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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.

← Notes awaiting cosign

Pre-cosign check: Progress note DOC-000168

Vera Quillan · ENC-00048 · written by Dr. Elena Nakashima (resident) · cosigner Dr. Rosalind Quillan · status pending

Source document DOC-000168: Progress note (synthetic)
PROGRESS NOTE (Resident)
Patient: Vera Quillan   MRN: MRN24926371   Hospital day 2

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Urinary tract infection: continue current management.
2. Malnutrition: dietitian following.
3. Anemia: trend hemoglobin.

Resident: Dr. Elena Nakashima   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 “malnutrition” (E46); criteria support the more specific Moderate (non-severe) protein-calorie malnutrition (acute illness context) (E44.0).
    Evidence and rule trace

Only Dr. Rosalind Quillan can cosign. Sign in (demo).