Assessment / Plan
58-year-old female with iron deficiency anemia, ferritin 9 ng/mL, Hgb 10.8 g/dL, trending down over 6 months. Celiac serology negative. Colonoscopy 2023: normal to cecum, adequate prep. No overt GI bleeding, no NSAID use, menses ceased 2019.
Considering
Referral to Gastroenterology for evaluation of persistent iron deficiency; question of small bowel evaluation vs repeat lower endoscopy vs empiric iron optimization.
Today
Reviewed trends, counseled on iron therapy adherence, rechecked CBC and retic panel. Patient prefers to avoid another procedure if reasonable.
Recent results
| Ferritin | 9 ng/mL (L) | Hemoglobin | 10.8 g/dL (L) |
| MCV | 76 fL (L) | tTG-IgA | Negative |
Active medications
Ferrous sulfate 325 mg daily · Lisinopril 10 mg daily · Atorvastatin 20 mg nightly. No NSAIDs, no anticoagulants.
At the referral decision momentpassive, non-interruptive
You are about to refer Jane D. to Gastroenterology. Crossbeam is available here if you want the division's pathway and the chart, assembled. It never interrupts and never blocks the referral.
Prefer the standard path? (nothing added).
Jane D., 58: iron deficiency that will not resolve
Despite months of iron therapy, her anemia persists. The first-line workup is already negative, and there are no red flags on the chart. Her PCP has reached the classic decision moment: refer her to Gastroenterology and join a months-long queue, or is there a better door?
What you will see
- 1. Crossbeam docks in the EHR at that exact moment and triages the case with the GI division's own pathway.
- 2. An eConsult is drafted from the chart, sent, and answered on the EHR's own rails.
- 3. The outcomes console, where every disposition writes the next protocol version.
- Then: a second patient, Robert M., whose red flags flip the recommendation live. The AI reasons per patient; it does not replay a script.
Advisory only: Crossbeam never places orders and never blocks a referral. The clinician decides and signs everything.
Best on a bigger screen. Swipe sideways to see the full chart; the guide follows along.
Illustrative concept demo · fictional patients and demo data · “Meridian” is a fictional EHR, no affiliation · advisory only; the clinician decides and signs everything.