P10 KE-P10 · outpatient visit

One row per condition family: what the record supports under the published definition, what the note states, the visit's diagnosis entries, and an assessment. Codes are coded from the signed documentation; the software never assigns one.

Library check LRUN-00010 · library_default_set@1.0 · library-engine 1.0 · replay 2b8d6ad0851fbe9b… · Data (JSON)

Draft query: Iron deficiency

Blocked by the query linter

A non-leading clarification request: clinical indicators with their sources, an open question, several options plus "other" and "unable to determine". No code and no payment word; the same indicators cannot be queried twice.

DOCUMENTATION QUERY (draft) for KE-P10 · ferritin
Title: Clarification request: ferritin results
Encounter: KE-P10   Patient: P10   To: author of the draft note
From: (no named sender: sign in to send)
Date: 2026-11-13   Rule versions: who2020_iron_deficiency_ferritin@1.0, library_default_set@1.0   Check run: LRUN-00010

Clinical indicators from the health record:
- Ferritin 11 ug/L (2026-11-12 09:05) [measurement LM-P10-01]

Question:
Based on your independent clinical judgement, how would you describe the clinical significance of the ferritin results listed above?

Response options (select one or write your own):
( ) Iron deficiency
( ) Not clinically significant for this encounter
( ) Other (please specify): ____________
( ) Unable to determine

Please respond based on your independent clinical judgement. Any response, including "unable to determine", is acceptable. This query and your response are kept as part of the health record.

error · no_sender: A query needs a named human sender (sign in).

Condition families for this encounter (1)
Condition family	What the record supports	What the note states	Visit diagnosis entries	Assessment
Iron deficiency measured	`who2020_iron_deficiency_ferritin@1.0` Draft · pending review Iron deficiency (ferritin <15 µg/L) ferritin serum 11 ug/L 2026-11-12 09:05 · LM-P10-01 Window: 180 days before the check. Citation Iron deficiency by serum ferritin (WHO 2020) who2020_iron_deficiency_ferritin@1.0 Table 1, iron deficiency, serum ferritin (µg/L): Children under 5 years <12 (apparently healthy), <30 (infection or inflammation); Adults (20–59 years) <15, <70; Pregnant women <15 (first trimester) World Health Organization, WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations (2020) · Executive summary, recommendations 1.1-1.2 (PDF page 11) and Table 1 (PDF page 12) · source Contested: Ferritin cut-offs for iron deficiency vary widely between bodies and studies (the guideline's own review cites thresholds from <12 to <30 µg/L in pregnancy); WHO's are low (high specificity). Other bodies (e.g. gastroenterology guidance) use higher values; those texts were not opened. Not encoded: Pregnancy after the first trimester, and pregnancy with infection or inflammation: Table 1 gives no cut-off ('—'), so not assessable. Iron overload thresholds (Table 1 right half) are not encoded. Whether inflammation is present is supplied by the caller; CRP/AGP thresholds and population correction factors (question 4) are not applied.	Not stated	None entered	The record supports it; neither stated in the note nor entered Draft a query
Code-family reference: Iron deficiency Coders only reference for coders — the clinician's documented statement governs; the software does not assign codes `E61` Deficiency of other nutrient elements: distinguishes E61.1 iron deficiency (without anaemia); the category holds other nutrient-element deficiencies (10 codes in the category). `E61.0` Copper deficiency `E61.1` Iron deficiency `E61.2` Magnesium deficiency `E61.3` Manganese deficiency `E61.4` Chromium deficiency `E61.5` Molybdenum deficiency `E61.6` Vanadium deficiency `E61.7` Deficiency of multiple nutrient elements `E61.8` Deficiency of other specified nutrient elements `E61.9` Deficiency of nutrient element, unspecified `D50` Iron deficiency anemia: distinguishes iron deficiency anaemia (with anaemia): secondary to chronic blood loss, sideropenic dysphagia, other, unspecified (4 codes in the category). `D50.0` Iron deficiency anemia secondary to blood loss (chronic) `D50.1` Sideropenic dysphagia `D50.8` Other iron deficiency anemias `D50.9` Iron deficiency anemia, unspecified Source: official ICD-10-CM FY2027 code descriptions (extract in library/data/code_reference_fy2027.json).