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-00015: Marisol Treadwell

60M · MRN24213549 · Pulmonology · admitted Thu Nov 05, 2026 08:03 AM · discharged Mon Nov 09, 2026 11:32 AM · attending Dr. Isaac Abernath · resident Dr. Priya Thorne · 175 cm, 75.0 kg

Documented diagnoses (current)

Principal: “COPD exacerbation” · J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation

Illustrative grouping now: MS-DRG 192 Chronic obstructive pulmonary disease without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 192.

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=1.021, t.ratio_s1=1.5, creat_rise_48h=0.03, 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=1.021, t.ratio_s3=3.0, creat_peak=0.98, 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=1.021, 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=0.03, 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=13.66, 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=0.1, 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=0.1, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=13.66, 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=282, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=94.0, egfr_late=90.5	94.0
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=94.0, t.g2=60, egfr_late=90.5	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=94.0, 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=94.0, egfr_late=90.5, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=94.0, 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=60, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=24.5, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=24.5, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=24.5, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=24.5, 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=36.5, 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=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=10.4, t.wbc_hi=12, wbc_min_48h=6.01, 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=234.0	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=0.52	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=75.0	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=0.98	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=0.96	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 (28)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-000496	Fri Nov 28, 2025 09:15 AM	creatinine	0.93 mg/dL
LAB-000497	Mon Sep 07, 2026 10:05 AM	creatinine	0.96 mg/dL
LAB-000498	Thu Nov 05, 2026 09:03 AM	creatinine	0.95 mg/dL
LAB-000503	Thu Nov 05, 2026 09:03 AM	sodium	141.0 mmol/L
LAB-000508	Thu Nov 05, 2026 09:03 AM	hemoglobin	13.72 g/dL
LAB-000513	Thu Nov 05, 2026 09:03 AM	wbc	9.95 x10^3/uL
LAB-000514	Thu Nov 05, 2026 09:03 AM	platelets	234.0 x10^3/uL
LAB-000523	Thu Nov 05, 2026 09:03 AM	bilirubin	0.52 mg/dL
LAB-000499	Fri Nov 06, 2026 05:00 AM	creatinine	0.96 mg/dL
LAB-000504	Fri Nov 06, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-000509	Fri Nov 06, 2026 05:00 AM	hemoglobin	13.66 g/dL
LAB-000515	Fri Nov 06, 2026 05:00 AM	wbc	6.01 x10^3/uL
LAB-000516	Fri Nov 06, 2026 05:00 AM	platelets	275.0 x10^3/uL
LAB-000500	Sat Nov 07, 2026 05:00 AM	creatinine	0.98 mg/dL
LAB-000505	Sat Nov 07, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-000510	Sat Nov 07, 2026 05:00 AM	hemoglobin	13.74 g/dL
LAB-000517	Sat Nov 07, 2026 05:00 AM	wbc	10.4 x10^3/uL
LAB-000518	Sat Nov 07, 2026 05:00 AM	platelets	282.0 x10^3/uL
LAB-000501	Sun Nov 08, 2026 05:00 AM	creatinine	0.96 mg/dL
LAB-000506	Sun Nov 08, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-000511	Sun Nov 08, 2026 05:00 AM	hemoglobin	13.71 g/dL
LAB-000519	Sun Nov 08, 2026 05:00 AM	wbc	6.17 x10^3/uL
LAB-000520	Sun Nov 08, 2026 05:00 AM	platelets	189.0 x10^3/uL
LAB-000502	Mon Nov 09, 2026 05:00 AM	creatinine	0.98 mg/dL
LAB-000507	Mon Nov 09, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-000512	Mon Nov 09, 2026 05:00 AM	hemoglobin	13.77 g/dL
LAB-000521	Mon Nov 09, 2026 05:00 AM	wbc	9.35 x10^3/uL
LAB-000522	Mon Nov 09, 2026 05:00 AM	platelets	303.0 x10^3/uL

Vitals (78)

Vitals
Row	When	Kind	Value	Detail
VIT-001414	Thu Nov 05, 2026 08:23 AM	spo2	98.0	room air
VIT-001415	Thu Nov 05, 2026 08:23 AM	rr	17.0
VIT-001440	Thu Nov 05, 2026 08:23 AM	temp_c	37.2
VIT-001441	Thu Nov 05, 2026 08:23 AM	hr	80.0
VIT-001442	Thu Nov 05, 2026 08:23 AM	map	90.0
VIT-001443	Thu Nov 05, 2026 08:23 AM	gcs	15.0
VIT-001416	Thu Nov 05, 2026 04:23 PM	spo2	96.0	room air
VIT-001417	Thu Nov 05, 2026 04:23 PM	rr	17.0
VIT-001444	Thu Nov 05, 2026 04:23 PM	temp_c	37.5
VIT-001445	Thu Nov 05, 2026 04:23 PM	hr	76.0
VIT-001446	Thu Nov 05, 2026 04:23 PM	map	77.0
VIT-001447	Thu Nov 05, 2026 04:23 PM	gcs	15.0
VIT-001418	Fri Nov 06, 2026 12:23 AM	spo2	96.0	room air
VIT-001419	Fri Nov 06, 2026 12:23 AM	rr	16.0
VIT-001448	Fri Nov 06, 2026 12:23 AM	temp_c	37.5
VIT-001449	Fri Nov 06, 2026 12:23 AM	hr	75.0
VIT-001450	Fri Nov 06, 2026 12:23 AM	map	75.0
VIT-001451	Fri Nov 06, 2026 12:23 AM	gcs	15.0
VIT-001420	Fri Nov 06, 2026 08:23 AM	spo2	98.0	room air
VIT-001421	Fri Nov 06, 2026 08:23 AM	rr	18.0
VIT-001452	Fri Nov 06, 2026 08:23 AM	temp_c	36.5
VIT-001453	Fri Nov 06, 2026 08:23 AM	hr	75.0
VIT-001454	Fri Nov 06, 2026 08:23 AM	map	87.0
VIT-001455	Fri Nov 06, 2026 08:23 AM	gcs	15.0
VIT-001422	Fri Nov 06, 2026 04:23 PM	spo2	95.0	room air
VIT-001423	Fri Nov 06, 2026 04:23 PM	rr	15.0
VIT-001456	Fri Nov 06, 2026 04:23 PM	temp_c	37.2
VIT-001457	Fri Nov 06, 2026 04:23 PM	hr	69.0
VIT-001458	Fri Nov 06, 2026 04:23 PM	map	79.0
VIT-001459	Fri Nov 06, 2026 04:23 PM	gcs	15.0
VIT-001424	Sat Nov 07, 2026 12:23 AM	spo2	97.0	room air
VIT-001425	Sat Nov 07, 2026 12:23 AM	rr	17.0
VIT-001460	Sat Nov 07, 2026 12:23 AM	temp_c	36.6
VIT-001461	Sat Nov 07, 2026 12:23 AM	hr	82.0
VIT-001462	Sat Nov 07, 2026 12:23 AM	map	88.0
VIT-001463	Sat Nov 07, 2026 12:23 AM	gcs	15.0
VIT-001426	Sat Nov 07, 2026 08:23 AM	spo2	98.0	room air
VIT-001427	Sat Nov 07, 2026 08:23 AM	rr	19.0
VIT-001464	Sat Nov 07, 2026 08:23 AM	temp_c	36.8
VIT-001465	Sat Nov 07, 2026 08:23 AM	hr	81.0
VIT-001466	Sat Nov 07, 2026 08:23 AM	map	80.0
VIT-001467	Sat Nov 07, 2026 08:23 AM	gcs	15.0
VIT-001428	Sat Nov 07, 2026 04:23 PM	spo2	94.0	room air
VIT-001429	Sat Nov 07, 2026 04:23 PM	rr	14.0
VIT-001468	Sat Nov 07, 2026 04:23 PM	temp_c	37.0
VIT-001469	Sat Nov 07, 2026 04:23 PM	hr	82.0
VIT-001470	Sat Nov 07, 2026 04:23 PM	map	81.0
VIT-001471	Sat Nov 07, 2026 04:23 PM	gcs	15.0
VIT-001430	Sun Nov 08, 2026 12:23 AM	spo2	95.0	room air
VIT-001431	Sun Nov 08, 2026 12:23 AM	rr	20.0
VIT-001472	Sun Nov 08, 2026 12:23 AM	temp_c	37.5
VIT-001473	Sun Nov 08, 2026 12:23 AM	hr	84.0
VIT-001474	Sun Nov 08, 2026 12:23 AM	map	74.0
VIT-001475	Sun Nov 08, 2026 12:23 AM	gcs	15.0
VIT-001432	Sun Nov 08, 2026 08:23 AM	spo2	99.0	room air
VIT-001433	Sun Nov 08, 2026 08:23 AM	rr	19.0
VIT-001476	Sun Nov 08, 2026 08:23 AM	temp_c	36.8
VIT-001477	Sun Nov 08, 2026 08:23 AM	hr	71.0
VIT-001478	Sun Nov 08, 2026 08:23 AM	map	79.0
VIT-001479	Sun Nov 08, 2026 08:23 AM	gcs	15.0
VIT-001434	Sun Nov 08, 2026 04:23 PM	spo2	97.0	room air
VIT-001435	Sun Nov 08, 2026 04:23 PM	rr	14.0
VIT-001480	Sun Nov 08, 2026 04:23 PM	temp_c	36.9
VIT-001481	Sun Nov 08, 2026 04:23 PM	hr	87.0
VIT-001482	Sun Nov 08, 2026 04:23 PM	map	79.0
VIT-001483	Sun Nov 08, 2026 04:23 PM	gcs	15.0
VIT-001436	Mon Nov 09, 2026 12:23 AM	spo2	95.0	room air
VIT-001437	Mon Nov 09, 2026 12:23 AM	rr	19.0
VIT-001484	Mon Nov 09, 2026 12:23 AM	temp_c	36.8
VIT-001485	Mon Nov 09, 2026 12:23 AM	hr	86.0
VIT-001486	Mon Nov 09, 2026 12:23 AM	map	90.0
VIT-001487	Mon Nov 09, 2026 12:23 AM	gcs	15.0
VIT-001438	Mon Nov 09, 2026 08:23 AM	spo2	96.0	room air
VIT-001439	Mon Nov 09, 2026 08:23 AM	rr	14.0
VIT-001488	Mon Nov 09, 2026 08:23 AM	temp_c	37.2
VIT-001489	Mon Nov 09, 2026 08:23 AM	hr	82.0
VIT-001490	Mon Nov 09, 2026 08:23 AM	map	76.0
VIT-001491	Mon Nov 09, 2026 08:23 AM	gcs	15.0

Medications, orders, echo, history (0)

Notes

History and physical · DOC-000048 · Dr. Priya Thorne (resident) · Thu Nov 05, 2026 11:03 AM

Source document DOC-000048: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Marisol Treadwell   MRN: MRN24213549   Admitted: 2026-11-05 08:03
Service: Pulmonology   Attending: Dr. Isaac Abernath

History of present illness: 60-year-old man admitted with COPD exacerbation. 
Past medical history: none significant.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. COPD exacerbation: bronchodilators and steroids.

Progress note · DOC-000049 · Dr. Priya Thorne (resident) · Sat Nov 07, 2026 08:03 AM

Source document DOC-000049: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Marisol Treadwell   MRN: MRN24213549   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. COPD exacerbation: continue current management.

Resident: Dr. Priya Thorne   Attending cosign: completed

Discharge summary · DOC-000050 · Dr. Isaac Abernath (attending) · Mon Nov 09, 2026 11:32 AM

Source document DOC-000050: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Marisol Treadwell   MRN: MRN24213549
Admitted 2026-11-05; discharged 2026-11-09.

Discharge diagnoses:
- COPD exacerbation

Disposition: home with follow-up.