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? Place the plain referral (nothing added).
Jane D. is about to be referred to Gastroenterology. Crossbeam docks in the chart at exactly this moment, opened by choice, never a pop-up. Click Ask the hallway in the teal panel to start.
Best on a bigger screen. Swipe sideways to pan the chart; the guide follows along.
Illustrative concept demo for Crossbeam Health. Fictional patients and demo data. “Meridian” is a fictional EHR styled after common US EHR layouts; no affiliation with any real EHR vendor. Crossbeam is advisory only; the clinician decides and signs everything.