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-00016: Orrin Treadwell

64F · MRN70943817 · Hospital Medicine · admitted Fri Nov 06, 2026 02:51 PM · discharged Wed Nov 11, 2026 02:58 PM · attending Dr. Jalen Carrow · resident Dr. Keira Upfield · 160 cm, 60.1 kg

Documented diagnoses (current)

Principal: “urinary tract infection” · N39.0 Urinary tract infection, site not specified
“acute blood loss anemia” · D62 Acute posthemorrhagic anemia
“hypertension” · I10 Essential (primary) hypertension

Illustrative grouping now: MS-DRG 690 Kidney and urinary tract infections without MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 690.

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=1.056, 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=1.056, t.ratio_s3=3.0, creat_peak=0.75, 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=1.056, 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

Clinical judgement required

Clinical judgement required: Haemoglobin fell 1.4 g/dL without transfusion (between 1 and 2 g/dL).

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=9.81, t.hb_m=13, t.hb_f=12	true
derived: acute_fall	`hgb_drop >= t.drop_major or prbc_units >= t.prbc_major`	hgb_drop=1.4, 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=True, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=True, hgb_drop=1.4, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=9.81, anaemic=True	false
outcome: no_source	`anaemic and acute_fall`	anaemic=True, acute_fall=False	false
outcome: borderline	`anaemic`	anaemic=True	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=309, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=90.3, egfr_late=94.9	94.9
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=90.3, t.g2=60, egfr_late=94.9	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=94.9, 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=90.3, egfr_late=94.9, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=94.9, 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 met

Specificity gap

Criteria support Hyponatraemia (moderate) (E87.1); no corresponding diagnosis is documented.

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=125.0, t.profound=125, t.moderate=130, t.low=135	moderate
outcome: met	`na_min < t.low and na_low_count >= t.repeat and na_treated`	na_min=125.0, t.low=135, na_low_count=6, t.repeat=2, na_treated=True	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=64, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=23.5, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=23.5, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=23.5, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=23.5, 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=37.4, 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=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=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=10.02, t.wbc_hi=12, wbc_min_48h=7.73, 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=225.0	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=0.49	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=0.74	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=0.71	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 (33)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-000524	Fri Oct 03, 2025 09:15 AM	creatinine	0.74 mg/dL
LAB-000525	Sat Aug 08, 2026 10:05 AM	creatinine	0.71 mg/dL
LAB-000526	Fri Nov 06, 2026 03:51 PM	creatinine	0.74 mg/dL
LAB-000532	Fri Nov 06, 2026 03:51 PM	sodium	127.0 mmol/L
LAB-000538	Fri Nov 06, 2026 03:51 PM	hemoglobin	11.21 g/dL
LAB-000544	Fri Nov 06, 2026 03:51 PM	wbc	10.02 x10^3/uL
LAB-000545	Fri Nov 06, 2026 03:51 PM	platelets	303.0 x10^3/uL
LAB-000556	Fri Nov 06, 2026 03:51 PM	bilirubin	0.49 mg/dL
LAB-000527	Sat Nov 07, 2026 05:00 AM	creatinine	0.74 mg/dL
LAB-000533	Sat Nov 07, 2026 05:00 AM	sodium	125.0 mmol/L
LAB-000539	Sat Nov 07, 2026 05:00 AM	hemoglobin	10.41 g/dL
LAB-000546	Sat Nov 07, 2026 05:00 AM	wbc	9.13 x10^3/uL
LAB-000547	Sat Nov 07, 2026 05:00 AM	platelets	290.0 x10^3/uL
LAB-000528	Sun Nov 08, 2026 05:00 AM	creatinine	0.74 mg/dL
LAB-000534	Sun Nov 08, 2026 05:00 AM	sodium	126.0 mmol/L
LAB-000540	Sun Nov 08, 2026 05:00 AM	hemoglobin	9.81 g/dL
LAB-000548	Sun Nov 08, 2026 05:00 AM	wbc	7.73 x10^3/uL
LAB-000549	Sun Nov 08, 2026 05:00 AM	platelets	225.0 x10^3/uL
LAB-000529	Mon Nov 09, 2026 05:00 AM	creatinine	0.75 mg/dL
LAB-000535	Mon Nov 09, 2026 05:00 AM	sodium	129.0 mmol/L
LAB-000541	Mon Nov 09, 2026 05:00 AM	hemoglobin	9.91 g/dL
LAB-000550	Mon Nov 09, 2026 05:00 AM	wbc	8.98 x10^3/uL
LAB-000551	Mon Nov 09, 2026 05:00 AM	platelets	286.0 x10^3/uL
LAB-000530	Tue Nov 10, 2026 05:00 AM	creatinine	0.74 mg/dL
LAB-000536	Tue Nov 10, 2026 05:00 AM	sodium	131.0 mmol/L
LAB-000542	Tue Nov 10, 2026 05:00 AM	hemoglobin	10.01 g/dL
LAB-000552	Tue Nov 10, 2026 05:00 AM	wbc	9.3 x10^3/uL
LAB-000553	Tue Nov 10, 2026 05:00 AM	platelets	168.0 x10^3/uL
LAB-000531	Wed Nov 11, 2026 05:00 AM	creatinine	0.71 mg/dL
LAB-000537	Wed Nov 11, 2026 05:00 AM	sodium	134.0 mmol/L
LAB-000543	Wed Nov 11, 2026 05:00 AM	hemoglobin	10.01 g/dL
LAB-000554	Wed Nov 11, 2026 05:00 AM	wbc	9.32 x10^3/uL
LAB-000555	Wed Nov 11, 2026 05:00 AM	platelets	212.0 x10^3/uL

Vitals (90)

Vitals
Row	When	Kind	Value	Detail
VIT-001492	Fri Nov 06, 2026 03:11 PM	spo2	95.0	room air
VIT-001493	Fri Nov 06, 2026 03:11 PM	rr	14.0
VIT-001522	Fri Nov 06, 2026 03:11 PM	temp_c	37.4
VIT-001523	Fri Nov 06, 2026 03:11 PM	hr	80.0
VIT-001524	Fri Nov 06, 2026 03:11 PM	map	81.0
VIT-001525	Fri Nov 06, 2026 03:11 PM	gcs	15.0
VIT-001494	Fri Nov 06, 2026 11:11 PM	spo2	98.0	room air
VIT-001495	Fri Nov 06, 2026 11:11 PM	rr	19.0
VIT-001526	Fri Nov 06, 2026 11:11 PM	temp_c	36.7
VIT-001527	Fri Nov 06, 2026 11:11 PM	hr	68.0
VIT-001528	Fri Nov 06, 2026 11:11 PM	map	85.0
VIT-001529	Fri Nov 06, 2026 11:11 PM	gcs	15.0
VIT-001496	Sat Nov 07, 2026 07:11 AM	spo2	98.0	room air
VIT-001497	Sat Nov 07, 2026 07:11 AM	rr	14.0
VIT-001530	Sat Nov 07, 2026 07:11 AM	temp_c	37.3
VIT-001531	Sat Nov 07, 2026 07:11 AM	hr	68.0
VIT-001532	Sat Nov 07, 2026 07:11 AM	map	79.0
VIT-001533	Sat Nov 07, 2026 07:11 AM	gcs	15.0
VIT-001498	Sat Nov 07, 2026 03:11 PM	spo2	96.0	room air
VIT-001499	Sat Nov 07, 2026 03:11 PM	rr	17.0
VIT-001534	Sat Nov 07, 2026 03:11 PM	temp_c	37.0
VIT-001535	Sat Nov 07, 2026 03:11 PM	hr	84.0
VIT-001536	Sat Nov 07, 2026 03:11 PM	map	83.0
VIT-001537	Sat Nov 07, 2026 03:11 PM	gcs	15.0
VIT-001500	Sat Nov 07, 2026 11:11 PM	spo2	95.0	room air
VIT-001501	Sat Nov 07, 2026 11:11 PM	rr	20.0
VIT-001538	Sat Nov 07, 2026 11:11 PM	temp_c	36.7
VIT-001539	Sat Nov 07, 2026 11:11 PM	hr	83.0
VIT-001540	Sat Nov 07, 2026 11:11 PM	map	88.0
VIT-001541	Sat Nov 07, 2026 11:11 PM	gcs	15.0
VIT-001502	Sun Nov 08, 2026 07:11 AM	spo2	99.0	room air
VIT-001503	Sun Nov 08, 2026 07:11 AM	rr	16.0
VIT-001542	Sun Nov 08, 2026 07:11 AM	temp_c	36.5
VIT-001543	Sun Nov 08, 2026 07:11 AM	hr	80.0
VIT-001544	Sun Nov 08, 2026 07:11 AM	map	89.0
VIT-001545	Sun Nov 08, 2026 07:11 AM	gcs	15.0
VIT-001504	Sun Nov 08, 2026 03:11 PM	spo2	98.0	room air
VIT-001505	Sun Nov 08, 2026 03:11 PM	rr	17.0
VIT-001546	Sun Nov 08, 2026 03:11 PM	temp_c	37.5
VIT-001547	Sun Nov 08, 2026 03:11 PM	hr	75.0
VIT-001548	Sun Nov 08, 2026 03:11 PM	map	81.0
VIT-001549	Sun Nov 08, 2026 03:11 PM	gcs	15.0
VIT-001506	Sun Nov 08, 2026 11:11 PM	spo2	98.0	room air
VIT-001507	Sun Nov 08, 2026 11:11 PM	rr	18.0
VIT-001550	Sun Nov 08, 2026 11:11 PM	temp_c	37.5
VIT-001551	Sun Nov 08, 2026 11:11 PM	hr	82.0
VIT-001552	Sun Nov 08, 2026 11:11 PM	map	82.0
VIT-001553	Sun Nov 08, 2026 11:11 PM	gcs	15.0
VIT-001508	Mon Nov 09, 2026 07:11 AM	spo2	95.0	room air
VIT-001509	Mon Nov 09, 2026 07:11 AM	rr	15.0
VIT-001554	Mon Nov 09, 2026 07:11 AM	temp_c	36.7
VIT-001555	Mon Nov 09, 2026 07:11 AM	hr	85.0
VIT-001556	Mon Nov 09, 2026 07:11 AM	map	85.0
VIT-001557	Mon Nov 09, 2026 07:11 AM	gcs	15.0
VIT-001510	Mon Nov 09, 2026 03:11 PM	spo2	96.0	room air
VIT-001511	Mon Nov 09, 2026 03:11 PM	rr	20.0
VIT-001558	Mon Nov 09, 2026 03:11 PM	temp_c	37.2
VIT-001559	Mon Nov 09, 2026 03:11 PM	hr	88.0
VIT-001560	Mon Nov 09, 2026 03:11 PM	map	82.0
VIT-001561	Mon Nov 09, 2026 03:11 PM	gcs	15.0
VIT-001512	Mon Nov 09, 2026 11:11 PM	spo2	98.0	room air
VIT-001513	Mon Nov 09, 2026 11:11 PM	rr	20.0
VIT-001562	Mon Nov 09, 2026 11:11 PM	temp_c	37.1
VIT-001563	Mon Nov 09, 2026 11:11 PM	hr	82.0
VIT-001564	Mon Nov 09, 2026 11:11 PM	map	85.0
VIT-001565	Mon Nov 09, 2026 11:11 PM	gcs	15.0
VIT-001514	Tue Nov 10, 2026 07:11 AM	spo2	94.0	room air
VIT-001515	Tue Nov 10, 2026 07:11 AM	rr	16.0
VIT-001566	Tue Nov 10, 2026 07:11 AM	temp_c	37.5
VIT-001567	Tue Nov 10, 2026 07:11 AM	hr	75.0
VIT-001568	Tue Nov 10, 2026 07:11 AM	map	84.0
VIT-001569	Tue Nov 10, 2026 07:11 AM	gcs	15.0
VIT-001516	Tue Nov 10, 2026 03:11 PM	spo2	99.0	room air
VIT-001517	Tue Nov 10, 2026 03:11 PM	rr	17.0
VIT-001570	Tue Nov 10, 2026 03:11 PM	temp_c	37.4
VIT-001571	Tue Nov 10, 2026 03:11 PM	hr	70.0
VIT-001572	Tue Nov 10, 2026 03:11 PM	map	88.0
VIT-001573	Tue Nov 10, 2026 03:11 PM	gcs	15.0
VIT-001518	Tue Nov 10, 2026 11:11 PM	spo2	94.0	room air
VIT-001519	Tue Nov 10, 2026 11:11 PM	rr	19.0
VIT-001574	Tue Nov 10, 2026 11:11 PM	temp_c	37.3
VIT-001575	Tue Nov 10, 2026 11:11 PM	hr	71.0
VIT-001576	Tue Nov 10, 2026 11:11 PM	map	77.0
VIT-001577	Tue Nov 10, 2026 11:11 PM	gcs	15.0
VIT-001520	Wed Nov 11, 2026 07:11 AM	spo2	99.0	room air
VIT-001521	Wed Nov 11, 2026 07:11 AM	rr	20.0
VIT-001578	Wed Nov 11, 2026 07:11 AM	temp_c	36.7
VIT-001579	Wed Nov 11, 2026 07:11 AM	hr	71.0
VIT-001580	Wed Nov 11, 2026 07:11 AM	map	79.0
VIT-001581	Wed Nov 11, 2026 07:11 AM	gcs	15.0

Medications, orders, echo, history (5)

MED-000061 11-06 15:51 cefepime per protocol IV
MED-000062 11-07 05:00 piperacillin-tazobactam per protocol IV
MED-000063 11-08 05:00 piperacillin-tazobactam per protocol IV
ORD-000012 11-06 15:21 blood_culture: blood cultures x2
ORD-000013 11-06 17:51 fluid_restriction: fluid restriction 1.2 L/day

Notes

History and physical · DOC-000051 · Dr. Keira Upfield (resident) · Fri Nov 06, 2026 05:51 PM

Cited facts from this note (1)

infection_source: urinary tract infection · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… MRN70943817 Admitted: 2026-11-06 14:51 Service: Hospital Medicine Attending: Dr. Jalen Carrow History of present illness: 64-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Past medical history: hypertension. Review of systems otherwise negative. Exam: Lungs: …

Source document DOC-000051: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Orrin Treadwell   MRN: MRN70943817   Admitted: 2026-11-06 14:51
Service: Hospital Medicine   Attending: Dr. Jalen Carrow

History of present illness: 64-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime.
Past medical history: hypertension.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Urinary tract infection: antibiotics.

Progress note · DOC-000052 · Dr. Keira Upfield (resident) · Sun Nov 08, 2026 02:51 PM

Source document DOC-000052: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Orrin Treadwell   MRN: MRN70943817   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Urinary tract infection: continue current management.
2. Acute blood loss anemia: trend hemoglobin, transfuse if needed.

Resident: Dr. Keira Upfield   Attending cosign: completed

Discharge summary · DOC-000053 · Dr. Jalen Carrow (attending) · Wed Nov 11, 2026 02:58 PM

Source document DOC-000053: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Orrin Treadwell   MRN: MRN70943817
Admitted 2026-11-06; discharged 2026-11-11.

Discharge diagnoses:
- urinary tract infection
- acute blood loss anemia
- hypertension

Disposition: home with follow-up.