DiraChart MDS item reference
A0500Section Av1.20.1Manual page A-12
Legal Name of Resident
Item Rationale
Quick codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
This row introduces a grouped MDS item. Complete the applicable child items shown in the current item set.
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. Ask resident, family, significant other, and/or
guardian/legally authorized representative.
DEFINITION
LEGAL NAME
Resident’s name as it
appears on the Medicare
card. If the resident is not
enrolled in the Medicare
program, use the resident’s
name as it appears on a
Medicaid card or other
government-issued
document.
A0500: Legal Name of Resident (cont.)
2. Check the resident’s name on their Medicare card, or if not in the program, check a Medicaid
card or other government-issued document.
Manual page A-12RAI Manual v1.20.1Coding Instructions
Use printed letters. Enter in the following order:
A. First Name
B. Middle Initial (if the resident has no middle initial, leave Item A0500B blank; if the
resident has two or more middle names, use the initial of the first middle name)
C. Last Name
D. Suffix (e.g., Jr./Sr.)
Manual page A-12 MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
15 relationships5 groups+
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
x · appliesOBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
x · appliesOBRA 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
x · appliesOBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
x · appliesOfficial CMS sourceVerify in the CMS Source
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