Clinical Documentation Integrity Tips
Monthly CDI tips & friendly reminders from the e4health clinical documentation team — built for the realities of your day-to-day workflow.
CDI Tips: Electrolyte Disorders
Electrolyte Disorders Electrolyte imbalances are defined as electrolyte levels that fall outside the normal reference ranges established by institutional laboratories. Management of these imbalances typically includes correction of the abnormal values, daily...
CDI Tips: Anemia
Anemia Definition: Anemia is a condition in which the number of red blood cells or the hemoglobin (Hgb) concentration within them is lower than normal. Common types of anemia: Iron deficiency, Aplastic, Hemolytic, and Acute blood loss and Chronic blood loss Hgb is...
CDI Tips: Cystic Fibrosis (CF)
Cystic Fibrosis (CF)Definition: A hereditary disorder characterized by thick secretions in the lungs, pancreas, liver, intestine, and other organs resulting in multi-system disease. Median survival is approximately 50 years. Diagnostic Criteria Lab work: Elevated...
CDI Tips: Immunodeficiency
Immunodeficiency or an immunocompromised state refers to a weakened immune system that results in more frequent infections that are more severe and last longer than usual. There are two types of immunodeficiency disorders: Primary and Secondary. Primary disorders...
CDI Tips: Functional Quadriplegia
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a severe disability caused by a condition that does not involve the spinal cord.Describes a complete inability to move due to severe disability caused by a condition that does not involve...
CDI Tips: Acute Tubular Necrosis (ATN)
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a critical condition affecting kidney function.Acute Tubular Necrosis (ATN) involves the death of tubular epithelial cells that form the renal tubules. The etiology is intrarenal,...
CDI Tips: HIV Disease/AIDS
Definition: HIV Disease is caused by human immunodeficiency virus, of all types, with destruction of CD4+ T-lymphocytes that help mediate the body’s immune response to infection. · The virus is bloodborne · It is most often transmitted through: o ...
CDI Tips: Myocardial Injury
Myocardial Injury and Acute Myocardial Infarctions Acute Myocardial Injury: Elevated cTN value above the 99th Percentile upper reference limit (URL). The injury is considered acute if there is a rise and /or fall of cTN values. Acute Non-Ischemic Myocardial Injury:...
CDI Tips: Pneumonia
Pneumonia Pneumonia: An inflammation of the air sacs in one or both lungs caused by infection due to several organisms including bacteria, viruses, and fungi. It can also be caused by inhaling gases, toxic fumes, and pollutants or by aspiration. Obstructions of the...
CDI Tips: Sepsis
SepsisSepsis: A clinical systemic, dysregulated host response to infection. It causes extensive inflammation throughout your body that can lead to organ failure and shock if not treated with early intervention. The term sepsis covers a broad group of conditions:...