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Local criteria

Site choices among published definitions and named local variants of the side-panel definitions: a published version is never edited; a change creates a new named version; each change needs a clinical and a coding or compliance approval by two different people, and shows how many findings would change before anyone approves.

How tailoring is governed

How a site tailors the side panel's criteria, under governance. A clinician may collapse cards of one type for themselves (a display preference, logged). A site may choose among published definitions or editions the library holds, or change one parameter of a definition, which creates a new named local variant; a published version is never edited; a change creates a new named version. Each request records who, when, what changes from what to what, why, the source, the effective date and the outcome preview, and needs two approvals by two different people: one clinical role (Attending physician, Resident physician) and one coding or compliance role (Coding specialist, CDI program manager). The requester may give one of the two approvals; the other must come from a different person in the other role. Only an approved request whose date has come is used, for new checks only; every finding keeps the exact version that produced it, so earlier findings replay unchanged. Never adjustable: the link between a finding and its version and inputs, the audit and provenance records, the check in both directions, the neutral options list, and anything keyed to payment.

Pending requests (0)

No pending requests.

In use now

  • Heart pumping fraction (type): front_hf_ef_type@1.0 · Heart failure type by ejection fraction (four categories, 2021 universal definition as restated in 2022) (default in this demonstration · draft, pending review)
  • Kidney filtering rate (stage): front_kidney_stage_wording@1.0 · Kidney disease stage wording by filtering rate, with the albumin-to-creatinine category (options for the clinician) (default in this demonstration · draft, pending review)
  • Nutrition (severity): front_malnutrition_us_consensus@1.0 · Adult malnutrition severity from a dietitian's nutrition assessment (US consensus characteristics, 2012) (default in this demonstration · draft, pending review)

Request a change

Choose among published definitions

Published definitions for Heart pumping fraction (type)



Change a parameter: creates a named local variant



History

RequestStateChangeRequested by ApprovalsEffectiveWould change
No requests yet.