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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-000420

Jun Kestrel · ENC-00124 · written by Dr. Greta Kowalczyk (resident) · cosigner Dr. Gideon Zeller · status pending

Source document DOC-000420: Progress note (synthetic)
PROGRESS NOTE (Resident)
Patient: Jun Kestrel   MRN: MRN31430438   Hospital day 5

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. COPD exacerbation: continue current management.
2. Stage 4 sacral pressure ulcer: wound care following, offloading.

Resident: Dr. Greta Kowalczyk   Attending cosign: pending

Open documentation questions on this encounter (1)

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 2) (N17.9); no corresponding diagnosis is documented.
    Evidence and rule trace

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