0
No
if the medical record does not contain physician documentation that the resident is terminally
ill and the resident is not receiving hospice services.
DiraChart MDS item reference
J1400Section Jv1.20.1Manual page J-28
Prognosis
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Yes
if the medical record includes physician documentation: 1) that the resident is terminally ill; or
2) the resident is receiving hospice services.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review the medical record for documentation by the
physician that the resident’s condition or chronic disease
may result in a life expectancy of less than 6 months, or
that they have a terminal illness.
2. If the physician states that the resident’s life expectancy
may be less than 6 months, request that they document this
in the medical record. Do not code until there is
documentation in the medical record.
3. Review the medical record to determine whether the
resident is receiving hospice services.
DEFINITION
CONDITION OR
CHRONIC DISEASE
THAT MAY RESULT IN
A LIFE EXPECTANCY
OF LESS THAN 6
MONTHS
In the physician’s judgment,
the resident has a diagnosis
or combination of clinical
conditions that have
advanced (or will continue to
deteriorate) to a point that the
average resident with that
level of illness would not be
expected to survive more
than 6 months.
This judgment should be
substantiated by a physician
note. It can be difficult to
pinpoint the exact life
expectancy for a single
resident. Physician judgment
should be based on typical or
average life expectancy of
residents with similar level of
disease burden as this
resident.
J1400: Prognosis (cont.)
Coding Instructions
•
Code 0, no: if the medical record does not contain
physician documentation that the resident is terminally
ill and the resident is not receiving hospice services.
•
Code 1, yes: if the medical record includes physician
documentation: 1) that the resident is terminally ill; or
2) the resident is receiving hospice services.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
13 relationships5 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
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)
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.