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-00091: Silas Coldridge

57F · MRN73455116 · Hospital Medicine · admitted Wed Nov 04, 2026 01:00 PM · discharged Thu Nov 12, 2026 11:55 AM · attending Dr. Rosalind Quillan · 168 cm, 96.4 kg

Documented diagnoses (current)

Principal: “community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“class 1 obesity” · E66.811 Obesity, class 1
“chronic kidney disease” · N18.9 Chronic kidney disease, unspecified
“hyponatremia” · E87.1 Hypo-osmolality and hyponatremia
“stage 4 sacral pressure ulcer” · L89.154 Pressure ulcer of sacral region, stage 4
“hypertension” · I10 Essential (primary) hypertension
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis

Illustrative grouping now: MS-DRG 193 Simple pneumonia and pleurisy with MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 193.

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=1.048, t.ratio_s1=1.5, creat_rise_48h=0.07, 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=1.048, t.ratio_s3=3.0, creat_peak=1.31, 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=1.048, 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=0.07, 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=13.44, 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=0.6, 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=0.6, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=13.44, anaemic=False	true

Chronic kidney disease

Criteria met

Specificity gap

Documented “chronic kidney disease” (N18.9); criteria support the more specific Chronic kidney disease stage 3a (N18.31).

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=277, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=51.8, egfr_late=50.3	51.8
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=51.8, t.g2=60, egfr_late=50.3	true
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=51.8, t.g2=60, t.g3a=45, t.g3b=30, t.g4=15	G3a
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=True, egfr_early=51.8, egfr_late=50.3, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=51.8, t.g2=60	false
outcome: g3a	`category == 'G3a'`	category=G3a	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

No gap

Supported as documented (E87.1).

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=128.0, 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=128.0, 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 met

No gap

Supported as documented (E66.811).

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=34.2, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=34.2, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=34.2, 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=sacral	true
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=37.1, 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=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=8.97, t.wbc_hi=12, wbc_min_48h=7.07, 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=187.0	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=0.84	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=83.0	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=1.31	1
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=1.25	1
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=1, sofa_renal_baseline=1	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 (48)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-003068	Mon Nov 03, 2025 09:15 AM	creatinine	1.22 mg/dL
LAB-003069	Sat Aug 08, 2026 10:05 AM	creatinine	1.25 mg/dL
LAB-003070	Wed Nov 04, 2026 02:00 PM	creatinine	1.31 mg/dL
LAB-003079	Wed Nov 04, 2026 02:00 PM	sodium	130.0 mmol/L
LAB-003088	Wed Nov 04, 2026 02:00 PM	hemoglobin	13.88 g/dL
LAB-003097	Wed Nov 04, 2026 02:00 PM	wbc	7.35 x10^3/uL
LAB-003098	Wed Nov 04, 2026 02:00 PM	platelets	187.0 x10^3/uL
LAB-003115	Wed Nov 04, 2026 02:00 PM	bilirubin	0.84 mg/dL
LAB-003071	Thu Nov 05, 2026 05:00 AM	creatinine	1.24 mg/dL
LAB-003080	Thu Nov 05, 2026 05:00 AM	sodium	128.0 mmol/L
LAB-003089	Thu Nov 05, 2026 05:00 AM	hemoglobin	13.97 g/dL
LAB-003099	Thu Nov 05, 2026 05:00 AM	wbc	8.97 x10^3/uL
LAB-003100	Thu Nov 05, 2026 05:00 AM	platelets	196.0 x10^3/uL
LAB-003072	Fri Nov 06, 2026 05:00 AM	creatinine	1.24 mg/dL
LAB-003081	Fri Nov 06, 2026 05:00 AM	sodium	129.0 mmol/L
LAB-003090	Fri Nov 06, 2026 05:00 AM	hemoglobin	13.99 g/dL
LAB-003101	Fri Nov 06, 2026 05:00 AM	wbc	7.07 x10^3/uL
LAB-003102	Fri Nov 06, 2026 05:00 AM	platelets	302.0 x10^3/uL
LAB-003073	Sat Nov 07, 2026 05:00 AM	creatinine	1.31 mg/dL
LAB-003082	Sat Nov 07, 2026 05:00 AM	sodium	132.0 mmol/L
LAB-003091	Sat Nov 07, 2026 05:00 AM	hemoglobin	13.44 g/dL
LAB-003103	Sat Nov 07, 2026 05:00 AM	wbc	6.09 x10^3/uL
LAB-003104	Sat Nov 07, 2026 05:00 AM	platelets	295.0 x10^3/uL
LAB-003074	Sun Nov 08, 2026 05:00 AM	creatinine	1.28 mg/dL
LAB-003083	Sun Nov 08, 2026 05:00 AM	sodium	134.0 mmol/L
LAB-003092	Sun Nov 08, 2026 05:00 AM	hemoglobin	13.78 g/dL
LAB-003105	Sun Nov 08, 2026 05:00 AM	wbc	10.69 x10^3/uL
LAB-003106	Sun Nov 08, 2026 05:00 AM	platelets	308.0 x10^3/uL
LAB-003075	Mon Nov 09, 2026 05:00 AM	creatinine	1.27 mg/dL
LAB-003084	Mon Nov 09, 2026 05:00 AM	sodium	134.0 mmol/L
LAB-003093	Mon Nov 09, 2026 05:00 AM	hemoglobin	13.73 g/dL
LAB-003107	Mon Nov 09, 2026 05:00 AM	wbc	9.24 x10^3/uL
LAB-003108	Mon Nov 09, 2026 05:00 AM	platelets	195.0 x10^3/uL
LAB-003076	Tue Nov 10, 2026 05:00 AM	creatinine	1.23 mg/dL
LAB-003085	Tue Nov 10, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-003094	Tue Nov 10, 2026 05:00 AM	hemoglobin	13.76 g/dL
LAB-003109	Tue Nov 10, 2026 05:00 AM	wbc	7.4 x10^3/uL
LAB-003110	Tue Nov 10, 2026 05:00 AM	platelets	204.0 x10^3/uL
LAB-003077	Wed Nov 11, 2026 05:00 AM	creatinine	1.24 mg/dL
LAB-003086	Wed Nov 11, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-003095	Wed Nov 11, 2026 05:00 AM	hemoglobin	13.86 g/dL
LAB-003111	Wed Nov 11, 2026 05:00 AM	wbc	6.53 x10^3/uL
LAB-003112	Wed Nov 11, 2026 05:00 AM	platelets	208.0 x10^3/uL
LAB-003078	Thu Nov 12, 2026 05:00 AM	creatinine	1.29 mg/dL
LAB-003087	Thu Nov 12, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-003096	Thu Nov 12, 2026 05:00 AM	hemoglobin	13.94 g/dL
LAB-003113	Thu Nov 12, 2026 05:00 AM	wbc	10.75 x10^3/uL
LAB-003114	Thu Nov 12, 2026 05:00 AM	platelets	185.0 x10^3/uL

Vitals (144)

Vitals
Row	When	Kind	Value	Detail
VIT-008837	Wed Nov 04, 2026 01:20 PM	spo2	98.0	room air
VIT-008838	Wed Nov 04, 2026 01:20 PM	rr	16.0
VIT-008885	Wed Nov 04, 2026 01:20 PM	temp_c	37.3
VIT-008886	Wed Nov 04, 2026 01:20 PM	hr	88.0
VIT-008887	Wed Nov 04, 2026 01:20 PM	map	83.0
VIT-008888	Wed Nov 04, 2026 01:20 PM	gcs	15.0
VIT-008839	Wed Nov 04, 2026 09:20 PM	spo2	94.0	room air
VIT-008840	Wed Nov 04, 2026 09:20 PM	rr	20.0
VIT-008889	Wed Nov 04, 2026 09:20 PM	temp_c	37.3
VIT-008890	Wed Nov 04, 2026 09:20 PM	hr	86.0
VIT-008891	Wed Nov 04, 2026 09:20 PM	map	87.0
VIT-008892	Wed Nov 04, 2026 09:20 PM	gcs	15.0
VIT-008841	Thu Nov 05, 2026 05:20 AM	spo2	95.0	room air
VIT-008842	Thu Nov 05, 2026 05:20 AM	rr	15.0
VIT-008893	Thu Nov 05, 2026 05:20 AM	temp_c	37.5
VIT-008894	Thu Nov 05, 2026 05:20 AM	hr	89.0
VIT-008895	Thu Nov 05, 2026 05:20 AM	map	86.0
VIT-008896	Thu Nov 05, 2026 05:20 AM	gcs	15.0
VIT-008843	Thu Nov 05, 2026 01:20 PM	spo2	95.0	room air
VIT-008844	Thu Nov 05, 2026 01:20 PM	rr	16.0
VIT-008897	Thu Nov 05, 2026 01:20 PM	temp_c	37.1
VIT-008898	Thu Nov 05, 2026 01:20 PM	hr	79.0
VIT-008899	Thu Nov 05, 2026 01:20 PM	map	88.0
VIT-008900	Thu Nov 05, 2026 01:20 PM	gcs	15.0
VIT-008845	Thu Nov 05, 2026 09:20 PM	spo2	98.0	room air
VIT-008846	Thu Nov 05, 2026 09:20 PM	rr	20.0
VIT-008901	Thu Nov 05, 2026 09:20 PM	temp_c	37.6
VIT-008902	Thu Nov 05, 2026 09:20 PM	hr	74.0
VIT-008903	Thu Nov 05, 2026 09:20 PM	map	90.0
VIT-008904	Thu Nov 05, 2026 09:20 PM	gcs	15.0
VIT-008847	Fri Nov 06, 2026 05:20 AM	spo2	97.0	room air
VIT-008848	Fri Nov 06, 2026 05:20 AM	rr	20.0
VIT-008905	Fri Nov 06, 2026 05:20 AM	temp_c	37.4
VIT-008906	Fri Nov 06, 2026 05:20 AM	hr	85.0
VIT-008907	Fri Nov 06, 2026 05:20 AM	map	84.0
VIT-008908	Fri Nov 06, 2026 05:20 AM	gcs	15.0
VIT-008849	Fri Nov 06, 2026 01:20 PM	spo2	98.0	room air
VIT-008850	Fri Nov 06, 2026 01:20 PM	rr	20.0
VIT-008909	Fri Nov 06, 2026 01:20 PM	temp_c	37.2
VIT-008910	Fri Nov 06, 2026 01:20 PM	hr	75.0
VIT-008911	Fri Nov 06, 2026 01:20 PM	map	75.0
VIT-008912	Fri Nov 06, 2026 01:20 PM	gcs	15.0
VIT-008851	Fri Nov 06, 2026 09:20 PM	spo2	97.0	room air
VIT-008852	Fri Nov 06, 2026 09:20 PM	rr	20.0
VIT-008913	Fri Nov 06, 2026 09:20 PM	temp_c	37.0
VIT-008914	Fri Nov 06, 2026 09:20 PM	hr	82.0
VIT-008915	Fri Nov 06, 2026 09:20 PM	map	80.0
VIT-008916	Fri Nov 06, 2026 09:20 PM	gcs	15.0
VIT-008853	Sat Nov 07, 2026 05:20 AM	spo2	96.0	room air
VIT-008854	Sat Nov 07, 2026 05:20 AM	rr	18.0
VIT-008917	Sat Nov 07, 2026 05:20 AM	temp_c	37.0
VIT-008918	Sat Nov 07, 2026 05:20 AM	hr	91.0
VIT-008919	Sat Nov 07, 2026 05:20 AM	map	80.0
VIT-008920	Sat Nov 07, 2026 05:20 AM	gcs	15.0
VIT-008855	Sat Nov 07, 2026 01:20 PM	spo2	97.0	room air
VIT-008856	Sat Nov 07, 2026 01:20 PM	rr	17.0
VIT-008921	Sat Nov 07, 2026 01:20 PM	temp_c	36.6
VIT-008922	Sat Nov 07, 2026 01:20 PM	hr	90.0
VIT-008923	Sat Nov 07, 2026 01:20 PM	map	86.0
VIT-008924	Sat Nov 07, 2026 01:20 PM	gcs	15.0
VIT-008857	Sat Nov 07, 2026 09:20 PM	spo2	99.0	room air
VIT-008858	Sat Nov 07, 2026 09:20 PM	rr	20.0
VIT-008925	Sat Nov 07, 2026 09:20 PM	temp_c	36.7
VIT-008926	Sat Nov 07, 2026 09:20 PM	hr	74.0
VIT-008927	Sat Nov 07, 2026 09:20 PM	map	78.0
VIT-008928	Sat Nov 07, 2026 09:20 PM	gcs	15.0
VIT-008859	Sun Nov 08, 2026 05:20 AM	spo2	96.0	room air
VIT-008860	Sun Nov 08, 2026 05:20 AM	rr	18.0
VIT-008929	Sun Nov 08, 2026 05:20 AM	temp_c	36.6
VIT-008930	Sun Nov 08, 2026 05:20 AM	hr	77.0
VIT-008931	Sun Nov 08, 2026 05:20 AM	map	76.0
VIT-008932	Sun Nov 08, 2026 05:20 AM	gcs	15.0
VIT-008861	Sun Nov 08, 2026 01:20 PM	spo2	95.0	room air
VIT-008862	Sun Nov 08, 2026 01:20 PM	rr	19.0
VIT-008933	Sun Nov 08, 2026 01:20 PM	temp_c	37.2
VIT-008934	Sun Nov 08, 2026 01:20 PM	hr	79.0
VIT-008935	Sun Nov 08, 2026 01:20 PM	map	83.0
VIT-008936	Sun Nov 08, 2026 01:20 PM	gcs	15.0
VIT-008863	Sun Nov 08, 2026 09:20 PM	spo2	97.0	room air
VIT-008864	Sun Nov 08, 2026 09:20 PM	rr	20.0
VIT-008937	Sun Nov 08, 2026 09:20 PM	temp_c	37.2
VIT-008938	Sun Nov 08, 2026 09:20 PM	hr	90.0
VIT-008939	Sun Nov 08, 2026 09:20 PM	map	80.0
VIT-008940	Sun Nov 08, 2026 09:20 PM	gcs	15.0
VIT-008865	Mon Nov 09, 2026 05:20 AM	spo2	99.0	room air
VIT-008866	Mon Nov 09, 2026 05:20 AM	rr	15.0
VIT-008941	Mon Nov 09, 2026 05:20 AM	temp_c	37.1
VIT-008942	Mon Nov 09, 2026 05:20 AM	hr	69.0
VIT-008943	Mon Nov 09, 2026 05:20 AM	map	85.0
VIT-008944	Mon Nov 09, 2026 05:20 AM	gcs	15.0
VIT-008867	Mon Nov 09, 2026 01:20 PM	spo2	94.0	room air
VIT-008868	Mon Nov 09, 2026 01:20 PM	rr	14.0
VIT-008945	Mon Nov 09, 2026 01:20 PM	temp_c	36.7
VIT-008946	Mon Nov 09, 2026 01:20 PM	hr	79.0
VIT-008947	Mon Nov 09, 2026 01:20 PM	map	90.0
VIT-008948	Mon Nov 09, 2026 01:20 PM	gcs	15.0
VIT-008869	Mon Nov 09, 2026 09:20 PM	spo2	98.0	room air
VIT-008870	Mon Nov 09, 2026 09:20 PM	rr	16.0
VIT-008949	Mon Nov 09, 2026 09:20 PM	temp_c	37.0
VIT-008950	Mon Nov 09, 2026 09:20 PM	hr	73.0
VIT-008951	Mon Nov 09, 2026 09:20 PM	map	76.0
VIT-008952	Mon Nov 09, 2026 09:20 PM	gcs	15.0
VIT-008871	Tue Nov 10, 2026 05:20 AM	spo2	95.0	room air
VIT-008872	Tue Nov 10, 2026 05:20 AM	rr	15.0
VIT-008953	Tue Nov 10, 2026 05:20 AM	temp_c	37.4
VIT-008954	Tue Nov 10, 2026 05:20 AM	hr	82.0
VIT-008955	Tue Nov 10, 2026 05:20 AM	map	92.0
VIT-008956	Tue Nov 10, 2026 05:20 AM	gcs	15.0
VIT-008873	Tue Nov 10, 2026 01:20 PM	spo2	97.0	room air
VIT-008874	Tue Nov 10, 2026 01:20 PM	rr	19.0
VIT-008957	Tue Nov 10, 2026 01:20 PM	temp_c	37.2
VIT-008958	Tue Nov 10, 2026 01:20 PM	hr	80.0
VIT-008959	Tue Nov 10, 2026 01:20 PM	map	88.0
VIT-008960	Tue Nov 10, 2026 01:20 PM	gcs	15.0
VIT-008875	Tue Nov 10, 2026 09:20 PM	spo2	98.0	room air
VIT-008876	Tue Nov 10, 2026 09:20 PM	rr	19.0
VIT-008961	Tue Nov 10, 2026 09:20 PM	temp_c	36.5
VIT-008962	Tue Nov 10, 2026 09:20 PM	hr	76.0
VIT-008963	Tue Nov 10, 2026 09:20 PM	map	76.0
VIT-008964	Tue Nov 10, 2026 09:20 PM	gcs	15.0
VIT-008877	Wed Nov 11, 2026 05:20 AM	spo2	99.0	room air
VIT-008878	Wed Nov 11, 2026 05:20 AM	rr	18.0
VIT-008965	Wed Nov 11, 2026 05:20 AM	temp_c	36.7
VIT-008966	Wed Nov 11, 2026 05:20 AM	hr	70.0
VIT-008967	Wed Nov 11, 2026 05:20 AM	map	77.0
VIT-008968	Wed Nov 11, 2026 05:20 AM	gcs	15.0
VIT-008879	Wed Nov 11, 2026 01:20 PM	spo2	99.0	room air
VIT-008880	Wed Nov 11, 2026 01:20 PM	rr	14.0
VIT-008969	Wed Nov 11, 2026 01:20 PM	temp_c	37.1
VIT-008970	Wed Nov 11, 2026 01:20 PM	hr	91.0
VIT-008971	Wed Nov 11, 2026 01:20 PM	map	88.0
VIT-008972	Wed Nov 11, 2026 01:20 PM	gcs	15.0
VIT-008881	Wed Nov 11, 2026 09:20 PM	spo2	99.0	room air
VIT-008882	Wed Nov 11, 2026 09:20 PM	rr	19.0
VIT-008973	Wed Nov 11, 2026 09:20 PM	temp_c	37.3
VIT-008974	Wed Nov 11, 2026 09:20 PM	hr	82.0
VIT-008975	Wed Nov 11, 2026 09:20 PM	map	89.0
VIT-008976	Wed Nov 11, 2026 09:20 PM	gcs	15.0
VIT-008883	Thu Nov 12, 2026 05:20 AM	spo2	98.0	room air
VIT-008884	Thu Nov 12, 2026 05:20 AM	rr	20.0
VIT-008977	Thu Nov 12, 2026 05:20 AM	temp_c	37.0
VIT-008978	Thu Nov 12, 2026 05:20 AM	hr	89.0
VIT-008979	Thu Nov 12, 2026 05:20 AM	map	79.0
VIT-008980	Thu Nov 12, 2026 05:20 AM	gcs	15.0

Medications, orders, echo, history (5)

MED-000357 11-04 14:00 ceftriaxone per protocol IV
MED-000358 11-05 05:00 piperacillin-tazobactam per protocol IV
MED-000359 11-06 05:00 ceftriaxone per protocol IV
ORD-000080 11-04 13:30 blood_culture: blood cultures x2
ORD-000081 11-04 16:00 fluid_restriction: fluid restriction 1.2 L/day

Notes

History and physical · DOC-000310 · Dr. Rosalind Quillan (attending) · Wed Nov 04, 2026 04:00 PM

Cited facts from this note (1)

infection_source: left lower lobe pneumonia · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… ospital Medicine Attending: Dr. Rosalind Quillan History of present illness: 57-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: hypertension, GERD. Review of systems otherwise negative. Exam: Lungs: clear to auscultati …

Source document DOC-000310: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Silas Coldridge   MRN: MRN73455116   Admitted: 2026-11-04 13:00
Service: Hospital Medicine   Attending: Dr. Rosalind Quillan

History of present illness: 57-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: hypertension, GERD.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Community-acquired pneumonia: antibiotics.
2. Chronic kidney disease: renally dose medications.

Wound care note · DOC-000309 · Elena Jessup, RN, CWOCN (wound_nurse) · Thu Nov 05, 2026 08:00 PM

Cited facts from this note (2)

wound_site: sacral · cited p. 1, line 3 · confidence 0.85

Show source for wound_site

Wound/ostomy nurse follow-up Sacral pressure injury, Stage II. Partial-thickness skin loss with exposed dermis. Measures 3.6 x 2.8 x 0.8 cm. Turning schedule reinforced with staff; low-air-loss surface ordered.
wound_stage: Not found · quoted span not found in source · value withheld

Source document DOC-000309: Wound care note (synthetic)

Wound/ostomy nurse follow-up

Sacral pressure injury, Stage II. Partial-thickness skin loss with exposed dermis. Measures 3.6 x 2.8 x 0.8 cm.
Turning schedule reinforced with staff; low-air-loss surface ordered.

Progress note · DOC-000311 · Dr. Rosalind Quillan (attending) · Fri Nov 06, 2026 02:00 PM

Source document DOC-000311: Progress note (synthetic)

PROGRESS NOTE (Attending)
Patient: Silas Coldridge   MRN: MRN73455116   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Community-acquired pneumonia: continue current management.
2. Class 1 obesity: counsel on weight.
3. Hyponatremia: trend sodium.
4. Stage 4 sacral pressure ulcer: wound care following, offloading.

Attending: Dr. Rosalind Quillan

Discharge summary · DOC-000312 · Dr. Rosalind Quillan (attending) · Thu Nov 12, 2026 11:55 AM

Source document DOC-000312: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Silas Coldridge   MRN: MRN73455116
Admitted 2026-11-04; discharged 2026-11-12.

Discharge diagnoses:
- community-acquired pneumonia
- class 1 obesity
- chronic kidney disease
- hyponatremia
- stage 4 sacral pressure ulcer
- hypertension
- GERD

Disposition: home with follow-up.