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pdfMDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Table of Contents
Table of Contents ............................................................................................................................................................................................... 1
Version 1.18.11 Changes ................................................................................................................................................................................... 1
Section A Items ....................................................................................................................................................................................................................1
Section B Items ....................................................................................................................................................................................................................9
Section C Items ..................................................................................................................................................................................................................10
Section D Items ..................................................................................................................................................................................................................12
Section F Items...................................................................................................................................................................................................................14
Section G Items ..................................................................................................................................................................................................................15
Section GG Items ...............................................................................................................................................................................................................16
Section J Items ...................................................................................................................................................................................................................22
Section K Items ..................................................................................................................................................................................................................24
Section M Items ..................................................................................................................................................................................................................27
Section N Items ..................................................................................................................................................................................................................28
Section O Items ..................................................................................................................................................................................................................29
Section Q Items ..................................................................................................................................................................................................................33
Section V Items ..................................................................................................................................................................................................................36
Section X Items ..................................................................................................................................................................................................................37
Legend: X = item set
na = not applicable; changed item does not affect this item set
Version 1.18.11 Changes
Section A Items
Item
Change Description
NC
NQ
Footer
Version incremented to 1.18.11 with an effective date 10/01/2023
X
A0300A
Item and responses deleted
A1000
Item and responses deleted
Page 1 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
na
na
X
X
X
X
X
X
X
X
X
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
NC
NQ
A1005
New item and responses added:
A1005. Ethnicity
Are you of Hispanic, Latino/a, or Spanish origin?
Check all that apply
A. No, not of Hispanic, Latino/a, or Spanish origin
B. Yes, Mexican, Mexican American, Chicano/a
C. Yes, Puerto Rican
D. Yes, Cuban
E. Yes, another Hispanic, Latino/a, or Spanish origin
X. Resident unable to respond
Y. Resident declines to respond
X
A1010
New item and responses added:
A1010. Race
What is your race?
Check all that apply
A. White
B. Black or African American
C. American Indian or Alaska Native
D. Asian Indian
E. Chinese
F. Filipino
G. Japanese
H. Korean
I. Vietnamese
J. Other Asian
K. Native Hawaiian
L. Guamanian or Chamorro
M. Samoan
N. Other Pacific Islander
X. Resident unable to respond
Y. Resident declines to respond
Z. None of the above
A1100
Items and responses deleted
Page 2 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
na
X
X
X
X
X
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
A1110
New items and responses added:
A1110. Language
A. What is your preferred language?
B. Do you need or want an interpreter to communicate with a doctor or health care
staff?
0. No
1. Yes
9. Unable to determine
A1250
New item and responses added:
A1250. Transportation (from NACHC©)
Has lack of transportation kept you from medical appointments, meetings, work, or
from getting things needed for daily living?
Check all that apply
A. Yes, it has kept me from medical appointments or from getting my medications
B. Yes, it has kept me from non-medical meetings, appointments, work, or from
getting things that I need
C. No
X. Resident unable to respond
Y. Resident declines to respond
© 2019. National Association of Community Health Centers, Inc., Association of
Asian Pacific Community Health Organizations, Oregon Primary Care Association.
PRAPARE and its resources are proprietary information of NACHC and its partners,
intended for use by NACHC, its partners, and authorized recipients. Do not publish,
copy, or distribute this information in part or whole without written consent from
NACHC.
Page 3 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
na
na
X
X
X
na
na
na
na
na
X
X
na
X
na
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
A1250
Change Description
New item and responses added:
A1250. Transportation (from NACHC©)
Has lack of transportation kept you from medical appointments, meetings, work, or
from getting things needed for daily living?
Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1
Check all that apply
A. Yes, it has kept me from medical appointments or from getting my medications
B. Yes, it has kept me from non-medical meetings, appointments, work, or from
getting things that I need
C. No
X. Resident unable to respond
Y. Resident declines to respond
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
na
na
na
na
na
na
na
na
na
na
na
na
na
na
X
X
X
X
X
X
X
na
X
X
© 2019. National Association of Community Health Centers, Inc., Association of
Asian Pacific Community Health Organizations, Oregon Primary Care Association.
PRAPARE and its resources are proprietary information of NACHC and its partners,
intended for use by NACHC, its partners, and authorized recipients. Do not publish,
copy, or distribute this information in part or whole without written consent from
NACHC.
A1250
New item and responses added:
A1250. Transportation (from NACHC©)
Has lack of transportation kept you from medical appointments, meetings, work, or
from getting things needed for daily living?
Complete only if A0310G = 1 and A0310H = 1
Check all that apply
A. Yes, it has kept me from medical appointments or from getting my medications
B. Yes, it has kept me from non-medical meetings, appointments, work, or from
getting things that I need
C. No
X. Resident unable to respond
Y. Resident declines to respond
© 2019. National Association of Community Health Centers, Inc., Association of
Asian Pacific Community Health Organizations, Oregon Primary Care Association.
PRAPARE and its resources are proprietary information of NACHC and its partners,
intended for use by NACHC, its partners, and authorized recipients. Do not publish,
copy, or distribute this information in part or whole without written consent from
NACHC.
A1800
Item deleted
Page 4 of 37
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
NC
NQ
A1805
New item and responses added:
A1805. Entered From
01. Home/Community (e.g., private home/apt., board/care, assisted living, group
home, transitional living, other residential care arrangements)
02. Nursing Home (long-term care facility)
03. Skilled Nursing Facility (SNF, swing beds)
04. Short-Term General Hospital (acute hospital, IPPS)
05. Long-Term Care Hospital (LTCH)
06. Inpatient Rehabilitation Facility (IRF, free standing facility or unit)
07. Inpatient Psychiatric Facility (psychiatric hospital or unit)
08. Intermediate Care Facility (ID/DD facility)
09. Hospice (home/non-institutional)
10. Hospice (institutional facility)
11. Critical Access Hospital (CAH)
12. Home under care of organized home health service organization
99. Not listed
X
A2100
Item deleted
A2105
New item and responses added:
A2105. Discharge Status
Complete only if A0310F = 10, 11, or 12
01. Home/Community (e.g., private home/apt., board/care, assisted living, group
home, transitional living, other residential care arrangements) Skip to A2123,
Provision of Current Reconciled Medication List to Resident at Discharge
02. Nursing Home (long-term care facility)
03. Skilled Nursing Facility (SNF, swing beds)
04. Short-Term General Hospital (acute hospital, IPPS)
05. Long-Term Care Hospital (LTCH)
06. Inpatient Rehabilitation Facility (IRF, free standing facility or unit)
07. Inpatient Psychiatric Facility (psychiatric hospital or unit)
08. Intermediate Care Facility (ID/DD facility)
09. Hospice (home/non-institutional)
10. Hospice (institutional facility)
11. Critical Access Hospital (CAH)
12. Home under care of organized home health service organization
13. Deceased
99. Not listed Skip to A2123, Provision of Current Reconciled Medication List to
Resident at Discharge
Page 5 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
X
X
na
X
X
X
X
X
X
X
X
na
X
X
X
X
X
na
na
X
na
X
X
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
A2105
New item and responses added:
A2105. Discharge Status
Complete only if A0310F = 10, 11, or 12
01. Home/Community (e.g., private home/apt., board/care, assisted living, group
home, transitional living, other residential care arrangements)
02. Nursing Home (long-term care facility)
03. Skilled Nursing Facility (SNF, swing beds)
04. Short-Term General Hospital (acute hospital, IPPS)
05. Long-Term Care Hospital (LTCH)
06. Inpatient Rehabilitation Facility (IRF, free standing facility or unit)
07. Inpatient Psychiatric Facility (psychiatric hospital or unit)
08. Intermediate Care Facility (ID/DD facility)
09. Hospice (home/non-institutional)
10. Hospice (institutional facility)
11. Critical Access Hospital (CAH)
12. Home under care of organized home health service organization
13. Deceased
99. Not listed
na
na
na
X
na
na
na
na
na
A2121
New item and responses added:
A2121. Provision of Current Reconciled Medication List to Subsequent Provider at
Discharge
Complete only if A0310H = 1
At the time of discharge to another provider, did your facility provide the resident’s
current reconciled medication list to the subsequent provider?
0. No - Current reconciled medication list not provided to the subsequent provider
Skip to A2200, Previous Assessment Reference Date for Significant Correction
1. Yes - Current reconciled medication list provided to the subsequent provider
X
X
na
na
na
na
na
na
na
A2121
New item and responses added:
A2121. Provision of Current Reconciled Medication List to Subsequent Provider at
Discharge
Complete only if A0310H = 1
At the time of discharge to another provider, did your facility provide the resident’s
current reconciled medication list to the subsequent provider?
0. No - Current reconciled medication list not provided to the subsequent provider
Skip to A2300, Assessment Reference Date
1. Yes - Current reconciled medication list provided to the subsequent provider
na
na
X
na
X
X
na
X
X
Page 6 of 37
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
NC
NQ
A2122
New item and responses added:
A2122. Route of Current Reconciled Medication List Transmission to Subsequent
Provider
Indicate the route(s) of transmission of the current reconciled medication list to the
subsequent provider.
Complete only if A2121 = 1
Route of Transmission
Check all that apply
A. Electronic Health Record
B. Health Information Exchange
C. Verbal (e.g., in-person, telephone, video conferencing)
D. Paper-based (e.g., fax, copies, printouts)
E. Other methods (e.g., texting, email, CDs)
X
A2123
New item and responses added:
A2123. Provision of Current Reconciled Medication List to Resident at Discharge
Complete only if A0310H = 1
At the time of discharge, did your facility provide the resident’s current reconciled
medication list to the resident, family and/or caregiver?
0. No - Current reconciled medication list not provided to the resident, family and/or
caregiver Skip to A2200, Previous Assessment Reference Date for Significant
Correction
1. Yes - Current reconciled medication list provided to the resident, family and/or
caregiver
A2123
New item and responses added:
A2123. Provision of Current Reconciled Medication List to Resident at Discharge
Complete only if A0310H = 1
At the time of discharge, did your facility provide the resident’s current reconciled
medication list to the resident, family and/or caregiver?
0. No - Current reconciled medication list not provided to the resident, family and/or
caregiver Skip to A2300, Assessment Reference Date
1. Yes - Current reconciled medication list provided to the resident, family and/or
caregiver
Page 7 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
na
X
X
na
X
X
X
X
na
na
na
na
na
na
na
na
na
X
na
X
X
na
X
X
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
NC
NQ
A2124
New item and responses added:
A2124. Route of Current Reconciled Medication List Transmission to Resident
Indicate the route(s) of transmission of the current reconciled medication list to the
resident/family/caregiver.
Complete only if A2123 = 1
Route of Transmission
Check all that apply
A. Electronic Health Record (e.g., electronic access to patient portal)
B. Health Information Exchange
C. Verbal (e.g., in-person, telephone, video conferencing)
D. Paper-based (e.g., fax, copies, printouts)
E. Other methods (e.g., texting, email, CDs)
X
A2200
Item and response deleted
A2400
Modified skip pattern for option 0 to:
0. No Skip to B1300, Health Literacy
Page 8 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
na
X
X
na
X
X
na
na
na
na
na
X
na
na
na
na
na
na
na
X
na
na
na
na
MDS 3.0 Item Set Change History
for October 2023
Section B Items
Item
Change Description
B0100
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Modified skip pattern for option 1 to:
1. Yes Skip to GG0100, Prior Functioning: Everyday Activities
X
X
na
na
na
X
na
X
na
B0100
Modified skip pattern for option 0 to:
0. No Continue to B1300, Health Literacy
na
na
X
na
na
na
na
na
X
B0100
Modified skip pattern for option 1 to:
1. Yes Skip to GG0115, Functional Limitation in Range of Motion
na
na
na
na
na
na
na
na
na
B0100
Modified skip pattern for option 1 to:
1. Yes Skip to GG0130, Self-Care
na
na
na
na
na
na
X
na
X
New item and responses added:
B1300. Health Literacy
Complete only if A0310B = 01 or A0310G = 1 and A0310H = 1
How often do you need to have someone help you when you read instructions,
pamphlets, or other written material from your doctor or pharmacy?
0. Never
1. Rarely
2. Sometimes
3. Often
4. Always
7. Resident declines to respond
8. Resident unable to respond
The Single Item Literacy Screener is licensed under a Creative Commons
Attribution-NonCommercial 4.0 International License.
X
X
X
na
na
X
na
X
X
New item and responses added:
B1300. Health Literacy
How often do you need to have someone help you when you read instructions,
pamphlets, or other written material from your doctor or pharmacy?
0. Never
1. Rarely
2. Sometimes
3. Often
4. Always
7. Resident declines to respond
8. Resident unable to respond
The Single Item Literacy Screener is licensed under a Creative Commons
Attribution-NonCommercial 4.0 International License.
na
na
na
na
X
na
na
na
na
B1300
B1300
Page 9 of 37
MDS 3.0 Item Set Change History
for October 2023
Section C Items
Version 1.18.11
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
C0100
Items and responses added:
C0100. Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
Attempt to conduct interview with all residents
0. No (resident is rarely/never understood) Skip to and complete C1310. Signs
and Symptoms of Delirium (from CAM©)
1. Yes Continue to C0200, Repetition of Three Words
na
na
na
na
X
na
na
na
na
C0200
Items and responses added:
Brief Interview for Mental Status (BIMS)
C0200. Repetition of Three Words
Ask resident: “I am going to say three words for you to remember. Please repeat the
words after I have said all three. The words are: sock, blue, and bed. Now tell me
the three words.”
Number of words repeated after first attempt
0. None
1. One
2. Two
3. Three
After the resident's first attempt, repeat the words using cues ("sock, something to
wear; blue, a color; bed, a piece of furniture"). You may repeat the words up to two
more times.
na
na
na
na
X
na
na
na
na
C0300
Items and responses added:
C0300. Temporal Orientation (orientation to year, month, and day)
Ask resident: "Please tell me what year it is right now."
A. Able to report correct year
0. Missed by > 5 years or no answer
1. Missed by 2-5 years
2. Missed by 1 year
3. Correct
Ask resident: "What month are we in right now?"
B. Able to report correct month
0. Missed by > 1 month or no answer
1. Missed by 6 days to 1 month
2. Accurate within 5 days
Ask resident: "What day of the week is today?"
C. Able to report correct day of the week
0. Incorrect or no answer
1. Correct
na
na
na
na
X
na
na
na
na
C0400
Items and responses added:
na
na
na
na
X
na
na
na
na
Page 10 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Version 1.18.11
Change Description
C0400. Recall
Ask resident: "Let's go back to an earlier question. What were those three words
that I asked you to repeat?"
If unable to remember a word, give cue (something to wear; a color; a piece of
furniture) for that word.
A. Able to recall "sock"
0. No - could not recall
1. Yes, after cueing ("something to wear")
2. Yes, no cue required
B. Able to recall "blue"
0. No - could not recall
1. Yes, after cueing ("a color")
2. Yes, no cue required
C. Able to recall "bed"
0. No - could not recall
1. Yes, after cueing ("a piece of furniture")
2. Yes, no cue required
C0500
Items and responses added:
C0500. BIMS Summary Score
Add scores for questions C0200-C0400 and fill in total score (00-15)
Enter 99 if the resident was unable to complete the interview
C0900D
Modified option D to:
D. That they are in a nursing home/hospital swing bed
C1310
C1310
Credit language modified to:
Adapted from: Inouye SK, et al. Ann Intern Med. 1990; 113: 941-948. Confusion
Assessment Method. Copyright 2003, Hospital Elder Life Program, LLC. Not to be
reproduced without permission.
Items and responses added:
Delirium
C1310. Signs and Symptoms of Delirium (from CAM©)
A. Acute Onset Mental Status Change
Is there evidence of an acute change in mental status from the resident's baseline?
0. No
1. Yes
Coding:
0. Behavior not present
1. Behavior continuously present, does not fluctuate
2. Behavior present, fluctuates (comes and goes, changes in severity)
Enter Codes in Boxes
Page 11 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
X
na
na
na
na
X
X
na
na
na
X
na
X
na
X
X
X
na
na
X
na
X
X
na
na
na
na
X
na
na
na
na
MDS 3.0 Item Set Change History
for October 2023
Item
Version 1.18.11
Change Description
B. Inattention - Did the resident have difficulty focusing attention, for example, being
easily distractible or having difficulty keeping track of what was being said?
C. Disorganized Thinking - Was the resident's thinking disorganized or incoherent
(rambling or irrelevant conversation, unclear or illogical flow of ideas, or
unpredictable switching from subject to subject)?
D. Altered Level of Consciousness - Did the resident have altered level of
consciousness, as indicated by any of the following criteria?
￭ vigilant - startled easily to any sound or touch
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
￭ lethargic - repeatedly dozed off when being asked questions, but responded to
voice or touch
￭ stuporous - very difficult to arouse and keep aroused for the interview
￭ comatose - could not be aroused
Adapted from: Inouye SK, et al. Ann Intern Med. 1990; 113: 941-948. Confusion
Assessment Method. Copyright 2003, Hospital Elder Life Program, LLC. Not to be
reproduced without permission.
Section D Items
Item
Change Description
D0100
Items and responses added:
D0100. Should Resident Mood Interview be Conducted?
If A0310G = 2 skip to D0700. Otherwise, attempt to conduct interview with all
residents
0. No (resident is rarely/never understood) Skip to D0700, Social Isolation
1. Yes Continue to D0150, Resident Mood Interview (PHQ-2 to 9©)
na
na
na
na
X
na
na
na
na
D0100
Modified skip pattern for option 1:
D0100. Should Resident Mood Interview be Conducted?
1. Yes Continue to D0150, Resident Mood Interview (PHQ-2 to 9©).
X
X
na
na
na
X
X
X
na
D0100
Modified instructional language and skip pattern for option 1 to:
D0100. Should Resident Mood Interview be Conducted?
If A0310G = 2 skip to D0700. Otherwise, attempt to conduct interview with all
residents
1. Yes Continue to D0150, Resident Mood Interview (PHQ-2 to 9©).
na
na
X
na
na
na
na
na
X
Items and responses added:
D0150. Resident Mood Interview (PHQ-2 to 9©)
Say to resident: “Over the last 2 weeks, have you been bothered by any of the
following problems?”
If symptom is present, enter 1 (yes) in column 1, Symptom Presence.
X
X
X
na
X
X
X
X
X
D0150
Page 12 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Item and responses added:
D0160. Total Severity Score
Add scores for all frequency responses in Column 2, Symptom Frequency. Total
score must be between 02 and 27.
Enter 99 if unable to complete interview (i.e., Symptom Frequency is blank for 3 or
more required items).
X
X
X
na
X
X
X
X
X
D0200
Item deleted
X
X
X
na
na
X
X
X
X
D0300
D0500
Item deleted
X
X
X
na
na
X
X
X
X
Modified instructional language to:
Do not conduct if Resident Mood Interview (D0150-D0160) was completed
X
X
X
na
na
X
X
X
X
If yes in column 1, then ask the resident: “About how often have you been bothered
by this?”
Read and show the resident a card with the symptom frequency choices. Indicate
response in column 2, Symptom Frequency.
1. Symptom Presence
0. No (enter 0 in column 2)
1. Yes (enter 0-3 in column 2)
9. No response (leave column 2 blank)
2. Symptom Frequency
0. Never or 1 day
1. 2-6 days (several days)
2. 7-11 days (half or more of the days)
3. 12-14 days (nearly every day)
Enter Scores in Boxes
A. Little interest or pleasure in doing things
B. Feeling down, depressed, or hopeless
If either D0150A2 or D0150B2 is coded 2 or 3, CONTINUE asking the questions
below. If not, END the PHQ interview.
C. Trouble falling or staying asleep, or sleeping too much
D. Feeling tired or having little energy
E. Poor appetite or overeating
F. Feeling bad about yourself - or that you are a failure or have let yourself or your
family down
G. Trouble concentrating on things, such as reading the newspaper or watching
television
H. Moving or speaking so slowly that other people could have noticed. Or the
opposite - being so fidgety or restless that you have been moving around a lot more
than usual
I. Thoughts that you would be better off dead, or of hurting yourself in some way
D0160
Page 13 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
D0500F
D0500H
D0700
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Modified option F to:
F. Indicating that they feel bad about self, are a failure, or have let self or family
down
X
X
X
na
na
X
X
X
X
Modified option H to:
H. Moving or speaking so slowly that other people have noticed. Or the opposite being so fidgety or restless that they have been moving around a lot more than
usual
X
X
X
na
na
X
X
X
X
New item and responses added:
D0700. Social Isolation
How often do you feel lonely or isolated from those around you?
0. Never
1. Rarely
2. Sometimes
3. Often
4. Always
7. Resident declines to respond
8. Resident unable to respond
X
X
X
na
X
X
na
X
X
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
na
na
na
na
na
na
na
na
Section F Items
Item
Change Description
F0700
Modified instructional language for option 0 to:
0. No (because Interview for Daily and Activity Preferences (F0400 and F0500) was
completed by resident or family/significant other) Skip to and complete GG0100,
Prior Functioning: Everyday Activities
Page 14 of 37
MDS 3.0 Item Set Change History
for October 2023
Section G Items
Items
Change Description
G0110
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Item deleted
X
X
X
na
na
X
na
X
X
G0120
Item deleted
X
X
X
na
na
X
na
X
X
G0300
Item deleted
X
X
na
na
na
X
na
X
na
G0400
Item deleted
X
X
na
na
na
X
na
X
na
G0600
Item deleted
X
X
na
na
na
X
na
X
na
G0900
Item deleted
X
na
na
na
na
na
na
na
na
Page 15 of 37
MDS 3.0 Item Set Change History
for October 2023
Section GG Items
Items
Change Description
GG
GG0100
GG0115A
and
GG0115B
GG0120A–
D and
GG0120Z
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Modified the header to:
Functional Abilities and Goals
X
X
X
na
na
X
na
X
na
Modified the coding instructions to:
Coding:
3. Independent - Resident completed all the activities by themself, with or without an
assistive device, with no assistance from a helper.
2. Needed Some Help - Resident needed partial assistance from another person to
complete any activities.
1. Dependent - A helper completed all the activities for the resident.
8. Unknown.
9. Not Applicable.
X
X
na
na
na
X
na
X
na
New items and responses added:
GG0115. Functional Limitation in Range of Motion
Code for limitation that interfered with daily functions or placed resident at risk of
injury in the last 7 days
Coding:
0. No impairment
1. Impairment on one side
2. Impairment on both sides
Enter Codes in Boxes
A. Upper extremity (shoulder, elbow, wrist, hand)
B. Lower extremity (hip, knee, ankle, foot)
X
X
X
na
na
na
na
na
na
New items and responses added:
GG0120. Mobility Devices
Check all that were normally used in the last 7 days
A. Cane/crutch
B. Walker
C. Wheelchair (manual or electric)
D. Limb prosthesis
Z. None of the above were used
X
X
X
na
na
na
na
na
na
Page 16 of 37
MDS 3.0 Item Set Change History
for October 2023
Items
Change Description
GG0130
Column 1,
Column 2
GG0130
GG0130
Column 3
GG0130
Column 3
GG0130
Column 3
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Section header, Item header, instructional language (Admission) changed to:
Functional Abilities and Goals – Admission
GG0130. Self-Care (Assessment period is the first 3 days of the stay)
Complete if A0310A = 01 or A0310B = 01. If A0310B = 01, the stay begins on
A2400B and both columns are required. If A0310B = 99, the stay begins on A1600
and only column 1 is required.
Code the resident's usual performance at the start of the stay (admission) for each
activity using the 6-point scale. If activity was not attempted at the start of the stay
(admission), code the reason. Code the resident's end of SNF PPS stay (discharge)
goal(s) using the 6-point scale. Use of codes 07, 09, 10, or 88 is permissible to code
end of SNF PPS stay (discharge) goal(s).
X
X
na
na
na
X
na
X
na
Modified coding instruction language to option 06 to:
06. Independent - Resident completes the activity by themself with no assistance
from a helper.
X
X
X
na
X
X
X
X
X
Section header, Item header, instructional language (Discharge) changed to:
Functional Abilities and Goals – Discharge
GG0130. Self-Care (Assessment period is the last 3 days of the stay)
Complete only if A0310F = 10 or 11 or A0310H = 1. If A0310G is not = 2 and
A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the
stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
Code the resident's usual performance at the end of the stay for each activity using
the 6-point scale. If an activity was not attempted at the end of the stay, code the
reason.
X
X
X
na
na
X
na
X
na
Section header, Item header, instructional language (Discharge) changed to:
Functional Abilities and Goals – Discharge
GG0130. Self-Care (Assessment period is the last 3 days of the stay)
Complete only if A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is
greater than 2 and A2105 is not = 04.
Code the resident's usual performance at the end of the stay for each activity using
the 6-point scale. If an activity was not attempted at the end of the stay, code the
reason.
na
na
na
na
na
na
na
na
X
Section header, Item header, instructional language (Discharge) changed to:
Functional Abilities and Goals – Discharge
GG0130. Self-Care (Assessment period is the last 3 days of the SNF PPS Stay
ending on A2400C). Complete only if A0310G is not = 2 and A0310H = 1 and
A2400C minus A2400B is greater than 2 and A2105 is not = 04.
Code the resident's usual performance at the end of the stay for each activity using
the 6-point scale. If an activity was not attempted at the end of the stay, code the
reason.
na
na
na
na
X
na
na
na
na
Page 17 of 37
MDS 3.0 Item Set Change History
for October 2023
Items
Change Description
GG0130
Column 1,
Column 2
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Response option added to:
I. Personal hygiene: The ability to maintain personal hygiene, including combing hair,
shaving, applying makeup, washing/drying face and hands (excludes baths,
showers, and oral hygiene).
X
X
na
na
na
na
na
na
na
GG0130
Column 3
Response option added to:
I. Personal hygiene: The ability to maintain personal hygiene, including combing hair,
shaving, applying makeup, washing/drying face and hands (excludes baths, showers,
and oral hygiene).
X
na
X
na
na
na
na
na
GG0130
Column 5
New Item and response added:
Section GG. Functional Abilities and Goals - OBRA/Interim
GG0130. Self-Care (Assessment period is the ARD plus 2 previous calendar days)
Complete only if A0310A = 02 – 06 and A0310B = 99 or A0310B = 08.
Code the resident's usual performance for each activity using the 6-point scale. If an
activity was not attempted, code the reason.
Coding:
Safety and Quality of Performance - If helper assistance is required because
resident's performance is unsafe or of poor quality, score according to amount of
assistance provided.
Activities may be completed with or without assistive devices.
06. Independent - Resident completes the activity by themself with no assistance
from a helper.
05. Setup or clean-up assistance - Helper sets up or cleans up; resident completes
activity. Helper assists only prior to or following the activity.
04. Supervision or touching assistance - Helper provides verbal cues and/or
touching/steadying and/or contact guard assistance as resident completes activity.
Assistance may be provided throughout the activity or intermittently.
03. Partial/moderate assistance - Helper does LESS THAN HALF the effort. Helper
lifts, holds, or supports trunk or limbs, but provides less than half the effort.
02. Substantial/maximal assistance - Helper does MORE THAN HALF the effort.
Helper lifts or holds trunk or limbs and provides more than half the effort.
01. Dependent - Helper does ALL of the effort. Resident does none of the effort to
complete the activity. Or, the assistance of 2 or more helpers is required for the
resident to complete the activity.
If activity was not attempted, code reason:
07. Resident refused
09. Not applicable - Not attempted and the resident did not perform this activity prior
to the current illness, exacerbation, or injury
10. Not attempted due to environmental limitations (e.g., lack of equipment, weather
constraints)
88. Not attempted due to medical condition or safety concerns
5. OBRA/Interim Performance
X
X
na
na
na
na
na
na
Page 18 of 37
na
na
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Items
Change Description
Enter Codes in Boxes
A. Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth
and swallow food and/or liquid once the meal is placed before the resident.
B. Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if
applicable): The ability to insert and remove dentures into and from the mouth, and
manage denture soaking and rinsing with use of equipment.
C. Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before
and after voiding or having a bowel movement. If managing an ostomy, include
wiping the opening but not managing equipment.
E. Shower/bathe self: The ability to bathe self, including washing, rinsing, and drying
self (excludes washing of back and hair). Does not include transferring in/out of
tub/shower.
F. Upper body dressing: The ability to dress and undress above the waist; including
fasteners, if applicable.
G. Lower body dressing: The ability to dress and undress below the waist, including
fasteners; does not include footwear.
H. Putting on/taking off footwear: The ability to put on and take off socks and shoes
or other footwear that is appropriate for safe mobility; including fasteners, if applicable.
I. Personal hygiene: The ability to maintain personal hygiene, including combing hair,
shaving, applying makeup, washing/drying face and hands (excludes baths, showers,
and oral hygiene).
GG0130
Column 5
GG0170
Column 1,
Column 2
GG0170
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Modified section header and instructional language to:
Functional Abilities and Goals - OBRA/Interim
GG0130. Self-Care (Assessment period is the ARD plus 2 previous calendar days)
Complete only if A0310A = 02 - 06 and A0310B = 99 or A0310B = 08.
Column numbering changed to:
5. OBRA/Interim Performance
na
na
na
na
na
na
X
na
na
Section header, Item header, instructional language (Admission) changed to:
Functional Abilities and Goals – Admission
GG0170. Mobility (Assessment period is the first 3 days of the stay)
Complete if A0310A = 01 or A0310B = 01. If A0310B = 01, the stay begins on
A2400B and both columns are required. If A0310B = 99, the stay begins on A1600
and only column 1 is required.
Code the resident's usual performance at the start of the stay (admission) for each
activity using the 6-point scale. If activity was not attempted at the start of the stay
(admission), code the reason. Code the resident's end of SNF PPS stay (discharge)
goal(s) using the 6-point scale. Use of codes 07, 09, 10, or 88 is permissible to code
end of SNF PPS stay (discharge) goal(s).
X
X
na
na
na
X
na
X
na
Modified coding instruction language for option 06 to:
06. Independent - Resident completes the activity by themself with no assistance
from a helper.
X
X
X
na
X
X
X
X
X
Page 19 of 37
MDS 3.0 Item Set Change History
for October 2023
Items
Change Description
GG0170
Column 3
GG0170
Column 3
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Section header, Item header, instructional language (Discharge) changed to:
Functional Abilities and Goals – Discharge
GG0170. Mobility (Assessment period is the last 3 days of the stay)
Complete only if A0310F = 10 or 11 or A0310H = 1. If A0310G is not = 2 and
A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the
stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
Code the resident's usual performance at the end of the stay for each activity using
the 6-point scale. If an activity was not attempted at the end of the stay, code the
reason.
X
X
X
na
na
X
na
X
na
Section header, Item header, instructional language (Discharge) changed to:
Functional Abilities and Goals – Discharge
GG0170. Mobility (Assessment period is the last 3 days of the SNF PPS Stay ending
on A2400C)
Complete only if A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is
greater than 2 and A2105 is not = 04.
na
na
na
na
X
na
na
na
X
X
X
na
na
na
na
na
na
na
GG0170
Column 1,
Column 2
Response option added to:
FF. Tub/shower transfer: The ability to get in and out of a tub/shower.
GG0170
Column 3
Response option added to:
FF. Tub/shower transfer: The ability to get in and out of a tub/shower.
X
na
X
na
na
na
na
na
na
GG0170
Column 3
Skip pattern added to option GG0170J:
If discharge performance is coded 07, 09, 10, or 88 Skip to GG0170M, 1 step
(curb)
X
X
X
na
X
X
na
X
X
GG0170C
Modified option C language to:
C. Lying to sitting on side of bed: The ability to move from lying on the back to sitting
on the side of the bed and with no back support.
X
X
X
na
X
X
X
X
X
GG0170
Column 5
New Item and response added:
Functional Abilities and Goals - OBRA/Interim
GG0170. Mobility (Assessment period is the ARD plus 2 previous calendar days)
Complete only if A0310A = 02 - 06 and A0310B = 99 or A0310B = 08.
Code the resident's usual performance for each activity using the 6-point scale. If an
activity was not attempted, code the reason.
Coding:
Safety and Quality of Performance - If helper assistance is required because
resident's performance is unsafe or of poor quality, score according to amount of
assistance provided.
Activities may be completed with or without assistive devices.
06. Independent - Resident completes the activity by themself with no assistance from
a helper.
05. Setup or clean-up assistance - Helper sets up or cleans up; resident completes
X
X
na
na
na
na
na
na
na
Page 20 of 37
MDS 3.0 Item Set Change History
for October 2023
Items
Version 1.18.11
Change Description
activity. Helper assists only prior to or following the activity.
04. Supervision or touching assistance - Helper provides verbal cues and/or
touching/steadying and/or contact guard assistance as resident completes activity.
Assistance may be provided throughout the activity or intermittently.
03. Partial/moderate assistance - Helper does LESS THAN HALF the effort. Helper
lifts, holds, or supports trunk or limbs, but provides less than half the effort.
02. Substantial/maximal assistance - Helper does MORE THAN HALF the effort.
Helper lifts or holds trunk or limbs and provides more than half the effort.
01. Dependent - Helper does ALL of the effort. Resident does none of the effort to
complete the activity. Or, the assistance of 2 or more helpers is required for the
resident to complete the activity.
If activity was not attempted, code reason:
07. Resident refused
09. Not applicable - Not attempted and the resident did not perform this activity prior
to the current illness, exacerbation, or injury
10. Not attempted due to environmental limitations (e.g., lack of equipment, weather
constraints)
88. Not attempted due to medical condition or safety concerns
5. OBRA/Interim Performance
Enter Codes in Boxes
A. Roll left and right: The ability to roll from lying on back to left and right side, and
return to lying on back on the bed.
B. Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed.
C. Lying to sitting on side of bed: The ability to move from lying on the back to sitting
on the side of the bed and with no back support.
D. Sit to stand: The ability to come to a standing position from sitting in a chair,
wheelchair, or on the side of the bed.
E. Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or
wheelchair).
F. Toilet transfer: The ability to get on and off a toilet or commode.
FF. Tub/shower transfer: The ability to get in and out of a tub/shower.
I. Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor,
or similar space.
If performance in the last 7 days is coded 07, 09, 10, or 88 Skip to GG0170Q5,
Does the resident use a wheelchair and/or
scooter?
J. Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and
make two turns.
K. Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or
similar space.
Q5. Does the resident use a wheelchair and/or scooter?
0. No Skip to H0100, Appliances
Page 21 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Items
Change Description
1. Yes Continue to GG0170R, Wheel 50 feet with two turns
R. Wheel 50 feet with two turns: Once seated in wheelchair/scooter, the ability to
wheel at least 50 feet and make two turns.
RR5. Indicate the type of wheelchair or scooter used.
1. Manual.
2. Motorized.
S. Wheel 150 feet: Once seated in wheelchair/scooter, the ability to wheel at least 150
feet in a corridor or similar space.
SS5. Indicate the type of wheelchair or scooter used.
1. Manual.
2. Motorized.
GG0170
Column 5
Modified section header, instructional language to:
Functional Abilities and Goals - OBRA/Interim
GG0170. Mobility (Assessment period is the ARD plus 2 previous calendar days)
Complete only if A0310A = 02 - 06 and A0310B = 99 or A0310B = 08.
Column numbering changed to:
5. OBRA/Interim Performance
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
na
na
X
na
na
Section J Items
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
J0200
Item and response added:
J0200. Should Pain Assessment Interview be Conducted? Attempt to conduct
interview with all residents.
If resident is comatose or if A0310G = 2, skip to J1800. Any Falls Since
Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS).
Otherwise, attempt to conduct interview with all residents.
0. No (resident is rarely/never understood) Skip to J1800. Any Falls Since
Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS),
whichever is more recent
1. Yes Continue to J0300, Pain Presence
na
na
na
na
X
na
na
na
na
J0300
Instructional language added:
Pain Assessment Interview
Complete only if A0310G = 1
na
na
X
na
na
na
na
na
na
J0300
Modified the skip pattern for option 1 to:
1. Yes Continue to J0410, Pain Frequency
X
X
X
na
na
X
na
X
na
J0300
Modified the skip pattern for option 1 to:
1. Yes Continue to J0510. Pain Effect on Sleep
na
na
na
na
na
na
na
na
X
Page 22 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
J0300
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Item and response added:
Pain Assessment Interview
J0300. Pain Presence.
Ask resident: "Have you had pain or hurting at any time in the last 5 days?"
0. No Skip to J1800. Any Falls Since Admission/Entry or Reentry or Prior
Assessment (OBRA or Scheduled PPS), whichever is more recent
1. Yes Continue to J0510. Pain Effect on Sleep
9. Unable to answer Skip to J1800. Any Falls Since Admission/Entry or Reentry
or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent
na
na
na
na
X
na
na
na
na
J0400
Item deleted
X
X
X
na
na
X
na
X
X
J0410
New item and responses added:
J0410. Pain Frequency
Ask resident: "How much of the time have you experienced pain or hurting over the
last 5 days?"
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost constantly
9. Unable to answer
X
X
X
na
na
X
na
X
na
X
X
X
na
na
X
na
X
X
J0500A and
J0500B
Items deleted
J0510
New item and responses added:
J0510. Pain Effect on Sleep
Ask resident: “Over the past 5 days, how much of the time has pain made it hard for
you to sleep at night?”
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost constantly
8. Unable to answer
X
X
X
na
X
X
na
X
X
New item and responses added:
J0520. Pain Interference with Therapy Activities
Ask resident: “Over the past 5 days, how often have you limited your participation in
rehabilitation therapy sessions due to pain?”
0. Does not apply - I have not received rehabilitation therapy in the past 5 days
1. Rarely or not at all
2. Occasionally
3. Frequently
X
X
X
na
X
X
na
X
X
J0520
Page 23 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
New item and responses added:
J0530. Pain Interference with Day-to-Day Activities
Ask resident: “Over the past 5 days, how often have you limited your day-to-day
activities (excluding rehabilitation therapy sessions) because of pain?”
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost constantly
8. Unable to answer
X
X
X
na
X
X
na
X
X
J0600
Items deleted
J0700
Modified the item number in the parenthetical instruction to:
0. No (J0410 = 1 thru 4) Skip to J1100, Shortness of Breath (dyspnea)
1. Yes (J0410 = 9) Continue to J0800, Indicators of Pain or Possible Pain
na
na
na
na
na
na
na
na
X
X
X
na
na
na
X
na
X
na
J1800
Modified skip pattern for option 0 to:
0. No Skip to K0520, Nutritional Approaches
na
na
na
na
X
na
na
na
na
J2800
Modified the language to:
J2800. Involving genital systems (such as prostate, testes, ovaries, uterus, vagina,
external genitalia)
X
X
na
na
na
X
X
X
na
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
na
na
X
X
X
X
4. Almost constantly
8. Unable to answer
J0530
Section K Items
Item
Change Description
K0510
Items deleted
Page 24 of 37
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
K0520
Column 1 - 4
New item and responses added:
K0520. Nutritional Approaches
Check all of the following nutritional approaches that apply
1. On Admission
Assessment period is days 1 through 3 of the SNF PPS Stay starting with A2400B
2. While Not a Resident
Performed while NOT a resident of this facility and within the last 7 days. Only check
column 2 if resident entered (admission or reentry) IN THE LAST 7 DAYS. If
resident last entered 7 or more days ago, leave column 2 blank.
3. While a Resident
Performed while a resident of this facility and within the last 7 days
4. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
A. Parenteral/IV feeding
B. Feeding tube (e.g., nasogastric or abdominal (PEG))
C. Mechanically altered diet – require change in texture of food or liquids (e.g.,
pureed food, thickened liquids)
D. Therapeutic diet (e.g., low salt, diabetic, low cholesterol)
Z. None of the above
New item and responses added:
K0520. Nutritional Approaches
Check all of the following nutritional approaches that apply
2. While Not a Resident
Performed while NOT a resident of this facility and within the last 7 days. Only check
column 2 if resident entered (admission or reentry) IN THE LAST 7 DAYS. If
resident last entered 7 or more days ago, leave column 2 blank.
3. While a Resident
Performed while a resident of this facility and within the last 7 days
A. Parenteral/IV feeding
B. Feeding tube (e.g., nasogastric or abdominal (PEG))
C. Mechanically altered diet – require change in texture of food or liquids (e.g.,
pureed food, thickened liquids)
Z. None of the above
New item and responses added:
K0520. Nutritional Approaches
Check all of the following nutritional approaches that apply
3. While a Resident
Performed while a resident of this facility and within the last 7 days
4. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
A. Parenteral/IV feeding
B. Feeding tube (e.g., nasogastric or abdominal (PEG))
C. Mechanically altered diet – require change in texture of food or liquids (e.g.,
pureed food, thickened liquids)
D. Therapeutic diet (e.g., low salt, diabetic, low cholesterol)
Z. None of the above
K0520
Column 2, 3
K0520
Column 3, 4
Page 25 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
na
na
na
X
na
X
na
na
na
na
na
na
na
X
na
na
na
na
X
na
na
na
na
na
na
MDS 3.0 Item Set Change History
for October 2023
Version 1.18.11
Item
Change Description
K0520
Column 4
New item and responses added:
K0520. Nutritional Approaches
Check all of the following nutritional approaches that apply
4. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
A. Parenteral/IV feeding
B. Feeding tube (e.g., nasogastric or abdominal (PEG))
C. Mechanically altered diet – require change in texture of food or liquids (e.g.,
pureed food, thickened liquids)
D. Therapeutic diet (e.g., low salt, diabetic, low cholesterol)
Z. None of the above
Modified coding instruction language to:
Complete K0710 only if Column 2 and/or Column 3 are checked for K0520A and/or
K0520B.
K0710
Page 26 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
X
na
na
na
X
X
X
na
na
na
X
X
X
na
MDS 3.0 Item Set Change History
for October 2023
Section M Items
Version 1.18.11
Item
Change Description
M0210
Modified skip pattern for option 0 to:
0. No Skip to N0415, High-Risk Drug Classes: Use and Indication
Page 27 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
X
na
X
na
na
na
X
MDS 3.0 Item Set Change History
for October 2023
Section N Items
Item
Change Description
N0300
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Skip pattern changed to:
Skip to N0415, High-Risk Drug Classes: Use and Indication
X
X
na
na
na
X
na
X
na
N0410
Item and responses deleted
X
X
X
na
na
X
na
X
X
N0415
New items and responses added:
N0415: High-Risk Drug Classes: Use and Indication
1. Is taking
Check if the resident is taking any medications by pharmacological classification,
not how it is used, during the last 7 days or since admission/entry or reentry if less
than 7 days
2. Indication noted
If Column 1 is checked, check if there is an indication noted for all medications in
the drug class
Check all that apply
A. Antipsychotic
B. Antianxiety
C. Antidepressant
D. Hypnotic
E. Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)
F. Antibiotic
G. Diuretic
H. Opioid
I. Antiplatelet
J. Hypoglycemic (including insulin)
Z. None of the above
X
X
X
na
X
X
na
X
X
Page 28 of 37
MDS 3.0 Item Set Change History
for October 2023
Section O Items
Item
Change Description
O0100
O0110
Column a - c
Version 1.18.11
NC
NQ
Items and responses deleted
X
New items and responses added:
O0110. Special Treatments, Procedures, and Programs
Check all of the following treatments, procedures, and programs that were
performed
a. On Admission
Assessment period is days 1 through 3 of the SNF PPS Stay starting with A2400B
b. While a Resident
Performed while a resident of this facility and within the last 14 days
c. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
Check all that apply
Cancer Treatments
A1. Chemotherapy
A2. IV
A3. Oral
A10. Other
B1. Radiation
Respiratory Treatments
C1. Oxygen therapy
C2. Continuous
C3. Intermittent
C4. High-concentration
D1. Suctioning
D2. Scheduled
D3. As needed
E1. Tracheostomy care
F1. Invasive Mechanical Ventilator (ventilator or respirator)
G1. Non-invasive Mechanical Ventilator
G2. BiPAP
G3. CPAP
Other
H1. IV Medications
H2. Vasoactive medications
H3. Antibiotics
H4. Anticoagulant
H10. Other
X
Page 29 of 37
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
na
na
X
X
X
X
X
na
na
na
X
na
X
na
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
X
na
na
na
na
na
na
I1. Transfusions
J1. Dialysis
J2. Hemodialysis
J3. Peritoneal dialysis
K1. Hospice care
M1. Isolation or quarantine for active infectious disease (does not include standard
body/fluid precautions)
O1. IV Access
O2. Peripheral
O3. Midline
O4. Central (e.g., PICC, tunneled, port)
None of the Above
Z1. None of the above
O0110
Column b, c
New items and responses added:
O0110. Special Treatments, Procedures, and Programs
Check all of the following treatments, procedures, and programs that were
performed
b. While a Resident
Performed while a resident of this facility and within the last 14 days
c. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
Check all that apply
Cancer Treatments
A1. Chemotherapy
A2. IV
A3. Oral
A10. Other
B1. Radiation
Respiratory Treatments
C1. Oxygen therapy
C2. Continuous
C3. Intermittent
C4. High-concentration
D1. Suctioning
D2. Scheduled
D3. As needed
E1. Tracheostomy care
F1. Invasive Mechanical Ventilator (ventilator or respirator)
G1. Non-invasive Mechanical Ventilator
Page 30 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
X
na
na
na
X
G2. BiPAP
G3. CPAP
Other
H1. IV Medications
H2. Vasoactive medications
H3. Antibiotics
H4. Anticoagulant
H10. Other
I1. Transfusions
J1. Dialysis
J2. Hemodialysis
J3. Peritoneal dialysis
K1. Hospice care
M1. Isolation or quarantine for active infectious disease (does not include standard
body/fluid precautions)
O1. IV Access
O2. Peripheral
O3. Midline
O4. Central (e.g., PICC, tunneled, port)
None of the Above
Z1. None of the above
O0110
Column c
New items and responses added:
O0110. Special Treatments, Procedures, and Programs
Check all of the following treatments, procedures, and programs that were
performed
c. At Discharge
Assessment period is the last 3 days of the SNF PPS Stay ending on A2400C
Check all that apply
Cancer Treatments
A1. Chemotherapy
A2. IV
A3. Oral
A10. Other
B1. Radiation
Respiratory Treatments
C1. Oxygen therapy
C2. Continuous
C3. Intermittent
C4. High-concentration
Page 31 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
na
na
X
na
na
D1. Suctioning
D2. Scheduled
D3. As needed
E1. Tracheostomy care
F1. Invasive Mechanical Ventilator (ventilator or respirator)
G1. Non-invasive Mechanical Ventilator
G2. BiPAP
G3. CPAP
Other
H1. IV Medications
H2. Vasoactive medications
H3. Antibiotics
H4. Anticoagulant
H10. Other
I1. Transfusions
J1. Dialysis
J2. Hemodialysis
J3. Peritoneal dialysis
K1. Hospice care
M1. Isolation or quarantine for active infectious disease (does not include standard
body/fluid precautions)
O1. IV Access
O2. Peripheral
O3. Midline
O4. Central (e.g., PICC, tunneled, port)
None of the Above
Z1. None of the above
O0110
Column b
New items and responses added:
O0110. Special Treatments, Procedures, and Programs
Check all of the following treatments, procedures, and programs that were
performed
b. While a Resident
Performed while a resident of this facility and within the last 14 days
Check all that apply
Cancer Treatments
A1. Chemotherapy
B1. Radiation
Respiratory Treatments
C1. Oxygen therapy
Page 32 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
D1. Suctioning
E1. Tracheostomy care
F1. Invasive Mechanical Ventilator (ventilator or respirator)
Other
H1. IV Medications
I1. Transfusions
J1. Dialysis
M1. Isolation or quarantine for active infectious disease (does not include standard
body/fluid precautions)
None of the Above
Z1. None of the above
O0600
Item deleted
X
X
na
na
na
X
na
X
na
O0700
Item deleted
X
X
na
na
na
X
na
X
na
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
Section Q Items
Item
Change Description
Q0100A,
Q0100B, and
Q0100C
Items and responses deleted
X
X
na
na
na
X
na
X
na
New item and responses added:
Q0110. Participation in Assessment and Goal Setting
Identify all active participants in the assessment process
Check all that apply
A. Resident
B. Family
C. Significant other
D. Legal guardian
E. Other legally authorized representative
Z. None of the above
X
X
na
na
na
X
na
X
na
Items and responses deleted
X
X
na
na
na
X
na
X
na
Q0110
Q0300A and
Q0300B
Page 33 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Q0310A and
Q0310B
Q0400
Q0400
Q0490
Q0500B
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
New items and responses added:
Q0310. Resident's Overall Goal
Complete only if A0310E = 1
A. Resident's overall goal for discharge established during the assessment process
1. Discharge to the community
2. Remain in this facility
3. Discharge to another facility/institution
9. Unknown or uncertain
B. Indicate information source for Q0310A
1. Resident
2. Family
3. Significant other
4. Legal guardian
5. Other legally authorized representative
9. None of the above
X
X
na
na
na
X
na
X
na
Item option modified:
C. Is active discharge planning already occurring for the resident to return to the
community?
0. No
1. Yes Skip to Q0610, Referral
X
X
na
na
na
X
na
X
na
Item option modified:
C. Is active discharge planning already occurring for the resident to return to the
community?
0. No
1. Yes
na
na
X
na
na
na
na
na
X
Modified language and skip pattern to:
Q0490. Resident's Documented Preference to Avoid Being Asked Question
Q0500B
Complete only if A0310A = 02, 06, or 99
Does resident's clinical record document a request that this question (Q0500B) be
asked only on a comprehensive assessment?
0. No.
1. Yes Skip to Q0610, Referral
X
X
na
na
na
X
na
X
na
Modified option B language to:
B. Ask the resident (or family or significant other or guardian or legally authorized
representative only if resident is unable to understand or respond): "Do you want to
talk to someone about the possibility of leaving this facility and returning to live and
receive services in the community?"
X
X
na
na
na
X
na
X
na
Page 34 of 37
MDS 3.0 Item Set Change History
for October 2023
Item
Change Description
Q0500C
Version 1.18.11
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
New items and responses added:
Q0500C. Indicate information source for Q0500B
1. Resident
2. Family
3. Significant other
4. Legal guardian
5. Other legally authorized representative
9. None of the above
X
X
na
na
na
X
na
X
na
Modified language and option to:
Q0550. Resident's Preference to Avoid Being Asked Question Q0500B
A. Does resident (or family or significant other or guardian or legally authorized
representative only if resident is unable to understand or respond) want to be asked
about returning to the community on all assessments? (Rather than on
comprehensive assessments alone)
0. No - then document in resident's clinical record and ask again only on the next
comprehensive assessment
1. Yes
8. Information not available
X
X
na
na
na
X
na
X
na
Q0550B
Items and responses deleted
X
X
na
na
na
X
na
X
na
Q0550C
New item and responses added
C. Indicate information source for Q0550A
1. Resident
2. Family
3. Significant other
4. Legal guardian
5. Other legally authorized representative
9. None of the above
X
X
na
na
na
X
na
X
na
Q0600
Item and responses deleted
X
X
X
na
na
X
na
X
X
Q0610
New item and responses added:
Q0610. Referral
A. Has a referral been made to the Local Contact Agency (LCA)?
0. No
1. Yes
New item and responses added:
Q0620. Reason Referral to Local Contact Agency (LCA) Not Made
Complete only if Q0610 = 0
Indicate reason why referral to LCA was not made
1. LCA unknown
2. Referral previously made
3. Referral not wanted
4. Discharge date 3 or fewer months away
5. Discharge date more than 3 months away
X
X
X
na
na
X
na
X
X
X
X
X
na
na
X
na
X
X
Q0550A
Q0620
Page 35 of 37
MDS 3.0 Item Set Change History
for October 2023
Section V Items
Version 1.18.11
Item
Change Description
V0100E
Modified item number in parenthetical instruction to:
E. Prior Assessment Resident Mood Interview (PH-Q2 to 9©) Total Severity Score
(D0160 value from prior assessment)
Page 36 of 37
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
X
na
na
na
na
na
na
na
na
MDS 3.0 Item Set Change History
for October 2023
Section X Items
Item
Change Description
X0570A
Items and responses deleted
Version 1.18.11
Page 37 of 37
NC
NQ
X
X
ND
NT/ST
NPE
NP
IPA
SP
SD
X
X
X
X
X
na
na
| File Type | application/pdf |
| File Title | Draft MDS 3.0 Item Set Change History v1.18.11 Oct2023 |
| Subject | MDS3.0, Item Changes, Version 1.18.11 |
| Author | Centers for Medicare & Medicaid Services |
| File Modified | 2022-08-27 |
| File Created | 2022-08-23 |