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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-000570

Lena Okafor · ENC-00169 · written by Dr. Elena Nakashima (resident) · cosigner Dr. Cyrus Ellingham · status pending

Source document DOC-000570: Progress note (synthetic)
PROGRESS NOTE (Resident)
Patient: Lena Okafor   MRN: MRN85625659   Hospital day 5

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Upper GI bleed: continue current management.
2. 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.

  • Specificity gap Acute blood loss anaemia: Criteria support Acute blood loss anemia (D62); no corresponding diagnosis is documented.
    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. Cyrus Ellingham can cosign. Sign in (demo).