Steps for Assessment
After completing the Staff Assessment of Resident Mood:
1. Add the numeric scores across all frequency items for Staff Assessment of Mood, Symptom
Frequency (D0500) Column 2.
2. Maximum score is 30 (3 × 10).
DiraChart MDS item reference
D0600Section Dv1.20.1Manual page D-16
Total Severity Score
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Numeric entry
D0600 — Total Severity Score
Enter the value requested for this item using the current CMS numeric entry format. Verify the entry against Manual page D-16 and the supporting facility documentation.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Coding Instructions
The interview is successfully completed if the staff members were able to answer the frequency
responses of at least 8 out of 10 items on the PHQ-9-OV©.
•
The software will calculate the Total Severity Score. For detailed instructions on manual
calculations and
Coding Tips
and Special Populations
•
Responses to PHQ-9-OV© can indicate possible depression. Responses can be interpreted
as follows:
— Major Depressive Syndrome is suggested if—of the 10 items, 5 or more items are
identified at a frequency of half or more of the days (7-11 days) during the look-back
period and at least one of these, (1) little interest or pleasure in doing things, or (2)
feeling down, depressed, or hopeless is identified at a frequency of half or more of the
days (7-11 days) during the look-back period.
— Minor Depressive Syndrome is suggested if—of the 10 items, (1) feeling down,
depressed or hopeless, (2) trouble falling or staying asleep, or sleeping too much, or
(3) feeling tired or having little energy are identified at a frequency of half or more of
the days (7-11 days) during the look-back period and at least one of these, (1) little
interest or pleasure in doing things, or (2) feeling down, depressed, or hopeless is
identified at a frequency of half or more of the days (7-11 days).
— In addition, PHQ-9-OV© Total Severity Score can be used to track changes in
severity over time. Total Severity Score can be interpreted as follows:
1-4:
minimal depression
5-9:
mild depression
10-14: moderate depression
15-19: moderately severe depression
20-30: severe depression
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
16 relationships7 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
Shared NH/SB Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Item Subset Required Use ISC Skip Patterns
Official CMS source
Verify in the CMS Source
Open the mapped manual or item-set location without losing your place on this item page.
Reference details
Deeper help after the reference answer
Open these tools when you need additional drilldown, CAA crosswalk, documentation, source-locator, or AI-context detail.