DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
D0160 — Total Severity Score
Enter the value requested for this item using the current CMS numeric entry format. Verify the entry against Manual page D-10 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
After completing D0150 A–I
1. Add the numeric scores across all frequency items in Resident Mood Interview (D0150)
Column 2.
2. Do not add up the score while you are interviewing the resident. Instead, focus your full
attention on the interview.
3. The maximum resident score is 27 (3 x 9).
•
If only the PHQ-2© is completed because both D0150A1 and D0150B1 are coded 9,
leave D0150A2 and D0150B2 blank, then end the PHQ-2©, leave D0160, Total Severity
Score blank, and skip to D0700, Social Isolation.
•
If only the PHQ-2© is completed because both D0150A2 and D0150B2 are scored 0 or
1, add the numeric scores from these two frequency items and enter the value in D0160.
•
If the PHQ-9© was completed (that is, D0150C–I were not blank due to the responses in
D0150A and B) and if the resident answered the frequency responses of at least 7 of the
9 items on the PHQ-9©, add the numeric scores from D0150A2–D0150I2, following the
instructions in Appendix E, and enter in D0160.
•
If symptom frequency in items D0150A2 through D0150I2 is blank or dashed for 3 or
more items, the interview is deemed NOT complete. Total Severity Score should be
coded as “99,” do not complete the Staff Assessment of Mood, and skip to D0700,
Social Isolation.
•
Enter the total score as a two-digit number. The Total Severity Score will be between 00
and 27 (or “99” if symptom frequency is blank for 3 or more items).
•
The software will calculate the Total Severity Score. For detailed instructions on manual
calculations and
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
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