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-00014: Florian Ivers

89M · MRN93946036 · Cardiology · admitted Sat Oct 31, 2026 06:29 PM · discharged Fri Nov 06, 2026 10:28 AM · attending Dr. Wes Merriweather · 173 cm, 79.7 kg

Documented diagnoses (current)

Principal: “acute systolic heart failure” · I50.21 Acute systolic (congestive) heart failure
“type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications
“hyperlipidemia” · E78.5 Hyperlipidemia, unspecified
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis

Illustrative grouping now: MS-DRG 293 Heart failure and shock without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 293.

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=0.01, 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=0.01, 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=M, hgb_nadir=13.51, 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=0.6, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=True, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.6, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=13.51, 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=284, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=86.6, egfr_late=87.0	87.0
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=86.6, t.g2=60, egfr_late=87.0	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=87.0, 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=86.6, egfr_late=87.0, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=87.0, t.g2=60	true

Heart failure

Criteria met

No gap

Supported as documented (I50.21).

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=1868.0, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300	true
derived: acute_count	`count(iv_loop_diuretic, np_elevated, new_o2)`	iv_loop_diuretic=True, np_elevated=True, new_o2=False	2
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=32.0, t.ref=40, t.pres=50	systolic
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=32.0, 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=2, hf_history=False	acute
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=systolic	false
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=systolic, acuity=acute	false
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=systolic, acuity=acute	true

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=137.0, 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=137.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=137.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=137.0, 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=89, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=26.6, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=26.6, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=26.6, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=26.6, 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=94.0, 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=94.0, 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=37.5, t.t_hi=38, temp_min_48h=36.6, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=82.0, 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=20.0, 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=10.69, t.wbc_hi=12, wbc_min_48h=8.29, 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=216.0	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=0.82	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=79.0	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=False, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=False, 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=False	true

Structured data

Labs (39)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-000457	Sat Nov 15, 2025 09:15 AM	creatinine	0.74 mg/dL
LAB-000458	Thu Aug 27, 2026 10:05 AM	creatinine	0.73 mg/dL
LAB-000459	Sat Oct 31, 2026 07:29 PM	creatinine	0.76 mg/dL
LAB-000466	Sat Oct 31, 2026 07:29 PM	bnp	1868.0 pg/mL
LAB-000467	Sat Oct 31, 2026 07:29 PM	sodium	138.0 mmol/L
LAB-000474	Sat Oct 31, 2026 07:29 PM	hemoglobin	13.66 g/dL
LAB-000481	Sat Oct 31, 2026 07:29 PM	wbc	8.37 x10^3/uL
LAB-000482	Sat Oct 31, 2026 07:29 PM	platelets	269.0 x10^3/uL
LAB-000495	Sat Oct 31, 2026 07:29 PM	bilirubin	0.82 mg/dL
LAB-000460	Sun Nov 01, 2026 05:00 AM	creatinine	0.77 mg/dL
LAB-000468	Sun Nov 01, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-000475	Sun Nov 01, 2026 05:00 AM	hemoglobin	14.08 g/dL
LAB-000483	Sun Nov 01, 2026 05:00 AM	wbc	8.29 x10^3/uL
LAB-000484	Sun Nov 01, 2026 05:00 AM	platelets	270.0 x10^3/uL
LAB-000461	Mon Nov 02, 2026 05:00 AM	creatinine	0.73 mg/dL
LAB-000469	Mon Nov 02, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-000476	Mon Nov 02, 2026 05:00 AM	hemoglobin	13.72 g/dL
LAB-000485	Mon Nov 02, 2026 05:00 AM	wbc	10.69 x10^3/uL
LAB-000486	Mon Nov 02, 2026 05:00 AM	platelets	216.0 x10^3/uL
LAB-000462	Tue Nov 03, 2026 05:00 AM	creatinine	0.72 mg/dL
LAB-000470	Tue Nov 03, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-000477	Tue Nov 03, 2026 05:00 AM	hemoglobin	14.0 g/dL
LAB-000487	Tue Nov 03, 2026 05:00 AM	wbc	9.63 x10^3/uL
LAB-000488	Tue Nov 03, 2026 05:00 AM	platelets	226.0 x10^3/uL
LAB-000463	Wed Nov 04, 2026 05:00 AM	creatinine	0.73 mg/dL
LAB-000471	Wed Nov 04, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-000478	Wed Nov 04, 2026 05:00 AM	hemoglobin	13.51 g/dL
LAB-000489	Wed Nov 04, 2026 05:00 AM	wbc	7.93 x10^3/uL
LAB-000490	Wed Nov 04, 2026 05:00 AM	platelets	180.0 x10^3/uL
LAB-000464	Thu Nov 05, 2026 05:00 AM	creatinine	0.72 mg/dL
LAB-000472	Thu Nov 05, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-000479	Thu Nov 05, 2026 05:00 AM	hemoglobin	14.04 g/dL
LAB-000491	Thu Nov 05, 2026 05:00 AM	wbc	10.89 x10^3/uL
LAB-000492	Thu Nov 05, 2026 05:00 AM	platelets	196.0 x10^3/uL
LAB-000465	Fri Nov 06, 2026 05:00 AM	creatinine	0.73 mg/dL
LAB-000473	Fri Nov 06, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-000480	Fri Nov 06, 2026 05:00 AM	hemoglobin	13.93 g/dL
LAB-000493	Fri Nov 06, 2026 05:00 AM	wbc	5.52 x10^3/uL
LAB-000494	Fri Nov 06, 2026 05:00 AM	platelets	310.0 x10^3/uL

Vitals (102)

Vitals
Row	When	Kind	Value	Detail
VIT-001312	Sat Oct 31, 2026 06:49 PM	spo2	94.0	room air
VIT-001313	Sat Oct 31, 2026 06:49 PM	rr	18.0
VIT-001346	Sat Oct 31, 2026 06:49 PM	temp_c	37.4
VIT-001347	Sat Oct 31, 2026 06:49 PM	hr	82.0
VIT-001348	Sat Oct 31, 2026 06:49 PM	map	79.0
VIT-001349	Sat Oct 31, 2026 06:49 PM	gcs	15.0
VIT-001314	Sun Nov 01, 2026 02:49 AM	spo2	97.0	room air
VIT-001315	Sun Nov 01, 2026 02:49 AM	rr	16.0
VIT-001350	Sun Nov 01, 2026 02:49 AM	temp_c	37.5
VIT-001351	Sun Nov 01, 2026 02:49 AM	hr	74.0
VIT-001352	Sun Nov 01, 2026 02:49 AM	map	82.0
VIT-001353	Sun Nov 01, 2026 02:49 AM	gcs	15.0
VIT-001316	Sun Nov 01, 2026 10:49 AM	spo2	95.0	room air
VIT-001317	Sun Nov 01, 2026 10:49 AM	rr	20.0
VIT-001354	Sun Nov 01, 2026 10:49 AM	temp_c	37.2
VIT-001355	Sun Nov 01, 2026 10:49 AM	hr	72.0
VIT-001356	Sun Nov 01, 2026 10:49 AM	map	90.0
VIT-001357	Sun Nov 01, 2026 10:49 AM	gcs	15.0
VIT-001318	Sun Nov 01, 2026 06:49 PM	spo2	95.0	room air
VIT-001319	Sun Nov 01, 2026 06:49 PM	rr	20.0
VIT-001358	Sun Nov 01, 2026 06:49 PM	temp_c	37.4
VIT-001359	Sun Nov 01, 2026 06:49 PM	hr	79.0
VIT-001360	Sun Nov 01, 2026 06:49 PM	map	87.0
VIT-001361	Sun Nov 01, 2026 06:49 PM	gcs	15.0
VIT-001320	Mon Nov 02, 2026 02:49 AM	spo2	97.0	room air
VIT-001321	Mon Nov 02, 2026 02:49 AM	rr	18.0
VIT-001362	Mon Nov 02, 2026 02:49 AM	temp_c	36.6
VIT-001363	Mon Nov 02, 2026 02:49 AM	hr	76.0
VIT-001364	Mon Nov 02, 2026 02:49 AM	map	80.0
VIT-001365	Mon Nov 02, 2026 02:49 AM	gcs	15.0
VIT-001322	Mon Nov 02, 2026 10:49 AM	spo2	96.0	room air
VIT-001323	Mon Nov 02, 2026 10:49 AM	rr	20.0
VIT-001366	Mon Nov 02, 2026 10:49 AM	temp_c	36.6
VIT-001367	Mon Nov 02, 2026 10:49 AM	hr	74.0
VIT-001368	Mon Nov 02, 2026 10:49 AM	map	91.0
VIT-001369	Mon Nov 02, 2026 10:49 AM	gcs	15.0
VIT-001324	Mon Nov 02, 2026 06:49 PM	spo2	95.0	room air
VIT-001325	Mon Nov 02, 2026 06:49 PM	rr	15.0
VIT-001370	Mon Nov 02, 2026 06:49 PM	temp_c	37.2
VIT-001371	Mon Nov 02, 2026 06:49 PM	hr	91.0
VIT-001372	Mon Nov 02, 2026 06:49 PM	map	79.0
VIT-001373	Mon Nov 02, 2026 06:49 PM	gcs	15.0
VIT-001326	Tue Nov 03, 2026 02:49 AM	spo2	97.0	room air
VIT-001327	Tue Nov 03, 2026 02:49 AM	rr	20.0
VIT-001374	Tue Nov 03, 2026 02:49 AM	temp_c	37.0
VIT-001375	Tue Nov 03, 2026 02:49 AM	hr	78.0
VIT-001376	Tue Nov 03, 2026 02:49 AM	map	83.0
VIT-001377	Tue Nov 03, 2026 02:49 AM	gcs	15.0
VIT-001328	Tue Nov 03, 2026 10:49 AM	spo2	94.0	room air
VIT-001329	Tue Nov 03, 2026 10:49 AM	rr	14.0
VIT-001378	Tue Nov 03, 2026 10:49 AM	temp_c	37.5
VIT-001379	Tue Nov 03, 2026 10:49 AM	hr	71.0
VIT-001380	Tue Nov 03, 2026 10:49 AM	map	87.0
VIT-001381	Tue Nov 03, 2026 10:49 AM	gcs	15.0
VIT-001330	Tue Nov 03, 2026 06:49 PM	spo2	94.0	room air
VIT-001331	Tue Nov 03, 2026 06:49 PM	rr	17.0
VIT-001382	Tue Nov 03, 2026 06:49 PM	temp_c	36.7
VIT-001383	Tue Nov 03, 2026 06:49 PM	hr	72.0
VIT-001384	Tue Nov 03, 2026 06:49 PM	map	91.0
VIT-001385	Tue Nov 03, 2026 06:49 PM	gcs	15.0
VIT-001332	Wed Nov 04, 2026 02:49 AM	spo2	96.0	room air
VIT-001333	Wed Nov 04, 2026 02:49 AM	rr	17.0
VIT-001386	Wed Nov 04, 2026 02:49 AM	temp_c	37.1
VIT-001387	Wed Nov 04, 2026 02:49 AM	hr	79.0
VIT-001388	Wed Nov 04, 2026 02:49 AM	map	76.0
VIT-001389	Wed Nov 04, 2026 02:49 AM	gcs	15.0
VIT-001334	Wed Nov 04, 2026 10:49 AM	spo2	97.0	room air
VIT-001335	Wed Nov 04, 2026 10:49 AM	rr	18.0
VIT-001390	Wed Nov 04, 2026 10:49 AM	temp_c	36.7
VIT-001391	Wed Nov 04, 2026 10:49 AM	hr	78.0
VIT-001392	Wed Nov 04, 2026 10:49 AM	map	74.0
VIT-001393	Wed Nov 04, 2026 10:49 AM	gcs	15.0
VIT-001336	Wed Nov 04, 2026 06:49 PM	spo2	95.0	room air
VIT-001337	Wed Nov 04, 2026 06:49 PM	rr	14.0
VIT-001394	Wed Nov 04, 2026 06:49 PM	temp_c	37.3
VIT-001395	Wed Nov 04, 2026 06:49 PM	hr	69.0
VIT-001396	Wed Nov 04, 2026 06:49 PM	map	79.0
VIT-001397	Wed Nov 04, 2026 06:49 PM	gcs	15.0
VIT-001338	Thu Nov 05, 2026 02:49 AM	spo2	96.0	room air
VIT-001339	Thu Nov 05, 2026 02:49 AM	rr	17.0
VIT-001398	Thu Nov 05, 2026 02:49 AM	temp_c	36.7
VIT-001399	Thu Nov 05, 2026 02:49 AM	hr	89.0
VIT-001400	Thu Nov 05, 2026 02:49 AM	map	86.0
VIT-001401	Thu Nov 05, 2026 02:49 AM	gcs	15.0
VIT-001340	Thu Nov 05, 2026 10:49 AM	spo2	97.0	room air
VIT-001341	Thu Nov 05, 2026 10:49 AM	rr	17.0
VIT-001402	Thu Nov 05, 2026 10:49 AM	temp_c	37.0
VIT-001403	Thu Nov 05, 2026 10:49 AM	hr	81.0
VIT-001404	Thu Nov 05, 2026 10:49 AM	map	88.0
VIT-001405	Thu Nov 05, 2026 10:49 AM	gcs	15.0
VIT-001342	Thu Nov 05, 2026 06:49 PM	spo2	97.0	room air
VIT-001343	Thu Nov 05, 2026 06:49 PM	rr	16.0
VIT-001406	Thu Nov 05, 2026 06:49 PM	temp_c	37.1
VIT-001407	Thu Nov 05, 2026 06:49 PM	hr	68.0
VIT-001408	Thu Nov 05, 2026 06:49 PM	map	74.0
VIT-001409	Thu Nov 05, 2026 06:49 PM	gcs	15.0
VIT-001344	Fri Nov 06, 2026 02:49 AM	spo2	99.0	room air
VIT-001345	Fri Nov 06, 2026 02:49 AM	rr	19.0
VIT-001410	Fri Nov 06, 2026 02:49 AM	temp_c	36.5
VIT-001411	Fri Nov 06, 2026 02:49 AM	hr	84.0
VIT-001412	Fri Nov 06, 2026 02:49 AM	map	74.0
VIT-001413	Fri Nov 06, 2026 02:49 AM	gcs	15.0

Medications, orders, echo, history (7)

MED-000055 10-31 08:00 furosemide 40 mg IV
MED-000056 10-31 20:00 furosemide 40 mg IV
MED-000057 11-01 08:00 furosemide 40 mg IV
MED-000058 11-01 20:00 furosemide 40 mg IV
MED-000059 11-02 08:00 furosemide 40 mg IV
MED-000060 11-02 20:00 furosemide 40 mg IV
ECH-000006 2026-11-01 echo LVEF 32.0%

Notes

History and physical · DOC-000045 · Dr. Wes Merriweather (attending) · Sat Oct 31, 2026 09:29 PM

Cited facts from this note (1)

bleeding_source: bleeding · cited p. 1, line 7 · confidence 0.50

Show source for bleeding_source

… r History of present illness: 89-year-old man admitted with acute systolic heart failure. Past medical history: type 2 diabetes, hyperlipidemia, GERD. Denies bleeding, chest pain or fever. Exam: Lungs: clear to auscultation bilaterally. Assessment and plan: 1. Acute systolic heart failure: diuresis and daily weights; monitor …

Source document DOC-000045: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Florian Ivers   MRN: MRN93946036   Admitted: 2026-10-31 18:29
Service: Cardiology   Attending: Dr. Wes Merriweather

History of present illness: 89-year-old man admitted with acute systolic heart failure. 
Past medical history: type 2 diabetes, hyperlipidemia, GERD.
Denies bleeding, chest pain or fever.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Acute systolic heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000046 · Dr. Wes Merriweather (attending) · Mon Nov 02, 2026 09:29 PM

Source document DOC-000046: Progress note (synthetic)

PROGRESS NOTE (Attending)
Patient: Florian Ivers   MRN: MRN93946036   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Acute systolic heart failure: continue current management.

Attending: Dr. Wes Merriweather

Discharge summary · DOC-000047 · Dr. Wes Merriweather (attending) · Fri Nov 06, 2026 10:28 AM

Source document DOC-000047: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Florian Ivers   MRN: MRN93946036
Admitted 2026-10-31; discharged 2026-11-06.

Discharge diagnoses:
- acute systolic heart failure
- type 2 diabetes
- hyperlipidemia
- GERD

Disposition: home with follow-up.