78026-2
Diagnosis present on admission
Active
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
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=78026-2
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