Page 281 - QAP Manual 2020
P. 281
Background Information
Q# Q Indicator/Intent Other Notes Field Appropriate (Y/N)
BI-12 What other conditions Record the person’s co- Information should come from records N
are noted in this person’s occurring diagnoses other and have been diagnosed by a clinician.
record? than ID For each diagnosis, please check off a
‘yes’, ‘no’, or ‘don’t know’ response.
BI-13 What health conditions Record additional Information should come from records N
are noted in this person’s conditions other than ID and have been diagnosed by a clinician.
record? For each diagnosis, please check off a
‘yes’, ‘no’, or ‘don’t know’ response.
BI-14 What is this person’s Primary language If person is bilingual, please select the Y
primary language? (What language the person is most comfortable
language does s/he best with or uses more often.
understand?)
BI-15 What is this person’s Person’s primary Only one means of communication can Y
preferred means of communication style be coded; if the person uses more than
communication? one type of communication style, please
code the most frequently used method or
the method the person feels most
comfortable using.
BI-16 How would you describe Level of support needed Y
this person’s mobility? to move self around their
environment
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