DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
This row introduces a grouped MDS item. Complete the applicable child items shown in the current item set.
Review what the item asks, how to choose the response, and what should be verified before submission.
for K0200A, Height
1. Base height on the most recent height since the most recent admission/entry or reentry.
Measure and record height in inches.
2. Measure height consistently over time in accordance with the facility policy and procedure,
which should reflect current standards of practice (shoes off, etc.).
3. For subsequent assessments, check the medical record. If the last height recorded was more
than one year ago, measure and record the resident’s height again.
for K0200A, Height
•
Record height to the nearest whole inch.
•
Use mathematical rounding (i.e., if height measurement is X.5 inches or greater, round
height upward to the nearest whole inch. If height measurement number is X.1 to X.4
inches, round down to the nearest whole inch). For example, a height of 62.5 inches would
be rounded to 63 inches and a height of 62.4 inches would be rounded to 62 inches.
Steps for Assessment for K0200B, Weight
1. Base weight on the most recent measure in the last 30 days.
2. Measure weight consistently over time in accordance with facility policy and procedure,
which should reflect current standards of practice (shoes off, etc.).
3. For subsequent assessments, check the medical record and enter the weight taken within 30
days of the ARD of this assessment.
4. If the last recorded weight was taken more than 30 days prior to the ARD of this assessment
or previous weight is not available, weigh the resident again.
5. If the resident’s weight was taken more than once during the preceding month, record the
most recent weight.
Coding Instructions for K0200B, Weight
•
Use mathematical rounding (i.e., If weight is X.5 pounds [lbs] or more, round weight
upward to the nearest whole pound. If weight is X.1 to X.4 lbs, round down to the nearest
whole pound). For example, a weight of 152.5 lbs would be rounded to 153 lbs and a
weight of 152.4 lbs would be rounded to 152 lbs.
K0200: Height and Weight (cont.)
•
If a resident cannot be weighed, for example because of extreme pain, immobility, or risk
of pathological fractures, use the standard no-information code (-) and document rationale
on the resident’s medical record.
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
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