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-000348

Kenji Oyelaran · ENC-00103 · written by Dr. Camila Oyelaran (resident) · cosigner Dr. Gideon Zeller · status pending

Source document DOC-000348: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Kenji Oyelaran   MRN: MRN88784734   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. Obesity: counsel on weight.
3. Acute blood loss anemia: trend hemoglobin, transfuse if needed.

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.

Clinical judgement required Acute blood loss anaemia: Clinical judgement required: Haemoglobin fell 1.4 g/dL without transfusion (between 1 and 2 g/dL).
Evidence and rule trace
Specificity gap Obesity: Documented “obesity” (E66.9); criteria support the more specific Obesity, class 3 (E66.813).
Evidence and rule trace

Only Dr. Gideon Zeller can cosign. Sign in (demo).