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FHIR IG Statistics: CodeSystem/presentOnAdmission

Packagehl7.terminology
TypeCodeSystem
IdpresentOnAdmission
FHIR VersionR5
Sourcehttp://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-presentOnAdmission.html
URLhttps://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding
Version07/14/2020
Statusactive
Date2024-08-21T00:00:00.000-07:00
NamePresentOnAdmission
TitleCMS Present on Admission (POA) Indicator
Realmuv
Authorityhl7
DescriptionThis 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.
CopyrightThe POA Indicator Codes are in the public domain and are free to use without restriction.
Contentcomplete

Resources that use this resource

ValueSet
POAIndicatorsPresent on Admission Indicators
CMSPresentOnAdmissionIndicatorCMS Present On Admission Indicator Codes Value Set
qicore-present-on-admissionQICore Present On Admission Codes
POAIndicatorsPresent on Admission Indicators
2.16.840.1.113762.1.4.1029.370Present on Admission is No or Unable To Determine
2.16.840.1.113762.1.4.1110.63Present On Admission is Yes or Exempt
2.16.840.1.113762.1.4.1147.197Present on Admission or Clinically Undetermined
2.16.840.1.113762.1.4.1147.198Not 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:

CodeDefinition
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."
    }
  ]
}