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CPE-004 · Safety
ID-SAFE-02: Overt gastrointestinal bleeding signs
Overt gastrointestinal bleeding signs. Evaluates melena OR hematochezia OR hematemesis documented.
Active rulePriority 1Iron engine v1.0.0
Condition
- melena OR hematochezia OR hematemesis documented
- anemia or iron deficiency present
What it reports
- Urgent clinical assessment: possible active gastrointestinal bleeding
Diagnostic boundary
- Routine outpatient iron-deficiency pathway is not appropriate.
Evidence
- EV-AGA-2020Ko CW, Siddique SM, Patel A, et al. AGA Clinical Practice Guidelines on the Gastrointestinal Evaluation of Iron Deficiency Anemia. Gastroenterology. 2020;159(3):1085-1094.Supports: A ferritin cutoff of 45 ng/mL is suggested to diagnose iron deficiency Bidirectional endoscopy is suggested for asymptomatic men and postmenopausal women with iron-deficiency anemia Celiac serology and H. pylori testing have a role in evaluation
Cases where this rule fires
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