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-00099: Rafael Abernath

48M · MRN74036048 · Cardiology · admitted Sat Oct 24, 2026 08:48 PM · discharged Sun Nov 01, 2026 04:13 PM · attending Dr. Odette Galloway · resident Dr. Noor Halvorsen · 163 cm, 63.7 kg

Documented diagnoses (current)

Principal: “diastolic heart failure” · I50.30 Unspecified diastolic (congestive) heart failure
“hyponatremia” · E87.1 Hypo-osmolality and hyponatremia

Illustrative grouping now: MS-DRG 292 Heart failure and shock with CC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 292.

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=1.055, t.ratio_s1=1.5, creat_rise_48h=0.08, 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=1.055, t.ratio_s3=3.0, creat_peak=1.15, 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=1.055, 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=0.08, 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=13.16, 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=13.16, 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=294, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=80.2, egfr_late=83.7	83.7
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=80.2, t.g2=60, egfr_late=83.7	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=83.7, 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=80.2, egfr_late=83.7, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=83.7, t.g2=60	true

Heart failure

Criteria met

Specificity gap

Documented “diastolic heart failure” (I50.30); criteria support the more specific Chronic diastolic (HFpEF) heart failure (I50.32).

Trace

Rule trace (rule heart_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: np_elevated	`coalesce(bnp_max >= t.bnp, false) or coalesce(ntprobnp_max >= t.ntprobnp, false)`	bnp_max=36.0, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300	false
derived: acute_count	`count(iv_loop_diuretic, np_elevated, new_o2)`	iv_loop_diuretic=False, np_elevated=False, new_o2=False	0
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=65.0, t.ref=40, t.pres=50	diastolic
derived: improved	`coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false)`	lvef_prior_min=unknown, t.ref=40, lvef=65.0, t.improved_rise=10	false
derived: acuity	`case(acute_count >= 2 and hf_history, 'acute on chronic', acute_count >= 2, 'acute', acute_count == 0 and hf_history, 'chronic', null)`	acute_count=0, hf_history=True	chronic
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=diastolic	false
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=diastolic, acuity=chronic	false
outcome: sys_chronic	`hf_type == 'systolic' and acuity == 'chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_aoc	`hf_type == 'diastolic' and acuity == 'acute on chronic'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_acute	`hf_type == 'diastolic' and acuity == 'acute'`	hf_type=diastolic, acuity=chronic	false
outcome: dia_chronic	`hf_type == 'diastolic' and acuity == 'chronic'`	hf_type=diastolic, acuity=chronic	true

Hyponatraemia

Clinical judgement required

Clinical judgement required: Low sodium without documented treatment or repeat values; clinical significance is a clinician judgement.

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=133.0, t.profound=125, t.moderate=130, t.low=135	mild
outcome: met	`na_min < t.low and na_low_count >= t.repeat and na_treated`	na_min=133.0, t.low=135, na_low_count=1, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=133.0, 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=48, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=24.0, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=24.0, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=24.0, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=24.0, 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 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=36.7, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=80.0, 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=18.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32	false
derived: sirs_wbc	`coalesce(wbc_max_48h > t.wbc_hi, false) or coalesce(wbc_min_48h < t.wbc_lo, false) or coalesce(bands_max_48h > t.bands, false)`	wbc_max_48h=10.35, t.wbc_hi=12, wbc_min_48h=9.06, 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=197.0	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=0.97	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=76.0	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=1.15	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=1.09	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=0, sofa_liver=0, sofa_cardio=0, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	0
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=False, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=False, sirs_count=0, t.sirs_min=2	false
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=False, norepi_max_48h=0.0, lactate_max_48h=unknown, t.lactate=2	false
outcome: no_infection	`not infection_documented`	infection_documented=False	true

Structured data

Labs (49)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-003357	Wed Nov 12, 2025 09:15 AM	creatinine	1.13 mg/dL
LAB-003358	Thu Sep 03, 2026 10:05 AM	creatinine	1.09 mg/dL
LAB-003359	Sat Oct 24, 2026 09:48 PM	creatinine	1.13 mg/dL
LAB-003368	Sat Oct 24, 2026 09:48 PM	bnp	36.0 pg/mL
LAB-003369	Sat Oct 24, 2026 09:48 PM	sodium	133.0 mmol/L
LAB-003378	Sat Oct 24, 2026 09:48 PM	hemoglobin	13.2 g/dL
LAB-003387	Sat Oct 24, 2026 09:48 PM	wbc	10.2 x10^3/uL
LAB-003388	Sat Oct 24, 2026 09:48 PM	platelets	212.0 x10^3/uL
LAB-003405	Sat Oct 24, 2026 09:48 PM	bilirubin	0.97 mg/dL
LAB-003360	Sun Oct 25, 2026 05:00 AM	creatinine	1.07 mg/dL
LAB-003370	Sun Oct 25, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-003379	Sun Oct 25, 2026 05:00 AM	hemoglobin	13.27 g/dL
LAB-003389	Sun Oct 25, 2026 05:00 AM	wbc	9.06 x10^3/uL
LAB-003390	Sun Oct 25, 2026 05:00 AM	platelets	213.0 x10^3/uL
LAB-003361	Mon Oct 26, 2026 05:00 AM	creatinine	1.15 mg/dL
LAB-003371	Mon Oct 26, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-003380	Mon Oct 26, 2026 05:00 AM	hemoglobin	13.58 g/dL
LAB-003391	Mon Oct 26, 2026 05:00 AM	wbc	10.35 x10^3/uL
LAB-003392	Mon Oct 26, 2026 05:00 AM	platelets	197.0 x10^3/uL
LAB-003362	Tue Oct 27, 2026 05:00 AM	creatinine	1.07 mg/dL
LAB-003372	Tue Oct 27, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-003381	Tue Oct 27, 2026 05:00 AM	hemoglobin	13.32 g/dL
LAB-003393	Tue Oct 27, 2026 05:00 AM	wbc	7.02 x10^3/uL
LAB-003394	Tue Oct 27, 2026 05:00 AM	platelets	181.0 x10^3/uL
LAB-003363	Wed Oct 28, 2026 05:00 AM	creatinine	1.13 mg/dL
LAB-003373	Wed Oct 28, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-003382	Wed Oct 28, 2026 05:00 AM	hemoglobin	13.16 g/dL
LAB-003395	Wed Oct 28, 2026 05:00 AM	wbc	8.31 x10^3/uL
LAB-003396	Wed Oct 28, 2026 05:00 AM	platelets	207.0 x10^3/uL
LAB-003364	Thu Oct 29, 2026 05:00 AM	creatinine	1.12 mg/dL
LAB-003374	Thu Oct 29, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-003383	Thu Oct 29, 2026 05:00 AM	hemoglobin	13.49 g/dL
LAB-003397	Thu Oct 29, 2026 05:00 AM	wbc	9.66 x10^3/uL
LAB-003398	Thu Oct 29, 2026 05:00 AM	platelets	271.0 x10^3/uL
LAB-003365	Fri Oct 30, 2026 05:00 AM	creatinine	1.07 mg/dL
LAB-003375	Fri Oct 30, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-003384	Fri Oct 30, 2026 05:00 AM	hemoglobin	13.59 g/dL
LAB-003399	Fri Oct 30, 2026 05:00 AM	wbc	8.85 x10^3/uL
LAB-003400	Fri Oct 30, 2026 05:00 AM	platelets	252.0 x10^3/uL
LAB-003366	Sat Oct 31, 2026 05:00 AM	creatinine	1.14 mg/dL
LAB-003376	Sat Oct 31, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-003385	Sat Oct 31, 2026 05:00 AM	hemoglobin	13.53 g/dL
LAB-003401	Sat Oct 31, 2026 05:00 AM	wbc	6.97 x10^3/uL
LAB-003402	Sat Oct 31, 2026 05:00 AM	platelets	251.0 x10^3/uL
LAB-003367	Sun Nov 01, 2026 05:00 AM	creatinine	1.14 mg/dL
LAB-003377	Sun Nov 01, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-003386	Sun Nov 01, 2026 05:00 AM	hemoglobin	13.4 g/dL
LAB-003403	Sun Nov 01, 2026 05:00 AM	wbc	9.29 x10^3/uL
LAB-003404	Sun Nov 01, 2026 05:00 AM	platelets	289.0 x10^3/uL

Vitals (144)

Vitals
Row	When	Kind	Value	Detail
VIT-009649	Sat Oct 24, 2026 09:08 PM	spo2	99.0	room air
VIT-009650	Sat Oct 24, 2026 09:08 PM	rr	14.0
VIT-009697	Sat Oct 24, 2026 09:08 PM	temp_c	37.0
VIT-009698	Sat Oct 24, 2026 09:08 PM	hr	80.0
VIT-009699	Sat Oct 24, 2026 09:08 PM	map	83.0
VIT-009700	Sat Oct 24, 2026 09:08 PM	gcs	15.0
VIT-009651	Sun Oct 25, 2026 05:08 AM	spo2	96.0	room air
VIT-009652	Sun Oct 25, 2026 05:08 AM	rr	18.0
VIT-009701	Sun Oct 25, 2026 05:08 AM	temp_c	36.7
VIT-009702	Sun Oct 25, 2026 05:08 AM	hr	80.0
VIT-009703	Sun Oct 25, 2026 05:08 AM	map	82.0
VIT-009704	Sun Oct 25, 2026 05:08 AM	gcs	15.0
VIT-009653	Sun Oct 25, 2026 01:08 PM	spo2	96.0	room air
VIT-009654	Sun Oct 25, 2026 01:08 PM	rr	15.0
VIT-009705	Sun Oct 25, 2026 01:08 PM	temp_c	37.3
VIT-009706	Sun Oct 25, 2026 01:08 PM	hr	75.0
VIT-009707	Sun Oct 25, 2026 01:08 PM	map	86.0
VIT-009708	Sun Oct 25, 2026 01:08 PM	gcs	15.0
VIT-009655	Sun Oct 25, 2026 09:08 PM	spo2	99.0	room air
VIT-009656	Sun Oct 25, 2026 09:08 PM	rr	14.0
VIT-009709	Sun Oct 25, 2026 09:08 PM	temp_c	37.4
VIT-009710	Sun Oct 25, 2026 09:08 PM	hr	69.0
VIT-009711	Sun Oct 25, 2026 09:08 PM	map	87.0
VIT-009712	Sun Oct 25, 2026 09:08 PM	gcs	15.0
VIT-009657	Mon Oct 26, 2026 05:08 AM	spo2	95.0	room air
VIT-009658	Mon Oct 26, 2026 05:08 AM	rr	16.0
VIT-009713	Mon Oct 26, 2026 05:08 AM	temp_c	37.2
VIT-009714	Mon Oct 26, 2026 05:08 AM	hr	70.0
VIT-009715	Mon Oct 26, 2026 05:08 AM	map	76.0
VIT-009716	Mon Oct 26, 2026 05:08 AM	gcs	15.0
VIT-009659	Mon Oct 26, 2026 01:08 PM	spo2	98.0	room air
VIT-009660	Mon Oct 26, 2026 01:08 PM	rr	18.0
VIT-009717	Mon Oct 26, 2026 01:08 PM	temp_c	36.9
VIT-009718	Mon Oct 26, 2026 01:08 PM	hr	80.0
VIT-009719	Mon Oct 26, 2026 01:08 PM	map	90.0
VIT-009720	Mon Oct 26, 2026 01:08 PM	gcs	15.0
VIT-009661	Mon Oct 26, 2026 09:08 PM	spo2	98.0	room air
VIT-009662	Mon Oct 26, 2026 09:08 PM	rr	17.0
VIT-009721	Mon Oct 26, 2026 09:08 PM	temp_c	37.5
VIT-009722	Mon Oct 26, 2026 09:08 PM	hr	71.0
VIT-009723	Mon Oct 26, 2026 09:08 PM	map	83.0
VIT-009724	Mon Oct 26, 2026 09:08 PM	gcs	15.0
VIT-009663	Tue Oct 27, 2026 05:08 AM	spo2	96.0	room air
VIT-009664	Tue Oct 27, 2026 05:08 AM	rr	18.0
VIT-009725	Tue Oct 27, 2026 05:08 AM	temp_c	36.7
VIT-009726	Tue Oct 27, 2026 05:08 AM	hr	74.0
VIT-009727	Tue Oct 27, 2026 05:08 AM	map	75.0
VIT-009728	Tue Oct 27, 2026 05:08 AM	gcs	15.0
VIT-009665	Tue Oct 27, 2026 01:08 PM	spo2	98.0	room air
VIT-009666	Tue Oct 27, 2026 01:08 PM	rr	20.0
VIT-009729	Tue Oct 27, 2026 01:08 PM	temp_c	37.1
VIT-009730	Tue Oct 27, 2026 01:08 PM	hr	82.0
VIT-009731	Tue Oct 27, 2026 01:08 PM	map	85.0
VIT-009732	Tue Oct 27, 2026 01:08 PM	gcs	15.0
VIT-009667	Tue Oct 27, 2026 09:08 PM	spo2	99.0	room air
VIT-009668	Tue Oct 27, 2026 09:08 PM	rr	17.0
VIT-009733	Tue Oct 27, 2026 09:08 PM	temp_c	36.6
VIT-009734	Tue Oct 27, 2026 09:08 PM	hr	78.0
VIT-009735	Tue Oct 27, 2026 09:08 PM	map	88.0
VIT-009736	Tue Oct 27, 2026 09:08 PM	gcs	15.0
VIT-009669	Wed Oct 28, 2026 05:08 AM	spo2	98.0	room air
VIT-009670	Wed Oct 28, 2026 05:08 AM	rr	19.0
VIT-009737	Wed Oct 28, 2026 05:08 AM	temp_c	36.5
VIT-009738	Wed Oct 28, 2026 05:08 AM	hr	70.0
VIT-009739	Wed Oct 28, 2026 05:08 AM	map	85.0
VIT-009740	Wed Oct 28, 2026 05:08 AM	gcs	15.0
VIT-009671	Wed Oct 28, 2026 01:08 PM	spo2	97.0	room air
VIT-009672	Wed Oct 28, 2026 01:08 PM	rr	15.0
VIT-009741	Wed Oct 28, 2026 01:08 PM	temp_c	37.4
VIT-009742	Wed Oct 28, 2026 01:08 PM	hr	92.0
VIT-009743	Wed Oct 28, 2026 01:08 PM	map	89.0
VIT-009744	Wed Oct 28, 2026 01:08 PM	gcs	15.0
VIT-009673	Wed Oct 28, 2026 09:08 PM	spo2	99.0	room air
VIT-009674	Wed Oct 28, 2026 09:08 PM	rr	14.0
VIT-009745	Wed Oct 28, 2026 09:08 PM	temp_c	36.7
VIT-009746	Wed Oct 28, 2026 09:08 PM	hr	76.0
VIT-009747	Wed Oct 28, 2026 09:08 PM	map	85.0
VIT-009748	Wed Oct 28, 2026 09:08 PM	gcs	15.0
VIT-009675	Thu Oct 29, 2026 05:08 AM	spo2	94.0	room air
VIT-009676	Thu Oct 29, 2026 05:08 AM	rr	20.0
VIT-009749	Thu Oct 29, 2026 05:08 AM	temp_c	37.5
VIT-009750	Thu Oct 29, 2026 05:08 AM	hr	73.0
VIT-009751	Thu Oct 29, 2026 05:08 AM	map	89.0
VIT-009752	Thu Oct 29, 2026 05:08 AM	gcs	15.0
VIT-009677	Thu Oct 29, 2026 01:08 PM	spo2	97.0	room air
VIT-009678	Thu Oct 29, 2026 01:08 PM	rr	17.0
VIT-009753	Thu Oct 29, 2026 01:08 PM	temp_c	37.3
VIT-009754	Thu Oct 29, 2026 01:08 PM	hr	92.0
VIT-009755	Thu Oct 29, 2026 01:08 PM	map	75.0
VIT-009756	Thu Oct 29, 2026 01:08 PM	gcs	15.0
VIT-009679	Thu Oct 29, 2026 09:08 PM	spo2	98.0	room air
VIT-009680	Thu Oct 29, 2026 09:08 PM	rr	20.0
VIT-009757	Thu Oct 29, 2026 09:08 PM	temp_c	37.5
VIT-009758	Thu Oct 29, 2026 09:08 PM	hr	84.0
VIT-009759	Thu Oct 29, 2026 09:08 PM	map	83.0
VIT-009760	Thu Oct 29, 2026 09:08 PM	gcs	15.0
VIT-009681	Fri Oct 30, 2026 05:08 AM	spo2	99.0	room air
VIT-009682	Fri Oct 30, 2026 05:08 AM	rr	16.0
VIT-009761	Fri Oct 30, 2026 05:08 AM	temp_c	36.9
VIT-009762	Fri Oct 30, 2026 05:08 AM	hr	81.0
VIT-009763	Fri Oct 30, 2026 05:08 AM	map	85.0
VIT-009764	Fri Oct 30, 2026 05:08 AM	gcs	15.0
VIT-009683	Fri Oct 30, 2026 01:08 PM	spo2	95.0	room air
VIT-009684	Fri Oct 30, 2026 01:08 PM	rr	14.0
VIT-009765	Fri Oct 30, 2026 01:08 PM	temp_c	37.4
VIT-009766	Fri Oct 30, 2026 01:08 PM	hr	83.0
VIT-009767	Fri Oct 30, 2026 01:08 PM	map	92.0
VIT-009768	Fri Oct 30, 2026 01:08 PM	gcs	15.0
VIT-009685	Fri Oct 30, 2026 09:08 PM	spo2	95.0	room air
VIT-009686	Fri Oct 30, 2026 09:08 PM	rr	18.0
VIT-009769	Fri Oct 30, 2026 09:08 PM	temp_c	36.8
VIT-009770	Fri Oct 30, 2026 09:08 PM	hr	69.0
VIT-009771	Fri Oct 30, 2026 09:08 PM	map	84.0
VIT-009772	Fri Oct 30, 2026 09:08 PM	gcs	15.0
VIT-009687	Sat Oct 31, 2026 05:08 AM	spo2	96.0	room air
VIT-009688	Sat Oct 31, 2026 05:08 AM	rr	15.0
VIT-009773	Sat Oct 31, 2026 05:08 AM	temp_c	37.1
VIT-009774	Sat Oct 31, 2026 05:08 AM	hr	88.0
VIT-009775	Sat Oct 31, 2026 05:08 AM	map	89.0
VIT-009776	Sat Oct 31, 2026 05:08 AM	gcs	15.0
VIT-009689	Sat Oct 31, 2026 01:08 PM	spo2	96.0	room air
VIT-009690	Sat Oct 31, 2026 01:08 PM	rr	17.0
VIT-009777	Sat Oct 31, 2026 01:08 PM	temp_c	36.6
VIT-009778	Sat Oct 31, 2026 01:08 PM	hr	73.0
VIT-009779	Sat Oct 31, 2026 01:08 PM	map	85.0
VIT-009780	Sat Oct 31, 2026 01:08 PM	gcs	15.0
VIT-009691	Sat Oct 31, 2026 09:08 PM	spo2	94.0	room air
VIT-009692	Sat Oct 31, 2026 09:08 PM	rr	14.0
VIT-009781	Sat Oct 31, 2026 09:08 PM	temp_c	36.7
VIT-009782	Sat Oct 31, 2026 09:08 PM	hr	75.0
VIT-009783	Sat Oct 31, 2026 09:08 PM	map	85.0
VIT-009784	Sat Oct 31, 2026 09:08 PM	gcs	15.0
VIT-009693	Sun Nov 01, 2026 05:08 AM	spo2	95.0	room air
VIT-009694	Sun Nov 01, 2026 05:08 AM	rr	17.0
VIT-009785	Sun Nov 01, 2026 05:08 AM	temp_c	36.6
VIT-009786	Sun Nov 01, 2026 05:08 AM	hr	86.0
VIT-009787	Sun Nov 01, 2026 05:08 AM	map	90.0
VIT-009788	Sun Nov 01, 2026 05:08 AM	gcs	15.0
VIT-009695	Sun Nov 01, 2026 01:08 PM	spo2	99.0	room air
VIT-009696	Sun Nov 01, 2026 01:08 PM	rr	19.0
VIT-009789	Sun Nov 01, 2026 01:08 PM	temp_c	37.4
VIT-009790	Sun Nov 01, 2026 01:08 PM	hr	69.0
VIT-009791	Sun Nov 01, 2026 01:08 PM	map	84.0
VIT-009792	Sun Nov 01, 2026 01:08 PM	gcs	15.0

Medications, orders, echo, history (5)

MED-000388 10-24 09:48 furosemide 40 mg PO
MED-000389 10-25 09:00 furosemide 40 mg PO
MED-000390 10-26 09:00 furosemide 40 mg PO
ECH-000047 2026-07-31 echo LVEF 65.0%
HX-000037 history: heart failure with preserved ejection fraction

Notes

History and physical · DOC-000334 · Dr. Noor Halvorsen (resident) · Sat Oct 24, 2026 11:48 PM

Source document DOC-000334: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Rafael Abernath   MRN: MRN74036048   Admitted: 2026-10-24 20:48
Service: Cardiology   Attending: Dr. Odette Galloway

History of present illness: 48-year-old man admitted with diastolic heart failure. 
Past medical history: heart failure with preserved ejection fraction.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Diastolic heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000335 · Dr. Noor Halvorsen (resident) · Mon Oct 26, 2026 09:48 PM

Source document DOC-000335: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Rafael Abernath   MRN: MRN74036048   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Diastolic heart failure: continue current management.
2. Hyponatremia: trend sodium.

Resident: Dr. Noor Halvorsen   Attending cosign: completed

Discharge summary · DOC-000336 · Dr. Odette Galloway (attending) · Sun Nov 01, 2026 04:13 PM

Source document DOC-000336: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Rafael Abernath   MRN: MRN74036048
Admitted 2026-10-24; discharged 2026-11-01.

Discharge diagnoses:
- diastolic heart failure
- hyponatremia

Disposition: home with follow-up.