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MDS Section
Section A: Identification Information
Administrative and demographic data collected at admission, quarterly, annually, and at discharge.
Type of Record
Coding Instructions for A0050, Type of Record
Facility Provider Numbers
Item Rationale
Type of Provider
DEFINITIONS
Type of Assessment
For all Federally required assessments and records as well as all PPS assessments.
Unit Certification or Licensure Designation
Item Rationale
Legal Name of Resident
Item Rationale
A0500: Legal Name of Resident
Item Rationale • Allows identification of resident. • Also used for matching each of the resident’s records. Steps for Assessment 1. Ask resident, family, significant other, and/o...
Social Security and Medicare Numbers
Item Rationale
Medicaid Number
Item Rationale
GenderSex
A0800
Sex
Item Rationale
Birth Date
Item Rationale
Ethnicity
Item Rationale
Race
Item Rationale
Language
Item Rationale
Marital Status
Item Rationale
Transportation
Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was
Optional Resident Items
Item Rationale
Preadmission Screening and Resident Review (PASRR)
(cont.)
Level II Preadmission Screening and Resident Review
(PASRR) Conditions
Conditions Related to Intellectual
Disability/Developmental Disability (ID/DD)
Entry Date
Item Rationale
Type of Entry
Item Rationale
Entered From
Item Rationale
Admission Date (Date this episode of care in this facility
began) (cont.)
Discharge Date
Item Rationale
Discharge Status
Item Rationale
Provision of Current Reconciled Medication List to
Subsequent Provider at Discharge (cont.)
Route of Current Reconciled Medication List
Transmission to Subsequent Provider (cont.)
Provision of Current Reconciled Medication List to
Resident at Discharge (cont.)
Route of Current Reconciled Medication List Transmission
to Resident (cont.)
Previous Assessment Reference Date for Significant
Correction
Assessment Reference Date
Item Rationale
Medicare Stay
Item Rationale