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-00121: Mara Whitlock

60F · MRN98713915 · Hospital Medicine · admitted Tue Nov 10, 2026 07:52 PM · in hospital · attending Dr. Isaac Abernath · resident Dr. Noor Halvorsen · 156 cm, 61.6 kg

Documented diagnoses (current)

Principal: “urinary tract infection” · N39.0 Urinary tract infection, site not specified
“GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis
“hypertension” · I10 Essential (primary) hypertension
“hyperlipidemia” · E78.5 Hyperlipidemia, unspecified

Illustrative grouping now: MS-DRG 690 Kidney and urinary tract infections without MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 690.

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=1.057, t.ratio_s1=1.5, creat_rise_48h=0.05, 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=1.057, t.ratio_s3=3.0, creat_peak=0.92, 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=1.057, 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=0.05, t.rise_abs=0.3, rrt_started=False	true
outcome: aki_staged	`stage >= 1 and baseline_independent`	stage=0, baseline_independent=True	false
outcome: aki_presumed_baseline	`stage >= 1`	stage=0	false
outcome: not_met	`stage == 0`	stage=0	true

Acute blood loss anaemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule blood_loss_anemia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: anaemic	`case(sex == 'M', hgb_nadir < t.hb_m, sex == 'F', hgb_nadir < t.hb_f, null)`	sex=F, hgb_nadir=12.51, 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=12.51, 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=262, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=77.3, egfr_late=76.2	77.3
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=77.3, t.g2=60, egfr_late=76.2	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=77.3, 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=77.3, egfr_late=76.2, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=77.3, 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=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)
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=60, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=25.3, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=25.3, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=25.3, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=25.3, 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=37.5, t.t_hi=38, temp_min_48h=36.6, 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=20.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32	false
derived: sirs_wbc	`coalesce(wbc_max_48h > t.wbc_hi, false) or coalesce(wbc_min_48h < t.wbc_lo, false) or coalesce(bands_max_48h > t.bands, false)`	wbc_max_48h=8.2, t.wbc_hi=12, wbc_min_48h=6.84, 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=220.0	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=0.46	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=0.92	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=0.87	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=True, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=0, t.sirs_min=2	false
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=False, norepi_max_48h=0.0, lactate_max_48h=unknown, t.lactate=2	false
outcome: no_infection	`not infection_documented`	infection_documented=True	false
outcome: septic_shock	`shock`	shock=False	false
outcome: both	`sepsis3 and sepsis2`	sepsis3=False, sepsis2=False	false
outcome: sepsis3_only	`sepsis3`	sepsis3=False	false
outcome: definitions_disagree	`sepsis2`	sepsis2=False	false
outcome: neither	`true`	—	true

Structured data

Labs (23)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-004114	Sun Nov 02, 2025 09:15 AM	creatinine	0.86 mg/dL
LAB-004115	Thu Jul 23, 2026 10:05 AM	creatinine	0.87 mg/dL
LAB-004116	Tue Nov 10, 2026 08:52 PM	creatinine	0.91 mg/dL
LAB-004120	Tue Nov 10, 2026 08:52 PM	sodium	137.0 mmol/L
LAB-004124	Tue Nov 10, 2026 08:52 PM	hemoglobin	12.81 g/dL
LAB-004128	Tue Nov 10, 2026 08:52 PM	wbc	8.03 x10^3/uL
LAB-004129	Tue Nov 10, 2026 08:52 PM	platelets	237.0 x10^3/uL
LAB-004136	Tue Nov 10, 2026 08:52 PM	bilirubin	0.46 mg/dL
LAB-004117	Wed Nov 11, 2026 05:00 AM	creatinine	0.87 mg/dL
LAB-004121	Wed Nov 11, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-004125	Wed Nov 11, 2026 05:00 AM	hemoglobin	12.58 g/dL
LAB-004130	Wed Nov 11, 2026 05:00 AM	wbc	6.84 x10^3/uL
LAB-004131	Wed Nov 11, 2026 05:00 AM	platelets	220.0 x10^3/uL
LAB-004118	Thu Nov 12, 2026 05:00 AM	creatinine	0.92 mg/dL
LAB-004122	Thu Nov 12, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-004126	Thu Nov 12, 2026 05:00 AM	hemoglobin	12.51 g/dL
LAB-004132	Thu Nov 12, 2026 05:00 AM	wbc	8.2 x10^3/uL
LAB-004133	Thu Nov 12, 2026 05:00 AM	platelets	231.0 x10^3/uL
LAB-004119	Fri Nov 13, 2026 05:00 AM	creatinine	0.9 mg/dL
LAB-004123	Fri Nov 13, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004127	Fri Nov 13, 2026 05:00 AM	hemoglobin	12.94 g/dL
LAB-004134	Fri Nov 13, 2026 05:00 AM	wbc	6.64 x10^3/uL
LAB-004135	Fri Nov 13, 2026 05:00 AM	platelets	233.0 x10^3/uL

Vitals (54)

Vitals
Row	When	Kind	Value	Detail
VIT-011790	Tue Nov 10, 2026 08:12 PM	spo2	95.0	room air
VIT-011791	Tue Nov 10, 2026 08:12 PM	rr	20.0
VIT-011808	Tue Nov 10, 2026 08:12 PM	temp_c	37.4
VIT-011809	Tue Nov 10, 2026 08:12 PM	hr	73.0
VIT-011810	Tue Nov 10, 2026 08:12 PM	map	81.0
VIT-011811	Tue Nov 10, 2026 08:12 PM	gcs	15.0
VIT-011792	Wed Nov 11, 2026 04:12 AM	spo2	97.0	room air
VIT-011793	Wed Nov 11, 2026 04:12 AM	rr	17.0
VIT-011812	Wed Nov 11, 2026 04:12 AM	temp_c	37.5
VIT-011813	Wed Nov 11, 2026 04:12 AM	hr	75.0
VIT-011814	Wed Nov 11, 2026 04:12 AM	map	90.0
VIT-011815	Wed Nov 11, 2026 04:12 AM	gcs	15.0
VIT-011794	Wed Nov 11, 2026 12:12 PM	spo2	97.0	room air
VIT-011795	Wed Nov 11, 2026 12:12 PM	rr	15.0
VIT-011816	Wed Nov 11, 2026 12:12 PM	temp_c	36.6
VIT-011817	Wed Nov 11, 2026 12:12 PM	hr	70.0
VIT-011818	Wed Nov 11, 2026 12:12 PM	map	92.0
VIT-011819	Wed Nov 11, 2026 12:12 PM	gcs	15.0
VIT-011796	Wed Nov 11, 2026 08:12 PM	spo2	99.0	room air
VIT-011797	Wed Nov 11, 2026 08:12 PM	rr	18.0
VIT-011820	Wed Nov 11, 2026 08:12 PM	temp_c	37.5
VIT-011821	Wed Nov 11, 2026 08:12 PM	hr	71.0
VIT-011822	Wed Nov 11, 2026 08:12 PM	map	83.0
VIT-011823	Wed Nov 11, 2026 08:12 PM	gcs	15.0
VIT-011798	Thu Nov 12, 2026 04:12 AM	spo2	98.0	room air
VIT-011799	Thu Nov 12, 2026 04:12 AM	rr	15.0
VIT-011824	Thu Nov 12, 2026 04:12 AM	temp_c	37.3
VIT-011825	Thu Nov 12, 2026 04:12 AM	hr	77.0
VIT-011826	Thu Nov 12, 2026 04:12 AM	map	90.0
VIT-011827	Thu Nov 12, 2026 04:12 AM	gcs	15.0
VIT-011800	Thu Nov 12, 2026 12:12 PM	spo2	94.0	room air
VIT-011801	Thu Nov 12, 2026 12:12 PM	rr	20.0
VIT-011828	Thu Nov 12, 2026 12:12 PM	temp_c	36.6
VIT-011829	Thu Nov 12, 2026 12:12 PM	hr	86.0
VIT-011830	Thu Nov 12, 2026 12:12 PM	map	75.0
VIT-011831	Thu Nov 12, 2026 12:12 PM	gcs	15.0
VIT-011802	Thu Nov 12, 2026 08:12 PM	spo2	96.0	room air
VIT-011803	Thu Nov 12, 2026 08:12 PM	rr	18.0
VIT-011832	Thu Nov 12, 2026 08:12 PM	temp_c	36.6
VIT-011833	Thu Nov 12, 2026 08:12 PM	hr	68.0
VIT-011834	Thu Nov 12, 2026 08:12 PM	map	88.0
VIT-011835	Thu Nov 12, 2026 08:12 PM	gcs	15.0
VIT-011804	Fri Nov 13, 2026 04:12 AM	spo2	95.0	room air
VIT-011805	Fri Nov 13, 2026 04:12 AM	rr	17.0
VIT-011836	Fri Nov 13, 2026 04:12 AM	temp_c	37.5
VIT-011837	Fri Nov 13, 2026 04:12 AM	hr	73.0
VIT-011838	Fri Nov 13, 2026 04:12 AM	map	86.0
VIT-011839	Fri Nov 13, 2026 04:12 AM	gcs	15.0
VIT-011806	Fri Nov 13, 2026 12:12 PM	spo2	95.0	room air
VIT-011807	Fri Nov 13, 2026 12:12 PM	rr	15.0
VIT-011840	Fri Nov 13, 2026 12:12 PM	temp_c	36.9
VIT-011841	Fri Nov 13, 2026 12:12 PM	hr	89.0
VIT-011842	Fri Nov 13, 2026 12:12 PM	map	81.0
VIT-011843	Fri Nov 13, 2026 12:12 PM	gcs	15.0

Medications, orders, echo, history (4)

MED-000475 11-10 20:52 ceftriaxone per protocol IV
MED-000476 11-11 05:00 cefepime per protocol IV
MED-000477 11-12 05:00 piperacillin-tazobactam per protocol IV
ORD-000101 11-10 20:22 blood_culture: blood cultures x2

Notes

History and physical · DOC-000409 · Dr. Noor Halvorsen (resident) · Tue Nov 10, 2026 10:52 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

… RN98713915 Admitted: 2026-11-10 19:52 Service: Hospital Medicine Attending: Dr. Isaac Abernath History of present illness: 60-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Past medical history: GERD, hypertension, hyperlipidemia. Review of systems otherwise …

Source document DOC-000409: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Mara Whitlock   MRN: MRN98713915   Admitted: 2026-11-10 19:52
Service: Hospital Medicine   Attending: Dr. Isaac Abernath

History of present illness: 60-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime.
Past medical history: GERD, hypertension, hyperlipidemia.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Urinary tract infection: antibiotics.

Progress note · DOC-000410 · Dr. Noor Halvorsen (resident) · Fri Nov 13, 2026 03:55 PM · awaiting cosign

Source document DOC-000410: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Mara Whitlock   MRN: MRN98713915   Hospital day 3

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

Resident: Dr. Noor Halvorsen   Attending cosign: pending