Extended criteria (experimental). This is the broader ten-condition engine, kept as a secondary area. It shows ICD-10-CM codes and illustrative grouping effects for CDI staff. The primary surface is Before you sign (kidney, measurement only). All extended pages.

ENC-00012: Orrin Fairbanks

87F · MRN81421323 · Hospital Medicine · admitted Fri Nov 06, 2026 01:33 PM · discharged Thu Nov 12, 2026 11:33 AM · attending Dr. Kenji Stavros · resident Dr. Camila Oyelaran · 157 cm, 53.7 kg

Documented diagnoses (current)

Principal: “community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis
“hyperlipidemia” · E78.5 Hyperlipidemia, unspecified

Illustrative grouping now: MS-DRG 195 Simple pneumonia and pleurisy without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 195.

Queries and events

No queries yet.

All rules applied

Rule Criteria Finding Outcome

Acute kidney injury

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule aki v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: meets_definition	`creat_ratio >= t.ratio_s1 or creat_rise_48h >= t.rise_abs or coalesce(uo_hours_lt_0_5 >= t.uo_s1_h, false)`	creat_ratio=1.055, t.ratio_s1=1.5, creat_rise_48h=0.05, t.rise_abs=0.3, uo_hours_lt_0_5=unknown, t.uo_s1_h=6	false
derived: stage3	`meets_definition and (creat_ratio >= t.ratio_s3 or creat_peak >= t.scr_s3 or rrt_started or coalesce(uo_hours_lt_0_3 >= t.uo_s3_h, false) or coalesce(anuria_hours >= t.anuria_h, false))`	meets_definition=False, creat_ratio=1.055, t.ratio_s3=3.0, creat_peak=0.77, t.scr_s3=4.0, rrt_started=False, uo_hours_lt_0_3=unknown, t.uo_s3_h=24, anuria_hours=unknown, t.anuria_h=12	false
derived: stage2	`creat_ratio >= t.ratio_s2 or coalesce(uo_hours_lt_0_5 >= t.uo_s2_h, false)`	creat_ratio=1.055, t.ratio_s2=2.0, uo_hours_lt_0_5=unknown, t.uo_s2_h=12	false
derived: stage	`case(stage3, 3, stage2, 2, meets_definition, 1, 0)`	stage3=False, stage2=False, meets_definition=False	0
derived: baseline_independent	`creat_baseline_known or creat_rise_48h >= t.rise_abs or rrt_started`	creat_baseline_known=True, creat_rise_48h=0.05, t.rise_abs=0.3, rrt_started=False	true
outcome: aki_staged	`stage >= 1 and baseline_independent`	stage=0, baseline_independent=True	false
outcome: aki_presumed_baseline	`stage >= 1`	stage=0	false
outcome: not_met	`stage == 0`	stage=0	true

Acute blood loss anaemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule blood_loss_anemia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: anaemic	`case(sex == 'M', hgb_nadir < t.hb_m, sex == 'F', hgb_nadir < t.hb_f, null)`	sex=F, hgb_nadir=12.4, t.hb_m=13, t.hb_f=12	false
derived: acute_fall	`hgb_drop >= t.drop_major or prbc_units >= t.prbc_major`	hgb_drop=0.4, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=False, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.4, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=12.4, anaemic=False	true

Chronic kidney disease

Clinical judgement required

No gap

Not documented; egfr 60 or above; ckd g1-g2 requires markers of kidney damage, which are not assessed here.

Trace

Rule trace (rule ckd v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: chronic	`egfr_n >= 2 and egfr_span_days >= t.chronic_days`	egfr_n=2, egfr_span_days=248, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=80.9, egfr_late=79.5	80.9
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=80.9, t.g2=60, egfr_late=79.5	false
derived: category	`case(staging_egfr >= t.g2, 'G1-G2', staging_egfr >= t.g3a, 'G3a', staging_egfr >= t.g3b, 'G3b', staging_egfr >= t.g4, 'G4', 'G5')`	staging_egfr=80.9, t.g2=60, t.g3a=45, t.g3b=30, t.g4=15	G1-G2
outcome: duration_not_shown	`not chronic`	chronic=True	false
outcome: straddles_60	`not both_below_60 and min(egfr_early, egfr_late) < t.g2`	both_below_60=False, egfr_early=80.9, egfr_late=79.5, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=80.9, t.g2=60	true

Heart failure

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule heart_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: np_elevated	`coalesce(bnp_max >= t.bnp, false) or coalesce(ntprobnp_max >= t.ntprobnp, false)`	bnp_max=unknown, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300	false
derived: acute_count	`count(iv_loop_diuretic, np_elevated, new_o2)`	iv_loop_diuretic=False, np_elevated=False, new_o2=False	0
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=unknown, t.ref=40, t.pres=50	unknown
derived: improved	`coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false)`	lvef_prior_min=unknown, t.ref=40, lvef=unknown, t.improved_rise=10	false
derived: acuity	`case(acute_count >= 2 and hf_history, 'acute on chronic', acute_count >= 2, 'acute', acute_count == 0 and hf_history, 'chronic', null)`	acute_count=0, hf_history=False	unknown
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=unknown	unknown
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_chronic	`hf_type == 'systolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_aoc	`hf_type == 'diastolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_acute	`hf_type == 'diastolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_chronic	`hf_type == 'diastolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: one_indicator	`acute_count == 1`	acute_count=0	false

Hyponatraemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule hyponatremia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: severity	`case(na_min < t.profound, 'profound', na_min < t.moderate, 'moderate', na_min < t.low, 'mild', 'none')`	na_min=136.0, t.profound=125, t.moderate=130, t.low=135	none
outcome: met	`na_min < t.low and na_low_count >= t.repeat and na_treated`	na_min=136.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=136.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=136.0, t.low=135	true

Malnutrition

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule malnutrition v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: a_sev_intake	`intake_pct <= t.a_sev_intake_pct and intake_days >= t.a_sev_intake_days`	intake_pct=unknown, t.a_sev_intake_pct=50, intake_days=unknown, t.a_sev_intake_days=5	unknown
derived: a_mod_intake	`intake_pct < t.a_mod_intake_pct and intake_days > t.a_mod_intake_days`	intake_pct=unknown, t.a_mod_intake_pct=75, intake_days=unknown, t.a_mod_intake_days=7	unknown
derived: a_sev_wt	`(wt_loss_days <= 7 and wt_loss_pct > 2) or (wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: a_mod_wt	`(wt_loss_days <= 7 and wt_loss_pct >= 1) or (wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_sev_intake	`intake_pct <= t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_mod_intake	`intake_pct < t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_sev_wt	`(wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5) or (wt_loss_days <= 183 and wt_loss_pct > 10) or (wt_loss_days <= 366 and wt_loss_pct > 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_mod_wt	`(wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5) or (wt_loss_days <= 183 and wt_loss_pct >= 10) or (wt_loss_days <= 366 and wt_loss_pct >= 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: n_assessed	`known(intake_pct, wt_loss_pct, fat_loss, muscle_loss, fluid, grip_reduced)`	intake_pct=unknown, wt_loss_pct=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown	0
derived: n_severe	`case(nutr_context == 'acute', count(a_sev_intake, a_sev_wt, fat_loss >= 2, muscle_loss >= 2, fluid >= 2, grip_reduced), nutr_context == 'chronic', count(c_sev_intake, c_sev_wt, fat_loss >= 3, muscle_loss >= 3, fluid >= 3, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_sev_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_sev_wt=unknown	unknown
derived: n_moderate	`case(nutr_context == 'acute', count(a_sev_intake or a_mod_intake, a_sev_wt or a_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), nutr_context == 'chronic', count(c_sev_intake or c_mod_intake, c_sev_wt or c_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_mod_intake=unknown, a_sev_wt=unknown, a_mod_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_mod_intake=unknown, c_sev_wt=unknown, c_mod_wt=unknown	unknown
outcome: severe	`n_severe >= 2`	n_severe=unknown	unknown
outcome: moderate	`n_moderate >= 2`	n_moderate=unknown	unknown
outcome: one_characteristic	`n_moderate == 1`	n_moderate=unknown	unknown
outcome: not_met	`n_moderate == 0 and n_assessed >= 2`	n_moderate=unknown, n_assessed=0	false

Obesity

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule obesity v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
outcome: not_adult	`age < t.adult`	age=87, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=21.8, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=21.8, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=21.8, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=21.8, t.c1=30	true

Pressure injury

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule pressure_injury v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: sacral	`wound_site == 'sacral'`	wound_site=unknown	unknown
outcome: no_wound_note	`not present(wound_stage)`	wound_stage=unknown	true

Acute respiratory failure

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule respiratory_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: measured	`present(spo2_min_ra) or present(pao2_min_ra) or present(pf_min)`	spo2_min_ra=95.0, pao2_min_ra=unknown, pf_min=unknown	true
derived: hypoxemia	`coalesce(spo2_min_ra < t.spo2_ra, false) or coalesce(pao2_min_ra < t.pao2, false) or coalesce(pf_min < t.pf, false)`	spo2_min_ra=95.0, t.spo2_ra=88, pao2_min_ra=unknown, t.pao2=60, pf_min=unknown, t.pf=300	false
derived: distress	`coalesce(rr_max >= t.rr_distress, false) or coalesce(wob_increased, false) or adv_resp_support`	rr_max=20.0, t.rr_distress=28, wob_increased=unknown, adv_resp_support=False	false
outcome: chronic_baseline	`home_o2 and hypoxemia`	home_o2=False, hypoxemia=False	false
outcome: met	`hypoxemia and distress`	hypoxemia=False, distress=False	false
outcome: hypoxemia_only	`hypoxemia`	hypoxemia=False	false
outcome: not_met	`measured and not hypoxemia and o2_max_lpm <= t.o2_low and not adv_resp_support`	measured=True, hypoxemia=False, o2_max_lpm=0.0, t.o2_low=2, adv_resp_support=False	true

Sepsis

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule sepsis v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: sirs_temp	`coalesce(temp_max_48h > t.t_hi, false) or coalesce(temp_min_48h < t.t_lo, false)`	temp_max_48h=37.6, t.t_hi=38, temp_min_48h=36.7, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=84.0, t.hr=90	false
derived: sirs_rr	`coalesce(rr_max_48h > t.rr, false) or coalesce(paco2_min_48h < t.paco2, false)`	rr_max_48h=18.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32	false
derived: sirs_wbc	`coalesce(wbc_max_48h > t.wbc_hi, false) or coalesce(wbc_min_48h < t.wbc_lo, false) or coalesce(bands_max_48h > t.bands, false)`	wbc_max_48h=8.3, t.wbc_hi=12, wbc_min_48h=7.52, t.wbc_lo=4, bands_max_48h=unknown, t.bands=10	false
derived: sirs_count	`count(sirs_temp, sirs_hr, sirs_rr, sirs_wbc)`	sirs_temp=False, sirs_hr=False, sirs_rr=False, sirs_wbc=False	0
derived: sofa_resp	`coalesce(case(pf_min_48h < 100 and adv_resp_support, 4, pf_min_48h < 200 and adv_resp_support, 3, pf_min_48h < 300, 2, pf_min_48h < 400, 1, 0), 0)`	pf_min_48h=unknown, adv_resp_support=False	0
derived: sofa_coag	`coalesce(case(platelets_min_48h < 20, 4, platelets_min_48h < 50, 3, platelets_min_48h < 100, 2, platelets_min_48h < 150, 1, 0), 0)`	platelets_min_48h=208.0	0
derived: sofa_liver	`coalesce(case(bili_max_48h >= 12, 4, bili_max_48h >= 6, 3, bili_max_48h >= 2, 2, bili_max_48h >= 1.2, 1, 0), 0)`	bili_max_48h=0.61	0
derived: sofa_cardio	`coalesce(case(norepi_max_48h > 0.1, 4, norepi_max_48h > 0, 3, map_min_48h < 70, 1, 0), 0)`	norepi_max_48h=0.0, map_min_48h=78.0	0
derived: sofa_cns	`coalesce(case(gcs_min_48h < 6, 4, gcs_min_48h < 10, 3, gcs_min_48h < 13, 2, gcs_min_48h < 15, 1, 0), 0)`	gcs_min_48h=15.0	0
derived: sofa_renal	`coalesce(case(creat_max_48h >= 5, 4, creat_max_48h >= 3.5, 3, creat_max_48h >= 2, 2, creat_max_48h >= 1.2, 1, 0), 0)`	creat_max_48h=0.77	0
derived: sofa_renal_baseline	`coalesce(case(creat_baseline >= 5, 4, creat_baseline >= 3.5, 3, creat_baseline >= 2, 2, creat_baseline >= 1.2, 1, 0), 0)`	creat_baseline=0.73	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=0, sofa_liver=0, sofa_cardio=0, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	0
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=True, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=0, t.sirs_min=2	false
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=False, norepi_max_48h=0.0, lactate_max_48h=unknown, t.lactate=2	false
outcome: no_infection	`not infection_documented`	infection_documented=True	false
outcome: septic_shock	`shock`	shock=False	false
outcome: both	`sepsis3 and sepsis2`	sepsis3=False, sepsis2=False	false
outcome: sepsis3_only	`sepsis3`	sepsis3=False	false
outcome: definitions_disagree	`sepsis2`	sepsis2=False	false
outcome: neither	`true`	—	true

Structured data

Labs (38)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-000390	Sun Jan 11, 2026 09:15 AM	creatinine	0.72 mg/dL
LAB-000391	Thu Sep 17, 2026 10:05 AM	creatinine	0.73 mg/dL
LAB-000392	Fri Nov 06, 2026 02:33 PM	creatinine	0.76 mg/dL
LAB-000399	Fri Nov 06, 2026 02:33 PM	sodium	136.0 mmol/L
LAB-000406	Fri Nov 06, 2026 02:33 PM	hemoglobin	12.6 g/dL
LAB-000413	Fri Nov 06, 2026 02:33 PM	wbc	7.52 x10^3/uL
LAB-000414	Fri Nov 06, 2026 02:33 PM	platelets	252.0 x10^3/uL
LAB-000427	Fri Nov 06, 2026 02:33 PM	bilirubin	0.61 mg/dL
LAB-000393	Sat Nov 07, 2026 05:00 AM	creatinine	0.75 mg/dL
LAB-000400	Sat Nov 07, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-000407	Sat Nov 07, 2026 05:00 AM	hemoglobin	12.46 g/dL
LAB-000415	Sat Nov 07, 2026 05:00 AM	wbc	8.3 x10^3/uL
LAB-000416	Sat Nov 07, 2026 05:00 AM	platelets	239.0 x10^3/uL
LAB-000394	Sun Nov 08, 2026 05:00 AM	creatinine	0.77 mg/dL
LAB-000401	Sun Nov 08, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-000408	Sun Nov 08, 2026 05:00 AM	hemoglobin	12.83 g/dL
LAB-000417	Sun Nov 08, 2026 05:00 AM	wbc	7.69 x10^3/uL
LAB-000418	Sun Nov 08, 2026 05:00 AM	platelets	208.0 x10^3/uL
LAB-000395	Mon Nov 09, 2026 05:00 AM	creatinine	0.75 mg/dL
LAB-000402	Mon Nov 09, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-000409	Mon Nov 09, 2026 05:00 AM	hemoglobin	12.73 g/dL
LAB-000419	Mon Nov 09, 2026 05:00 AM	wbc	10.96 x10^3/uL
LAB-000420	Mon Nov 09, 2026 05:00 AM	platelets	199.0 x10^3/uL
LAB-000396	Tue Nov 10, 2026 05:00 AM	creatinine	0.77 mg/dL
LAB-000403	Tue Nov 10, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-000410	Tue Nov 10, 2026 05:00 AM	hemoglobin	12.66 g/dL
LAB-000421	Tue Nov 10, 2026 05:00 AM	wbc	8.24 x10^3/uL
LAB-000422	Tue Nov 10, 2026 05:00 AM	platelets	232.0 x10^3/uL
LAB-000397	Wed Nov 11, 2026 05:00 AM	creatinine	0.72 mg/dL
LAB-000404	Wed Nov 11, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-000411	Wed Nov 11, 2026 05:00 AM	hemoglobin	12.46 g/dL
LAB-000423	Wed Nov 11, 2026 05:00 AM	wbc	10.86 x10^3/uL
LAB-000424	Wed Nov 11, 2026 05:00 AM	platelets	167.0 x10^3/uL
LAB-000398	Thu Nov 12, 2026 05:00 AM	creatinine	0.77 mg/dL
LAB-000405	Thu Nov 12, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-000412	Thu Nov 12, 2026 05:00 AM	hemoglobin	12.4 g/dL
LAB-000425	Thu Nov 12, 2026 05:00 AM	wbc	6.01 x10^3/uL
LAB-000426	Thu Nov 12, 2026 05:00 AM	platelets	244.0 x10^3/uL

Vitals (108)

Vitals
Row	When	Kind	Value	Detail
VIT-001132	Fri Nov 06, 2026 01:53 PM	spo2	97.0	room air
VIT-001133	Fri Nov 06, 2026 01:53 PM	rr	14.0
VIT-001168	Fri Nov 06, 2026 01:53 PM	temp_c	37.6
VIT-001169	Fri Nov 06, 2026 01:53 PM	hr	84.0
VIT-001170	Fri Nov 06, 2026 01:53 PM	map	84.0
VIT-001171	Fri Nov 06, 2026 01:53 PM	gcs	15.0
VIT-001134	Fri Nov 06, 2026 09:53 PM	spo2	98.0	room air
VIT-001135	Fri Nov 06, 2026 09:53 PM	rr	16.0
VIT-001172	Fri Nov 06, 2026 09:53 PM	temp_c	37.5
VIT-001173	Fri Nov 06, 2026 09:53 PM	hr	76.0
VIT-001174	Fri Nov 06, 2026 09:53 PM	map	85.0
VIT-001175	Fri Nov 06, 2026 09:53 PM	gcs	15.0
VIT-001136	Sat Nov 07, 2026 05:53 AM	spo2	99.0	room air
VIT-001137	Sat Nov 07, 2026 05:53 AM	rr	17.0
VIT-001176	Sat Nov 07, 2026 05:53 AM	temp_c	37.2
VIT-001177	Sat Nov 07, 2026 05:53 AM	hr	81.0
VIT-001178	Sat Nov 07, 2026 05:53 AM	map	83.0
VIT-001179	Sat Nov 07, 2026 05:53 AM	gcs	15.0
VIT-001138	Sat Nov 07, 2026 01:53 PM	spo2	99.0	room air
VIT-001139	Sat Nov 07, 2026 01:53 PM	rr	17.0
VIT-001180	Sat Nov 07, 2026 01:53 PM	temp_c	37.0
VIT-001181	Sat Nov 07, 2026 01:53 PM	hr	68.0
VIT-001182	Sat Nov 07, 2026 01:53 PM	map	90.0
VIT-001183	Sat Nov 07, 2026 01:53 PM	gcs	15.0
VIT-001140	Sat Nov 07, 2026 09:53 PM	spo2	99.0	room air
VIT-001141	Sat Nov 07, 2026 09:53 PM	rr	18.0
VIT-001184	Sat Nov 07, 2026 09:53 PM	temp_c	36.8
VIT-001185	Sat Nov 07, 2026 09:53 PM	hr	76.0
VIT-001186	Sat Nov 07, 2026 09:53 PM	map	78.0
VIT-001187	Sat Nov 07, 2026 09:53 PM	gcs	15.0
VIT-001142	Sun Nov 08, 2026 05:53 AM	spo2	98.0	room air
VIT-001143	Sun Nov 08, 2026 05:53 AM	rr	14.0
VIT-001188	Sun Nov 08, 2026 05:53 AM	temp_c	36.7
VIT-001189	Sun Nov 08, 2026 05:53 AM	hr	81.0
VIT-001190	Sun Nov 08, 2026 05:53 AM	map	82.0
VIT-001191	Sun Nov 08, 2026 05:53 AM	gcs	15.0
VIT-001144	Sun Nov 08, 2026 01:53 PM	spo2	99.0	room air
VIT-001145	Sun Nov 08, 2026 01:53 PM	rr	20.0
VIT-001192	Sun Nov 08, 2026 01:53 PM	temp_c	37.0
VIT-001193	Sun Nov 08, 2026 01:53 PM	hr	89.0
VIT-001194	Sun Nov 08, 2026 01:53 PM	map	84.0
VIT-001195	Sun Nov 08, 2026 01:53 PM	gcs	15.0
VIT-001146	Sun Nov 08, 2026 09:53 PM	spo2	99.0	room air
VIT-001147	Sun Nov 08, 2026 09:53 PM	rr	17.0
VIT-001196	Sun Nov 08, 2026 09:53 PM	temp_c	36.7
VIT-001197	Sun Nov 08, 2026 09:53 PM	hr	92.0
VIT-001198	Sun Nov 08, 2026 09:53 PM	map	77.0
VIT-001199	Sun Nov 08, 2026 09:53 PM	gcs	15.0
VIT-001148	Mon Nov 09, 2026 05:53 AM	spo2	95.0	room air
VIT-001149	Mon Nov 09, 2026 05:53 AM	rr	18.0
VIT-001200	Mon Nov 09, 2026 05:53 AM	temp_c	37.3
VIT-001201	Mon Nov 09, 2026 05:53 AM	hr	92.0
VIT-001202	Mon Nov 09, 2026 05:53 AM	map	85.0
VIT-001203	Mon Nov 09, 2026 05:53 AM	gcs	15.0
VIT-001150	Mon Nov 09, 2026 01:53 PM	spo2	97.0	room air
VIT-001151	Mon Nov 09, 2026 01:53 PM	rr	15.0
VIT-001204	Mon Nov 09, 2026 01:53 PM	temp_c	37.1
VIT-001205	Mon Nov 09, 2026 01:53 PM	hr	88.0
VIT-001206	Mon Nov 09, 2026 01:53 PM	map	80.0
VIT-001207	Mon Nov 09, 2026 01:53 PM	gcs	15.0
VIT-001152	Mon Nov 09, 2026 09:53 PM	spo2	96.0	room air
VIT-001153	Mon Nov 09, 2026 09:53 PM	rr	19.0
VIT-001208	Mon Nov 09, 2026 09:53 PM	temp_c	37.4
VIT-001209	Mon Nov 09, 2026 09:53 PM	hr	85.0
VIT-001210	Mon Nov 09, 2026 09:53 PM	map	85.0
VIT-001211	Mon Nov 09, 2026 09:53 PM	gcs	15.0
VIT-001154	Tue Nov 10, 2026 05:53 AM	spo2	99.0	room air
VIT-001155	Tue Nov 10, 2026 05:53 AM	rr	20.0
VIT-001212	Tue Nov 10, 2026 05:53 AM	temp_c	37.2
VIT-001213	Tue Nov 10, 2026 05:53 AM	hr	73.0
VIT-001214	Tue Nov 10, 2026 05:53 AM	map	84.0
VIT-001215	Tue Nov 10, 2026 05:53 AM	gcs	15.0
VIT-001156	Tue Nov 10, 2026 01:53 PM	spo2	98.0	room air
VIT-001157	Tue Nov 10, 2026 01:53 PM	rr	20.0
VIT-001216	Tue Nov 10, 2026 01:53 PM	temp_c	37.6
VIT-001217	Tue Nov 10, 2026 01:53 PM	hr	85.0
VIT-001218	Tue Nov 10, 2026 01:53 PM	map	74.0
VIT-001219	Tue Nov 10, 2026 01:53 PM	gcs	15.0
VIT-001158	Tue Nov 10, 2026 09:53 PM	spo2	97.0	room air
VIT-001159	Tue Nov 10, 2026 09:53 PM	rr	17.0
VIT-001220	Tue Nov 10, 2026 09:53 PM	temp_c	36.6
VIT-001221	Tue Nov 10, 2026 09:53 PM	hr	71.0
VIT-001222	Tue Nov 10, 2026 09:53 PM	map	91.0
VIT-001223	Tue Nov 10, 2026 09:53 PM	gcs	15.0
VIT-001160	Wed Nov 11, 2026 05:53 AM	spo2	95.0	room air
VIT-001161	Wed Nov 11, 2026 05:53 AM	rr	19.0
VIT-001224	Wed Nov 11, 2026 05:53 AM	temp_c	36.6
VIT-001225	Wed Nov 11, 2026 05:53 AM	hr	76.0
VIT-001226	Wed Nov 11, 2026 05:53 AM	map	80.0
VIT-001227	Wed Nov 11, 2026 05:53 AM	gcs	15.0
VIT-001162	Wed Nov 11, 2026 01:53 PM	spo2	95.0	room air
VIT-001163	Wed Nov 11, 2026 01:53 PM	rr	19.0
VIT-001228	Wed Nov 11, 2026 01:53 PM	temp_c	37.5
VIT-001229	Wed Nov 11, 2026 01:53 PM	hr	79.0
VIT-001230	Wed Nov 11, 2026 01:53 PM	map	75.0
VIT-001231	Wed Nov 11, 2026 01:53 PM	gcs	15.0
VIT-001164	Wed Nov 11, 2026 09:53 PM	spo2	97.0	room air
VIT-001165	Wed Nov 11, 2026 09:53 PM	rr	17.0
VIT-001232	Wed Nov 11, 2026 09:53 PM	temp_c	36.9
VIT-001233	Wed Nov 11, 2026 09:53 PM	hr	68.0
VIT-001234	Wed Nov 11, 2026 09:53 PM	map	91.0
VIT-001235	Wed Nov 11, 2026 09:53 PM	gcs	15.0
VIT-001166	Thu Nov 12, 2026 05:53 AM	spo2	95.0	room air
VIT-001167	Thu Nov 12, 2026 05:53 AM	rr	15.0
VIT-001236	Thu Nov 12, 2026 05:53 AM	temp_c	37.3
VIT-001237	Thu Nov 12, 2026 05:53 AM	hr	71.0
VIT-001238	Thu Nov 12, 2026 05:53 AM	map	76.0
VIT-001239	Thu Nov 12, 2026 05:53 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000049 11-06 14:33 ceftriaxone per protocol IV
MED-000050 11-07 05:00 piperacillin-tazobactam per protocol IV
MED-000051 11-08 05:00 ceftriaxone per protocol IV
ORD-000010 11-06 14:03 blood_culture: blood cultures x2

Notes

History and physical · DOC-000039 · Dr. Camila Oyelaran (resident) · Fri Nov 06, 2026 04:33 PM

Cited facts from this note (1)

infection_source: multifocal pneumonia · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… : Hospital Medicine Attending: Dr. Kenji Stavros History of present illness: 87-year-old woman admitted with community-acquired pneumonia. Chest x-ray shows multifocal pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: GERD, hyperlipidemia. Review of systems otherwise negative. Exam: Lungs: clear to ausculta …

Source document DOC-000039: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Orrin Fairbanks   MRN: MRN81421323   Admitted: 2026-11-06 13:33
Service: Hospital Medicine   Attending: Dr. Kenji Stavros

History of present illness: 87-year-old woman admitted with community-acquired pneumonia. Chest x-ray shows multifocal pneumonia; blood cultures drawn and ceftriaxone started.
Past medical history: GERD, hyperlipidemia.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Community-acquired pneumonia: antibiotics.

Progress note · DOC-000040 · Dr. Camila Oyelaran (resident) · Sun Nov 08, 2026 01:33 PM

Source document DOC-000040: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Orrin Fairbanks   MRN: MRN81421323   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Community-acquired pneumonia: continue current management.

Resident: Dr. Camila Oyelaran   Attending cosign: completed

Discharge summary · DOC-000041 · Dr. Kenji Stavros (attending) · Thu Nov 12, 2026 11:33 AM

Source document DOC-000041: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Orrin Fairbanks   MRN: MRN81421323
Admitted 2026-11-06; discharged 2026-11-12.

Discharge diagnoses:
- community-acquired pneumonia
- GERD
- hyperlipidemia

Disposition: home with follow-up.