QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

ValueSet: QICore Present On Admission Codes

Summary

Defining URL:http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission
Version:4.1.0
Name:QICorePresentOnAdmission
Title:QICore Present On Admission Codes
Status:Draft as of 5/14/21
Definition:

Value Set for QICore Present On Admission.

Publisher:http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

  • Include these codes as defined in https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding
    CodeDisplayDefinition
    YYesDiagnosis 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.
    NNoDiagnosis 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.
    UUnknownDocumentation 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.
    WUndeterminedClinically 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.

 

Expansion

This value set contains 4 concepts

Expansion based on CMS Present on Admission (POA) Indicator v07/14/2020 (CodeSystem)

All codes in this table are from the system https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding

CodeDisplayDefinition
YYesDiagnosis 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.
NNoDiagnosis 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.
UUnknownDocumentation 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.
WUndeterminedClinically 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.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code