Transcription of Resident Identifier Date MINIMUM DATA SET (MDS) - Version …
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Resident Identifier Date MINIMUM DATA SET (MDS) - Version …
A0310 continued on next Nursing Home Comprehensive (NC) Corrected Version DRAFT Page 1 of 45 ResidentIdentifierDateMINIMUM DATA SET (MDS) - Version Resident ASSESSMENT AND CARE SCREENING. Nursing Home Comprehensive (NC) Item Type of new recordContinue to A0100, Facility Provider existing recordContinue to A0100, Facility Provider existing recordSkip to X0150, Type of CodeA0100. Facility Provider National Provider Identifier (NPI):B. CMS Certification Number (CCN):C. State Provider Number:A0200. Type of of provider. home (SNF/NF). CodeA0310. Type of Federal OBRA Reason for Assessment. assessment (required by day 14). review change in status assessment. correction to prior comprehensive assessment.
If the resident is 22 years of age or older, complete only if A0310A = 01. If the resident is 21 years of age or younger, complete only if A0310A = 01, 03, 04, or 05. Check all conditions that are related to ID/DD status that were manifested before age 22, and are likely to continue indefinitely. ID/DD With Organic Condition.
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