XIG: CodeSystem/presentOnAdmission

FHIR IG Statistics: CodeSystem/presentOnAdmission

Package	hl7.terminology
Resource Type	CodeSystem
Id	presentOnAdmission
FHIR Version	R5
Source	http://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-presentOnAdmission.html
URL	https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding
Version	07/14/2020
Status	active
Date	2024-08-21T00:00:00.000-07:00
Name	PresentOnAdmission
Title	CMS Present on Admission (POA) Indicator
Realm	uv
Authority	hl7
Description	This code system consists of Present on Admission (POA) indicators which are assigned to the principal and secondary diagnoses (as defined in Section II of the Official Guidelines for Coding and Reporting) and the external cause of injury codes to indicate the presence or absence of the diagnosis at the time of inpatient admission.
Copyright	The POA Indicator Codes are in the public domain and are free to use without restriction.
Content	complete

Resources that use this resource

ValueSet
POAIndicators	Present on Admission Indicators
CMSPresentOnAdmissionIndicator	CMS Present On Admission Indicator Codes Value Set
qicore-present-on-admission	QICore Present On Admission Codes
2.16.840.1.113762.1.4.1029.370	Present on Admission is No or Unable To Determine
2.16.840.1.113762.1.4.1110.63	Present On Admission is Yes or Exempt
2.16.840.1.113762.1.4.1147.197	Present on Admission or Clinically Undetermined
2.16.840.1.113762.1.4.1147.198	Not Present On Admission or Documentation Insufficient to Determine

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem presentOnAdmission

This case-sensitive code system https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding defines the following codes:

Code	Definition
Y	Diagnosis was present at time of inpatient admission.
N	Diagnosis was not present at time of inpatient admission.
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.
W	Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.
1	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.

Source

{
  "resourceType": "CodeSystem",
  "id": "presentOnAdmission",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.6.301.11"
    }
  ],
  "version": "07/14/2020",
  "name": "PresentOnAdmission",
  "title": "CMS Present on Admission (POA) Indicator",
  "status": "active",
  "experimental": false,
  "date": "2024-08-21T00:00:00.000-07:00",
  "publisher": "Centers for Medicare & Medicaid Services",
  "contact": [
    {
      "name": "Centers for Medicare & Medicaid Services; 7500 Security Boulevard, Baltimore, MD 21244,  USA"
    },
    {
      "name": "Marilu Hue",
      "telecom": [
        {
          "system": "email",
          "value": "marilu.hue@cms.hhs.gov"
        }
      ]
    },
    {
      "name": "James Poyer",
      "telecom": [
        {
          "system": "email",
          "value": "james.poyer@cms.hhs.gov"
        }
      ]
    }
  ],
  "description": "This code system consists of Present on Admission (POA) indicators which are assigned to the principal and secondary diagnoses (as defined in Section II of the Official Guidelines for Coding and Reporting) and the external cause of injury codes to indicate the presence or absence of the diagnosis at the time of inpatient admission.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "The POA Indicator Codes are in the public domain and are free to use without restriction.",
  "caseSensitive": true,
  "compositional": false,
  "versionNeeded": false,
  "content": "complete",
  "count": 5,
  "concept": [
    {
      "code": "Y",
      "definition": "Diagnosis was present at time of inpatient admission."
    },
    {
      "code": "N",
      "definition": "Diagnosis was not present at time of inpatient admission."
    },
    {
      "code": "U",
      "definition": "Documentation insufficient to determine if the condition was present at the time of inpatient admission."
    },
    {
      "code": "W",
      "definition": "Clinically undetermined.  Provider unable to clinically determine whether the condition was present at the time of inpatient admission."
    },
    {
      "code": "1",
      "definition": "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."
    }
  ]
}