DiraChart MDS item reference
C0300BSection Cv1.20.1Manual page C-10
BIMS res interview: able to report correct month
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: Coded response
C0300. Temporal Orientation (orientation to year, month, and day)
Ask resident: “Please tell me what year it is right now.”
EnterCode A. Able to report correct year
[ ] 0. Missed by > 5 years or no answer
1. Missed by 2-5 years
2. Missed by 1 year
3. Correct
Ask resident: “What month are we in right now?”
EnterCode B. Able to report correct month
[ ] 0. Missed by > 1 month or no answer
1. Missed by 6 days to 1 month
2. Accurate within 5 days
Ask resident: “What day of the week is today?”
EnterCode C. Able to report correct day of the week
[ ] 0. Incorrect or no answer
1. Correct
Item-specific instructionsCoding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
RAI Manual v1.20.1Steps for Assessment
Basic BIMS interview instructions are shown on pages C-4 and C-5.
1. Ask the resident each of the three questions in Item C0300 separately.
2. Allow the resident up to 30 seconds for each answer and do not provide clues.
3. If the resident specifically asks for clues (e.g., “Is it bingo day?”) respond by saying, “I need
to know if you can answer this question without any help from me.”
DEFINITION
TEMPORAL
ORIENTATION
In general, the ability to place
oneself in correct time. For
the BIMS, it is the ability to
indicate the correct date in
current surroundings.
C0300: Temporal Orientation (Orientation to Year, Month,
and Day) (cont.)
Manual page C-10RAI Manual v1.20.1Coding Instructions
for C0300A, Able to Report Correct Year
•
Code 0, missed by >5 years or no answer: if the resident’s answer is incorrect
and is greater than 5 years from the current year or the resident chooses not to respond or
the answer is nonsensical.
•
Code 1, missed by 2-5 years: if the resident’s answer is incorrect and is within 2 to
5 years from the current year.
•
Code 2, missed by 1 year: if the resident’s answer is incorrect and is within one
year from the current year.
•
Code 3, correct: if the resident states the correct year.
Manual page C-10RAI Manual v1.20.1Coding Tips
•
In most instances, it will be immediately obvious which code to select. In some cases,
you may need to write the resident’s response in the margin and go back later to count
days if you are unsure whether the date given is within 5 days.
Manual page C-10 MDS item matrixAssessment Applicability
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