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Get IL MDS 3.0 2010-2024

Sting-Version 1.00.2 10/01/2010 Page 2 of 38 Resident Identifier Section A. Date Identification Information. A1200. Marital Status. Enter Code 1. 2. 3. 4. 5. Never married. Married. Widowed. Separated. Divorced. A1300. Optional Resident Items. A. Medical record number: B. Room number: C. Name by which resident prefers to be addressed: D. Lifetime occupation(s) - put "/" between two occupations: A1500. Preadmission Screening and Resident Review (PASRR). Complete only if A0310A = 01.

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