This page is part of the Quality Improvement Core Framework (v6.0.0-ballot: STU6 (v6.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
: QICore Present On Admission Codes - JSON Representation
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{
"resourceType" : "ValueSet",
"id" : "qicore-present-on-admission",
"meta" : {
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablevalueset"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html\"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-Y\">Y</a></td><td>Yes</td><td>Diagnosis was present at time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as "Y" for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-N\">N</a></td><td>No</td><td>Diagnosis was not present at time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "N" for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-U\">U</a></td><td>Unknown</td><td>Documentation insufficient to determine if the condition was present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "U" for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-W\">W</a></td><td>Undetermined</td><td>Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as "W" for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-1\">1</a></td><td>Unreported</td><td>Unreported/Not used. Exempt from POA reporting. This code is equivalent to a blank on the UB-04, however; it was determined that blanks are undesirable when submitting this data via the 4010A. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "1" for the POA Indicator. The “1” POA Indicator should not be applied to any codes on the HAC list. For a complete list of codes on the POA exempt list, see the Official Coding Guidelines for ICD-10-CM.</td></tr></table></li></ul></div>"
},
"url" : "http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission",
"version" : "6.0.0-ballot",
"name" : "QICorePresentOnAdmission",
"title" : "QICore Present On Admission Codes",
"status" : "draft",
"experimental" : false,
"date" : "2021-05-14",
"publisher" : "http://www.hl7.org/Special/committees/cqi/index.cfm",
"contact" : [
{
"name" : "Clinical Quality Information WG",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "Value Set for QICore Present On Admission.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
"concept" : [
{
"code" : "Y",
"display" : "Yes"
},
{
"code" : "N",
"display" : "No"
},
{
"code" : "U",
"display" : "Unknown"
},
{
"code" : "W",
"display" : "Undetermined"
},
{
"code" : "1",
"display" : "Unreported"
}
]
}
]
}
}
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