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-00059: Nadia Foxhall

46F · MRN50701175 · Cardiology · admitted Wed Nov 04, 2026 09:04 AM · discharged Mon Nov 09, 2026 01:05 PM · attending Dr. Odette Galloway · resident Dr. Camila Oyelaran · 154 cm, 85.9 kg

Documented diagnoses (current)

“obesity” · E66.9 Obesity, unspecified
Principal: “acute on chronic diastolic heart failure” · I50.33 Acute on chronic diastolic (congestive) heart failure
“hypertension” · I10 Essential (primary) hypertension

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=1.049, t.ratio_s1=1.5, creat_rise_48h=0.04, 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=1.049, t.ratio_s3=3.0, creat_peak=0.85, 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=1.049, 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=0.04, 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=12.67, 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=0.0, 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=0.0, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=12.67, 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=295, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=93.4, egfr_late=90.6	93.4
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=93.4, t.g2=60, egfr_late=90.6	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=93.4, 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=93.4, egfr_late=90.6, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=93.4, t.g2=60	true

Heart failure

Criteria met

Clinical validation gap

Documented “acute on chronic diastolic heart failure” (I50.33) is more specific than the criteria support (Chronic diastolic (HFpEF) heart failure, I50.32).

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=75.0, 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=64.0, t.ref=40, t.pres=50	diastolic
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=64.0, 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=0, hf_history=True	chronic
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=diastolic	false
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=diastolic, acuity=chronic	false
outcome: sys_chronic	`hf_type == 'systolic' and acuity == 'chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_aoc	`hf_type == 'diastolic' and acuity == 'acute on chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_acute	`hf_type == 'diastolic' and acuity == 'acute'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_chronic	`hf_type == 'diastolic' and acuity == 'chronic'`	hf_type=diastolic, acuity=chronic	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 met

Specificity gap

Documented “obesity” (E66.9); criteria support the more specific Obesity, class 2 (E66.812).

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=46, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=36.2, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=36.2, t.c2=35	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=37.6, 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=89.0, 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=19.0, 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=10.9, t.wbc_hi=12, wbc_min_48h=6.19, 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=209.0	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=0.43	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=74.0	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=0.85	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=0.81	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 (34)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-001997	Wed Oct 08, 2025 09:15 AM	creatinine	0.79 mg/dL
LAB-001998	Thu Jul 30, 2026 10:05 AM	creatinine	0.81 mg/dL
LAB-001999	Wed Nov 04, 2026 10:04 AM	creatinine	0.85 mg/dL
LAB-002005	Wed Nov 04, 2026 10:04 AM	bnp	75.0 pg/mL
LAB-002006	Wed Nov 04, 2026 10:04 AM	sodium	142.0 mmol/L
LAB-002012	Wed Nov 04, 2026 10:04 AM	hemoglobin	12.67 g/dL
LAB-002018	Wed Nov 04, 2026 10:04 AM	wbc	10.9 x10^3/uL
LAB-002019	Wed Nov 04, 2026 10:04 AM	platelets	266.0 x10^3/uL
LAB-002030	Wed Nov 04, 2026 10:04 AM	bilirubin	0.43 mg/dL
LAB-002000	Thu Nov 05, 2026 05:00 AM	creatinine	0.81 mg/dL
LAB-002007	Thu Nov 05, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-002013	Thu Nov 05, 2026 05:00 AM	hemoglobin	13.04 g/dL
LAB-002020	Thu Nov 05, 2026 05:00 AM	wbc	6.19 x10^3/uL
LAB-002021	Thu Nov 05, 2026 05:00 AM	platelets	232.0 x10^3/uL
LAB-002001	Fri Nov 06, 2026 05:00 AM	creatinine	0.83 mg/dL
LAB-002008	Fri Nov 06, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-002014	Fri Nov 06, 2026 05:00 AM	hemoglobin	13.14 g/dL
LAB-002022	Fri Nov 06, 2026 05:00 AM	wbc	10.61 x10^3/uL
LAB-002023	Fri Nov 06, 2026 05:00 AM	platelets	209.0 x10^3/uL
LAB-002002	Sat Nov 07, 2026 05:00 AM	creatinine	0.85 mg/dL
LAB-002009	Sat Nov 07, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-002015	Sat Nov 07, 2026 05:00 AM	hemoglobin	12.95 g/dL
LAB-002024	Sat Nov 07, 2026 05:00 AM	wbc	9.04 x10^3/uL
LAB-002025	Sat Nov 07, 2026 05:00 AM	platelets	267.0 x10^3/uL
LAB-002003	Sun Nov 08, 2026 05:00 AM	creatinine	0.85 mg/dL
LAB-002010	Sun Nov 08, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-002016	Sun Nov 08, 2026 05:00 AM	hemoglobin	12.98 g/dL
LAB-002026	Sun Nov 08, 2026 05:00 AM	wbc	9.75 x10^3/uL
LAB-002027	Sun Nov 08, 2026 05:00 AM	platelets	219.0 x10^3/uL
LAB-002004	Mon Nov 09, 2026 05:00 AM	creatinine	0.8 mg/dL
LAB-002011	Mon Nov 09, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-002017	Mon Nov 09, 2026 05:00 AM	hemoglobin	13.08 g/dL
LAB-002028	Mon Nov 09, 2026 05:00 AM	wbc	9.0 x10^3/uL
LAB-002029	Mon Nov 09, 2026 05:00 AM	platelets	253.0 x10^3/uL

Vitals (96)

Vitals
Row	When	Kind	Value	Detail
VIT-005747	Wed Nov 04, 2026 09:24 AM	spo2	94.0	room air
VIT-005748	Wed Nov 04, 2026 09:24 AM	rr	16.0
VIT-005779	Wed Nov 04, 2026 09:24 AM	temp_c	36.5
VIT-005780	Wed Nov 04, 2026 09:24 AM	hr	78.0
VIT-005781	Wed Nov 04, 2026 09:24 AM	map	80.0
VIT-005782	Wed Nov 04, 2026 09:24 AM	gcs	15.0
VIT-005749	Wed Nov 04, 2026 05:24 PM	spo2	94.0	room air
VIT-005750	Wed Nov 04, 2026 05:24 PM	rr	19.0
VIT-005783	Wed Nov 04, 2026 05:24 PM	temp_c	37.0
VIT-005784	Wed Nov 04, 2026 05:24 PM	hr	69.0
VIT-005785	Wed Nov 04, 2026 05:24 PM	map	83.0
VIT-005786	Wed Nov 04, 2026 05:24 PM	gcs	15.0
VIT-005751	Thu Nov 05, 2026 01:24 AM	spo2	99.0	room air
VIT-005752	Thu Nov 05, 2026 01:24 AM	rr	17.0
VIT-005787	Thu Nov 05, 2026 01:24 AM	temp_c	37.3
VIT-005788	Thu Nov 05, 2026 01:24 AM	hr	84.0
VIT-005789	Thu Nov 05, 2026 01:24 AM	map	77.0
VIT-005790	Thu Nov 05, 2026 01:24 AM	gcs	15.0
VIT-005753	Thu Nov 05, 2026 09:24 AM	spo2	95.0	room air
VIT-005754	Thu Nov 05, 2026 09:24 AM	rr	18.0
VIT-005791	Thu Nov 05, 2026 09:24 AM	temp_c	37.6
VIT-005792	Thu Nov 05, 2026 09:24 AM	hr	89.0
VIT-005793	Thu Nov 05, 2026 09:24 AM	map	74.0
VIT-005794	Thu Nov 05, 2026 09:24 AM	gcs	15.0
VIT-005755	Thu Nov 05, 2026 05:24 PM	spo2	97.0	room air
VIT-005756	Thu Nov 05, 2026 05:24 PM	rr	16.0
VIT-005795	Thu Nov 05, 2026 05:24 PM	temp_c	37.2
VIT-005796	Thu Nov 05, 2026 05:24 PM	hr	73.0
VIT-005797	Thu Nov 05, 2026 05:24 PM	map	76.0
VIT-005798	Thu Nov 05, 2026 05:24 PM	gcs	15.0
VIT-005757	Fri Nov 06, 2026 01:24 AM	spo2	98.0	room air
VIT-005758	Fri Nov 06, 2026 01:24 AM	rr	19.0
VIT-005799	Fri Nov 06, 2026 01:24 AM	temp_c	36.7
VIT-005800	Fri Nov 06, 2026 01:24 AM	hr	84.0
VIT-005801	Fri Nov 06, 2026 01:24 AM	map	79.0
VIT-005802	Fri Nov 06, 2026 01:24 AM	gcs	15.0
VIT-005759	Fri Nov 06, 2026 09:24 AM	spo2	98.0	room air
VIT-005760	Fri Nov 06, 2026 09:24 AM	rr	19.0
VIT-005803	Fri Nov 06, 2026 09:24 AM	temp_c	37.3
VIT-005804	Fri Nov 06, 2026 09:24 AM	hr	91.0
VIT-005805	Fri Nov 06, 2026 09:24 AM	map	82.0
VIT-005806	Fri Nov 06, 2026 09:24 AM	gcs	15.0
VIT-005761	Fri Nov 06, 2026 05:24 PM	spo2	95.0	room air
VIT-005762	Fri Nov 06, 2026 05:24 PM	rr	14.0
VIT-005807	Fri Nov 06, 2026 05:24 PM	temp_c	37.4
VIT-005808	Fri Nov 06, 2026 05:24 PM	hr	89.0
VIT-005809	Fri Nov 06, 2026 05:24 PM	map	84.0
VIT-005810	Fri Nov 06, 2026 05:24 PM	gcs	15.0
VIT-005763	Sat Nov 07, 2026 01:24 AM	spo2	99.0	room air
VIT-005764	Sat Nov 07, 2026 01:24 AM	rr	18.0
VIT-005811	Sat Nov 07, 2026 01:24 AM	temp_c	37.5
VIT-005812	Sat Nov 07, 2026 01:24 AM	hr	84.0
VIT-005813	Sat Nov 07, 2026 01:24 AM	map	90.0
VIT-005814	Sat Nov 07, 2026 01:24 AM	gcs	15.0
VIT-005765	Sat Nov 07, 2026 09:24 AM	spo2	95.0	room air
VIT-005766	Sat Nov 07, 2026 09:24 AM	rr	19.0
VIT-005815	Sat Nov 07, 2026 09:24 AM	temp_c	37.6
VIT-005816	Sat Nov 07, 2026 09:24 AM	hr	73.0
VIT-005817	Sat Nov 07, 2026 09:24 AM	map	78.0
VIT-005818	Sat Nov 07, 2026 09:24 AM	gcs	15.0
VIT-005767	Sat Nov 07, 2026 05:24 PM	spo2	99.0	room air
VIT-005768	Sat Nov 07, 2026 05:24 PM	rr	19.0
VIT-005819	Sat Nov 07, 2026 05:24 PM	temp_c	36.6
VIT-005820	Sat Nov 07, 2026 05:24 PM	hr	85.0
VIT-005821	Sat Nov 07, 2026 05:24 PM	map	88.0
VIT-005822	Sat Nov 07, 2026 05:24 PM	gcs	15.0
VIT-005769	Sun Nov 08, 2026 01:24 AM	spo2	97.0	room air
VIT-005770	Sun Nov 08, 2026 01:24 AM	rr	17.0
VIT-005823	Sun Nov 08, 2026 01:24 AM	temp_c	36.7
VIT-005824	Sun Nov 08, 2026 01:24 AM	hr	74.0
VIT-005825	Sun Nov 08, 2026 01:24 AM	map	82.0
VIT-005826	Sun Nov 08, 2026 01:24 AM	gcs	15.0
VIT-005771	Sun Nov 08, 2026 09:24 AM	spo2	96.0	room air
VIT-005772	Sun Nov 08, 2026 09:24 AM	rr	14.0
VIT-005827	Sun Nov 08, 2026 09:24 AM	temp_c	36.6
VIT-005828	Sun Nov 08, 2026 09:24 AM	hr	88.0
VIT-005829	Sun Nov 08, 2026 09:24 AM	map	90.0
VIT-005830	Sun Nov 08, 2026 09:24 AM	gcs	15.0
VIT-005773	Sun Nov 08, 2026 05:24 PM	spo2	98.0	room air
VIT-005774	Sun Nov 08, 2026 05:24 PM	rr	20.0
VIT-005831	Sun Nov 08, 2026 05:24 PM	temp_c	36.8
VIT-005832	Sun Nov 08, 2026 05:24 PM	hr	75.0
VIT-005833	Sun Nov 08, 2026 05:24 PM	map	86.0
VIT-005834	Sun Nov 08, 2026 05:24 PM	gcs	15.0
VIT-005775	Mon Nov 09, 2026 01:24 AM	spo2	95.0	room air
VIT-005776	Mon Nov 09, 2026 01:24 AM	rr	20.0
VIT-005835	Mon Nov 09, 2026 01:24 AM	temp_c	36.6
VIT-005836	Mon Nov 09, 2026 01:24 AM	hr	87.0
VIT-005837	Mon Nov 09, 2026 01:24 AM	map	83.0
VIT-005838	Mon Nov 09, 2026 01:24 AM	gcs	15.0
VIT-005777	Mon Nov 09, 2026 09:24 AM	spo2	96.0	room air
VIT-005778	Mon Nov 09, 2026 09:24 AM	rr	19.0
VIT-005839	Mon Nov 09, 2026 09:24 AM	temp_c	36.9
VIT-005840	Mon Nov 09, 2026 09:24 AM	hr	71.0
VIT-005841	Mon Nov 09, 2026 09:24 AM	map	79.0
VIT-005842	Mon Nov 09, 2026 09:24 AM	gcs	15.0

Medications, orders, echo, history (5)

MED-000211 11-04 09:04 furosemide 40 mg PO
MED-000212 11-05 09:00 furosemide 40 mg PO
MED-000213 11-06 09:00 furosemide 40 mg PO
ECH-000027 2026-11-05 echo LVEF 64.0%
HX-000020 history: heart failure with preserved ejection fraction

Notes

History and physical · DOC-000204 · Dr. Camila Oyelaran (resident) · Wed Nov 04, 2026 12:04 PM

Source document DOC-000204: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Nadia Foxhall   MRN: MRN50701175   Admitted: 2026-11-04 09:04
Service: Cardiology   Attending: Dr. Odette Galloway

History of present illness: 46-year-old woman admitted with acute on chronic diastolic heart failure. 
Past medical history: heart failure with preserved ejection fraction, hypertension.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Acute on chronic diastolic heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000205 · Dr. Camila Oyelaran (resident) · Fri Nov 06, 2026 10:04 AM

Source document DOC-000205: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Nadia Foxhall   MRN: MRN50701175   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Acute on chronic diastolic heart failure: continue current management.
2. Obesity: counsel on weight.

Resident: Dr. Camila Oyelaran   Attending cosign: completed

Discharge summary · DOC-000206 · Dr. Odette Galloway (attending) · Mon Nov 09, 2026 01:05 PM

Source document DOC-000206: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Nadia Foxhall   MRN: MRN50701175
Admitted 2026-11-04; discharged 2026-11-09.

Discharge diagnoses:
- obesity
- acute on chronic diastolic heart failure
- hypertension

Disposition: home with follow-up.