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 - JSON Representation

Draft as of 2026-05-15

Raw json | Download

    {
      "resourceType" : "ValueSet",
      "id" : "us-quality-core-present-on-admission",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<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>"
      },
      "url" : "http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-present-on-admission",
      "version" : "0.5.0",
      "name" : "USQualityCorePresentOnAdmission",
      "title" : "USQualityCore Present On Admission Codes",
      "status" : "draft",
      "experimental" : false,
      "date" : "2026-05-15",
      "publisher" : "Office of the National Coordinator for Health Information Technology (ONC)",
      "contact" : [
        {
          "name" : "Office of the National Coordinator for Health Information Technology (ONC)",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.healthit.gov/feedback"
            }
          ]
        }
      ],
      "description" : "Value Set for USQualityCore Present On Admission.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US",
              "display" : "United States of America"
            }
          ],
          "text" : "USA"
        }
      ],
      "compose" : {
        "include" : [
          {
            "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
            "concept" : [
              {
                "code" : "Y",
                "display" : "Yes"
              },
              {
                "code" : "N",
                "display" : "No"
              },
              {
                "code" : "U",
                "display" : "Unknown"
              },
              {
                "code" : "W",
                "display" : "Undetermined"
              },
              {
                "code" : "1",
                "display" : "Unreported"
              }
            ]
          }
        ]
      }
    }