Step-by-Step Guide for A1805: Entered From

1. Review Item A1805 Definition

• Illustration: A flowchart showing the decision process to determine the source setting.
• Example: If a resident was in a hospital for two nights and then transferred to your facility, the source setting is the hospital.

2. Gather Resident's Admission Information

• Illustration: A checklist of documents (e.g., transfer forms, discharge summaries) to review.
• Example: Reviewing a discharge summary that states the resident is transferred from General Hospital’s cardiac unit.

3. Identify the Source Setting

• Illustration: A table categorizing different source settings with descriptions.
• Example: If a resident comes from their daughter’s home where they were living, the source setting is the community.

4. Coding A1805

• Illustration: A coding sheet showing A1805 with checkboxes for each option.
• Example: Marking the checkbox next to "Community" for a resident admitted from their own home.

5. Document Supporting Information

• Illustration: An annotated example of a resident record entry supporting the A1805 code.
• Example: A note in the resident’s record stating, "Resident admitted from General Hospital after a 3-day stay for pneumonia treatment."

6. Review and Verify

• Illustration: A comparison table for initial coding vs. verified coding.
• Example: Initially coded as "Another nursing home" but after review of transfer documentation, corrected to "Hospital."

7. Finalize and Submit

• Illustration: A checklist for final submission, including verification of A1805 coding.
• Example: Finalizing the MDS assessment with A1805 coded as "Hospital," reflecting the accurate source of admission.

The Step-by-Step Coding Guide for item A1805 in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.