DiraChart MDS item reference
A1300ASection Av1.20.1Manual page A-28
Medical record number
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 codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Text entry
A1300A — Medical record number
Enter the value requested for this item using the current CMS text entry format. Verify the entry against Manual page A-28 and the supporting facility documentation.
Item-specific instructionsCoding Guidance
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RAI Manual v1.20.1Coding Instructions
for A1300A, Medical Record Number
•
Enter the resident’s medical record number (from the nursing home medical record,
admission office or Health Information Management Department) if the nursing home
chooses to exercise this option.
Coding Instructions for A1300B, Room Number
•
Enter the resident’s room number if the nursing home chooses to exercise this option.
Coding Instructions for A1300C, Name by Which Resident Prefers to
Be Addressed
•
Enter the resident’s preferred name. This field captures a preferred nickname, middle
name, or title that the resident prefers staff use.
•
Obtained from resident self-report or family or significant other if resident is unable to
respond.
Coding Instructions for A1300D, Lifetime Occupation(s)
•
Enter the job title or profession that describes the resident’s main occupation(s) before
retiring or entering the nursing home. When two occupations are identified, place a slash
(/) between each occupation.
•
The lifetime occupation of a person whose primary work was in the home should be
recorded as “homemaker.” For a resident who is a child or an intellectually
disabled/developmentally disabled adult resident who has never had an occupation,
record as “none.”
Manual page A-28 MDS item matrixAssessment Applicability
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