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.

Pre-cosign check: Progress note DOC-000032

Marisol Okafor · ENC-00009 · written by Dr. Noor Halvorsen (resident) · cosigner Dr. Kenji Stavros · status pending

Source document DOC-000032: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Marisol Okafor   MRN: MRN84006615   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Upper GI bleed: continue current management.
2. Malnourished: dietitian following.
3. Anemia: trend hemoglobin.

Resident: Dr. Noor Halvorsen   Attending cosign: pending

Open documentation questions on this encounter (2)

Advisory only. You can cosign now; these stay with the CDI team. They come from the published criteria, not from a model.

Specificity gap Acute blood loss anaemia: Documented “anemia” (D64.9); criteria support the more specific Acute blood loss anemia (D62).
Evidence and rule trace
Specificity gap Malnutrition: Documented “malnourished” (E46); criteria support the more specific Moderate (non-severe) protein-calorie malnutrition (chronic illness context) (E44.0).
Evidence and rule trace

Only Dr. Kenji Stavros can cosign. Sign in (demo).