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DiraChart MDS item reference
E0200ASection Ev1.20.1Manual page E-4
Physical behavioral symptoms directed toward others
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: Coded response
1
behavior of this type occurred 1-3 days
Manual page E-42
behavior of this type occurred 4-6 days, but less than daily
Manual page E-43
behavior of this type occurred daily
Manual page E-4Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review the medical record for the 7-day look-back period.
2. Interview staff, across all shifts and disciplines, as well as others who had close interactions
with the resident during the 7-day look-back period, including family or friends who visit
frequently or have frequent contact with the resident.
3. Observe the resident in a variety of situations during the 7-day look-back period.
Coding Instructions
•
Code 0, behavior not exhibited: if the behavioral symptoms were not present in
the last 7 days. Use this code if the symptom has never been exhibited or if it previously
has been exhibited but has been absent in the last 7 days.
•
Code 1, behavior of this type occurred 1-3 days: if the behavior was exhibited
1-3 days of the last 7 days, regardless of the number or severity of episodes that occur on
any one of those days.
•
Code 2, behavior of this type occurred 4-6 days, but less than daily: if
the behavior was exhibited 4-6 of the last 7 days, regardless of the number or severity of
episodes that occur on any of those days.
•
Code 3, behavior of this type occurred daily: if the behavior was exhibited
daily, regardless of the number or severity of episodes that occur on any of those days.
Coding Tips
and Special Populations
•
Code based on whether the symptoms occurred and not based on an interpretation of the
behavior’s meaning, cause or the assessor’s judgment that the behavior can be explained
or should be tolerated.
•
Code as present, even if staff have become used to the behavior or view it as typical or
tolerable.
•
Behaviors in these categories should be coded as present or not present, whether or not
they might represent a rejection of care.
•
Item E0200C does not include wandering.
E0200: Behavioral Symptom—Presence & Frequency (cont.)
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Reference details
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