Version 2.78

Term Description

Indicates whether or not the diagnosis was present on admission (POA) when the patient was admitted into the hospital as an inpatient. This term was created for, but not limited in use to, the Present on Admission observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Whether or not a specific condition was present at the time a patient was admitted. Note that the concept of "diagnosis" is different than a "condition". Conditions include symptoms, diseases, injuries, and non-pathologic states, while diagnoses are specifically identified by a provider as the source of a patient's signs and symptoms. For example, a patient admitted to the hospital with conditions that include abdominal pain, fever, and vomiting may be diagnosed with appendicitis by a provider based on the history, physical exam, and various test results. To report whether a condition was present on admission, use [LOINC: 89251-3].
Source: Regenstrief LOINC

Fully-Specified Name

Component
Diagnosis present on admission
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Example Answer List: LL3044-6

Source: Centers for Disease Control and Prevention
Answer Code Score Answer ID
YesCopyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
NoCopyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
UnknownCopyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) UNK LA4489-6

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.70
Change Reason
Added to the term description in order to distinguish the concepts of "diagnosis" and "condition"
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=78026-2