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-000594

Nico Merriweather · ENC-00177 · written by Dr. Keira Upfield (resident) · cosigner Dr. Jalen Carrow · status pending

Source document DOC-000594: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Nico Merriweather   MRN: MRN94797508   Hospital day 4

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Acute on chronic systolic heart failure: continue current management.
2. Severe malnutrition: dietitian following, supplements.
3. Hyponatremia: trend sodium.
4. Acute blood loss anemia: trend hemoglobin, transfuse if needed.

Resident: Dr. Keira Upfield   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 validation gap Acute blood loss anaemia: Documented “acute blood loss anemia” (D62) is more specific than the criteria support (Anemia (acute blood-loss criteria not met), D64.9).
Evidence and rule trace
Clinical validation gap Hyponatraemia: Documented “hyponatremia” (E87.1) but the criteria are not met: All sodium values 135 or above (lowest 136).
Evidence and rule trace
Clinical validation gap Malnutrition: Documented “severe malnutrition” (E43) conflicts with what the criteria support (Moderate (non-severe) protein-calorie malnutrition (acute illness context), E44.0).
Evidence and rule trace

Only Dr. Jalen Carrow can cosign. Sign in (demo).