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-00089: Jun Merriweather

73F · MRN27455506 · Hospital Medicine · admitted Sat Nov 07, 2026 10:46 PM · in hospital · attending Dr. Isaac Abernath · resident Dr. Priya Thorne · 150 cm, 87.8 kg

Documented diagnoses (current)

Principal: “community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“class 2 obesity” · E66.812 Obesity, class 2
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis
“hyperlipidemia” · E78.5 Hyperlipidemia, unspecified
“hypertension” · I10 Essential (primary) hypertension

Illustrative grouping now: MS-DRG 195 Simple pneumonia and pleurisy without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 195.

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=0.05, 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=0.05, 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=12.39, 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=0.5, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=True, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.5, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=12.39, 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=214, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=91.3, egfr_late=89.7	91.3
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=91.3, t.g2=60, egfr_late=89.7	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=91.3, 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=91.3, egfr_late=89.7, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=91.3, 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 met

No gap

Supported as documented (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=73, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=39.0, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=39.0, 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=37.4, t.t_hi=38, temp_min_48h=36.6, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=88.0, 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=9.62, t.wbc_hi=12, wbc_min_48h=8.58, 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=167.0	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=0.96	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=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=0.75	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 (38)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-002996	Thu Dec 25, 2025 09:15 AM	creatinine	0.7 mg/dL
LAB-002997	Tue Jul 28, 2026 10:05 AM	creatinine	0.71 mg/dL
LAB-002998	Sat Nov 07, 2026 11:46 PM	creatinine	0.7 mg/dL
LAB-003005	Sat Nov 07, 2026 11:46 PM	sodium	142.0 mmol/L
LAB-003012	Sat Nov 07, 2026 11:46 PM	hemoglobin	12.92 g/dL
LAB-003019	Sat Nov 07, 2026 11:46 PM	wbc	9.62 x10^3/uL
LAB-003020	Sat Nov 07, 2026 11:46 PM	platelets	239.0 x10^3/uL
LAB-003033	Sat Nov 07, 2026 11:46 PM	bilirubin	0.96 mg/dL
LAB-002999	Sun Nov 08, 2026 05:00 AM	creatinine	0.75 mg/dL
LAB-003006	Sun Nov 08, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-003013	Sun Nov 08, 2026 05:00 AM	hemoglobin	12.64 g/dL
LAB-003021	Sun Nov 08, 2026 05:00 AM	wbc	8.58 x10^3/uL
LAB-003022	Sun Nov 08, 2026 05:00 AM	platelets	169.0 x10^3/uL
LAB-003000	Mon Nov 09, 2026 05:00 AM	creatinine	0.7 mg/dL
LAB-003007	Mon Nov 09, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-003014	Mon Nov 09, 2026 05:00 AM	hemoglobin	12.67 g/dL
LAB-003023	Mon Nov 09, 2026 05:00 AM	wbc	9.14 x10^3/uL
LAB-003024	Mon Nov 09, 2026 05:00 AM	platelets	167.0 x10^3/uL
LAB-003001	Tue Nov 10, 2026 05:00 AM	creatinine	0.75 mg/dL
LAB-003008	Tue Nov 10, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-003015	Tue Nov 10, 2026 05:00 AM	hemoglobin	12.83 g/dL
LAB-003025	Tue Nov 10, 2026 05:00 AM	wbc	5.86 x10^3/uL
LAB-003026	Tue Nov 10, 2026 05:00 AM	platelets	310.0 x10^3/uL
LAB-003002	Wed Nov 11, 2026 05:00 AM	creatinine	0.72 mg/dL
LAB-003009	Wed Nov 11, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-003016	Wed Nov 11, 2026 05:00 AM	hemoglobin	12.81 g/dL
LAB-003027	Wed Nov 11, 2026 05:00 AM	wbc	6.82 x10^3/uL
LAB-003028	Wed Nov 11, 2026 05:00 AM	platelets	208.0 x10^3/uL
LAB-003003	Thu Nov 12, 2026 05:00 AM	creatinine	0.71 mg/dL
LAB-003010	Thu Nov 12, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-003017	Thu Nov 12, 2026 05:00 AM	hemoglobin	12.75 g/dL
LAB-003029	Thu Nov 12, 2026 05:00 AM	wbc	10.23 x10^3/uL
LAB-003030	Thu Nov 12, 2026 05:00 AM	platelets	250.0 x10^3/uL
LAB-003004	Fri Nov 13, 2026 05:00 AM	creatinine	0.71 mg/dL
LAB-003011	Fri Nov 13, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-003018	Fri Nov 13, 2026 05:00 AM	hemoglobin	12.39 g/dL
LAB-003031	Fri Nov 13, 2026 05:00 AM	wbc	6.9 x10^3/uL
LAB-003032	Fri Nov 13, 2026 05:00 AM	platelets	174.0 x10^3/uL

Vitals (108)

Vitals
Row	When	Kind	Value	Detail
VIT-008639	Sat Nov 07, 2026 11:06 PM	spo2	94.0	room air
VIT-008640	Sat Nov 07, 2026 11:06 PM	rr	14.0
VIT-008675	Sat Nov 07, 2026 11:06 PM	temp_c	36.6
VIT-008676	Sat Nov 07, 2026 11:06 PM	hr	70.0
VIT-008677	Sat Nov 07, 2026 11:06 PM	map	79.0
VIT-008678	Sat Nov 07, 2026 11:06 PM	gcs	15.0
VIT-008641	Sun Nov 08, 2026 07:06 AM	spo2	98.0	room air
VIT-008642	Sun Nov 08, 2026 07:06 AM	rr	17.0
VIT-008679	Sun Nov 08, 2026 07:06 AM	temp_c	37.2
VIT-008680	Sun Nov 08, 2026 07:06 AM	hr	73.0
VIT-008681	Sun Nov 08, 2026 07:06 AM	map	74.0
VIT-008682	Sun Nov 08, 2026 07:06 AM	gcs	15.0
VIT-008643	Sun Nov 08, 2026 03:06 PM	spo2	97.0	room air
VIT-008644	Sun Nov 08, 2026 03:06 PM	rr	18.0
VIT-008683	Sun Nov 08, 2026 03:06 PM	temp_c	37.0
VIT-008684	Sun Nov 08, 2026 03:06 PM	hr	83.0
VIT-008685	Sun Nov 08, 2026 03:06 PM	map	75.0
VIT-008686	Sun Nov 08, 2026 03:06 PM	gcs	15.0
VIT-008645	Sun Nov 08, 2026 11:06 PM	spo2	96.0	room air
VIT-008646	Sun Nov 08, 2026 11:06 PM	rr	19.0
VIT-008687	Sun Nov 08, 2026 11:06 PM	temp_c	37.4
VIT-008688	Sun Nov 08, 2026 11:06 PM	hr	88.0
VIT-008689	Sun Nov 08, 2026 11:06 PM	map	83.0
VIT-008690	Sun Nov 08, 2026 11:06 PM	gcs	15.0
VIT-008647	Mon Nov 09, 2026 07:06 AM	spo2	99.0	room air
VIT-008648	Mon Nov 09, 2026 07:06 AM	rr	14.0
VIT-008691	Mon Nov 09, 2026 07:06 AM	temp_c	36.7
VIT-008692	Mon Nov 09, 2026 07:06 AM	hr	85.0
VIT-008693	Mon Nov 09, 2026 07:06 AM	map	76.0
VIT-008694	Mon Nov 09, 2026 07:06 AM	gcs	15.0
VIT-008649	Mon Nov 09, 2026 03:06 PM	spo2	96.0	room air
VIT-008650	Mon Nov 09, 2026 03:06 PM	rr	15.0
VIT-008695	Mon Nov 09, 2026 03:06 PM	temp_c	36.9
VIT-008696	Mon Nov 09, 2026 03:06 PM	hr	81.0
VIT-008697	Mon Nov 09, 2026 03:06 PM	map	74.0
VIT-008698	Mon Nov 09, 2026 03:06 PM	gcs	15.0
VIT-008651	Mon Nov 09, 2026 11:06 PM	spo2	99.0	room air
VIT-008652	Mon Nov 09, 2026 11:06 PM	rr	16.0
VIT-008699	Mon Nov 09, 2026 11:06 PM	temp_c	37.6
VIT-008700	Mon Nov 09, 2026 11:06 PM	hr	69.0
VIT-008701	Mon Nov 09, 2026 11:06 PM	map	76.0
VIT-008702	Mon Nov 09, 2026 11:06 PM	gcs	15.0
VIT-008653	Tue Nov 10, 2026 07:06 AM	spo2	95.0	room air
VIT-008654	Tue Nov 10, 2026 07:06 AM	rr	15.0
VIT-008703	Tue Nov 10, 2026 07:06 AM	temp_c	36.9
VIT-008704	Tue Nov 10, 2026 07:06 AM	hr	79.0
VIT-008705	Tue Nov 10, 2026 07:06 AM	map	80.0
VIT-008706	Tue Nov 10, 2026 07:06 AM	gcs	15.0
VIT-008655	Tue Nov 10, 2026 03:06 PM	spo2	99.0	room air
VIT-008656	Tue Nov 10, 2026 03:06 PM	rr	19.0
VIT-008707	Tue Nov 10, 2026 03:06 PM	temp_c	37.5
VIT-008708	Tue Nov 10, 2026 03:06 PM	hr	89.0
VIT-008709	Tue Nov 10, 2026 03:06 PM	map	85.0
VIT-008710	Tue Nov 10, 2026 03:06 PM	gcs	15.0
VIT-008657	Tue Nov 10, 2026 11:06 PM	spo2	97.0	room air
VIT-008658	Tue Nov 10, 2026 11:06 PM	rr	15.0
VIT-008711	Tue Nov 10, 2026 11:06 PM	temp_c	36.7
VIT-008712	Tue Nov 10, 2026 11:06 PM	hr	72.0
VIT-008713	Tue Nov 10, 2026 11:06 PM	map	83.0
VIT-008714	Tue Nov 10, 2026 11:06 PM	gcs	15.0
VIT-008659	Wed Nov 11, 2026 07:06 AM	spo2	97.0	room air
VIT-008660	Wed Nov 11, 2026 07:06 AM	rr	14.0
VIT-008715	Wed Nov 11, 2026 07:06 AM	temp_c	37.3
VIT-008716	Wed Nov 11, 2026 07:06 AM	hr	85.0
VIT-008717	Wed Nov 11, 2026 07:06 AM	map	91.0
VIT-008718	Wed Nov 11, 2026 07:06 AM	gcs	15.0
VIT-008661	Wed Nov 11, 2026 03:06 PM	spo2	95.0	room air
VIT-008662	Wed Nov 11, 2026 03:06 PM	rr	17.0
VIT-008719	Wed Nov 11, 2026 03:06 PM	temp_c	36.8
VIT-008720	Wed Nov 11, 2026 03:06 PM	hr	73.0
VIT-008721	Wed Nov 11, 2026 03:06 PM	map	88.0
VIT-008722	Wed Nov 11, 2026 03:06 PM	gcs	15.0
VIT-008663	Wed Nov 11, 2026 11:06 PM	spo2	98.0	room air
VIT-008664	Wed Nov 11, 2026 11:06 PM	rr	16.0
VIT-008723	Wed Nov 11, 2026 11:06 PM	temp_c	36.8
VIT-008724	Wed Nov 11, 2026 11:06 PM	hr	70.0
VIT-008725	Wed Nov 11, 2026 11:06 PM	map	78.0
VIT-008726	Wed Nov 11, 2026 11:06 PM	gcs	15.0
VIT-008665	Thu Nov 12, 2026 07:06 AM	spo2	97.0	room air
VIT-008666	Thu Nov 12, 2026 07:06 AM	rr	20.0
VIT-008727	Thu Nov 12, 2026 07:06 AM	temp_c	37.2
VIT-008728	Thu Nov 12, 2026 07:06 AM	hr	72.0
VIT-008729	Thu Nov 12, 2026 07:06 AM	map	78.0
VIT-008730	Thu Nov 12, 2026 07:06 AM	gcs	15.0
VIT-008667	Thu Nov 12, 2026 03:06 PM	spo2	95.0	room air
VIT-008668	Thu Nov 12, 2026 03:06 PM	rr	19.0
VIT-008731	Thu Nov 12, 2026 03:06 PM	temp_c	37.3
VIT-008732	Thu Nov 12, 2026 03:06 PM	hr	89.0
VIT-008733	Thu Nov 12, 2026 03:06 PM	map	82.0
VIT-008734	Thu Nov 12, 2026 03:06 PM	gcs	15.0
VIT-008669	Thu Nov 12, 2026 11:06 PM	spo2	99.0	room air
VIT-008670	Thu Nov 12, 2026 11:06 PM	rr	14.0
VIT-008735	Thu Nov 12, 2026 11:06 PM	temp_c	36.6
VIT-008736	Thu Nov 12, 2026 11:06 PM	hr	89.0
VIT-008737	Thu Nov 12, 2026 11:06 PM	map	90.0
VIT-008738	Thu Nov 12, 2026 11:06 PM	gcs	15.0
VIT-008671	Fri Nov 13, 2026 07:06 AM	spo2	97.0	room air
VIT-008672	Fri Nov 13, 2026 07:06 AM	rr	16.0
VIT-008739	Fri Nov 13, 2026 07:06 AM	temp_c	37.6
VIT-008740	Fri Nov 13, 2026 07:06 AM	hr	68.0
VIT-008741	Fri Nov 13, 2026 07:06 AM	map	74.0
VIT-008742	Fri Nov 13, 2026 07:06 AM	gcs	15.0
VIT-008673	Fri Nov 13, 2026 03:06 PM	spo2	95.0	room air
VIT-008674	Fri Nov 13, 2026 03:06 PM	rr	16.0
VIT-008743	Fri Nov 13, 2026 03:06 PM	temp_c	37.2
VIT-008744	Fri Nov 13, 2026 03:06 PM	hr	75.0
VIT-008745	Fri Nov 13, 2026 03:06 PM	map	87.0
VIT-008746	Fri Nov 13, 2026 03:06 PM	gcs	15.0

Medications, orders, echo, history (4)

MED-000348 11-07 23:46 ceftriaxone per protocol IV
MED-000349 11-08 05:00 cefepime per protocol IV
MED-000350 11-09 05:00 piperacillin-tazobactam per protocol IV
ORD-000079 11-07 23:16 blood_culture: blood cultures x2

Notes

History and physical · DOC-000302 · Dr. Priya Thorne (resident) · Sun Nov 08, 2026 01:46 AM

Cited facts from this note (2)

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

Show source for bleeding_source

… ia. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: GERD, hyperlipidemia, hypertension. Denies bleeding, chest pain or fever. Exam: Lungs: clear to auscultation bilaterally. Assessment and plan: 1. Community-acquired pneumonia: antibiotics.
infection_source: left lower lobe pneumonia · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… Hospital Medicine Attending: Dr. Isaac Abernath History of present illness: 73-year-old woman admitted with community-acquired pneumonia. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: GERD, hyperlipidemia, hypertension. Denies bleeding, chest pain or fever. Exam: Lungs: cle …

Source document DOC-000302: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Jun Merriweather   MRN: MRN27455506   Admitted: 2026-11-07 22:46
Service: Hospital Medicine   Attending: Dr. Isaac Abernath

History of present illness: 73-year-old woman admitted with community-acquired pneumonia. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started.
Past medical history: GERD, hyperlipidemia, hypertension.
Denies bleeding, chest pain or fever.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Community-acquired pneumonia: antibiotics.

Progress note · DOC-000303 · Dr. Priya Thorne (resident) · Fri Nov 13, 2026 11:55 AM · awaiting cosign

Source document DOC-000303: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Jun Merriweather   MRN: MRN27455506   Hospital day 6

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Community-acquired pneumonia: continue current management.
2. Class 2 obesity: counsel on weight.

Resident: Dr. Priya Thorne   Attending cosign: pending