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SECTION E: BEHAVIOR
Chapter 2 Chapter 3 SECTION E: BEHAVIOR Introduction
The items in this section help to identify and describe the presence and frequency of behaviors associated with a variety of disorders.
M1740: Cognitive, behavioral, and psychiatric symptoms
Item Intent
Identifies specific behaviors associated with significant neurological, developmental, behavioral, or psychiatric disorders.
Time Points Item(s) Completed
Start of Care
Resumption of Care
Discharge from agency
Response-Specific Instructions
• Interview the patient and/or caregiver, conduct a physical assessment, including observation of the patient.
Review the clinical record, including but not limited to, referral information and physician history and physical. Links to cognitive assessment resources can be found in Appendix E of this manual. • Behaviors reported could be identified by a formal diagnosis and/or determined by clinical judgment of the assessing clinician. • Behaviors which are severe enough to make the patient unsafe to self or others, cause considerable stress to the caregivers and/or require supervision or intervention should be included.
Coding Instructions
• Code 7, None of the above behaviors demonstrated, when none of the other responses are selected. • Dash is not a valid response for this item.
OASIS-E Guidance Manual Effective 1/1/2023 Centers for Medicare & Medicaid Services Page 101
M1745: Frequency of Disruptive Behavior Symptoms (Reported or Observed)
Item Intent
Identifies the frequency of any behaviors that are disruptive or dangerous to the patient or the caregivers.
Time Points Item(s) Completed
Start of Care
Resumption of Care
Discharge from agency
Response-Specific Instructions
• Interview the patient and/or caregiver and conduct a physical assessment, including observation of the patient. Behaviors can be reported by the patient, caregiver, family, or others, and/or observed by the clinician. • Review the clinical record, including but not limited to the referral information and the physician history and physical. Links to additional information sources can be found in Appendix E of this manual. Use professional judgment to determine if the behavior is disruptive or dangerous to the patient or others. • Consider any and all disruptive/dangerous behaviors to respond to this item, not just the behaviors listed in
M1740. Then consider how frequently these behaviors occur. • Include behaviors considered symptomatic of neurological, cognitive, behavioral, developmental, or psychiatric disorders, identified by diagnosis and/or the assessing clinician’s professional judgment.
Coding Instructions
• Dash is not a valid response for this item.
Coding Tips
• Examples of disruptive/dangerous behaviors include but are not limited to sleeplessness, “sun-downing,” agitation, wandering, aggression, combativeness, and/or getting lost in familiar places.
OASIS-E Guidance Manual Effective 1/1/2023 Centers for Medicare & Medicaid Services Page 102
