QI-Core Implementation Guide
4.1.1 - STU 4.1.1
US
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Draft as of 2021-05-14 |
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<id value="qicore-present-on-admission"/>
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<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/3.1.0/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/3.1.0/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/3.1.0/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/3.1.0/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/3.1.0/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></table></li></ul></div>
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<url
value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission"/>
<version value="4.1.1"/>
<name value="QICorePresentOnAdmission"/>
<title value="QICore Present On Admission Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2021-05-14"/>
<publisher value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
<contact>
<name value="Clinical Quality Information WG"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
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<description value="Value Set for QICore Present On Admission."/>
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<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
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<compose>
<include>
<system
value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
<concept>
<code value="Y"/>
<display value="Yes"/>
</concept>
<concept>
<code value="N"/>
<display value="No"/>
</concept>
<concept>
<code value="U"/>
<display value="Unknown"/>
</concept>
<concept>
<code value="W"/>
<display value="Undetermined"/>
</concept>
</include>
</compose>
</ValueSet>