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-00096: Amara Okafor

74M · MRN56869609 · Hospital Medicine · admitted Fri Oct 30, 2026 06:17 PM · discharged Thu Nov 05, 2026 02:47 PM · attending Dr. Cyrus Ellingham · resident Dr. Noor Halvorsen · 180 cm, 80.1 kg

Documented diagnoses (current)

Principal: “sepsis” · A41.9 Sepsis, unspecified organism
“urinary tract infection” · N39.0 Urinary tract infection, site not specified
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis

Illustrative grouping now: MS-DRG 872 Septicemia or severe sepsis without MV >96 hours without MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 872.

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=1.047, 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=1.047, t.ratio_s3=3.0, creat_peak=1.11, 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=1.047, 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=M, hgb_nadir=14.0, 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=0.3, 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=0.3, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=14.0, 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=327, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=75.3, egfr_late=73.6	75.3
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=75.3, t.g2=60, egfr_late=73.6	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=75.3, 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=75.3, egfr_late=73.6, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=75.3, 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=136.0, 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=136.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=136.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=136.0, 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=74, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=24.7, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=24.7, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=24.7, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=24.7, 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=38.8, t.t_lo=36	true
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=121.0, 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=18.32, t.wbc_hi=12, wbc_min_48h=17.15, 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=82.0	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=0.9	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=1.11	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=1.06	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=2.53, 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 (39)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-003251	Sun Nov 02, 2025 09:15 AM	creatinine	1.04 mg/dL
LAB-003252	Sat Sep 26, 2026 10:05 AM	creatinine	1.06 mg/dL
LAB-003253	Fri Oct 30, 2026 07:17 PM	creatinine	1.08 mg/dL
LAB-003260	Fri Oct 30, 2026 07:17 PM	sodium	136.0 mmol/L
LAB-003267	Fri Oct 30, 2026 07:17 PM	hemoglobin	14.17 g/dL
LAB-003274	Fri Oct 30, 2026 07:17 PM	wbc	18.09 x10^3/uL
LAB-003275	Fri Oct 30, 2026 07:17 PM	platelets	91.0 x10^3/uL
LAB-003288	Fri Oct 30, 2026 07:17 PM	bilirubin	0.9 mg/dL
LAB-003289	Fri Oct 30, 2026 07:17 PM	lactate	2.53 mmol/L
LAB-003254	Sat Oct 31, 2026 05:00 AM	creatinine	1.04 mg/dL
LAB-003261	Sat Oct 31, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-003268	Sat Oct 31, 2026 05:00 AM	hemoglobin	14.04 g/dL
LAB-003276	Sat Oct 31, 2026 05:00 AM	wbc	18.32 x10^3/uL
LAB-003277	Sat Oct 31, 2026 05:00 AM	platelets	82.0 x10^3/uL
LAB-003255	Sun Nov 01, 2026 05:00 AM	creatinine	1.11 mg/dL
LAB-003262	Sun Nov 01, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-003269	Sun Nov 01, 2026 05:00 AM	hemoglobin	14.08 g/dL
LAB-003278	Sun Nov 01, 2026 05:00 AM	wbc	17.15 x10^3/uL
LAB-003279	Sun Nov 01, 2026 05:00 AM	platelets	92.0 x10^3/uL
LAB-003256	Mon Nov 02, 2026 05:00 AM	creatinine	1.06 mg/dL
LAB-003263	Mon Nov 02, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-003270	Mon Nov 02, 2026 05:00 AM	hemoglobin	14.26 g/dL
LAB-003280	Mon Nov 02, 2026 05:00 AM	wbc	6.94 x10^3/uL
LAB-003281	Mon Nov 02, 2026 05:00 AM	platelets	258.0 x10^3/uL
LAB-003257	Tue Nov 03, 2026 05:00 AM	creatinine	1.05 mg/dL
LAB-003264	Tue Nov 03, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-003271	Tue Nov 03, 2026 05:00 AM	hemoglobin	14.11 g/dL
LAB-003282	Tue Nov 03, 2026 05:00 AM	wbc	6.52 x10^3/uL
LAB-003283	Tue Nov 03, 2026 05:00 AM	platelets	208.0 x10^3/uL
LAB-003258	Wed Nov 04, 2026 05:00 AM	creatinine	1.04 mg/dL
LAB-003265	Wed Nov 04, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-003272	Wed Nov 04, 2026 05:00 AM	hemoglobin	14.15 g/dL
LAB-003284	Wed Nov 04, 2026 05:00 AM	wbc	10.57 x10^3/uL
LAB-003285	Wed Nov 04, 2026 05:00 AM	platelets	257.0 x10^3/uL
LAB-003259	Thu Nov 05, 2026 05:00 AM	creatinine	1.1 mg/dL
LAB-003266	Thu Nov 05, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-003273	Thu Nov 05, 2026 05:00 AM	hemoglobin	14.0 g/dL
LAB-003286	Thu Nov 05, 2026 05:00 AM	wbc	9.01 x10^3/uL
LAB-003287	Thu Nov 05, 2026 05:00 AM	platelets	205.0 x10^3/uL

Vitals (108)

Vitals
Row	When	Kind	Value	Detail
VIT-009355	Fri Oct 30, 2026 06:37 PM	spo2	99.0	room air
VIT-009356	Fri Oct 30, 2026 06:37 PM	rr	14.0
VIT-009391	Fri Oct 30, 2026 06:37 PM	temp_c	38.8
VIT-009392	Fri Oct 30, 2026 06:37 PM	hr	121.0
VIT-009393	Fri Oct 30, 2026 06:37 PM	map	66.0
VIT-009394	Fri Oct 30, 2026 06:37 PM	gcs	15.0
VIT-009357	Sat Oct 31, 2026 02:37 AM	spo2	98.0	room air
VIT-009358	Sat Oct 31, 2026 02:37 AM	rr	20.0
VIT-009395	Sat Oct 31, 2026 02:37 AM	temp_c	39.2
VIT-009396	Sat Oct 31, 2026 02:37 AM	hr	116.0
VIT-009397	Sat Oct 31, 2026 02:37 AM	map	66.0
VIT-009398	Sat Oct 31, 2026 02:37 AM	gcs	15.0
VIT-009359	Sat Oct 31, 2026 10:37 AM	spo2	94.0	room air
VIT-009360	Sat Oct 31, 2026 10:37 AM	rr	16.0
VIT-009399	Sat Oct 31, 2026 10:37 AM	temp_c	39.1
VIT-009400	Sat Oct 31, 2026 10:37 AM	hr	120.0
VIT-009401	Sat Oct 31, 2026 10:37 AM	map	68.0
VIT-009402	Sat Oct 31, 2026 10:37 AM	gcs	15.0
VIT-009361	Sat Oct 31, 2026 06:37 PM	spo2	96.0	room air
VIT-009362	Sat Oct 31, 2026 06:37 PM	rr	16.0
VIT-009403	Sat Oct 31, 2026 06:37 PM	temp_c	38.8
VIT-009404	Sat Oct 31, 2026 06:37 PM	hr	102.0
VIT-009405	Sat Oct 31, 2026 06:37 PM	map	64.0
VIT-009406	Sat Oct 31, 2026 06:37 PM	gcs	15.0
VIT-009363	Sun Nov 01, 2026 02:37 AM	spo2	95.0	room air
VIT-009364	Sun Nov 01, 2026 02:37 AM	rr	17.0
VIT-009407	Sun Nov 01, 2026 02:37 AM	temp_c	39.0
VIT-009408	Sun Nov 01, 2026 02:37 AM	hr	107.0
VIT-009409	Sun Nov 01, 2026 02:37 AM	map	66.0
VIT-009410	Sun Nov 01, 2026 02:37 AM	gcs	15.0
VIT-009365	Sun Nov 01, 2026 10:37 AM	spo2	96.0	room air
VIT-009366	Sun Nov 01, 2026 10:37 AM	rr	16.0
VIT-009411	Sun Nov 01, 2026 10:37 AM	temp_c	39.0
VIT-009412	Sun Nov 01, 2026 10:37 AM	hr	115.0
VIT-009413	Sun Nov 01, 2026 10:37 AM	map	65.0
VIT-009414	Sun Nov 01, 2026 10:37 AM	gcs	15.0
VIT-009367	Sun Nov 01, 2026 06:37 PM	spo2	96.0	room air
VIT-009368	Sun Nov 01, 2026 06:37 PM	rr	14.0
VIT-009415	Sun Nov 01, 2026 06:37 PM	temp_c	37.0
VIT-009416	Sun Nov 01, 2026 06:37 PM	hr	82.0
VIT-009417	Sun Nov 01, 2026 06:37 PM	map	79.0
VIT-009418	Sun Nov 01, 2026 06:37 PM	gcs	15.0
VIT-009369	Mon Nov 02, 2026 02:37 AM	spo2	97.0	room air
VIT-009370	Mon Nov 02, 2026 02:37 AM	rr	14.0
VIT-009419	Mon Nov 02, 2026 02:37 AM	temp_c	37.4
VIT-009420	Mon Nov 02, 2026 02:37 AM	hr	71.0
VIT-009421	Mon Nov 02, 2026 02:37 AM	map	91.0
VIT-009422	Mon Nov 02, 2026 02:37 AM	gcs	15.0
VIT-009371	Mon Nov 02, 2026 10:37 AM	spo2	98.0	room air
VIT-009372	Mon Nov 02, 2026 10:37 AM	rr	18.0
VIT-009423	Mon Nov 02, 2026 10:37 AM	temp_c	37.3
VIT-009424	Mon Nov 02, 2026 10:37 AM	hr	79.0
VIT-009425	Mon Nov 02, 2026 10:37 AM	map	86.0
VIT-009426	Mon Nov 02, 2026 10:37 AM	gcs	15.0
VIT-009373	Mon Nov 02, 2026 06:37 PM	spo2	98.0	room air
VIT-009374	Mon Nov 02, 2026 06:37 PM	rr	16.0
VIT-009427	Mon Nov 02, 2026 06:37 PM	temp_c	36.7
VIT-009428	Mon Nov 02, 2026 06:37 PM	hr	74.0
VIT-009429	Mon Nov 02, 2026 06:37 PM	map	83.0
VIT-009430	Mon Nov 02, 2026 06:37 PM	gcs	15.0
VIT-009375	Tue Nov 03, 2026 02:37 AM	spo2	94.0	room air
VIT-009376	Tue Nov 03, 2026 02:37 AM	rr	16.0
VIT-009431	Tue Nov 03, 2026 02:37 AM	temp_c	36.6
VIT-009432	Tue Nov 03, 2026 02:37 AM	hr	86.0
VIT-009433	Tue Nov 03, 2026 02:37 AM	map	76.0
VIT-009434	Tue Nov 03, 2026 02:37 AM	gcs	15.0
VIT-009377	Tue Nov 03, 2026 10:37 AM	spo2	94.0	room air
VIT-009378	Tue Nov 03, 2026 10:37 AM	rr	20.0
VIT-009435	Tue Nov 03, 2026 10:37 AM	temp_c	37.2
VIT-009436	Tue Nov 03, 2026 10:37 AM	hr	84.0
VIT-009437	Tue Nov 03, 2026 10:37 AM	map	75.0
VIT-009438	Tue Nov 03, 2026 10:37 AM	gcs	15.0
VIT-009379	Tue Nov 03, 2026 06:37 PM	spo2	97.0	room air
VIT-009380	Tue Nov 03, 2026 06:37 PM	rr	17.0
VIT-009439	Tue Nov 03, 2026 06:37 PM	temp_c	37.0
VIT-009440	Tue Nov 03, 2026 06:37 PM	hr	83.0
VIT-009441	Tue Nov 03, 2026 06:37 PM	map	84.0
VIT-009442	Tue Nov 03, 2026 06:37 PM	gcs	15.0
VIT-009381	Wed Nov 04, 2026 02:37 AM	spo2	95.0	room air
VIT-009382	Wed Nov 04, 2026 02:37 AM	rr	19.0
VIT-009443	Wed Nov 04, 2026 02:37 AM	temp_c	36.6
VIT-009444	Wed Nov 04, 2026 02:37 AM	hr	82.0
VIT-009445	Wed Nov 04, 2026 02:37 AM	map	81.0
VIT-009446	Wed Nov 04, 2026 02:37 AM	gcs	15.0
VIT-009383	Wed Nov 04, 2026 10:37 AM	spo2	96.0	room air
VIT-009384	Wed Nov 04, 2026 10:37 AM	rr	14.0
VIT-009447	Wed Nov 04, 2026 10:37 AM	temp_c	37.4
VIT-009448	Wed Nov 04, 2026 10:37 AM	hr	76.0
VIT-009449	Wed Nov 04, 2026 10:37 AM	map	74.0
VIT-009450	Wed Nov 04, 2026 10:37 AM	gcs	15.0
VIT-009385	Wed Nov 04, 2026 06:37 PM	spo2	98.0	room air
VIT-009386	Wed Nov 04, 2026 06:37 PM	rr	16.0
VIT-009451	Wed Nov 04, 2026 06:37 PM	temp_c	37.0
VIT-009452	Wed Nov 04, 2026 06:37 PM	hr	92.0
VIT-009453	Wed Nov 04, 2026 06:37 PM	map	76.0
VIT-009454	Wed Nov 04, 2026 06:37 PM	gcs	15.0
VIT-009387	Thu Nov 05, 2026 02:37 AM	spo2	97.0	room air
VIT-009388	Thu Nov 05, 2026 02:37 AM	rr	19.0
VIT-009455	Thu Nov 05, 2026 02:37 AM	temp_c	36.6
VIT-009456	Thu Nov 05, 2026 02:37 AM	hr	86.0
VIT-009457	Thu Nov 05, 2026 02:37 AM	map	82.0
VIT-009458	Thu Nov 05, 2026 02:37 AM	gcs	15.0
VIT-009389	Thu Nov 05, 2026 10:37 AM	spo2	98.0	room air
VIT-009390	Thu Nov 05, 2026 10:37 AM	rr	14.0
VIT-009459	Thu Nov 05, 2026 10:37 AM	temp_c	36.6
VIT-009460	Thu Nov 05, 2026 10:37 AM	hr	85.0
VIT-009461	Thu Nov 05, 2026 10:37 AM	map	80.0
VIT-009462	Thu Nov 05, 2026 10:37 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000379 10-30 19:17 ceftriaxone per protocol IV
MED-000380 10-31 05:00 cefepime per protocol IV
MED-000381 11-01 05:00 piperacillin-tazobactam per protocol IV
ORD-000085 10-30 18:47 blood_culture: blood cultures x2

Notes

History and physical · DOC-000324 · Dr. Noor Halvorsen (resident) · Fri Oct 30, 2026 09:17 PM

Cited facts from this note (1)

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

Show source for infection_source

… vice: Hospital Medicine Attending: Dr. Cyrus Ellingham History of present illness: 74-year-old man admitted with sepsis. Urinalysis with pyuria; treated for urinary tract infection with cefepime. Past medical history: GERD. Review of systems otherwise negative. Exam: Lungs: clear to auscultation bilaterally. Assessment and plan: 1. Sepsis …

Source document DOC-000324: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Amara Okafor   MRN: MRN56869609   Admitted: 2026-10-30 18:17
Service: Hospital Medicine   Attending: Dr. Cyrus Ellingham

History of present illness: 74-year-old man admitted with sepsis. Urinalysis with pyuria; treated for urinary tract infection with cefepime.
Past medical history: GERD.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Sepsis: antibiotics, fluids.
2. Urinary tract infection: antibiotics.

Progress note · DOC-000325 · Dr. Noor Halvorsen (resident) · Sun Nov 01, 2026 08:17 PM

Source document DOC-000325: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Amara Okafor   MRN: MRN56869609   Hospital day 3

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

Resident: Dr. Noor Halvorsen   Attending cosign: completed

Discharge summary · DOC-000326 · Dr. Cyrus Ellingham (attending) · Thu Nov 05, 2026 02:47 PM

Source document DOC-000326: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Amara Okafor   MRN: MRN56869609
Admitted 2026-10-30; discharged 2026-11-05.

Discharge diagnoses:
- sepsis
- urinary tract infection
- GERD

Disposition: home with follow-up.