US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot United States of America flag

US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

: US Quality Core Present On Admission Codes

Page standards status: Trial-use Maturity Level: 4

Raw json | Download

{
  "resourceType" : "ValueSet",
  "id" : "us-quality-core-present-on-admission",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "language" : "en",
  "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/7.2.0/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/7.2.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-Y\">Y</a></td><td/><td>Diagnosis was present at time of inpatient admission.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-N\">N</a></td><td/><td>Diagnosis was not present at time of inpatient admission.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-U\">U</a></td><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/7.2.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-W\">W</a></td><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/7.2.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-1\">1</a></td><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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 4,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/quality-core/ImplementationGuide/hl7.fhir.us.quality-core"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/quality-core/ImplementationGuide/hl7.fhir.us.quality-core"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/quality-core/ValueSet/us-quality-core-present-on-admission",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.78.48.10"
    }
  ],
  "version" : "1.0.0-ballot",
  "name" : "USQualityCorePresentOnAdmission",
  "title" : "US Quality Core Present On Admission Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-30",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Quality Information",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    },
    {
      "name" : "Clinical Quality Information WG",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "Value Set for US Quality Core Present On Admission.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
        "concept" : [
          {
            "code" : "Y"
          },
          {
            "code" : "N"
          },
          {
            "code" : "U"
          },
          {
            "code" : "W"
          },
          {
            "code" : "1"
          }
        ]
      }
    ]
  }
}