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pdfMDS 3.0 Item Set Change History
for October 2025
Version 1.20.1
Contents
Version 1.20.1 Changes..................................................................................................................................................................................... 1
Item Set Documents .............................................................................................................................................................................................................1
Section A Items ....................................................................................................................................................................................................................1
Section B Items ....................................................................................................................................................................................................................3
Section I Items ......................................................................................................................................................................................................................4
Section O Items ....................................................................................................................................................................................................................4
Section X Items ....................................................................................................................................................................................................................5
Legend: x = changed item affects this item set
na = not applicable; changed item does not affect this item set
Version 1.20.1 Changes
Item Set Documents
Item
Change Description
Footer
Version incremented to 1.20.1 with an effective date of 10/01/2025
NC
NQ
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
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
x
x
x
x
x
x
x
x
x
Existing statement revised (updated with credits for Section R items):
Legal Notice
(last page)
Legal Notice Regarding MDS 3.0 - Copyright 2011 United States of America and
interRAI. This work may be freely used and distributed solely within the United
States. Portions of the MDS 3.0 are under separate copyright protections; Pfizer Inc.
holds the copyright for the PHQ-9; Confusion Assessment Method. © 1988, 2003,
Hospital Elder Life Program. Adapted from: Inouye SK et al. Ann Intern Med. 1990;
113:941-8. Question on transportation has been derived from the national
PRAPARE® social drivers of health assessment tool (2016), for which the National
Association of Community Health Centers (NACHC) holds the copyright. Pfizer Inc.,
the Hospital Elder Life Program, LLC, and NACHC have granted permission to use
these instruments in association with the MDS 3.0. All rights reserved.
Section A Items
Item
Change Description
A0800
Item retired.
Page 1 of 5
MDS 3.0 Item Set Change History
for October 2025
Version 1.20.1
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
x
x
x
x
x
x
x
x
x
x
x
x
na
x
x
na
x
x
x
x
na
na
na
na
na
na
na
Item added:
A0810
A1250
A0810. Sex
Enter Code
1. Male
2. Female
Item retired.
Item added.
A1255
A1255. Transportation
Complete only if A0310B = 01 and A2300 minus A1900 is less than 366 days.
In the past 12 months, has lack of reliable transportation kept you from medical
appointments, meetings, work or from getting things needed for daily living?
Enter Code
0. Yes
1. No
7. Resident declines to respond
8. Resident unable to respond
Transportation item has been derived from the national PRAPARE® social drivers of
health assessment tool (2016), which was developed and is owned by the National
Association of Community Health Centers (NACHC). This tool was developed in
collaboration with the Association of Asian Pacific Community Health Organizations
(AAPCHO) and the Oregon Primary Care Association (OPCA). For additional
information, please visit www.prapare.org. Used with permission.
Page 2 of 5
MDS 3.0 Item Set Change History
for October 2025
Version 1.20.1
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
na
x
na
x
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
na
na
na
na
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
na
na
na
x
na
na
na
na
Item added.
A1255
A1255. Transportation
Complete only if A2300 minus A1900 is less than 366 days.
In the past 12 months, has lack of reliable transportation kept you from medical
appointments, meetings, work or from getting things needed for daily living?
Enter Code
0. Yes
1. No
7. Resident declines to respond
8. Resident unable to respond
Transportation item has been derived from the national PRAPARE® social drivers of
health assessment tool (2016), which was developed and is owned by the National
Association of Community Health Centers (NACHC). This tool was developed in
collaboration with the Association of Asian Pacific Community Health Organizations
(AAPCHO) and the Oregon Primary Care Association (OPCA). For additional
information, please visit www.prapare.org. Used with permission.
A2000
Item removed.
Item revised: Skip pattern in choice 0 changed:
A2400
A. Has the resident had a Medicare-covered stay since the most recent entry?
Enter Code
0. No → Skip to B0100, Comatose
1. Yes → Continue to A2400B, Start date of most recent Medicare stay
Section B Items
Item
Change Description
Item added:
B0100
B0100. Comatose
Persistent vegetative state/no discernible consciousness
Enter Code
0. No → Continue to B1300, Health Literacy
1. Yes → Skip to GG0130, Self-Care
Page 3 of 5
MDS 3.0 Item Set Change History
for October 2025
Version 1.20.1
Section I Items
Item
Change Description
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
na
x
x
na
na
x
na
x
x
NC
NQ
ND
NT/ST
NPE
NP
IPA
SP
SD
x
x
na
na
na
x
na
x
na
Subheading and item added:
I7900
None of Above
I7900. None of the above active diagnoses within the last 7 days
Section O Items
Item
Change Description
Item added:
O0390
O0390. Therapy Services
Indicate therapies administered for at least 15 minutes a day on one or more days in
the last 7 days.
Check all that apply
A. Speech-Language Pathology and Audiology Services
B. Occupational Therapy
C. Physical Therapy
D. Respiratory Therapy
E. Psychological Therapy
Z. None of the above
O0400A,
O0400B,
O0400C,
O0400D1,
O0400E,
O0400F
Subitems retired.
[[Note that subitem O0400D2 is being retained on all item sets in version 1.19.1
where it appears.]]
x
x
na
na
na
x
na
x
na
O0400D2
Subitem revised: Completion instructions added:
Complete only if O0390D is checked.
x
x
na
na
na
x
na
x
na
O0420
Item retired.
x
x
na
na
na
x
na
na
na
Page 4 of 5
MDS 3.0 Item Set Change History
for October 2025
Version 1.20.1
Section X Items
Item
Change Description
X0300
Item retired.
NC
NQ
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
Item added.
X0310
X0310. Sex (A0810 on existing record to be modified/inactivated)
Enter Code
1. Male
2. Female
Page 5 of 5
| File Type | application/pdf |
| File Title | MDS 3.0 Item Set Change History for October 2025 V.1.20.1 |
| Subject | MDS 3.0 Item Set Change History for October 2025 V.1.20.1 |
| Author | Rainmakers Strategic Solutions |
| File Modified | 2025-04-01 |
| File Created | 2025-03-26 |