DiraChart MDS item reference

Q0490Section Qv1.20.1Manual page Q-12

Resident’s Documented Preference to Avoid Being Asked

Question Q0500B (cont.)

Quick coding

Answer Codes

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

Response format: Coded response
0

No

Manual page Q-12
1

Yes

Manual page Q-12
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

Coding Instructions

for Q0490, Does the resident’s clinical record
document a request that this question (Q0500B) be asked only
on comprehensive assessments?

Code 0, No: if there is no notation in the resident’s clinical record that they do not want
to be asked Question Q0500B.

Code 1, Yes: if there is a notation in the resident’s clinical record to not ask Question
Q0500B except on comprehensive assessments.
Unless this is a comprehensive assessment (A0310A=01, 03, 04, 05), skip to item Q0610,
Referral. If this is a comprehensive assessment, proceed to the next item, Q0500B.

Manual page Q-12
RAI Manual v1.20.1

Coding Tips


Carefully review the resident’s clinical record, including prior MDS 3.0 assessments, to
determine if the resident or other respondent has previously responded “No” to item
Q0550A.
If this is a comprehensive assessment, proceed to item Q0500B, regardless of the previous
responses to item Q0550A.
Q0490: Resident’s Documented Preference to Avoid Being Asked
Question Q0500B (cont.)

Manual page Q-12
MDS item matrix

Assessment Applicability

See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.

6 relationships4 groups
Official CMS source

Verify in the CMS Source

Open the mapped manual or item-set location without losing your place on this item page.

SourceCMS MDS 3.0 RAI Manual v1.20.1
Effective2025-10-01
Mapped locationManual page Q-12
Reference details

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