Every executable definition, side-panel definition and catalogue entry, in three groups by the licence of its
source, with its threshold in our own words and the source it is cited to. All are drafts pending review; a definition shows as reviewed only when both a clinical and a coding
approval are recorded. Default set library_default_set@1.1.
Local criteria: site choices among published definitions and named local
variants of the side-panel definitions, each with a change record, two approvals and an outcome preview.
✓Core definitions: sources that are U.S. government
works (public domain) or openly licensed (CC BY, with attribution). The product stands on these.
31 executable, 4 side-panel, 3
kidney-check rules (their citations are re-sourced with their next version), 3 catalogue.
Setting: show extended capabilities on clinician screens
Current on clinician screens: Off (default)
When on, findings from extended definitions appear on the side panel and the per-note screen under their own heading, after the core
findings. Off or on, every check runs and replays the same, and the coder view shows both groups. The guided demo's four cases are unaffected.
Thresholds are stated in our own words. Verbatim text is kept only from U.S. government works and openly licensed (CC BY)
sources, with the attribution the licence asks for; copyrighted guidelines are cited by title, body and year, with a locator.
No endorsement by the cited bodies is implied. This is not legal advice: counsel should review before commercial release.
Cancer-treatment adverse-event grading scale (NCI CTCAE): off by default
CTCAE grades describe adverse events in people receiving cancer treatment, usually in trials; they are not diagnostic criteria, and several grades depend on the laboratory reference range or on clinical descriptors that are not encoded. Using them outside that setting is a local decision for the clinical reviewer.
Current: Off (default)
When on, grading entries are shown only as "another published definition gives …" or as values needing clinical judgement; they never
raise a "not stated" item.
CDI or coding staff can change this setting. A clinician account records clinical reviews; a coding or documentation account records coding reviews: switch the demo user.
1 of 41 in “Core definitions” shown.
Heart failure acuity: indicators in the record (evidence only; acuity is a clinical judgement)front_hf_acuity_indicators@1.0evidence_onlyOpen licence (CC BY)Draft · pending reviewdraft — pending clinical and coding review
Status
draft — pending clinical and coding review (draft)
Condition
Heart failure
Tier
evidence_only
Licence
Open licence (CC BY)
To confirm
To confirm with a clinician: the one-week weight comparison (a weight 5 to 9 days before the latest) and the 14-day window for documented symptoms are local conventions.
Source checked
opened on 2026-11-14: Opened the editorial: decompensated heart failure is described as needing escalated care or rescue therapy; it gives no natriuretic peptide cut-off, so none is shown.
Use here
evidence only (not executed)
Edition
2026
The second universal definition of heart failure (2026). What's new?
front_hf_acuity_indicators@1.0
In our words: Acuity (acute, chronic, acute on chronic) is a clinical judgement. Documented symptoms, natriuretic peptide results, weights and intravenous diuretic orders are shown for review; no threshold is applied and no acuity is concluded.
Biegus J, Ponikowski P (ESC Heart Failure) (2026) · section on decompensated heart failure · source
open licence: CC BY 4.0, attribution: Biegus J, Ponikowski P. The second universal definition of heart failure (2026). What's new? ESC Heart Fail 2026;13(5):xvag240. doi:10.1093/eschf/xvag240. Licensed under the Creative Commons Attribution licence. No endorsement by the cited bodies is implied.
See also:
Second universal definition of heart failure, Walsh MN et al. (Eur Heart J) (2026) — consensus document, not opened; licence not checked
Review
Reviewed only when both a clinical review and a coding review are recorded as approved.