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-000323

Viggo Pemberton · ENC-00095 · written by Dr. Elena Nakashima (resident) · cosigner Dr. Cyrus Ellingham · status pending

Source document DOC-000323: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Viggo Pemberton   MRN: MRN40088787   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Acute on chronic systolic heart failure: continue current management.
2. Class 3 obesity: counsel on weight.
3. Hypoxemia: supplemental oxygen, wean as tolerated.
4. Acute blood loss anemia: trend hemoglobin, transfuse if needed.

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 kidney injury: Criteria support Acute kidney injury (KDIGO stage 3) (N17.9); no corresponding diagnosis is documented.
Evidence and rule trace
Clinical judgement required Acute respiratory failure: Clinical judgement required: Hypoxaemia without a charted sign of respiratory distress.
Evidence and rule trace

Only Dr. Cyrus Ellingham can cosign. Sign in (demo).