DiraChart MDS item reference

O0350Section Ov1.20.1Manual page O-19

Resident’s COVID-19 vaccination is up to date

Item Rationale

Quick coding

Answer Codes

Use the item-specific response choices below when structured codes apply.

Response format: Date entry

O0350 — Resident’s COVID-19 vaccination is up to date
Enter the value requested for this item using the current CMS date entry format. Verify the entry against Manual page O-19 and the supporting facility documentation.

Item-specific instructions

Coding Guidance

Review what the item asks, how to choose the response, and what should be verified before submission.

RAI Manual v1.20.1

Steps for Assessment

1. Vaccination status may be determined based on information from any available source.

Review the resident’s medical record or documentation of COVID-19 vaccination and/or
interview the resident, family or other caregivers or healthcare providers to determine
whether the resident is up to date with their COVID-19 vaccine.
2. If the resident is not up to date, and the facility has the vaccine available, ask the resident if
they would like to receive the COVID-19 vaccine.

Manual page O-19
RAI Manual v1.20.1

Coding Instructions


Code 0, No, resident is not up to date if the resident
does not meet the CDC’s definition of up to date.
— This includes residents who have not received
one or more recommended COVID-19 vaccine
doses for any reason including medical,
religious, or other qualified exemptions.
— This includes residents for whom vaccination
status cannot be determined.

Code 1, Yes, resident is up to date if the resident meets
the CDC’s definition of up to date.

A dash is a valid response, indicating the item was not
assessed. CMS expects dash use to be a rare occurrence.
Coding Tip

Current COVID-19 vaccine recommendations are available on the Centers for Disease
Control and Prevention’s (CDC’s) webpage “Staying Up to Date with COVID-19
Vaccines” at https://www.cdc.gov/covid/vaccines/stay-up-to-date.html.
DEFINITION
UP TO DATE for COVID-
19 Vaccine
For the definition of “up to
date,” providers should refer
to the CDC webpage
“Staying Up to Date with
COVID-19 Vaccines” at
https://www.cdc.gov/covid/va
ccines/stay-up-to-date.html.

Manual page O-19
MDS item matrix

Assessment Applicability

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18 relationships6 groups
Official CMS source

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SourceCMS MDS 3.0 RAI Manual v1.20.1
Effective2025-10-01
Mapped locationManual page O-19
Reference details

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