2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## : USQualityCore Present On Admission Codes - XML Representation

Draft as of 2026-05-15

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="us-quality-core-present-on-admission"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet us-quality-core-present-on-admission</b></p><a name="us-quality-core-present-on-admission"> </a><a name="hcus-quality-core-present-on-admission"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R4/shareablevalueset.html">Shareable ValueSet</a></p></div><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/7.1.0/CodeSystem-presentOnAdmission.html"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding</code></a><span title="Version is not explicitly stated, which means it is fixed to 07/14/2020, the version found through the package references"> version &#x1F4E6;07/14/2020</span><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/7.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-Y">Y</a></td><td>Yes</td><td>Diagnosis was present at time of inpatient admission.</td></tr><tr><td><a href="http://terminology.hl7.org/7.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-N">N</a></td><td>No</td><td>Diagnosis was not present at time of inpatient admission.</td></tr><tr><td><a href="http://terminology.hl7.org/7.1.0/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.</td></tr><tr><td><a href="http://terminology.hl7.org/7.1.0/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.</td></tr><tr><td><a href="http://terminology.hl7.org/7.1.0/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.</td></tr></table></li></ul></div>
      </text>
      <url
           value="http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-present-on-admission"/>
      <version value="0.5.0"/>
      <name value="USQualityCorePresentOnAdmission"/>
      <title value="USQualityCore Present On Admission Codes"/>
      <status value="draft"/>
      <experimental value="false"/>
      <date value="2026-05-15"/>
      <publisher
                 value="Office of the National Coordinator for Health Information Technology (ONC)"/>
      <contact>
        <name
              value="Office of the National Coordinator for Health Information Technology (ONC)"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.healthit.gov/feedback"/>
        </telecom>
      </contact>
      <description value="Value Set for USQualityCore Present On Admission."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
        <text value="USA"/>
      </jurisdiction>
      <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>
          <concept>
            <code value="1"/>
            <display value="Unreported"/>
          </concept>
        </include>
      </compose>
    </ValueSet>