QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: QICore Present On Admission Codes - TTL Representation

Draft as of 2021-05-14

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "qicore-present-on-admission"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablevalueset"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablevalueset>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.4.0/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/5.4.0/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 &quot;Y&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.4.0/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 &quot;N&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.4.0/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 &quot;U&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.4.0/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 &quot;W&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.4.0/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 &quot;1&quot; 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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cqi" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "6.0.0"] ; # 
  fhir:name [ fhir:v "QICorePresentOnAdmission"] ; # 
  fhir:title [ fhir:v "QICore Present On Admission Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2021-05-14"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Clinical Quality Information WG" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Value Set for QICore Present On Admission."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"^^xsd:anyURI ] ;
      ( fhir:concept [
fhir:code [ fhir:v "Y" ] ;
fhir:display [ fhir:v "Yes" ]       ] [
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "No" ]       ] [
fhir:code [ fhir:v "U" ] ;
fhir:display [ fhir:v "Unknown" ]       ] [
fhir:code [ fhir:v "W" ] ;
fhir:display [ fhir:v "Undetermined" ]       ] [
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Unreported" ]       ] )     ] )
  ] . #