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-000562

Ximena Hartwell · ENC-00166 · written by Dr. Priya Thorne (resident) · cosigner Dr. Wes Merriweather · status pending

Source document DOC-000562: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Ximena Hartwell   MRN: MRN24415470   Hospital day 3

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

Resident: Dr. Priya Thorne   Attending cosign: pending

Open documentation questions on this encounter (3)

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 kidney injury: Clinical judgement required: AKI criteria met only against a presumed baseline (no pre-admission creatinine on file).
Evidence and rule trace
Specificity gap Obesity: Criteria support Obesity, class 3 (E66.813); no corresponding diagnosis is documented.
Evidence and rule trace
Specificity gap Pressure injury: Documented “sacral pressure ulcer” (L89.159); criteria support the more specific Pressure injury of sacral region, stage 3 (L89.153).
Evidence and rule trace

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