DiraChart MDS item reference

E1100Section Ev1.20.1Manual page E-21

Change in Behavior or Other Symptoms

Item Rationale

Quick coding

Answer Codes

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

Response format: Coded response
0

Same

if overall behavior is the same (unchanged).

1

Improved

if overall behavior is improved.

2

Worse

if overall behavior is worse.

3

N/A

if there was no prior MDS assessment of this resident.

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

1. Review responses provided to items E0100-E1000 on the current MDS assessment.
2. Compare with responses provided on prior MDS assessment.
3. Taking all of these MDS items into consideration, make a global assessment of the change in
behavior from the most recent to the current MDS.
4. Rate the overall behavior as same, improved, or worse.

Manual page E-21
RAI Manual v1.20.1

Coding Instructions


Code 0, same: if overall behavior is the same (unchanged).

Code 1, improved: if overall behavior is improved.

Code 2, worse: if overall behavior is worse.

Code 3, N/A: if there was no prior MDS assessment of this resident.

Manual page E-21
RAI Manual v1.20.1

Coding Tips


For residents with multiple behavioral symptoms, it is possible that different behaviors
will vary in different directions over time. That is, one behavior may improve while
another worsens or remains the same. Using clinical judgment, this item should be rated
to reflect the overall direction of behavior change, estimating the net effects of multiple
behaviors.
E1100: Change in Behavior or Other Symptoms (cont.)

Manual page E-21
MDS item matrix

Assessment Applicability

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

6 relationships3 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 E-21
Reference details

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