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 - TTL Representation

Draft as of 2026-05-15

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @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 "us-quality-core-present-on-admission"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/shareablevalueset"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/shareablevalueset>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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 ?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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-present-on-admission"^^xsd:anyURI ;
    fhir:l <http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-present-on-admission>
      ] ; #
      fhir:version [ fhir:v "0.5.0"] ; #
      fhir:name [ fhir:v "USQualityCorePresentOnAdmission"] ; #
      fhir:title [ fhir:v "USQualityCore Present On Admission Codes"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-05-15"^^xsd:date] ; #
      fhir:publisher [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Office of the National Coordinator for Health Information Technology (ONC)" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.healthit.gov/feedback" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Value Set for USQualityCore Present On Admission."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] ) ;
    fhir:text [ fhir:v "USA" ]
      ] ) ; #
      fhir:compose [
        ( fhir:include [
    fhir:system [
    fhir:v "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"^^xsd:anyURI ;
    fhir:l <https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding>       ] ;
          ( 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" ]       ] )     ] )
      ] . #