME/NBR: LAST FIRST                   0000000000           
                               RECIP LGL REP CASE MGR QMRP OTHER                
             PRES AT SCRNG(Y/N): Y      Y        Y      Y    N                  
  ACTION DT: 031809         ACTION TYPE: 01 FULL SCRN      TEAM CONVENED(Y/N): Y
    MEDICAL: 03 ON-CALL                                    VISION: 02 CORRECTED 
    HEARING: 01 NO IMPAIR                                SEIZURES: 02 NO RECENT 
   MOBILITY: 02 SHORT DIST                      FINE MOTOR SKILLS: 02 IMP MIN   
 EXPRESSIVE: 01 EXP NORM                                RECEPTIVE: 01 REC CONV  
                                OVR LOC:                                        
 LI EXC ST USER ID  LI EXC ST USER ID  LI EXC ST USER ID  LI EXC ST USER ID     
                                              
                                                                                
ENTER---PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10---PF11--PF12 
 PAGE  HELP        S/EXT NAVIG SLIST N/EXT PREV  NEXT         OOPS

How to navigate the DD screening document

Navigation function in the DD screening document is the same as in the LTC screening document. Let's review.

NEXT field navigates to a specific panel by entering the acronym of the panel in the NEXT field.
TAB to advance to next available field.
SHIFT-TAB to go back to previous field.
ENTER (carriage return) key moves cursor down page one line at a time.
HOME key to bring cursor to the top of the page.
END key to remove entry in field or use DELETE key to remove entry one character at a time.
TRANSMIT to advance to the next MMIS panel.
F4 function key navigates to another subsystem to view information.
F6 function key exits current screen and returns to previous screen.
F3 function key saves and exits when using add or change mode to enter data in a document.

MMIS navigation reminder

Function keys are displayed at the bottom of most MMIS screens.
Press function key F1 to hide or show function key display on screen.
Text displayed below PF number indicates that the function key is currently available on that panel.

TOC | Back | Continue