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-000209

Florian Quillan · ENC-00060 · written by Dr. Camila Oyelaran (resident) · cosigner Dr. Isaac Abernath · status pending

Source document DOC-000209: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Florian Quillan   MRN: MRN82656588   Hospital day 5

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Community-acquired pneumonia: continue current management.
2. Moderate protein-calorie malnutrition: dietitian following, supplements.
3. Acute renal insufficiency: trend creatinine, avoid nephrotoxins.
4. Hyponatremia: trend sodium.

Resident: Dr. Camila Oyelaran   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 kidney injury: Documented “acute renal insufficiency” (N28.9); criteria support the more specific Acute kidney injury (KDIGO stage 2) (N17.9).
Evidence and rule trace
Clinical judgement required Hyponatraemia: Clinical judgement required: Low sodium without documented treatment or repeat values; clinical significance is a clinician judgement.
Evidence and rule trace

Only Dr. Isaac Abernath can cosign. Sign in (demo).