Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
Pulmonary Embolism
Improving Physician Documentation Specificity
Document type (e.g., saddle, septic).
Document cor pulmonale if present. If cor pulmonale is present, state whether it is acute or chronic.
Specify if pulomary embolus is chronic (still present) or resolved. "History of PE" is ambiguous.
Document if anti-coagulant therapy is for active treatment or prophylaxis.
Pulmonary Edema
Improving Physician Documentation Specificity
Document severity: acute vs chronic
Identify underlying cause: heart failure, chronic kidney disease
Flash pulmonary edema i.e. not codeable unless specified as acute
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
. . .Phlebitis and thrombophlebitis
Improving Physician Documentation Specificity
- Document site:
- Superficial vessel of lower extremity
- Femoral vein
- Deep vein of lower extremity
- Iliac vein
- Popliteal vein
- Tibial vein
- Document laterality: Right, Left, Bilateral
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and . . .
Peripheral vascular disease
Improving Physician Documentation Specificity
- Document site:
- Aorta
- Renal artery
- Artery of lower extremity
- Bypass graft of lower extremity
- Document laterality: Right, Left, Bilateral
- For lower extremity, specify if present:
- Pain at rest
- Ulceration
- Intermittent claudication
- Gangrene
Occlusion and Stenosis of Cerebral Artery
Improving Physician Documentation Specificity
Document site: Middle, Anterior, Posterior, Cerebellar
Document laterality: Right, Left, Bilateral
Document if with infarction: Due to embolus, Due to thrombosis
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
. . .Occlusion and Stenosis of Pre-Cerebral Artery
Improving Physician Documentation Specificity
Document site: Vertebral,Basilar,Carotid
Document laterality: Right, Left, Bilateral
Document if present with infarction.
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
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Subdural hemorrhage
Improving Physician Documentation Specificity
Document type: acute, subacute, or chronic
Document Non-Traumatic vs Traumatic
Document if with loss of consciousness and for how long in minutes
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
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