Patient presents with indication for total parenteral nutrition (TPN) due to [specific medical condition, e.g., short bowel syndrome, severe Crohn's disease, intractable malabsorption].  Assessment reveals [specific findings supporting the need for TPN, e.g., inability to tolerate enteral feeding, significant weight loss, documented nutrient deficiencies].  Diagnosis of [specific underlying condition necessitating TPN] has been established based on [diagnostic criteria, e.g., clinical presentation, imaging studies, laboratory results].  Plan is to initiate TPN therapy to provide complete nutritional support.  TPN formulation will include dextrose, amino acids, electrolytes, vitamins, and trace elements, tailored to the patient's individual metabolic needs.  Central venous access has been established for TPN administration.  Patient and family educated regarding TPN management, including potential complications such as catheter-related bloodstream infection, hyperglycemia, and liver dysfunction.  Close monitoring of laboratory values, including electrolytes, liver function tests, and complete blood count, will be performed.  TPN will be adjusted as needed based on patient response and laboratory findings.  Referral to registered dietitian for ongoing nutritional assessment and TPN optimization.  Goals of therapy include achieving and maintaining optimal nutritional status, promoting weight gain or stabilization, and preventing or correcting nutritional deficiencies.  ICD-10 code [appropriate ICD-10 code, e.g., E43 for unspecified severe protein-calorie malnutrition, K91.2 for complications of intestinal bypass and anastomosis] is considered for medical billing and coding purposes.