DiraChart MDS item reference
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.
Use the item-specific response choices below when structured codes apply.
A2122B — Route of Current Reconciled Medication List Transmission: HIEO to provider
Enter the value requested for this item using the current CMS text entry format. Verify the entry against Manual page A-48 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Identify all routes of transmission that were used to provide the resident’s current reconciled
medication list to the subsequent provider.
A2122: Route of Current Reconciled Medication List
Transmission to Subsequent Provider (cont.)
Select the codes that correspond to the routes of transmission used to provide the medication
list to the subsequent provider.
•
Check A2122A, Electronic Health Record: if
your facility has an EHR, sometimes referred to as an
electronic medical record (EMR), and used it to
transmit or provide access to the reconciled medication
list to the subsequent provider. This would include
situations in which both the discharging and receiving
provider have direct access to a common EHR system.
Checking this route does not require confirmation that
the subsequent provider has accessed the common EHR
system for the medication list.
•
Check A2122B, Health Information
Exchange: if your facility participates in a Health
Information Exchange (HIE) and used the HIE to
electronically exchange the current reconciled medication
list with the subsequent provider.
•
Check A2122C, Verbal: if the current reconciled
medication list information was verbally communicated
(e.g., in-person, telephone, video conferencing) to the subsequent provider.
•
Check A2122D, Paper-Based: if the current reconciled medication list was
transmitted to the subsequent provider using a paper-based method such as a printout, fax,
or eFax.
•
Check A2122E, Other Methods: if the current reconciled medication list was
transmitted to the subsequent provider using another method not listed above (e.g.,
texting, email, CDs).
3 https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-are-electronic-health-
records-ehrs.
4 Office of the National Coordinator, What is a patient portal? Available from https://www.healthit.gov/faq/what-
patient-portal, Accessed June 10, 2019.
DEFINITIONS
EHR/EMR
An electronic health record
(EHR), sometimes referred to as
an electronic medical record
(EMR), is an electronic version of
a resident’s medical history that is
maintained by the provider over
time.3
PORTAL
A portal is a secure online
website that gives providers,
residents, and others convenient,
24-hour access to personal
health information from anywhere
with an Internet connection.
4
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Use the full Matrix Explorer to review available columns and mapping status.
Open the mapped manual or item-set location without losing your place on this item page.
Open these tools when you need additional drilldown, CAA crosswalk, documentation, source-locator, or AI-context detail.
