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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-00133: Hana Quillan

50F · MRN19275466 · Hospital Medicine · admitted Wed Oct 28, 2026 05:39 PM · discharged Thu Nov 05, 2026 04:42 PM · attending Dr. Rosalind Quillan · resident Dr. Priya Thorne · 162 cm, 59.2 kg

Documented diagnoses (current)

  • Principal: “urinary tract infection” · N39.0 Urinary tract infection, site not specified
  • “acute hypoxic respiratory failure” · J96.01 Acute respiratory failure with hypoxia
  • “acute blood loss anemia” · D62 Acute posthemorrhagic anemia
  • “unstageable sacral pressure injury” · L89.150 Pressure ulcer of sacral region, unstageable
  • “GERD” · K21.9 Gastro-esophageal reflux disease without esophagitis
  • “type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications
  • “hypertension” · I10 Essential (primary) hypertension

Illustrative grouping now: MS-DRG 689 Kidney and urinary tract infections with 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

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=1.048, t.ratio_s1=1.5, creat_rise_48h=0.09, 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=1.048, t.ratio_s3=3.0, creat_peak=1.73, 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=1.048, 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=0.09, 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 (D62).
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=F, hgb_nadir=9.15, 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=3.5, t.drop_major=2.0, prbc_units=2, t.prbc_major=2 true
outcome: met bleeding_documented and anaemic and acute_fall bleeding_documented=True, anaemic=True, acute_fall=True true
Chronic kidney disease Criteria met Specificity gap Criteria support Chronic kidney disease stage 3b (N18.32); no corresponding diagnosis is documented.
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=360, t.chronic_days=90 true
derived: staging_egfr max(egfr_early, egfr_late) egfr_early=41.2, egfr_late=37.6 41.2
derived: both_below_60 egfr_early < t.g2 and egfr_late < t.g2 egfr_early=41.2, t.g2=60, egfr_late=37.6 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=41.2, 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=41.2, egfr_late=37.6, t.g2=60 false
outcome: g1_g2 staging_egfr >= t.g2 staging_egfr=41.2, t.g2=60 false
outcome: g3a category == 'G3a' category=G3b false
outcome: g3b category == 'G3b' category=G3b true
Heart failure Clinical judgement required No gap Not documented; only one acute indicator; acuity needs clinical judgement.
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=True 1
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=1, 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=1 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 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=50, t.adult=20 false
outcome: class3 bmi >= t.c3 bmi=22.6, t.c3=40 false
outcome: class2 bmi >= t.c2 bmi=22.6, t.c2=35 false
outcome: class1 bmi >= t.c1 bmi=22.6, t.c1=30 false
outcome: not_met bmi < t.c1 bmi=22.6, t.c1=30 true
Pressure injury Criteria met No gap Supported as documented (L89.150).
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=sacral true
outcome: no_wound_note not present(wound_stage) wound_stage=unstageable false
outcome: other_site wound_site != 'sacral' wound_site=sacral false
outcome: stage1 sacral and wound_stage == '1' sacral=True, wound_stage=unstageable false
outcome: stage2 sacral and wound_stage == '2' sacral=True, wound_stage=unstageable false
outcome: stage3 sacral and wound_stage == '3' sacral=True, wound_stage=unstageable false
outcome: stage4 sacral and wound_stage == '4' sacral=True, wound_stage=unstageable false
outcome: unstageable sacral and wound_stage == 'unstageable' sacral=True, wound_stage=unstageable true
Acute respiratory failure Criteria not met Clinical validation gap Documented “acute hypoxic respiratory failure” (J96.01) but the criteria are not met: No hypoxaemia on room air (lowest SpO2 93%), oxygen no more than 2 L/min, no advanced support.
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=93.0, 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=93.0, 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=21.0, 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=2.0, 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=37.4, t.t_hi=38, temp_min_48h=36.9, t.t_lo=36 false
derived: sirs_hr coalesce(hr_max_48h > t.hr, false) hr_max_48h=88.0, 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=21.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32 true
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=8.99, t.wbc_hi=12, wbc_min_48h=5.74, 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=True, sirs_wbc=False 1
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=188.0 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=0.73 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=1.73 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=1.65 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=True, sofa_delta=0, t.sofa_delta=2 false
derived: sepsis2 infection_documented and sirs_count >= t.sirs_min infection_documented=True, sirs_count=1, 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 (48)
Labs (pre-admission rows are outpatient values)
RowWhenTestValue
LAB-004526Sun Sep 28, 2025 09:15 AMcreatinine1.53 mg/dL
LAB-004527Wed Sep 23, 2026 10:05 AMcreatinine1.65 mg/dL
LAB-004528Wed Oct 28, 2026 06:39 PMcreatinine1.64 mg/dL
LAB-004537Wed Oct 28, 2026 06:39 PMsodium142.0 mmol/L
LAB-004546Wed Oct 28, 2026 06:39 PMhemoglobin12.63 g/dL
LAB-004555Wed Oct 28, 2026 06:39 PMwbc5.74 x10^3/uL
LAB-004556Wed Oct 28, 2026 06:39 PMplatelets308.0 x10^3/uL
LAB-004573Wed Oct 28, 2026 06:39 PMbilirubin0.73 mg/dL
LAB-004529Thu Oct 29, 2026 05:00 AMcreatinine1.65 mg/dL
LAB-004538Thu Oct 29, 2026 05:00 AMsodium136.0 mmol/L
LAB-004547Thu Oct 29, 2026 05:00 AMhemoglobin10.54 g/dL
LAB-004557Thu Oct 29, 2026 05:00 AMwbc5.76 x10^3/uL
LAB-004558Thu Oct 29, 2026 05:00 AMplatelets188.0 x10^3/uL
LAB-004530Fri Oct 30, 2026 05:00 AMcreatinine1.73 mg/dL
LAB-004539Fri Oct 30, 2026 05:00 AMsodium138.0 mmol/L
LAB-004548Fri Oct 30, 2026 05:00 AMhemoglobin9.15 g/dL
LAB-004559Fri Oct 30, 2026 05:00 AMwbc8.99 x10^3/uL
LAB-004560Fri Oct 30, 2026 05:00 AMplatelets255.0 x10^3/uL
LAB-004531Sat Oct 31, 2026 05:00 AMcreatinine1.72 mg/dL
LAB-004540Sat Oct 31, 2026 05:00 AMsodium137.0 mmol/L
LAB-004549Sat Oct 31, 2026 05:00 AMhemoglobin9.95 g/dL
LAB-004561Sat Oct 31, 2026 05:00 AMwbc8.79 x10^3/uL
LAB-004562Sat Oct 31, 2026 05:00 AMplatelets294.0 x10^3/uL
LAB-004532Sun Nov 01, 2026 05:00 AMcreatinine1.7 mg/dL
LAB-004541Sun Nov 01, 2026 05:00 AMsodium142.0 mmol/L
LAB-004550Sun Nov 01, 2026 05:00 AMhemoglobin10.25 g/dL
LAB-004563Sun Nov 01, 2026 05:00 AMwbc10.27 x10^3/uL
LAB-004564Sun Nov 01, 2026 05:00 AMplatelets197.0 x10^3/uL
LAB-004533Mon Nov 02, 2026 05:00 AMcreatinine1.63 mg/dL
LAB-004542Mon Nov 02, 2026 05:00 AMsodium141.0 mmol/L
LAB-004551Mon Nov 02, 2026 05:00 AMhemoglobin10.35 g/dL
LAB-004565Mon Nov 02, 2026 05:00 AMwbc9.55 x10^3/uL
LAB-004566Mon Nov 02, 2026 05:00 AMplatelets166.0 x10^3/uL
LAB-004534Tue Nov 03, 2026 05:00 AMcreatinine1.64 mg/dL
LAB-004543Tue Nov 03, 2026 05:00 AMsodium137.0 mmol/L
LAB-004552Tue Nov 03, 2026 05:00 AMhemoglobin10.35 g/dL
LAB-004567Tue Nov 03, 2026 05:00 AMwbc6.36 x10^3/uL
LAB-004568Tue Nov 03, 2026 05:00 AMplatelets215.0 x10^3/uL
LAB-004535Wed Nov 04, 2026 05:00 AMcreatinine1.72 mg/dL
LAB-004544Wed Nov 04, 2026 05:00 AMsodium142.0 mmol/L
LAB-004553Wed Nov 04, 2026 05:00 AMhemoglobin10.35 g/dL
LAB-004569Wed Nov 04, 2026 05:00 AMwbc10.95 x10^3/uL
LAB-004570Wed Nov 04, 2026 05:00 AMplatelets166.0 x10^3/uL
LAB-004536Thu Nov 05, 2026 05:00 AMcreatinine1.71 mg/dL
LAB-004545Thu Nov 05, 2026 05:00 AMsodium136.0 mmol/L
LAB-004554Thu Nov 05, 2026 05:00 AMhemoglobin10.35 g/dL
LAB-004571Thu Nov 05, 2026 05:00 AMwbc9.57 x10^3/uL
LAB-004572Thu Nov 05, 2026 05:00 AMplatelets216.0 x10^3/uL
Vitals (146)
Vitals
RowWhenKindValueDetail
VIT-012993Wed Oct 28, 2026 05:59 PMspo295.0room air
VIT-012994Wed Oct 28, 2026 05:59 PMrr19.0
VIT-013043Wed Oct 28, 2026 05:59 PMtemp_c37.1
VIT-013044Wed Oct 28, 2026 05:59 PMhr75.0
VIT-013045Wed Oct 28, 2026 05:59 PMmap76.0
VIT-013046Wed Oct 28, 2026 05:59 PMgcs15.0
VIT-012995Thu Oct 29, 2026 01:59 AMspo293.0room air
VIT-012996Thu Oct 29, 2026 01:59 AMrr16.0
VIT-013047Thu Oct 29, 2026 01:59 AMtemp_c37.4
VIT-013048Thu Oct 29, 2026 01:59 AMhr73.0
VIT-013049Thu Oct 29, 2026 01:59 AMmap87.0
VIT-013050Thu Oct 29, 2026 01:59 AMgcs15.0
VIT-012997Thu Oct 29, 2026 02:04 AMo2_lpm2.0nasal cannula
VIT-012998Thu Oct 29, 2026 09:59 AMspo293.0room air
VIT-012999Thu Oct 29, 2026 09:59 AMrr20.0
VIT-013051Thu Oct 29, 2026 09:59 AMtemp_c37.2
VIT-013052Thu Oct 29, 2026 09:59 AMhr88.0
VIT-013053Thu Oct 29, 2026 09:59 AMmap92.0
VIT-013054Thu Oct 29, 2026 09:59 AMgcs15.0
VIT-013000Thu Oct 29, 2026 10:04 AMo2_lpm2.0nasal cannula
VIT-013001Thu Oct 29, 2026 05:59 PMspo294.0room air
VIT-013002Thu Oct 29, 2026 05:59 PMrr17.0
VIT-013055Thu Oct 29, 2026 05:59 PMtemp_c37.4
VIT-013056Thu Oct 29, 2026 05:59 PMhr88.0
VIT-013057Thu Oct 29, 2026 05:59 PMmap91.0
VIT-013058Thu Oct 29, 2026 05:59 PMgcs15.0
VIT-013003Fri Oct 30, 2026 01:59 AMspo294.0room air
VIT-013004Fri Oct 30, 2026 01:59 AMrr16.0
VIT-013059Fri Oct 30, 2026 01:59 AMtemp_c36.9
VIT-013060Fri Oct 30, 2026 01:59 AMhr77.0
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VIT-013005Fri Oct 30, 2026 09:59 AMspo294.0room air
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VIT-013066Fri Oct 30, 2026 09:59 AMgcs15.0
VIT-013007Fri Oct 30, 2026 05:59 PMspo296.0room air
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VIT-013009Sat Oct 31, 2026 01:59 AMspo293.0room air
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VIT-013071Sat Oct 31, 2026 01:59 AMtemp_c37.4
VIT-013072Sat Oct 31, 2026 01:59 AMhr81.0
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VIT-013011Sat Oct 31, 2026 09:59 AMspo296.0room air
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VIT-013075Sat Oct 31, 2026 09:59 AMtemp_c36.7
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VIT-013078Sat Oct 31, 2026 09:59 AMgcs15.0
VIT-013013Sat Oct 31, 2026 05:59 PMspo294.0room air
VIT-013014Sat Oct 31, 2026 05:59 PMrr21.0
VIT-013079Sat Oct 31, 2026 05:59 PMtemp_c37.5
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VIT-013082Sat Oct 31, 2026 05:59 PMgcs15.0
VIT-013015Sun Nov 01, 2026 01:59 AMspo294.0room air
VIT-013016Sun Nov 01, 2026 01:59 AMrr19.0
VIT-013083Sun Nov 01, 2026 01:59 AMtemp_c36.8
VIT-013084Sun Nov 01, 2026 01:59 AMhr82.0
VIT-013085Sun Nov 01, 2026 01:59 AMmap78.0
VIT-013086Sun Nov 01, 2026 01:59 AMgcs15.0
VIT-013017Sun Nov 01, 2026 09:59 AMspo297.0room air
VIT-013018Sun Nov 01, 2026 09:59 AMrr16.0
VIT-013087Sun Nov 01, 2026 09:59 AMtemp_c37.5
VIT-013088Sun Nov 01, 2026 09:59 AMhr77.0
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VIT-013094Sun Nov 01, 2026 05:59 PMgcs15.0
VIT-013021Mon Nov 02, 2026 01:59 AMspo295.0room air
VIT-013022Mon Nov 02, 2026 01:59 AMrr18.0
VIT-013095Mon Nov 02, 2026 01:59 AMtemp_c37.2
VIT-013096Mon Nov 02, 2026 01:59 AMhr81.0
VIT-013097Mon Nov 02, 2026 01:59 AMmap91.0
VIT-013098Mon Nov 02, 2026 01:59 AMgcs15.0
VIT-013023Mon Nov 02, 2026 09:59 AMspo294.0room air
VIT-013024Mon Nov 02, 2026 09:59 AMrr16.0
VIT-013099Mon Nov 02, 2026 09:59 AMtemp_c36.8
VIT-013100Mon Nov 02, 2026 09:59 AMhr85.0
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VIT-013025Mon Nov 02, 2026 05:59 PMspo295.0room air
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VIT-013103Mon Nov 02, 2026 05:59 PMtemp_c36.8
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VIT-013027Tue Nov 03, 2026 01:59 AMspo295.0room air
VIT-013028Tue Nov 03, 2026 01:59 AMrr21.0
VIT-013107Tue Nov 03, 2026 01:59 AMtemp_c36.9
VIT-013108Tue Nov 03, 2026 01:59 AMhr78.0
VIT-013109Tue Nov 03, 2026 01:59 AMmap92.0
VIT-013110Tue Nov 03, 2026 01:59 AMgcs15.0
VIT-013029Tue Nov 03, 2026 09:59 AMspo296.0room air
VIT-013030Tue Nov 03, 2026 09:59 AMrr16.0
VIT-013111Tue Nov 03, 2026 09:59 AMtemp_c36.8
VIT-013112Tue Nov 03, 2026 09:59 AMhr85.0
VIT-013113Tue Nov 03, 2026 09:59 AMmap76.0
VIT-013114Tue Nov 03, 2026 09:59 AMgcs15.0
VIT-013031Tue Nov 03, 2026 05:59 PMspo297.0room air
VIT-013032Tue Nov 03, 2026 05:59 PMrr21.0
VIT-013115Tue Nov 03, 2026 05:59 PMtemp_c36.6
VIT-013116Tue Nov 03, 2026 05:59 PMhr88.0
VIT-013117Tue Nov 03, 2026 05:59 PMmap74.0
VIT-013118Tue Nov 03, 2026 05:59 PMgcs15.0
VIT-013033Wed Nov 04, 2026 01:59 AMspo293.0room air
VIT-013034Wed Nov 04, 2026 01:59 AMrr20.0
VIT-013119Wed Nov 04, 2026 01:59 AMtemp_c37.5
VIT-013120Wed Nov 04, 2026 01:59 AMhr83.0
VIT-013121Wed Nov 04, 2026 01:59 AMmap76.0
VIT-013122Wed Nov 04, 2026 01:59 AMgcs15.0
VIT-013035Wed Nov 04, 2026 09:59 AMspo295.0room air
VIT-013036Wed Nov 04, 2026 09:59 AMrr16.0
VIT-013123Wed Nov 04, 2026 09:59 AMtemp_c37.6
VIT-013124Wed Nov 04, 2026 09:59 AMhr69.0
VIT-013125Wed Nov 04, 2026 09:59 AMmap84.0
VIT-013126Wed Nov 04, 2026 09:59 AMgcs15.0
VIT-013037Wed Nov 04, 2026 05:59 PMspo294.0room air
VIT-013038Wed Nov 04, 2026 05:59 PMrr20.0
VIT-013127Wed Nov 04, 2026 05:59 PMtemp_c36.8
VIT-013128Wed Nov 04, 2026 05:59 PMhr83.0
VIT-013129Wed Nov 04, 2026 05:59 PMmap92.0
VIT-013130Wed Nov 04, 2026 05:59 PMgcs15.0
VIT-013039Thu Nov 05, 2026 01:59 AMspo293.0room air
VIT-013040Thu Nov 05, 2026 01:59 AMrr19.0
VIT-013131Thu Nov 05, 2026 01:59 AMtemp_c37.4
VIT-013132Thu Nov 05, 2026 01:59 AMhr84.0
VIT-013133Thu Nov 05, 2026 01:59 AMmap86.0
VIT-013134Thu Nov 05, 2026 01:59 AMgcs15.0
VIT-013041Thu Nov 05, 2026 09:59 AMspo294.0room air
VIT-013042Thu Nov 05, 2026 09:59 AMrr21.0
VIT-013135Thu Nov 05, 2026 09:59 AMtemp_c37.0
VIT-013136Thu Nov 05, 2026 09:59 AMhr76.0
VIT-013137Thu Nov 05, 2026 09:59 AMmap90.0
VIT-013138Thu Nov 05, 2026 09:59 AMgcs15.0
Medications, orders, echo, history (5)

Notes

History and physical · DOC-000449 · Dr. Priya Thorne (resident) · Wed Oct 28, 2026 08:39 PM

Cited facts from this note (2)
bleeding_source
black tarry stools · cited p. 1, line 5 · confidence 0.85
Show source for bleeding_source
… 50-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Hospital course complicated by black tarry stools. Past medical history: GERD, type 2 diabetes, hypertension. Review of systems otherwise negative. Exam: Lungs: clear to auscultation bilaterally. Assessment an …
infection_source
urinary tract infection · cited p. 1, line 5 · confidence 0.85
Show source for infection_source
… 19275466 Admitted: 2026-10-28 17:39 Service: Hospital Medicine Attending: Dr. Rosalind Quillan History of present illness: 50-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Hospital course complicated by black tarry stools. Past medical history: GERD, type 2 …
Source document DOC-000449: History and physical (synthetic)
HISTORY AND PHYSICAL
Patient: Hana Quillan   MRN: MRN19275466   Admitted: 2026-10-28 17:39
Service: Hospital Medicine   Attending: Dr. Rosalind Quillan

History of present illness: 50-year-old woman admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Hospital course complicated by black tarry stools.
Past medical history: GERD, type 2 diabetes, hypertension.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Urinary tract infection: antibiotics.

Wound care note · DOC-000448 · Ines Ingram, RN, CWOCN (wound_nurse) · Fri Oct 30, 2026 01:39 AM

Cited facts from this note (2)
wound_site
sacral · cited p. 1, line 4 · confidence 0.95
Show source for wound_site
WOUND CARE NOTE Patient: Hana Quillan MRN: MRN19275466 Location: sacrum Stage: unstageable (NPIAP) Description: wound bed obscured by eschar. Size: 2.4 x 3.8 x 0.9 cm. Plan: offloading every 2 hours, foam dressing, nutrition consul …
wound_stage
unstageable · cited p. 1, line 5 · confidence 0.95
Show source for wound_stage
WOUND CARE NOTE Patient: Hana Quillan MRN: MRN19275466 Location: sacrum Stage: unstageable (NPIAP) Description: wound bed obscured by eschar. Size: 2.4 x 3.8 x 0.9 cm. Plan: offloading every 2 hours, foam dressing, nutrition consult.
Source document DOC-000448: Wound care note (synthetic)
WOUND CARE NOTE
Patient: Hana Quillan   MRN: MRN19275466

Location: sacrum
Stage: unstageable (NPIAP)
Description: wound bed obscured by eschar.
Size: 2.4 x 3.8 x 0.9 cm.
Plan: offloading every 2 hours, foam dressing, nutrition consult.

Progress note · DOC-000450 · Dr. Priya Thorne (resident) · Fri Oct 30, 2026 09:39 PM

Source document DOC-000450: Progress note (synthetic)
PROGRESS NOTE (Resident)
Patient: Hana Quillan   MRN: MRN19275466   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.
2. Acute hypoxic respiratory failure: supplemental oxygen, wean as tolerated.
3. Acute blood loss anemia: trend hemoglobin, transfuse if needed.
4. Unstageable sacral pressure injury: wound care following, offloading.

Resident: Dr. Priya Thorne   Attending cosign: completed

Discharge summary · DOC-000451 · Dr. Rosalind Quillan (attending) · Thu Nov 05, 2026 04:42 PM

Source document DOC-000451: Discharge summary (synthetic)
DISCHARGE SUMMARY
Patient: Hana Quillan   MRN: MRN19275466
Admitted 2026-10-28; discharged 2026-11-05.

Discharge diagnoses:
- urinary tract infection
- acute hypoxic respiratory failure
- acute blood loss anemia
- unstageable sacral pressure injury
- GERD
- type 2 diabetes
- hypertension

Disposition: home with follow-up.