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Exact Dx synthetic data · demonstration
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.

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ENC-00100: Gideon Coldridge

88M · MRN57884691 · Pulmonology · admitted Fri Oct 30, 2026 04:51 PM · discharged Fri Nov 06, 2026 03:13 PM · attending Dr. Rosalind Quillan · 164 cm, 89.2 kg

Documented diagnoses (current)

  • Principal: “COPD exacerbation” · J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
  • “class 3 obesity” · E66.813 Obesity, class 3
  • “CKD stage 4” · N18.4 Chronic kidney disease, stage 4 (severe)
  • “acute on chronic systolic heart failure” · I50.23 Acute on chronic systolic (congestive) heart failure
  • “type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications
  • “hyperlipidemia” · E78.5 Hyperlipidemia, unspecified
  • “hypertension” · I10 Essential (primary) hypertension

Illustrative grouping now: MS-DRG 190 Chronic obstructive pulmonary disease with MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 191.

Queries and events

No queries yet.

All rules applied

Every rule's outcome for this encounter (clean results included)
RuleCriteriaFindingOutcome
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)
StepExpressionInputs and thresholds readResult
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=1.031, t.ratio_s1=1.5, creat_rise_48h=0.04, 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=1.031, t.ratio_s3=3.0, creat_peak=1.68, 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=1.031, 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=0.04, 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)
StepExpressionInputs and thresholds readResult
derived: anaemic case(sex == 'M', hgb_nadir < t.hb_m, sex == 'F', hgb_nadir < t.hb_f, null) sex=M, hgb_nadir=13.5, 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=13.5, anaemic=False true
Chronic kidney disease Criteria met Clinical validation gap Documented “CKD stage 4” (N18.4) conflicts with what the criteria support (Chronic kidney disease stage 3b, N18.32).
Trace
Rule trace (rule ckd v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
StepExpressionInputs and thresholds readResult
derived: chronic egfr_n >= 2 and egfr_span_days >= t.chronic_days egfr_n=2, egfr_span_days=359, t.chronic_days=90 true
derived: staging_egfr max(egfr_early, egfr_late) egfr_early=36.5, egfr_late=40.3 40.3
derived: both_below_60 egfr_early < t.g2 and egfr_late < t.g2 egfr_early=36.5, t.g2=60, egfr_late=40.3 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=40.3, t.g2=60, t.g3a=45, t.g3b=30, t.g4=15 G3b
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=36.5, egfr_late=40.3, t.g2=60 false
outcome: g1_g2 staging_egfr >= t.g2 staging_egfr=40.3, t.g2=60 false
outcome: g3a category == 'G3a' category=G3b false
outcome: g3b category == 'G3b' category=G3b true
Heart failure Criteria met Clinical validation gap Documented “acute on chronic systolic heart failure” (I50.23) is more specific than the criteria support (Chronic systolic (HFrEF) heart failure, I50.22).
Trace
Rule trace (rule heart_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
StepExpressionInputs and thresholds readResult
derived: np_elevated coalesce(bnp_max >= t.bnp, false) or coalesce(ntprobnp_max >= t.ntprobnp, false) bnp_max=55.0, 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=33.0, t.ref=40, t.pres=50 systolic
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=33.0, 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=systolic false
outcome: sys_aoc hf_type == 'systolic' and acuity == 'acute on chronic' hf_type=systolic, acuity=chronic false
outcome: sys_acute hf_type == 'systolic' and acuity == 'acute' hf_type=systolic, acuity=chronic false
outcome: sys_chronic hf_type == 'systolic' and acuity == 'chronic' hf_type=systolic, acuity=chronic true
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)
StepExpressionInputs and thresholds readResult
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)
StepExpressionInputs and thresholds readResult
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 Clinical validation gap Documented “class 3 obesity” (E66.813) conflicts with what the criteria support (Obesity, class 1, E66.811).
Trace
Rule trace (rule obesity v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
StepExpressionInputs and thresholds readResult
outcome: not_adult age < t.adult age=88, t.adult=20 false
outcome: class3 bmi >= t.c3 bmi=33.2, t.c3=40 false
outcome: class2 bmi >= t.c2 bmi=33.2, t.c2=35 false
outcome: class1 bmi >= t.c1 bmi=33.2, 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)
StepExpressionInputs and thresholds readResult
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)
StepExpressionInputs and thresholds readResult
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)
StepExpressionInputs and thresholds readResult
derived: sirs_temp coalesce(temp_max_48h > t.t_hi, false) or coalesce(temp_min_48h < t.t_lo, false) temp_max_48h=37.5, t.t_hi=38, temp_min_48h=36.5, t.t_lo=36 false
derived: sirs_hr coalesce(hr_max_48h > t.hr, false) hr_max_48h=86.0, 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=9.4, t.wbc_hi=12, wbc_min_48h=7.47, 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=211.0 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=0.75 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=1.68 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=1.63 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=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 (44)
Labs (pre-admission rows are outpatient values)
RowWhenTestValue
LAB-003406Sat Sep 06, 2025 09:15 AMcreatinine1.77 mg/dL
LAB-003407Mon Aug 31, 2026 10:05 AMcreatinine1.63 mg/dL
LAB-003408Fri Oct 30, 2026 05:51 PMcreatinine1.66 mg/dL
LAB-003416Fri Oct 30, 2026 05:51 PMbnp55.0 pg/mL
LAB-003417Fri Oct 30, 2026 05:51 PMsodium136.0 mmol/L
LAB-003425Fri Oct 30, 2026 05:51 PMhemoglobin13.51 g/dL
LAB-003433Fri Oct 30, 2026 05:51 PMwbc7.47 x10^3/uL
LAB-003434Fri Oct 30, 2026 05:51 PMplatelets300.0 x10^3/uL
LAB-003449Fri Oct 30, 2026 05:51 PMbilirubin0.75 mg/dL
LAB-003409Sat Oct 31, 2026 05:00 AMcreatinine1.68 mg/dL
LAB-003418Sat Oct 31, 2026 05:00 AMsodium142.0 mmol/L
LAB-003426Sat Oct 31, 2026 05:00 AMhemoglobin13.7 g/dL
LAB-003435Sat Oct 31, 2026 05:00 AMwbc8.3 x10^3/uL
LAB-003436Sat Oct 31, 2026 05:00 AMplatelets286.0 x10^3/uL
LAB-003410Sun Nov 01, 2026 05:00 AMcreatinine1.64 mg/dL
LAB-003419Sun Nov 01, 2026 05:00 AMsodium137.0 mmol/L
LAB-003427Sun Nov 01, 2026 05:00 AMhemoglobin13.9 g/dL
LAB-003437Sun Nov 01, 2026 05:00 AMwbc9.4 x10^3/uL
LAB-003438Sun Nov 01, 2026 05:00 AMplatelets211.0 x10^3/uL
LAB-003411Mon Nov 02, 2026 05:00 AMcreatinine1.63 mg/dL
LAB-003420Mon Nov 02, 2026 05:00 AMsodium141.0 mmol/L
LAB-003428Mon Nov 02, 2026 05:00 AMhemoglobin13.61 g/dL
LAB-003439Mon Nov 02, 2026 05:00 AMwbc5.63 x10^3/uL
LAB-003440Mon Nov 02, 2026 05:00 AMplatelets244.0 x10^3/uL
LAB-003412Tue Nov 03, 2026 05:00 AMcreatinine1.64 mg/dL
LAB-003421Tue Nov 03, 2026 05:00 AMsodium137.0 mmol/L
LAB-003429Tue Nov 03, 2026 05:00 AMhemoglobin13.65 g/dL
LAB-003441Tue Nov 03, 2026 05:00 AMwbc5.62 x10^3/uL
LAB-003442Tue Nov 03, 2026 05:00 AMplatelets280.0 x10^3/uL
LAB-003413Wed Nov 04, 2026 05:00 AMcreatinine1.67 mg/dL
LAB-003422Wed Nov 04, 2026 05:00 AMsodium139.0 mmol/L
LAB-003430Wed Nov 04, 2026 05:00 AMhemoglobin13.8 g/dL
LAB-003443Wed Nov 04, 2026 05:00 AMwbc7.59 x10^3/uL
LAB-003444Wed Nov 04, 2026 05:00 AMplatelets281.0 x10^3/uL
LAB-003414Thu Nov 05, 2026 05:00 AMcreatinine1.63 mg/dL
LAB-003423Thu Nov 05, 2026 05:00 AMsodium142.0 mmol/L
LAB-003431Thu Nov 05, 2026 05:00 AMhemoglobin13.5 g/dL
LAB-003445Thu Nov 05, 2026 05:00 AMwbc6.38 x10^3/uL
LAB-003446Thu Nov 05, 2026 05:00 AMplatelets257.0 x10^3/uL
LAB-003415Fri Nov 06, 2026 05:00 AMcreatinine1.62 mg/dL
LAB-003424Fri Nov 06, 2026 05:00 AMsodium140.0 mmol/L
LAB-003432Fri Nov 06, 2026 05:00 AMhemoglobin13.98 g/dL
LAB-003447Fri Nov 06, 2026 05:00 AMwbc9.0 x10^3/uL
LAB-003448Fri Nov 06, 2026 05:00 AMplatelets198.0 x10^3/uL
Vitals (126)
Vitals
RowWhenKindValueDetail
VIT-009793Fri Oct 30, 2026 05:11 PMspo297.0room air
VIT-009794Fri Oct 30, 2026 05:11 PMrr17.0
VIT-009835Fri Oct 30, 2026 05:11 PMtemp_c37.2
VIT-009836Fri Oct 30, 2026 05:11 PMhr86.0
VIT-009837Fri Oct 30, 2026 05:11 PMmap84.0
VIT-009838Fri Oct 30, 2026 05:11 PMgcs15.0
VIT-009795Sat Oct 31, 2026 01:11 AMspo295.0room air
VIT-009796Sat Oct 31, 2026 01:11 AMrr14.0
VIT-009839Sat Oct 31, 2026 01:11 AMtemp_c36.7
VIT-009840Sat Oct 31, 2026 01:11 AMhr82.0
VIT-009841Sat Oct 31, 2026 01:11 AMmap74.0
VIT-009842Sat Oct 31, 2026 01:11 AMgcs15.0
VIT-009797Sat Oct 31, 2026 09:11 AMspo296.0room air
VIT-009798Sat Oct 31, 2026 09:11 AMrr17.0
VIT-009843Sat Oct 31, 2026 09:11 AMtemp_c37.0
VIT-009844Sat Oct 31, 2026 09:11 AMhr82.0
VIT-009845Sat Oct 31, 2026 09:11 AMmap84.0
VIT-009846Sat Oct 31, 2026 09:11 AMgcs15.0
VIT-009799Sat Oct 31, 2026 05:11 PMspo294.0room air
VIT-009800Sat Oct 31, 2026 05:11 PMrr19.0
VIT-009847Sat Oct 31, 2026 05:11 PMtemp_c36.5
VIT-009848Sat Oct 31, 2026 05:11 PMhr78.0
VIT-009849Sat Oct 31, 2026 05:11 PMmap79.0
VIT-009850Sat Oct 31, 2026 05:11 PMgcs15.0
VIT-009801Sun Nov 01, 2026 01:11 AMspo296.0room air
VIT-009802Sun Nov 01, 2026 01:11 AMrr17.0
VIT-009851Sun Nov 01, 2026 01:11 AMtemp_c36.9
VIT-009852Sun Nov 01, 2026 01:11 AMhr76.0
VIT-009853Sun Nov 01, 2026 01:11 AMmap87.0
VIT-009854Sun Nov 01, 2026 01:11 AMgcs15.0
VIT-009803Sun Nov 01, 2026 09:11 AMspo298.0room air
VIT-009804Sun Nov 01, 2026 09:11 AMrr18.0
VIT-009855Sun Nov 01, 2026 09:11 AMtemp_c37.5
VIT-009856Sun Nov 01, 2026 09:11 AMhr77.0
VIT-009857Sun Nov 01, 2026 09:11 AMmap75.0
VIT-009858Sun Nov 01, 2026 09:11 AMgcs15.0
VIT-009805Sun Nov 01, 2026 05:11 PMspo294.0room air
VIT-009806Sun Nov 01, 2026 05:11 PMrr19.0
VIT-009859Sun Nov 01, 2026 05:11 PMtemp_c36.8
VIT-009860Sun Nov 01, 2026 05:11 PMhr78.0
VIT-009861Sun Nov 01, 2026 05:11 PMmap74.0
VIT-009862Sun Nov 01, 2026 05:11 PMgcs15.0
VIT-009807Mon Nov 02, 2026 01:11 AMspo294.0room air
VIT-009808Mon Nov 02, 2026 01:11 AMrr18.0
VIT-009863Mon Nov 02, 2026 01:11 AMtemp_c37.4
VIT-009864Mon Nov 02, 2026 01:11 AMhr84.0
VIT-009865Mon Nov 02, 2026 01:11 AMmap78.0
VIT-009866Mon Nov 02, 2026 01:11 AMgcs15.0
VIT-009809Mon Nov 02, 2026 09:11 AMspo295.0room air
VIT-009810Mon Nov 02, 2026 09:11 AMrr18.0
VIT-009867Mon Nov 02, 2026 09:11 AMtemp_c37.6
VIT-009868Mon Nov 02, 2026 09:11 AMhr86.0
VIT-009869Mon Nov 02, 2026 09:11 AMmap76.0
VIT-009870Mon Nov 02, 2026 09:11 AMgcs15.0
VIT-009811Mon Nov 02, 2026 05:11 PMspo298.0room air
VIT-009812Mon Nov 02, 2026 05:11 PMrr15.0
VIT-009871Mon Nov 02, 2026 05:11 PMtemp_c37.3
VIT-009872Mon Nov 02, 2026 05:11 PMhr75.0
VIT-009873Mon Nov 02, 2026 05:11 PMmap75.0
VIT-009874Mon Nov 02, 2026 05:11 PMgcs15.0
VIT-009813Tue Nov 03, 2026 01:11 AMspo299.0room air
VIT-009814Tue Nov 03, 2026 01:11 AMrr15.0
VIT-009875Tue Nov 03, 2026 01:11 AMtemp_c37.5
VIT-009876Tue Nov 03, 2026 01:11 AMhr72.0
VIT-009877Tue Nov 03, 2026 01:11 AMmap91.0
VIT-009878Tue Nov 03, 2026 01:11 AMgcs15.0
VIT-009815Tue Nov 03, 2026 09:11 AMspo297.0room air
VIT-009816Tue Nov 03, 2026 09:11 AMrr20.0
VIT-009879Tue Nov 03, 2026 09:11 AMtemp_c37.1
VIT-009880Tue Nov 03, 2026 09:11 AMhr91.0
VIT-009881Tue Nov 03, 2026 09:11 AMmap74.0
VIT-009882Tue Nov 03, 2026 09:11 AMgcs15.0
VIT-009817Tue Nov 03, 2026 05:11 PMspo295.0room air
VIT-009818Tue Nov 03, 2026 05:11 PMrr20.0
VIT-009883Tue Nov 03, 2026 05:11 PMtemp_c36.8
VIT-009884Tue Nov 03, 2026 05:11 PMhr72.0
VIT-009885Tue Nov 03, 2026 05:11 PMmap83.0
VIT-009886Tue Nov 03, 2026 05:11 PMgcs15.0
VIT-009819Wed Nov 04, 2026 01:11 AMspo294.0room air
VIT-009820Wed Nov 04, 2026 01:11 AMrr15.0
VIT-009887Wed Nov 04, 2026 01:11 AMtemp_c37.3
VIT-009888Wed Nov 04, 2026 01:11 AMhr86.0
VIT-009889Wed Nov 04, 2026 01:11 AMmap82.0
VIT-009890Wed Nov 04, 2026 01:11 AMgcs15.0
VIT-009821Wed Nov 04, 2026 09:11 AMspo299.0room air
VIT-009822Wed Nov 04, 2026 09:11 AMrr14.0
VIT-009891Wed Nov 04, 2026 09:11 AMtemp_c37.2
VIT-009892Wed Nov 04, 2026 09:11 AMhr91.0
VIT-009893Wed Nov 04, 2026 09:11 AMmap75.0
VIT-009894Wed Nov 04, 2026 09:11 AMgcs15.0
VIT-009823Wed Nov 04, 2026 05:11 PMspo295.0room air
VIT-009824Wed Nov 04, 2026 05:11 PMrr16.0
VIT-009895Wed Nov 04, 2026 05:11 PMtemp_c37.6
VIT-009896Wed Nov 04, 2026 05:11 PMhr68.0
VIT-009897Wed Nov 04, 2026 05:11 PMmap91.0
VIT-009898Wed Nov 04, 2026 05:11 PMgcs15.0
VIT-009825Thu Nov 05, 2026 01:11 AMspo294.0room air
VIT-009826Thu Nov 05, 2026 01:11 AMrr18.0
VIT-009899Thu Nov 05, 2026 01:11 AMtemp_c36.8
VIT-009900Thu Nov 05, 2026 01:11 AMhr89.0
VIT-009901Thu Nov 05, 2026 01:11 AMmap75.0
VIT-009902Thu Nov 05, 2026 01:11 AMgcs15.0
VIT-009827Thu Nov 05, 2026 09:11 AMspo298.0room air
VIT-009828Thu Nov 05, 2026 09:11 AMrr16.0
VIT-009903Thu Nov 05, 2026 09:11 AMtemp_c36.5
VIT-009904Thu Nov 05, 2026 09:11 AMhr82.0
VIT-009905Thu Nov 05, 2026 09:11 AMmap75.0
VIT-009906Thu Nov 05, 2026 09:11 AMgcs15.0
VIT-009829Thu Nov 05, 2026 05:11 PMspo294.0room air
VIT-009830Thu Nov 05, 2026 05:11 PMrr16.0
VIT-009907Thu Nov 05, 2026 05:11 PMtemp_c36.9
VIT-009908Thu Nov 05, 2026 05:11 PMhr76.0
VIT-009909Thu Nov 05, 2026 05:11 PMmap86.0
VIT-009910Thu Nov 05, 2026 05:11 PMgcs15.0
VIT-009831Fri Nov 06, 2026 01:11 AMspo299.0room air
VIT-009832Fri Nov 06, 2026 01:11 AMrr14.0
VIT-009911Fri Nov 06, 2026 01:11 AMtemp_c37.3
VIT-009912Fri Nov 06, 2026 01:11 AMhr79.0
VIT-009913Fri Nov 06, 2026 01:11 AMmap83.0
VIT-009914Fri Nov 06, 2026 01:11 AMgcs15.0
VIT-009833Fri Nov 06, 2026 09:11 AMspo295.0room air
VIT-009834Fri Nov 06, 2026 09:11 AMrr14.0
VIT-009915Fri Nov 06, 2026 09:11 AMtemp_c37.4
VIT-009916Fri Nov 06, 2026 09:11 AMhr82.0
VIT-009917Fri Nov 06, 2026 09:11 AMmap82.0
VIT-009918Fri Nov 06, 2026 09:11 AMgcs15.0
Medications, orders, echo, history (5)

Notes

History and physical · DOC-000337 · Dr. Rosalind Quillan (attending) · Fri Oct 30, 2026 07:51 PM

Source document DOC-000337: History and physical (synthetic)
HISTORY AND PHYSICAL
Patient: Gideon Coldridge   MRN: MRN57884691   Admitted: 2026-10-30 16:51
Service: Pulmonology   Attending: Dr. Rosalind Quillan

History of present illness: 88-year-old man admitted with COPD exacerbation. 
Past medical history: heart failure with reduced ejection fraction, type 2 diabetes, hyperlipidemia, hypertension.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. COPD exacerbation: bronchodilators and steroids.
2. CKD stage 4: renally dose medications.

Progress note · DOC-000338 · Dr. Rosalind Quillan (attending) · Sun Nov 01, 2026 06:51 PM

Source document DOC-000338: Progress note (synthetic)
PROGRESS NOTE (Attending)
Patient: Gideon Coldridge   MRN: MRN57884691   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. COPD exacerbation: continue current management.
2. Class 3 obesity: counsel on weight.
3. Acute on chronic systolic heart failure: diuresis and daily weights; monitor electrolytes.

Attending: Dr. Rosalind Quillan

Discharge summary · DOC-000339 · Dr. Rosalind Quillan (attending) · Fri Nov 06, 2026 03:13 PM

Source document DOC-000339: Discharge summary (synthetic)
DISCHARGE SUMMARY
Patient: Gideon Coldridge   MRN: MRN57884691
Admitted 2026-10-30; discharged 2026-11-06.

Discharge diagnoses:
- COPD exacerbation
- class 3 obesity
- CKD stage 4
- acute on chronic systolic heart failure
- type 2 diabetes
- hyperlipidemia
- hypertension

Disposition: home with follow-up.