DiraChart MDS item reference
O0300BSection Ov1.20.1Manual page O-15
If pneumococcal vaccination not received, state reason
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
00300. Pneumococcal Vaccine
EnterCode A. Is the resident’s Pneumococcal vaccination up to date?
[ ] 0. No -> Continue to O0300B, If Pneumococcal vaccine not received, state reason
1. Yes — Skip to 00350, Resident’s COVID-19 vaccination is up to date
EnterCode B. If Pneumococcal vaccine not received, state reason:
[ ] 1. Not eligible - medical contraindication
2. Offered and declined
3. Not offered
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
1. Review the resident’s medical record to determine whether any pneumococcal vaccines have
been received. If vaccination status is unknown, proceed to the next step.
2. Ask the resident if they received any pneumococcal vaccines outside of the facility. If
vaccination status is still unknown, proceed to the next step.
3. If the resident is unable to answer, ask the same question of the responsible party/legal
guardian and/or primary care physician. If vaccination status is still unknown, proceed to the
next step.
4. If pneumococcal vaccination status cannot be determined, administer the recommended
vaccine(s) to the resident, according to the standards of clinical practice.
•
If the resident has had a severe allergic reaction to a pneumococcal vaccine or its
components, the vaccine should not be administered.
•
If the resident has a moderate to severe acute illness, the vaccine should be administered
after the illness.
•
If the resident has a minor illness (e.g., a cold) check with the resident’s physician before
administering the vaccine.
Manual page O-15RAI Manual v1.20.1Coding Instructions
O0300A, Is the Resident’s Pneumococcal
Vaccination Up to Date?
•
Code 0, no: if the resident’s pneumococcal vaccination status is not up to date or
cannot be determined. Proceed to item O0300B, If Pneumococcal vaccine not received,
state reason.
•
Code 1, yes: if the resident’s pneumococcal vaccination status is up to date. Skip to
O0350, Resident’s COVID-19 vaccination is up to date.
O0300: Pneumococcal Vaccine (cont.)
Coding Instructions O0300B, If Pneumococcal Vaccine Not Received,
State Reason
If the resident has not received a pneumococcal vaccine, code the reason from the following list:
•
Code 1, Not eligible: if the resident is not eligible due to medical contraindications,
including a life-threatening allergic reaction to the pneumococcal vaccine or any vaccine
component(s) or a physician order not to immunize.
•
Code 2, Offered and declined: resident or responsible party/legal guardian has
been informed of what is being offered and chooses not to accept the pneumococcal
vaccine.
•
Code 3, Not offered: resident or responsible party/legal guardian not offered the
pneumococcal vaccine.
Manual page O-15RAI Manual v1.20.1Coding Tips
•
Specific guidance about pneumococcal vaccine recommendations and timing for adults
can be found at https://www.cdc.gov/pneumococcal/downloads/vaccine-timing-adults-
jobaid.pdf.
•
“Up to date” in item O0300A means in accordance with current Advisory Committee on
Immunization Practices (ACIP) recommendations.
For up-to-date information on timing and intervals between vaccines, please refer to
ACIP vaccine recommendations available at
— https://www.cdc.gov/vaccines/hcp/imz-schedules/
— https://www.cdc.gov/acip-recs/hcp/vaccine-specific/
— https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/
•
If a resident has received one or more pneumococcal vaccinations and is indicated to get
an additional pneumococcal vaccination but is not yet eligible for the next vaccination
because the recommended time interval between vaccines has not lapsed, O0300A is
coded 1, yes, indicating the resident’s pneumococcal vaccination is up to date.
Manual page O-15 MDS item matrixAssessment Applicability
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