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-000506

Dmitri Dunmore · ENC-00149 · written by Dr. Elena Nakashima (resident) · cosigner Dr. Wes Merriweather · status pending

Source document DOC-000506: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Dmitri Dunmore   MRN: MRN42242224   Hospital day 4

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Urinary tract infection: continue current management.
2. Malnourished: dietitian following.
3. Acute respiratory failure with hypoxia: supplemental oxygen, wean as tolerated.
4. Stage 4 sacral pressure ulcer: wound care following, offloading.

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.

Clinical validation gap Malnutrition: Documented “malnourished” (E46) but the criteria are not met: 4 characteristics assessed and none met.
Evidence and rule trace
Clinical validation gap Pressure injury: Documented “stage 4 sacral pressure ulcer” (L89.154) conflicts with what the criteria support (Pressure injury of sacral region, stage 2, L89.152).
Evidence and rule trace

Only Dr. Wes Merriweather can cosign. Sign in (demo).