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Exact Dx synthetic data · demonstration
Extended criteria (experimental). This is the broader ten-condition engine, kept as a secondary area. It shows ICD-10-CM codes and illustrative grouping effects for CDI staff. The primary surface is Before you sign (kidney, measurement only). All extended pages.

Exact Dx: query program

SIMULATED numbers on this board are not measurements. Each states its assumption.

Queries sent (synthetic history, 12 weeks) Observed

420 queries

Response rate (synthetic history) Observed

87%

95% CI 83%–90% · 364 of 420

Agreement rate: clinician chose a listed clinical option (synthetic history) Observed

62%

95% CI 57%–67% · 227 of 364

Median time to response (synthetic history) Observed

8.0 hours

Agreement on specificity queries (synthetic history) Observed

67%

95% CI 61%–73% · 162 of 241

Agreement on clinical-validation queries (synthetic history) Observed

53%

95% CI 44%–61% · 65 of 123

This desk: queries answered Observed

n/a

no items

Observed clicks in this running demo.

This desk: answers that chose a listed clinical option Observed

n/a

no items

Observed clicks in this running demo.

Open gaps: specificity / clinical validation / judgement Observed

206 specificity · 93 validation · 57 judgement

Projected diagnoses made more specific SIMULATED

138 encounter-diagnoses

SIMULATED: Each open specificity gap is answered with the supported option at the historical specificity agreement rate (67%) and each open validation gap at the validation rate (53%); judgement items do not change. Simulated under assumed compliance; no measured effect.

Projected unsupported diagnoses corrected or removed SIMULATED

49 encounter-diagnoses

SIMULATED: Each open specificity gap is answered with the supported option at the historical specificity agreement rate (67%) and each open validation gap at the validation rate (53%); judgement items do not change. Simulated under assumed compliance; no measured effect.

Projected net change in illustrative relative weight (sum, can be negative) SIMULATED

6.00 RW

SIMULATED: Each open specificity gap is answered with the supported option at the historical specificity agreement rate (67%) and each open validation gap at the validation rate (53%); judgement items do not change. Simulated under assumed compliance; no measured effect. Weights: FY2026 Table 5, illustrative grouping.

Query volume by week (synthetic history)
Query volume by week (synthetic history)Number of documentation queries sent per week in the synthetic history.0204060Aug 10: 34Aug 10Aug 17: 43Aug 17Aug 24: 30Aug 24Aug 31: 35Aug 31Sep 07: 33Sep 07Sep 14: 32Sep 14Sep 21: 29Sep 21Sep 28: 36Sep 28Oct 05: 29Oct 05Oct 12: 41Oct 12Oct 19: 32Oct 19Oct 26: 40Oct 26Nov 02: 6Nov 02
Data table: Query volume by week (synthetic history)
CategoryValue
Aug 1034
Aug 1743
Aug 2430
Aug 3135
Sep 0733
Sep 1432
Sep 2129
Sep 2836
Oct 0529
Oct 1241
Oct 1932
Oct 2640
Nov 026
Open gaps by condition (current synthetic encounters)
Open gaps by condition (current synthetic encounters)Count of open findings (all gap types) by condition.0204060Heart failure: 60Heart failureAcute kidney injury: 50Acute kidney injuryAcute respiratory failure: 45Acute respiratory failureMalnutrition: 41MalnutritionChronic kidney disease: 39Chronic kidney diseaseAcute blood loss anaemia: 36Acute blood loss anaemiaHyponatraemia: 31HyponatraemiaObesity: 30ObesityPressure injury: 16Pressure injurySepsis: 8Sepsis
Data table: Open gaps by condition (current synthetic encounters)
CategoryValue
Heart failure60
Acute kidney injury50
Acute respiratory failure45
Malnutrition41
Chronic kidney disease39
Acute blood loss anaemia36
Hyponatraemia31
Obesity30
Pressure injury16
Sepsis8
Open gaps by service
Open gaps by serviceCount of open findings by admitting service.0100200300Hospital Medicine: 213Hospital MedicineCardiology: 101CardiologyPulmonology: 37PulmonologyGeneral Surgery: 5General Surgery
Data table: Open gaps by service
CategoryValue
Hospital Medicine213
Cardiology101
Pulmonology37
General Surgery5
Agreement rate by condition, % (synthetic history)
Agreement rate by condition, % (synthetic history)Share of answered queries in which the clinician chose a listed clinical option.0.020.040.060.080.0Acute blood loss anaemia: 45.5Acute blood loss anaemiaAcute kidney injury: 70.8Acute kidney injuryAcute respiratory failure: 67.9Acute respiratory failureChronic kidney disease: 70.6Chronic kidney diseaseHeart failure: 61.7Heart failureHyponatraemia: 60.7HyponatraemiaMalnutrition: 53.3MalnutritionObesity: 70.8ObesityPressure injury: 64.0Pressure injurySepsis: 57.1Sepsis
Data table: Agreement rate by condition, % (synthetic history)
CategoryValue
Acute blood loss anaemia45.5
Acute kidney injury70.8
Acute respiratory failure67.9
Chronic kidney disease70.6
Heart failure61.7
Hyponatraemia60.7
Malnutrition53.3
Obesity70.8
Pressure injury64.0
Sepsis57.1

All data are synthetic. Observed numbers carry 95% Wilson intervals. Every projected number is typed SIMULATED and states its assumption.

Agreement is not the goal: a clinician answering "ruled out" or "unable to determine" is a correct outcome of a compliant query.