0
No
if the resident’s pneumococcal vaccination status is not up to date or
cannot be determined. Proceed to item O0300B, If Pneumococcal vaccine not received,
state reason.
DiraChart MDS item reference
O0300Section Ov1.20.1Manual page O-15
Pneumococcal Vaccine
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
1
Yes
if the resident’s pneumococcal vaccination status is up to date. Skip to
O0350, Resident’s COVID-19 vaccination is up to date.
2
Offered and declined
resident or responsible party/legal guardian has been informed of what is being offered and chooses not to accept the pneumococcal
vaccine.
3
Not offered
resident or responsible party/legal guardian not offered the
pneumococcal vaccine.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review the resident’s medical record to determine whether any pneumococcal vaccines have
been received. If vaccination status is unknown, proceed to the next step.
2. Ask the resident if they received any pneumococcal vaccines outside of the facility. If
vaccination status is still unknown, proceed to the next step.
3. If the resident is unable to answer, ask the same question of the responsible party/legal
guardian and/or primary care physician. If vaccination status is still unknown, proceed to the
next step.
4. If pneumococcal vaccination status cannot be determined, administer the recommended
vaccine(s) to the resident, according to the standards of clinical practice.
•
If the resident has had a severe allergic reaction to a pneumococcal vaccine or its
components, the vaccine should not be administered.
•
If the resident has a moderate to severe acute illness, the vaccine should be administered
after the illness.
•
If the resident has a minor illness (e.g., a cold) check with the resident’s physician before
administering the vaccine.
Coding Instructions
O0300A, Is the Resident’s Pneumococcal
Vaccination Up to Date?
•
Code 0, no: if the resident’s pneumococcal vaccination status is not up to date or
cannot be determined. Proceed to item O0300B, If Pneumococcal vaccine not received,
state reason.
•
Code 1, yes: if the resident’s pneumococcal vaccination status is up to date. Skip to
O0350, Resident’s COVID-19 vaccination is up to date.
O0300: Pneumococcal Vaccine (cont.)
Coding Instructions O0300B, If Pneumococcal Vaccine Not Received,
State Reason
If the resident has not received a pneumococcal vaccine, code the reason from the following list:
•
Code 1, Not eligible: if the resident is not eligible due to medical contraindications,
including a life-threatening allergic reaction to the pneumococcal vaccine or any vaccine
component(s) or a physician order not to immunize.
•
Code 2, Offered and declined: resident or responsible party/legal guardian has
been informed of what is being offered and chooses not to accept the pneumococcal
vaccine.
•
Code 3, Not offered: resident or responsible party/legal guardian not offered the
pneumococcal vaccine.
Coding Tips
•
Specific guidance about pneumococcal vaccine recommendations and timing for adults
can be found at https://www.cdc.gov/pneumococcal/downloads/vaccine-timing-adults-
jobaid.pdf.
•
“Up to date” in item O0300A means in accordance with current Advisory Committee on
Immunization Practices (ACIP) recommendations.
For up-to-date information on timing and intervals between vaccines, please refer to
ACIP vaccine recommendations available at
— https://www.cdc.gov/vaccines/hcp/imz-schedules/
— https://www.cdc.gov/acip-recs/hcp/vaccine-specific/
— https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/
•
If a resident has received one or more pneumococcal vaccinations and is indicated to get
an additional pneumococcal vaccination but is not yet eligible for the next vaccination
because the recommended time interval between vaccines has not lapsed, O0300A is
coded 1, yes, indicating the resident’s pneumococcal vaccination is up to date.
MDS item matrixAssessment Applicability
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13 relationships5 groups+
Assessment Applicability
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Nursing Home Subsets
Swing Bed Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
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