| High |
- Severe exacerbation of chronic illness
- Acute or chronic illnesses that may pose a threat to life or bodily function, e.g., multiple trauma, acute MI, pulmonary embolus, severe respiratory distress, progressive rheumatoid arthritis, psychiatric illness with potential threat to self or others, peritonitis, acute renal failure, abrupt change in neurological status
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(Must meet the requirements for 2 of 3 of the categories)
Category 1: Tests and documents, historian
Any combination of 3 of the following:
- Review of prior external records
- Review of results of each unique test
- Ordering of each unique test
- Assessment requiring an independent historian
Category 2: Interpretation of tests
- Independent interpretation of a test perfromed by another physician/NPP
Category 3: Discuss management/tests
- Discussion of magagement or tests with an external physician/NPP
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- Drug therapy requiring intensive monitoring for toxicity
- Decision for elective major surgery with identified pateint or procedure risk factors
- Decision regarding hospitalization or escalation of level of care
- Decision for DNR or to de-escalate care
- Parenteral controlled substances
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