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-00084: Avery Coldridge

57M · MRN62285108 · Hospital Medicine · admitted Sun Nov 08, 2026 03:25 PM · discharged Wed Nov 11, 2026 12:45 PM · attending Dr. Kenji Stavros · 176 cm, 89.5 kg

Documented diagnoses (current)

Principal: “sepsis” · A41.9 Sepsis, unspecified organism
“community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“hypertension” · I10 Essential (primary) hypertension
“type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications

Illustrative grouping now: MS-DRG 871 Septicemia or severe sepsis without MV >96 hours with MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 871.

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=1.054, 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=1.054, t.ratio_s3=3.0, creat_peak=1.18, 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=1.054, 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=14.38, t.hb_m=13, t.hb_f=12	false
derived: acute_fall	`hgb_drop >= t.drop_major or prbc_units >= t.prbc_major`	hgb_drop=0.4, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=False, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.4, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=14.38, 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=307, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=77.5, egfr_late=76.6	77.5
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=77.5, t.g2=60, egfr_late=76.6	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=77.5, 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=77.5, egfr_late=76.6, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=77.5, 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=138.0, 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=138.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=138.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=138.0, 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=57, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=28.9, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=28.9, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=28.9, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=28.9, 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 met

No gap

Supported as documented (A41.9).

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=39.2, t.t_hi=38, temp_min_48h=38.5, t.t_lo=36	true
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=120.0, t.hr=90	true
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=18.03, t.wbc_hi=12, wbc_min_48h=15.58, t.wbc_lo=4, bands_max_48h=unknown, t.bands=10	true
derived: sirs_count	`count(sirs_temp, sirs_hr, sirs_rr, sirs_wbc)`	sirs_temp=True, sirs_hr=True, sirs_rr=False, sirs_wbc=True	3
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=89.0	2
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=0.96	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=64.0	1
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=1.18	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=1.12	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=2, sofa_liver=0, sofa_cardio=1, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	3
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=True, sofa_delta=3, t.sofa_delta=2	true
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=3, t.sirs_min=2	true
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=True, norepi_max_48h=0.0, lactate_max_48h=2.98, 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=True, sepsis2=True	true

Structured data

Labs (24)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-002840	Tue Dec 02, 2025 09:15 AM	creatinine	1.11 mg/dL
LAB-002841	Tue Oct 06, 2026 10:05 AM	creatinine	1.12 mg/dL
LAB-002842	Sun Nov 08, 2026 04:25 PM	creatinine	1.18 mg/dL
LAB-002846	Sun Nov 08, 2026 04:25 PM	sodium	140.0 mmol/L
LAB-002850	Sun Nov 08, 2026 04:25 PM	hemoglobin	14.81 g/dL
LAB-002854	Sun Nov 08, 2026 04:25 PM	wbc	17.14 x10^3/uL
LAB-002855	Sun Nov 08, 2026 04:25 PM	platelets	93.0 x10^3/uL
LAB-002862	Sun Nov 08, 2026 04:25 PM	bilirubin	0.96 mg/dL
LAB-002863	Sun Nov 08, 2026 04:25 PM	lactate	2.98 mmol/L
LAB-002843	Mon Nov 09, 2026 05:00 AM	creatinine	1.17 mg/dL
LAB-002847	Mon Nov 09, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-002851	Mon Nov 09, 2026 05:00 AM	hemoglobin	14.73 g/dL
LAB-002856	Mon Nov 09, 2026 05:00 AM	wbc	15.58 x10^3/uL
LAB-002857	Mon Nov 09, 2026 05:00 AM	platelets	89.0 x10^3/uL
LAB-002844	Tue Nov 10, 2026 05:00 AM	creatinine	1.18 mg/dL
LAB-002848	Tue Nov 10, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-002852	Tue Nov 10, 2026 05:00 AM	hemoglobin	14.38 g/dL
LAB-002858	Tue Nov 10, 2026 05:00 AM	wbc	18.03 x10^3/uL
LAB-002859	Tue Nov 10, 2026 05:00 AM	platelets	89.0 x10^3/uL
LAB-002845	Wed Nov 11, 2026 05:00 AM	creatinine	1.16 mg/dL
LAB-002849	Wed Nov 11, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-002853	Wed Nov 11, 2026 05:00 AM	hemoglobin	14.78 g/dL
LAB-002860	Wed Nov 11, 2026 05:00 AM	wbc	5.72 x10^3/uL
LAB-002861	Wed Nov 11, 2026 05:00 AM	platelets	203.0 x10^3/uL

Vitals (54)

Vitals
Row	When	Kind	Value	Detail
VIT-008209	Sun Nov 08, 2026 03:45 PM	spo2	98.0	room air
VIT-008210	Sun Nov 08, 2026 03:45 PM	rr	14.0
VIT-008227	Sun Nov 08, 2026 03:45 PM	temp_c	39.0
VIT-008228	Sun Nov 08, 2026 03:45 PM	hr	108.0
VIT-008229	Sun Nov 08, 2026 03:45 PM	map	64.0
VIT-008230	Sun Nov 08, 2026 03:45 PM	gcs	15.0
VIT-008211	Sun Nov 08, 2026 11:45 PM	spo2	95.0	room air
VIT-008212	Sun Nov 08, 2026 11:45 PM	rr	14.0
VIT-008231	Sun Nov 08, 2026 11:45 PM	temp_c	38.9
VIT-008232	Sun Nov 08, 2026 11:45 PM	hr	120.0
VIT-008233	Sun Nov 08, 2026 11:45 PM	map	64.0
VIT-008234	Sun Nov 08, 2026 11:45 PM	gcs	15.0
VIT-008213	Mon Nov 09, 2026 07:45 AM	spo2	98.0	room air
VIT-008214	Mon Nov 09, 2026 07:45 AM	rr	16.0
VIT-008235	Mon Nov 09, 2026 07:45 AM	temp_c	38.5
VIT-008236	Mon Nov 09, 2026 07:45 AM	hr	112.0
VIT-008237	Mon Nov 09, 2026 07:45 AM	map	67.0
VIT-008238	Mon Nov 09, 2026 07:45 AM	gcs	15.0
VIT-008215	Mon Nov 09, 2026 03:45 PM	spo2	98.0	room air
VIT-008216	Mon Nov 09, 2026 03:45 PM	rr	20.0
VIT-008239	Mon Nov 09, 2026 03:45 PM	temp_c	38.7
VIT-008240	Mon Nov 09, 2026 03:45 PM	hr	102.0
VIT-008241	Mon Nov 09, 2026 03:45 PM	map	66.0
VIT-008242	Mon Nov 09, 2026 03:45 PM	gcs	15.0
VIT-008217	Mon Nov 09, 2026 11:45 PM	spo2	94.0	room air
VIT-008218	Mon Nov 09, 2026 11:45 PM	rr	16.0
VIT-008243	Mon Nov 09, 2026 11:45 PM	temp_c	38.7
VIT-008244	Mon Nov 09, 2026 11:45 PM	hr	115.0
VIT-008245	Mon Nov 09, 2026 11:45 PM	map	67.0
VIT-008246	Mon Nov 09, 2026 11:45 PM	gcs	15.0
VIT-008219	Tue Nov 10, 2026 07:45 AM	spo2	99.0	room air
VIT-008220	Tue Nov 10, 2026 07:45 AM	rr	15.0
VIT-008247	Tue Nov 10, 2026 07:45 AM	temp_c	39.2
VIT-008248	Tue Nov 10, 2026 07:45 AM	hr	117.0
VIT-008249	Tue Nov 10, 2026 07:45 AM	map	68.0
VIT-008250	Tue Nov 10, 2026 07:45 AM	gcs	15.0
VIT-008221	Tue Nov 10, 2026 03:45 PM	spo2	97.0	room air
VIT-008222	Tue Nov 10, 2026 03:45 PM	rr	16.0
VIT-008251	Tue Nov 10, 2026 03:45 PM	temp_c	37.4
VIT-008252	Tue Nov 10, 2026 03:45 PM	hr	68.0
VIT-008253	Tue Nov 10, 2026 03:45 PM	map	87.0
VIT-008254	Tue Nov 10, 2026 03:45 PM	gcs	15.0
VIT-008223	Tue Nov 10, 2026 11:45 PM	spo2	94.0	room air
VIT-008224	Tue Nov 10, 2026 11:45 PM	rr	16.0
VIT-008255	Tue Nov 10, 2026 11:45 PM	temp_c	37.4
VIT-008256	Tue Nov 10, 2026 11:45 PM	hr	81.0
VIT-008257	Tue Nov 10, 2026 11:45 PM	map	75.0
VIT-008258	Tue Nov 10, 2026 11:45 PM	gcs	15.0
VIT-008225	Wed Nov 11, 2026 07:45 AM	spo2	94.0	room air
VIT-008226	Wed Nov 11, 2026 07:45 AM	rr	17.0
VIT-008259	Wed Nov 11, 2026 07:45 AM	temp_c	37.3
VIT-008260	Wed Nov 11, 2026 07:45 AM	hr	92.0
VIT-008261	Wed Nov 11, 2026 07:45 AM	map	83.0
VIT-008262	Wed Nov 11, 2026 07:45 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000318 11-08 16:25 piperacillin-tazobactam per protocol IV
MED-000319 11-09 05:00 piperacillin-tazobactam per protocol IV
MED-000320 11-10 05:00 piperacillin-tazobactam per protocol IV
ORD-000075 11-08 15:55 blood_culture: blood cultures x2

Notes

History and physical · DOC-000286 · Dr. Kenji Stavros (attending) · Sun Nov 08, 2026 06:25 PM

Cited facts from this note (1)

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

Show source for infection_source

… 2026-11-08 15:25 Service: Hospital Medicine Attending: Dr. Kenji Stavros History of present illness: 57-year-old man admitted with sepsis. Chest x-ray shows multifocal pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: hypertension, type 2 diabetes. Review of systems otherwise negative. Exam: Lungs: scattere …

Source document DOC-000286: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Avery Coldridge   MRN: MRN62285108   Admitted: 2026-11-08 15:25
Service: Hospital Medicine   Attending: Dr. Kenji Stavros

History of present illness: 57-year-old man admitted with sepsis. Chest x-ray shows multifocal pneumonia; blood cultures drawn and ceftriaxone started.
Past medical history: hypertension, type 2 diabetes.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Sepsis: antibiotics, fluids.
2. Community-acquired pneumonia: antibiotics.

Progress note · DOC-000287 · Dr. Kenji Stavros (attending) · Tue Nov 10, 2026 05:25 PM

Source document DOC-000287: Progress note (synthetic)

PROGRESS NOTE (Attending)
Patient: Avery Coldridge   MRN: MRN62285108   Hospital day 3

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

Attending: Dr. Kenji Stavros

Discharge summary · DOC-000288 · Dr. Kenji Stavros (attending) · Wed Nov 11, 2026 12:45 PM

Source document DOC-000288: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Avery Coldridge   MRN: MRN62285108
Admitted 2026-11-08; discharged 2026-11-11.

Discharge diagnoses:
- sepsis
- community-acquired pneumonia
- hypertension
- type 2 diabetes

Disposition: home with follow-up.