✓
Checked
checkbox_none_of_above
DiraChart MDS item reference
A1010ZSection Av1.20.1Manual page A-18
None of the above
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Check all that apply
—
Not checked
checkbox_none_of_above
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
: Interview Instructions
1. Ask the resident to select the category or categories that
most closely correspond to the resident’s race from the list
in A1010, Race.
2. Racial category definitions are provided only if requested
in order to answer the item.
3. Respondents should be offered the option of selecting one
or more racial designations.
4. If the resident declines to respond, code Y, Resident
declines to respond, and do not code based on other
resources (family, significant other, or legally authorized
representative or medical records).
5. If the resident is unable to respond, the assessor may ask a
family member, significant other, and/or guardian/legally
authorized representative.
6. Only use medical record documentation to code A1010,
Race if the resident is unable to respond and no family
member, significant other, and/or guardian/legally
authorized representative provides a response for this item.
DEFINITION
RACE
AMERICAN INDIAN OR
ALASKAN NATIVE
A person having origins in any
of the original peoples of North
and South America (including
Central America), and who
maintains tribal affiliation or
community attachment.
ASIAN
A person having origins in any
of the original peoples of the Far
East, Southeast Asia, or the
Indian subcontinent including,
for example, Cambodia, China,
India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands,
Thailand, Vietnam.
BLACK OR AFRICAN
AMERICAN
A person having origins in any
of the black racial groups of
Africa. Terms such as “Haitian”
or “Negro” can be used in
addition to “Black” or “African
American.”
NATIVE HAWAIIAN OR
OTHER PACIFIC
ISLANDER
A person having origins in any
of the original peoples of
Hawaii, Guam, Samoa, or other
Pacific Islands.
WHITE
A person having origins in any
of the original peoples of
Europe, the Middle East, or
North Africa.
A1010: Race (cont.)
Coding Instructions
Check all that apply.
•
If the resident provides a response, check the box(es) indicating the race category or
categories identified by the resident.
•
Code X, Resident unable to respond: if the resident is unable to respond.
— In the cases where the resident is unable to respond and the response is determined
via family, significant other, or legally authorized representative input or medical
records, check all boxes that apply, including X. Resident unable to respond.
— If the resident is unable to respond and no other resources (family, significant other,
or legally authorized representative or medical records) provided the necessary
information, code as X. Resident unable to respond.
•
Code Y, Resident declines to respond: if the resident declines to respond.
— When the resident declines to respond, code only Y. Resident declines to respond.
— When the resident declines to respond do not code based on other resources (family,
significant other, or legally authorized representative or medical records).
•
Code Z, None of the above: if the resident reports or it is determined from other
resources (family, significant other, or legally authorized representative or medical
records) that none of the listed races apply.
A1010: Race (cont.)
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
0 relationships0 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
No Matrix applicability rows are currently attached to this item.
Use the full Matrix Explorer to review available columns and mapping status.
Official CMS source
Verify in the CMS Source
Open the mapped manual or item-set location without losing your place on this item page.
Reference details
Deeper help after the reference answer
Open these tools when you need additional drilldown, CAA crosswalk, documentation, source-locator, or AI-context detail.