DiraChart MDS item reference

B1300Section Bv1.20.1Manual page B-14

Health Literacy

Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1.

Quick coding

Answer Codes

Use the item-specific response choices below when structured codes apply.

Response format: Coded response
0

Never

if the resident indicates never needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

1

Rarely

if the resident indicates rarely needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

2

Sometimes

if the resident indicates sometimes needing help reading
instructions, pamphlets, or other written materials from doctors or pharmacies.

3

Often

if the resident indicates often needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

4

Always

if the resident indicates always needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

7

Resident declines to respond

if the resident declines to respond.

8

Resident unable to respond

if the resident is unable to respond.
Example 1. When asked how often they need help when reading the instructions provided by their
doctor, the resident reports that they never need help. The resident’s adult child is present and
shares that a family member must always accompany the resident to doctors’ visits and that
the resident often needs someone to explain the written materials to them multiple times
before they understand, providing

Item-specific instructions

Coding Guidance

Review what the item asks, how to choose the response, and what should be verified before submission.

RAI Manual v1.20.1

Steps for Assessment

This item is intended to be a resident self-report item. No other source should be used to
identify the response.
1. Ask the resident, “How often do you need to have someone help you when you read
instructions, pamphlets, or other written material from your doctor or pharmacy?”

Manual page B-14
RAI Manual v1.20.1

Coding Instructions


Code 0, Never: if the resident indicates never needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

Code 1, Rarely: if the resident indicates rarely needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

Code 2, Sometimes: if the resident indicates sometimes needing help reading
instructions, pamphlets, or other written materials from doctors or pharmacies.

Code 3, Often: if the resident indicates often needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

Code 4, Always: if the resident indicates always needing help reading instructions,
pamphlets, or other written materials from doctors or pharmacies.

Code 7, Resident declines to respond: if the resident declines to respond.

Code 8, Resident unable to respond: if the resident is unable to respond.
Example
1. When asked how often they need help when reading the instructions provided by their
doctor, the resident reports that they never need help. The resident’s adult child is present and
shares that a family member must always accompany the resident to doctors’ visits and that
the resident often needs someone to explain the written materials to them multiple times
before they understand, providing

Manual page B-14
MDS item matrix

Assessment Applicability

See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.

13 relationships5 groups
Official CMS source

Verify in the CMS Source

Open the mapped manual or item-set location without losing your place on this item page.

SourceCMS MDS 3.0 RAI Manual v1.20.1
Effective2025-10-01
Mapped locationManual page B-14
Reference details

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