Education & Support » Coding help » Intake and Initial History

Intake and Initial History

In this section we answer questions related to the Intake and initial history screen.


To resolve your issue

  1. Check your manual first
  2. See if it’s covered here.
  3. Still no answer? Contact us at interRAI@tas.health.nz or 0800 10 80 44.

Questions

What time frame is to be considered for “residence”? Should a person live in one of the options for over 6 months?

How should an Australian of Aboriginal descent be coded for this item?

How should an Australian of European descent be coded for this item?

How should Primary Language be coded when a person is able to speak two languages and uses the 'non-native' language most often?

How do you code for primary language when the person has no oral language? The person has been exposed to English and responds using Bliss symbols.

Do I code item B9 'yes' for every adult that has a history of depression?


Answers

Question: What time frame is to be considered for “residence”? Should a person live in one of the options for over 6 months?

Answer:

Code all residential settings resided in, other than your DHB/ facility.

*Remember this section is coded at first assessment only.

Related MDS item  per type of assessment

Contact

Home Care

Community Health

Long Term Care Facility

 Not Applicable

B4

B4

B8


Question: How should an Australian of Aboriginal descent be coded for this item?

Answer:

Code '61’= Other' then make a note to state: Aboriginal descent.

Related MDS item  per type of assessment

Contact

Palliative Care

Home Care

Community Health

Long Term Care Facility

A7

B2

B2

B2

B3

 


 

Question: How should an Australian of European descent be coded for this item?

Answer:

Code '12= Other European' and add a note:’ Australian of European descent’.

Related MDS item  per type of assessment

Contact

Palliative Care

Home Care

Community Health

Long Term Care Facility

A7

B2

B2

B2

B3


Question: How should Primary Language be coded when a person is able to speak two languages and uses the 'non-native' language most often?

Answer:

For primary language, ask the person what their 'preferred' language is. Code the language that is spoken in the home.

Related MDS item  per type of assessment

Contact

Palliative Care

Home Care

Community Health

Long Term Care Facility

A9

B3

B3

B3

B4


Question: How do you code for primary language when the person has no oral language? The person has been exposed to English and responds using Bliss symbols.

Answer:

Code the language that is spoken in the home; this is the language to which the person is exposed and will understand at some level. If appropriate, code that an interpreter is needed

Related MDS item  per type of assessment

Contact

Palliative Care

Home Care

Community Health

Long Term Care Facility

A9

B3

B3

B3

B4


Question: Do I code LTCF item  B9 Mental Health 'yes' for every adult that has a history of depression?

Answer:

No. A diagnosis of depression is not enough to code 'yes' for this item. All elements listed in the definition for this item,must be present.

Multiple components in the interRAI Long Term Care Facilities Assessment Form and User manual definition are considered for this item.

Rationale: This item aims to identify a person who has a mental health condition, that presented significant disruption to their normal living situation and possibly involved hospitilisation for this condition.

Related MDS item  per type of assessment

Contact

Home Care

Community Health

Long Term Care Facility

 Not Applicable

 Not Applicable

 Not Applicable

B9

Back to top