Comprehensive Tier Diagnosis Library

Clinical Criteria: Acute exacerbation with pulmonary edema, requires IV diuretics

Clinical Criteria: MI within past 4 weeks, ongoing cardiac monitoring

Clinical Criteria: Compensated CHF on stable medication regimen

Clinical Criteria: Compensated CHF, requires ongoing diuretic therapy

Clinical Criteria: Requires rate control medications and anticoagulation

Clinical Criteria: On 1-2 medications, BP stable, no complications

Clinical Criteria: On statin therapy, no active symptoms

Clinical Criteria: Requires ventilatory support (BiPAP, CPAP, high-flow O2)

Clinical Criteria: Pneumonia with aspiration risk, requires IV antibiotics

Clinical Criteria: COPD exacerbation requiring ventilatory support

Clinical Criteria: Exacerbation without respiratory failure, on steroids/bronchodilators

Clinical Criteria: Community-acquired pneumonia on antibiotics

Clinical Criteria: Requires continuous supplemental oxygen

Clinical Criteria: No acute exacerbation, on maintenance inhalers only

Clinical Criteria: No recent exacerbations, on controller medications

Clinical Criteria: Acute rise in creatinine, may require dialysis

Clinical Criteria: eGFR <15 or on dialysis

Clinical Criteria: eGFR 15-29, requires monitoring and management

Clinical Criteria: eGFR 30-59, on renal protective medications

Clinical Criteria: eGFR 60-89, minimal intervention needed

Clinical Criteria: Documented infection with SIRS criteria, on IV antibiotics

Clinical Criteria: Sepsis with hypotension requiring vasopressors

Clinical Criteria: Active C. diff infection requiring isolation and treatment

Clinical Criteria: UTI with systemic symptoms, on IV antibiotics

Clinical Criteria: Surgical or pressure ulcer infection requiring antibiotics

Clinical Criteria: Requires contact precautions, affects therapy logistics

Clinical Criteria: Past infection, no current treatment needed

Clinical Criteria: Albumin <2.5, BMI <18.5, significant weight loss

Clinical Criteria: BMI ≥40, significantly affects mobility and care

Clinical Criteria: Recent DKA requiring ICU-level care

Clinical Criteria: Albumin 2.5-3.0, requires nutritional supplementation

Clinical Criteria: Diabetes with neuropathy, nephropathy, or retinopathy

Clinical Criteria: Diabetic neuropathy affecting mobility or sensation

Clinical Criteria: Obesity affecting mobility, requires bariatric equipment

Clinical Criteria: On oral medications only, HbA1c <7.5%, no complications

Clinical Criteria: On stable levothyroxine dose, TSH normal

Clinical Criteria: Hemoglobin <8, may require transfusion

Clinical Criteria: Recent DVT requiring anticoagulation and monitoring

Clinical Criteria: Recent PE, on anticoagulation, may have respiratory compromise

Clinical Criteria: Hemoglobin 8-10, causes fatigue affecting therapy

Clinical Criteria: Low platelets requiring bleeding precautions

Clinical Criteria: Hemoglobin >10, minimal symptoms

Clinical Criteria: Total paralysis of one side, requires maximal assistance

Clinical Criteria: Paralysis of all four limbs

Clinical Criteria: Frequent seizures despite medications, safety concerns

Clinical Criteria: Weakness (not complete paralysis) affecting one side

Clinical Criteria: Significant sensory/motor deficits affecting mobility

Clinical Criteria: Affects mobility, requires medication management

Clinical Criteria: No recent seizures, on stable medication regimen

Clinical Criteria: Minimal symptoms, does not significantly affect function

Clinical Criteria: Full-thickness tissue loss with exposed bone/tendon

Clinical Criteria: Multiple Stage 3 ulcers requiring extensive wound care

Clinical Criteria: Full-thickness skin loss, requires wound care

Clinical Criteria: Multiple Stage 2 ulcers affecting positioning

Clinical Criteria: Non-blanchable erythema, intact skin

Clinical Criteria: Partial-thickness skin loss (single ulcer)

Clinical Criteria: Active depression affecting therapy participation

Clinical Criteria: Severe anxiety limiting therapy tolerance

Clinical Criteria: Acute confusion affecting cognition and safety

Clinical Criteria: On stable antidepressant, minimal symptoms

Clinical Criteria: Mild anxiety not significantly affecting function

Clinical Criteria: Requires modified diet, aspiration risk

Clinical Criteria: Frequent diarrhea affecting therapy schedule

Clinical Criteria: On PPI, symptoms controlled

Clinical Criteria: Managed with bowel regimen

Clinical Criteria: Multiple fractures affecting mobility and weight-bearing

Clinical Criteria: Severe joint disease limiting mobility, requires pain management

Clinical Criteria: Joint disease not significantly limiting function

Clinical Criteria: On treatment, no recent fractures