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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-00110: Hollis Ivers

49M · MRN73793951 · Pulmonology · admitted Mon Nov 09, 2026 03:00 PM · in hospital · attending Dr. Kenji Stavros · resident Dr. Noor Halvorsen · 164 cm, 52.7 kg

Documented diagnoses (current)

  • Principal: “COPD exacerbation” · J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
  • “anemia” · D64.9 Anemia, unspecified
  • “GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis
  • “hypertension” · I10 Essential (primary) hypertension
  • “hyperlipidemia” · E78.5 Hyperlipidemia, unspecified

Illustrative grouping now: MS-DRG 192 Chronic obstructive pulmonary disease without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 192.

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=1.049, 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=1.049, t.ratio_s3=3.0, creat_peak=1.07, 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=1.049, 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 met No gap Supported as documented (D64.9).
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=10.56, t.hb_m=13, t.hb_f=12 true
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=True, acute_fall=False false
outcome: anaemia_only anaemic and hgb_drop < t.drop_min and prbc_units == 0 anaemic=True, hgb_drop=0.3, t.drop_min=1.0, prbc_units=0 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)
StepExpressionInputs and thresholds readResult
derived: chronic egfr_n >= 2 and egfr_span_days >= t.chronic_days egfr_n=2, egfr_span_days=222, t.chronic_days=90 true
derived: staging_egfr max(egfr_early, egfr_late) egfr_early=86.0, egfr_late=90.1 90.1
derived: both_below_60 egfr_early < t.g2 and egfr_late < t.g2 egfr_early=86.0, t.g2=60, egfr_late=90.1 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=90.1, 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=86.0, egfr_late=90.1, t.g2=60 false
outcome: g1_g2 staging_egfr >= t.g2 staging_egfr=90.1, 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)
StepExpressionInputs and thresholds readResult
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)
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=137.0, 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=137.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False false
outcome: untreated na_min < t.low na_min=137.0, t.low=135 false
outcome: not_met na_min >= t.low na_min=137.0, 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 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)
StepExpressionInputs and thresholds readResult
outcome: not_adult age < t.adult age=49, t.adult=20 false
outcome: class3 bmi >= t.c3 bmi=19.6, t.c3=40 false
outcome: class2 bmi >= t.c2 bmi=19.6, t.c2=35 false
outcome: class1 bmi >= t.c1 bmi=19.6, t.c1=30 false
outcome: not_met bmi < t.c1 bmi=19.6, 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=37.6, 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=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=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=9.89, t.wbc_hi=12, wbc_min_48h=6.46, 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=175.0 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=0.76 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=75.0 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=1.07 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=1.02 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 (28)
Labs (pre-admission rows are outpatient values)
RowWhenTestValue
LAB-003736Sun Dec 07, 2025 09:15 AMcreatinine1.06 mg/dL
LAB-003737Sat Jul 18, 2026 10:05 AMcreatinine1.02 mg/dL
LAB-003738Mon Nov 09, 2026 04:00 PMcreatinine1.07 mg/dL
LAB-003743Mon Nov 09, 2026 04:00 PMsodium138.0 mmol/L
LAB-003748Mon Nov 09, 2026 04:00 PMhemoglobin10.63 g/dL
LAB-003753Mon Nov 09, 2026 04:00 PMwbc6.68 x10^3/uL
LAB-003754Mon Nov 09, 2026 04:00 PMplatelets175.0 x10^3/uL
LAB-003763Mon Nov 09, 2026 04:00 PMbilirubin0.76 mg/dL
LAB-003739Tue Nov 10, 2026 05:00 AMcreatinine1.07 mg/dL
LAB-003744Tue Nov 10, 2026 05:00 AMsodium140.0 mmol/L
LAB-003749Tue Nov 10, 2026 05:00 AMhemoglobin10.59 g/dL
LAB-003755Tue Nov 10, 2026 05:00 AMwbc9.89 x10^3/uL
LAB-003756Tue Nov 10, 2026 05:00 AMplatelets185.0 x10^3/uL
LAB-003740Wed Nov 11, 2026 05:00 AMcreatinine1.01 mg/dL
LAB-003745Wed Nov 11, 2026 05:00 AMsodium137.0 mmol/L
LAB-003750Wed Nov 11, 2026 05:00 AMhemoglobin10.88 g/dL
LAB-003757Wed Nov 11, 2026 05:00 AMwbc6.46 x10^3/uL
LAB-003758Wed Nov 11, 2026 05:00 AMplatelets283.0 x10^3/uL
LAB-003741Thu Nov 12, 2026 05:00 AMcreatinine1.04 mg/dL
LAB-003746Thu Nov 12, 2026 05:00 AMsodium141.0 mmol/L
LAB-003751Thu Nov 12, 2026 05:00 AMhemoglobin10.56 g/dL
LAB-003759Thu Nov 12, 2026 05:00 AMwbc6.12 x10^3/uL
LAB-003760Thu Nov 12, 2026 05:00 AMplatelets282.0 x10^3/uL
LAB-003742Fri Nov 13, 2026 05:00 AMcreatinine1.05 mg/dL
LAB-003747Fri Nov 13, 2026 05:00 AMsodium140.0 mmol/L
LAB-003752Fri Nov 13, 2026 05:00 AMhemoglobin10.8 g/dL
LAB-003761Fri Nov 13, 2026 05:00 AMwbc9.3 x10^3/uL
LAB-003762Fri Nov 13, 2026 05:00 AMplatelets180.0 x10^3/uL
Vitals (78)
Vitals
RowWhenKindValueDetail
VIT-010730Mon Nov 09, 2026 03:20 PMspo294.0room air
VIT-010731Mon Nov 09, 2026 03:20 PMrr15.0
VIT-010756Mon Nov 09, 2026 03:20 PMtemp_c37.1
VIT-010757Mon Nov 09, 2026 03:20 PMhr84.0
VIT-010758Mon Nov 09, 2026 03:20 PMmap88.0
VIT-010759Mon Nov 09, 2026 03:20 PMgcs15.0
VIT-010732Mon Nov 09, 2026 11:20 PMspo295.0room air
VIT-010733Mon Nov 09, 2026 11:20 PMrr19.0
VIT-010760Mon Nov 09, 2026 11:20 PMtemp_c36.7
VIT-010761Mon Nov 09, 2026 11:20 PMhr72.0
VIT-010762Mon Nov 09, 2026 11:20 PMmap84.0
VIT-010763Mon Nov 09, 2026 11:20 PMgcs15.0
VIT-010734Tue Nov 10, 2026 07:20 AMspo294.0room air
VIT-010735Tue Nov 10, 2026 07:20 AMrr15.0
VIT-010764Tue Nov 10, 2026 07:20 AMtemp_c37.0
VIT-010765Tue Nov 10, 2026 07:20 AMhr89.0
VIT-010766Tue Nov 10, 2026 07:20 AMmap90.0
VIT-010767Tue Nov 10, 2026 07:20 AMgcs15.0
VIT-010736Tue Nov 10, 2026 03:20 PMspo299.0room air
VIT-010737Tue Nov 10, 2026 03:20 PMrr18.0
VIT-010768Tue Nov 10, 2026 03:20 PMtemp_c36.7
VIT-010769Tue Nov 10, 2026 03:20 PMhr73.0
VIT-010770Tue Nov 10, 2026 03:20 PMmap75.0
VIT-010771Tue Nov 10, 2026 03:20 PMgcs15.0
VIT-010738Tue Nov 10, 2026 11:20 PMspo299.0room air
VIT-010739Tue Nov 10, 2026 11:20 PMrr19.0
VIT-010772Tue Nov 10, 2026 11:20 PMtemp_c37.6
VIT-010773Tue Nov 10, 2026 11:20 PMhr74.0
VIT-010774Tue Nov 10, 2026 11:20 PMmap81.0
VIT-010775Tue Nov 10, 2026 11:20 PMgcs15.0
VIT-010740Wed Nov 11, 2026 07:20 AMspo299.0room air
VIT-010741Wed Nov 11, 2026 07:20 AMrr16.0
VIT-010776Wed Nov 11, 2026 07:20 AMtemp_c37.2
VIT-010777Wed Nov 11, 2026 07:20 AMhr88.0
VIT-010778Wed Nov 11, 2026 07:20 AMmap77.0
VIT-010779Wed Nov 11, 2026 07:20 AMgcs15.0
VIT-010742Wed Nov 11, 2026 03:20 PMspo296.0room air
VIT-010743Wed Nov 11, 2026 03:20 PMrr17.0
VIT-010780Wed Nov 11, 2026 03:20 PMtemp_c37.1
VIT-010781Wed Nov 11, 2026 03:20 PMhr90.0
VIT-010782Wed Nov 11, 2026 03:20 PMmap88.0
VIT-010783Wed Nov 11, 2026 03:20 PMgcs15.0
VIT-010744Wed Nov 11, 2026 11:20 PMspo299.0room air
VIT-010745Wed Nov 11, 2026 11:20 PMrr14.0
VIT-010784Wed Nov 11, 2026 11:20 PMtemp_c37.1
VIT-010785Wed Nov 11, 2026 11:20 PMhr85.0
VIT-010786Wed Nov 11, 2026 11:20 PMmap92.0
VIT-010787Wed Nov 11, 2026 11:20 PMgcs15.0
VIT-010746Thu Nov 12, 2026 07:20 AMspo294.0room air
VIT-010747Thu Nov 12, 2026 07:20 AMrr16.0
VIT-010788Thu Nov 12, 2026 07:20 AMtemp_c37.0
VIT-010789Thu Nov 12, 2026 07:20 AMhr81.0
VIT-010790Thu Nov 12, 2026 07:20 AMmap80.0
VIT-010791Thu Nov 12, 2026 07:20 AMgcs15.0
VIT-010748Thu Nov 12, 2026 03:20 PMspo294.0room air
VIT-010749Thu Nov 12, 2026 03:20 PMrr18.0
VIT-010792Thu Nov 12, 2026 03:20 PMtemp_c37.0
VIT-010793Thu Nov 12, 2026 03:20 PMhr83.0
VIT-010794Thu Nov 12, 2026 03:20 PMmap83.0
VIT-010795Thu Nov 12, 2026 03:20 PMgcs15.0
VIT-010750Thu Nov 12, 2026 11:20 PMspo299.0room air
VIT-010751Thu Nov 12, 2026 11:20 PMrr17.0
VIT-010796Thu Nov 12, 2026 11:20 PMtemp_c36.9
VIT-010797Thu Nov 12, 2026 11:20 PMhr80.0
VIT-010798Thu Nov 12, 2026 11:20 PMmap76.0
VIT-010799Thu Nov 12, 2026 11:20 PMgcs15.0
VIT-010752Fri Nov 13, 2026 07:20 AMspo296.0room air
VIT-010753Fri Nov 13, 2026 07:20 AMrr20.0
VIT-010800Fri Nov 13, 2026 07:20 AMtemp_c37.1
VIT-010801Fri Nov 13, 2026 07:20 AMhr88.0
VIT-010802Fri Nov 13, 2026 07:20 AMmap76.0
VIT-010803Fri Nov 13, 2026 07:20 AMgcs15.0
VIT-010754Fri Nov 13, 2026 03:20 PMspo299.0room air
VIT-010755Fri Nov 13, 2026 03:20 PMrr16.0
VIT-010804Fri Nov 13, 2026 03:20 PMtemp_c37.6
VIT-010805Fri Nov 13, 2026 03:20 PMhr83.0
VIT-010806Fri Nov 13, 2026 03:20 PMmap89.0
VIT-010807Fri Nov 13, 2026 03:20 PMgcs15.0
Medications, orders, echo, history (0)

Notes

History and physical · DOC-000371 · Dr. Noor Halvorsen (resident) · Mon Nov 09, 2026 06:00 PM

Source document DOC-000371: History and physical (synthetic)
HISTORY AND PHYSICAL
Patient: Hollis Ivers   MRN: MRN73793951   Admitted: 2026-11-09 15:00
Service: Pulmonology   Attending: Dr. Kenji Stavros

History of present illness: 49-year-old man admitted with COPD exacerbation. 
Past medical history: GERD, hypertension, hyperlipidemia.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. COPD exacerbation: bronchodilators and steroids.

Progress note · DOC-000372 · Dr. Noor Halvorsen (resident) · Fri Nov 13, 2026 12:55 PM · awaiting cosign

Source document DOC-000372: Progress note (synthetic)
PROGRESS NOTE (Resident)
Patient: Hollis Ivers   MRN: MRN73793951   Hospital day 4

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. COPD exacerbation: continue current management.
2. Anemia: trend hemoglobin.

Resident: Dr. Noor Halvorsen   Attending cosign: pending