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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-00139: Hollis Kestrel

61F · MRN31362123 · Cardiology · admitted Wed Oct 28, 2026 10:29 PM · discharged Tue Nov 03, 2026 02:08 PM · attending Dr. Jalen Carrow · 163 cm, 58.6 kg

Documented diagnoses (current)

  • Principal: “diastolic heart failure” · I50.30 Unspecified diastolic (congestive) heart failure
  • “hypoxia” · R09.02 Hypoxemia

Illustrative grouping now: MS-DRG 293 Heart failure and shock without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 292.

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=1.062, t.ratio_s1=1.5, creat_rise_48h=0.06, 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=1.062, t.ratio_s3=3.0, creat_peak=0.86, 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=1.062, 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=0.06, 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=F, hgb_nadir=12.94, 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=12.94, 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)
StepExpressionInputs and thresholds readResult
derived: chronic egfr_n >= 2 and egfr_span_days >= t.chronic_days egfr_n=2, egfr_span_days=323, t.chronic_days=90 true
derived: staging_egfr max(egfr_early, egfr_late) egfr_early=85.0, egfr_late=82.5 85.0
derived: both_below_60 egfr_early < t.g2 and egfr_late < t.g2 egfr_early=85.0, t.g2=60, egfr_late=82.5 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=85.0, 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=85.0, egfr_late=82.5, t.g2=60 false
outcome: g1_g2 staging_egfr >= t.g2 staging_egfr=85.0, t.g2=60 true
Heart failure Criteria met Specificity gap Documented “diastolic heart failure” (I50.30); criteria support the more specific Acute on chronic diastolic (HFpEF) heart failure (I50.33).
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=2172.0, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300 true
derived: acute_count count(iv_loop_diuretic, np_elevated, new_o2) iv_loop_diuretic=True, np_elevated=True, new_o2=True 3
derived: hf_type case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange') lvef=63.0, t.ref=40, t.pres=50 diastolic
derived: improved coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false) lvef_prior_min=unknown, t.ref=40, lvef=63.0, 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=3, hf_history=True acute on chronic
outcome: improved_ef improved improved=False false
outcome: midrange hf_type == 'midrange' hf_type=diastolic false
outcome: sys_aoc hf_type == 'systolic' and acuity == 'acute on chronic' hf_type=diastolic, acuity=acute on chronic false
outcome: sys_acute hf_type == 'systolic' and acuity == 'acute' hf_type=diastolic, acuity=acute on chronic false
outcome: sys_chronic hf_type == 'systolic' and acuity == 'chronic' hf_type=diastolic, acuity=acute on chronic false
outcome: dia_aoc hf_type == 'diastolic' and acuity == 'acute on chronic' hf_type=diastolic, acuity=acute on chronic true
Hyponatraemia Criteria met Specificity gap Criteria support Hyponatraemia (profound) (E87.1); no corresponding diagnosis is documented.
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=123.0, t.profound=125, t.moderate=130, t.low=135 profound
outcome: met na_min < t.low and na_low_count >= t.repeat and na_treated na_min=123.0, t.low=135, na_low_count=6, t.repeat=2, na_treated=True 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=61, t.adult=20 false
outcome: class3 bmi >= t.c3 bmi=22.1, t.c3=40 false
outcome: class2 bmi >= t.c2 bmi=22.1, t.c2=35 false
outcome: class1 bmi >= t.c1 bmi=22.1, t.c1=30 false
outcome: not_met bmi < t.c1 bmi=22.1, 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 Clinical judgement required Clinical judgement required Clinical judgement required: Hypoxaemia without a charted sign of respiratory distress.
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=87.0, 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=87.0, t.spo2_ra=88, pao2_min_ra=unknown, t.pao2=60, pf_min=unknown, t.pf=300 true
derived: distress coalesce(rr_max >= t.rr_distress, false) or coalesce(wob_increased, false) or adv_resp_support rr_max=23.0, t.rr_distress=28, wob_increased=unknown, adv_resp_support=False false
outcome: chronic_baseline home_o2 and hypoxemia home_o2=False, hypoxemia=True false
outcome: met hypoxemia and distress hypoxemia=True, distress=False false
outcome: hypoxemia_only hypoxemia hypoxemia=True 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=36.6, 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=23.0, 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=10.31, t.wbc_hi=12, wbc_min_48h=7.93, 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=171.0 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=0.92 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=78.0 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=0.85 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=0.81 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=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=False true

Structured data

Labs (39)
Labs (pre-admission rows are outpatient values)
RowWhenTestValue
LAB-004729Sat Sep 27, 2025 09:15 AMcreatinine0.79 mg/dL
LAB-004730Sun Aug 16, 2026 10:05 AMcreatinine0.81 mg/dL
LAB-004731Wed Oct 28, 2026 11:29 PMcreatinine0.85 mg/dL
LAB-004738Wed Oct 28, 2026 11:29 PMbnp2172.0 pg/mL
LAB-004739Wed Oct 28, 2026 11:29 PMsodium125.0 mmol/L
LAB-004746Wed Oct 28, 2026 11:29 PMhemoglobin13.09 g/dL
LAB-004753Wed Oct 28, 2026 11:29 PMwbc10.31 x10^3/uL
LAB-004754Wed Oct 28, 2026 11:29 PMplatelets185.0 x10^3/uL
LAB-004767Wed Oct 28, 2026 11:29 PMbilirubin0.92 mg/dL
LAB-004732Thu Oct 29, 2026 05:00 AMcreatinine0.8 mg/dL
LAB-004740Thu Oct 29, 2026 05:00 AMsodium123.0 mmol/L
LAB-004747Thu Oct 29, 2026 05:00 AMhemoglobin13.34 g/dL
LAB-004755Thu Oct 29, 2026 05:00 AMwbc7.93 x10^3/uL
LAB-004756Thu Oct 29, 2026 05:00 AMplatelets171.0 x10^3/uL
LAB-004733Fri Oct 30, 2026 05:00 AMcreatinine0.82 mg/dL
LAB-004741Fri Oct 30, 2026 05:00 AMsodium124.0 mmol/L
LAB-004748Fri Oct 30, 2026 05:00 AMhemoglobin13.28 g/dL
LAB-004757Fri Oct 30, 2026 05:00 AMwbc9.25 x10^3/uL
LAB-004758Fri Oct 30, 2026 05:00 AMplatelets205.0 x10^3/uL
LAB-004734Sat Oct 31, 2026 05:00 AMcreatinine0.86 mg/dL
LAB-004742Sat Oct 31, 2026 05:00 AMsodium127.0 mmol/L
LAB-004749Sat Oct 31, 2026 05:00 AMhemoglobin12.99 g/dL
LAB-004759Sat Oct 31, 2026 05:00 AMwbc8.41 x10^3/uL
LAB-004760Sat Oct 31, 2026 05:00 AMplatelets199.0 x10^3/uL
LAB-004735Sun Nov 01, 2026 05:00 AMcreatinine0.82 mg/dL
LAB-004743Sun Nov 01, 2026 05:00 AMsodium129.0 mmol/L
LAB-004750Sun Nov 01, 2026 05:00 AMhemoglobin13.13 g/dL
LAB-004761Sun Nov 01, 2026 05:00 AMwbc10.57 x10^3/uL
LAB-004762Sun Nov 01, 2026 05:00 AMplatelets180.0 x10^3/uL
LAB-004736Mon Nov 02, 2026 05:00 AMcreatinine0.8 mg/dL
LAB-004744Mon Nov 02, 2026 05:00 AMsodium134.0 mmol/L
LAB-004751Mon Nov 02, 2026 05:00 AMhemoglobin12.94 g/dL
LAB-004763Mon Nov 02, 2026 05:00 AMwbc9.37 x10^3/uL
LAB-004764Mon Nov 02, 2026 05:00 AMplatelets223.0 x10^3/uL
LAB-004737Tue Nov 03, 2026 05:00 AMcreatinine0.83 mg/dL
LAB-004745Tue Nov 03, 2026 05:00 AMsodium136.0 mmol/L
LAB-004752Tue Nov 03, 2026 05:00 AMhemoglobin13.02 g/dL
LAB-004765Tue Nov 03, 2026 05:00 AMwbc6.89 x10^3/uL
LAB-004766Tue Nov 03, 2026 05:00 AMplatelets240.0 x10^3/uL
Vitals (118)
Vitals
RowWhenKindValueDetail
VIT-013589Wed Oct 28, 2026 10:49 PMspo287.0room air
VIT-013590Wed Oct 28, 2026 10:49 PMrr21.0
VIT-013639Wed Oct 28, 2026 10:49 PMtemp_c36.6
VIT-013640Wed Oct 28, 2026 10:49 PMhr85.0
VIT-013641Wed Oct 28, 2026 10:49 PMmap80.0
VIT-013642Wed Oct 28, 2026 10:49 PMgcs15.0
VIT-013591Thu Oct 29, 2026 06:49 AMspo295.0nasal cannula
VIT-013592Thu Oct 29, 2026 06:49 AMrr21.0
VIT-013593Thu Oct 29, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013643Thu Oct 29, 2026 06:49 AMtemp_c36.8
VIT-013644Thu Oct 29, 2026 06:49 AMhr80.0
VIT-013645Thu Oct 29, 2026 06:49 AMmap87.0
VIT-013646Thu Oct 29, 2026 06:49 AMgcs15.0
VIT-013594Thu Oct 29, 2026 02:49 PMspo293.0nasal cannula
VIT-013595Thu Oct 29, 2026 02:49 PMrr23.0
VIT-013596Thu Oct 29, 2026 02:49 PMo2_lpm2.0nasal cannula
VIT-013647Thu Oct 29, 2026 02:49 PMtemp_c37.5
VIT-013648Thu Oct 29, 2026 02:49 PMhr88.0
VIT-013649Thu Oct 29, 2026 02:49 PMmap84.0
VIT-013650Thu Oct 29, 2026 02:49 PMgcs15.0
VIT-013597Thu Oct 29, 2026 10:49 PMspo296.0nasal cannula
VIT-013598Thu Oct 29, 2026 10:49 PMrr19.0
VIT-013599Thu Oct 29, 2026 10:49 PMo2_lpm2.0nasal cannula
VIT-013651Thu Oct 29, 2026 10:49 PMtemp_c37.6
VIT-013652Thu Oct 29, 2026 10:49 PMhr76.0
VIT-013653Thu Oct 29, 2026 10:49 PMmap89.0
VIT-013654Thu Oct 29, 2026 10:49 PMgcs15.0
VIT-013600Fri Oct 30, 2026 06:49 AMspo296.0nasal cannula
VIT-013601Fri Oct 30, 2026 06:49 AMrr22.0
VIT-013602Fri Oct 30, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013655Fri Oct 30, 2026 06:49 AMtemp_c36.7
VIT-013656Fri Oct 30, 2026 06:49 AMhr87.0
VIT-013657Fri Oct 30, 2026 06:49 AMmap89.0
VIT-013658Fri Oct 30, 2026 06:49 AMgcs15.0
VIT-013603Fri Oct 30, 2026 02:49 PMspo295.0nasal cannula
VIT-013604Fri Oct 30, 2026 02:49 PMrr18.0
VIT-013605Fri Oct 30, 2026 02:49 PMo2_lpm2.0nasal cannula
VIT-013659Fri Oct 30, 2026 02:49 PMtemp_c37.2
VIT-013660Fri Oct 30, 2026 02:49 PMhr89.0
VIT-013661Fri Oct 30, 2026 02:49 PMmap78.0
VIT-013662Fri Oct 30, 2026 02:49 PMgcs15.0
VIT-013606Fri Oct 30, 2026 10:49 PMspo292.0nasal cannula
VIT-013607Fri Oct 30, 2026 10:49 PMrr18.0
VIT-013608Fri Oct 30, 2026 10:49 PMo2_lpm2.0nasal cannula
VIT-013663Fri Oct 30, 2026 10:49 PMtemp_c37.0
VIT-013664Fri Oct 30, 2026 10:49 PMhr81.0
VIT-013665Fri Oct 30, 2026 10:49 PMmap87.0
VIT-013666Fri Oct 30, 2026 10:49 PMgcs15.0
VIT-013609Sat Oct 31, 2026 06:49 AMspo294.0nasal cannula
VIT-013610Sat Oct 31, 2026 06:49 AMrr23.0
VIT-013611Sat Oct 31, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013667Sat Oct 31, 2026 06:49 AMtemp_c36.6
VIT-013668Sat Oct 31, 2026 06:49 AMhr88.0
VIT-013669Sat Oct 31, 2026 06:49 AMmap82.0
VIT-013670Sat Oct 31, 2026 06:49 AMgcs15.0
VIT-013612Sat Oct 31, 2026 02:49 PMspo294.0nasal cannula
VIT-013613Sat Oct 31, 2026 02:49 PMrr22.0
VIT-013614Sat Oct 31, 2026 02:49 PMo2_lpm2.0nasal cannula
VIT-013671Sat Oct 31, 2026 02:49 PMtemp_c37.3
VIT-013672Sat Oct 31, 2026 02:49 PMhr90.0
VIT-013673Sat Oct 31, 2026 02:49 PMmap85.0
VIT-013674Sat Oct 31, 2026 02:49 PMgcs15.0
VIT-013615Sat Oct 31, 2026 10:49 PMspo294.0nasal cannula
VIT-013616Sat Oct 31, 2026 10:49 PMrr22.0
VIT-013617Sat Oct 31, 2026 10:49 PMo2_lpm2.0nasal cannula
VIT-013675Sat Oct 31, 2026 10:49 PMtemp_c37.3
VIT-013676Sat Oct 31, 2026 10:49 PMhr86.0
VIT-013677Sat Oct 31, 2026 10:49 PMmap82.0
VIT-013678Sat Oct 31, 2026 10:49 PMgcs15.0
VIT-013618Sun Nov 01, 2026 06:49 AMspo296.0nasal cannula
VIT-013619Sun Nov 01, 2026 06:49 AMrr22.0
VIT-013620Sun Nov 01, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013679Sun Nov 01, 2026 06:49 AMtemp_c37.3
VIT-013680Sun Nov 01, 2026 06:49 AMhr68.0
VIT-013681Sun Nov 01, 2026 06:49 AMmap82.0
VIT-013682Sun Nov 01, 2026 06:49 AMgcs15.0
VIT-013621Sun Nov 01, 2026 02:49 PMspo294.0nasal cannula
VIT-013622Sun Nov 01, 2026 02:49 PMrr21.0
VIT-013623Sun Nov 01, 2026 02:49 PMo2_lpm2.0nasal cannula
VIT-013683Sun Nov 01, 2026 02:49 PMtemp_c36.8
VIT-013684Sun Nov 01, 2026 02:49 PMhr78.0
VIT-013685Sun Nov 01, 2026 02:49 PMmap85.0
VIT-013686Sun Nov 01, 2026 02:49 PMgcs15.0
VIT-013624Sun Nov 01, 2026 10:49 PMspo292.0nasal cannula
VIT-013625Sun Nov 01, 2026 10:49 PMrr23.0
VIT-013626Sun Nov 01, 2026 10:49 PMo2_lpm2.0nasal cannula
VIT-013687Sun Nov 01, 2026 10:49 PMtemp_c37.6
VIT-013688Sun Nov 01, 2026 10:49 PMhr90.0
VIT-013689Sun Nov 01, 2026 10:49 PMmap88.0
VIT-013690Sun Nov 01, 2026 10:49 PMgcs15.0
VIT-013627Mon Nov 02, 2026 06:49 AMspo296.0nasal cannula
VIT-013628Mon Nov 02, 2026 06:49 AMrr23.0
VIT-013629Mon Nov 02, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013691Mon Nov 02, 2026 06:49 AMtemp_c36.7
VIT-013692Mon Nov 02, 2026 06:49 AMhr69.0
VIT-013693Mon Nov 02, 2026 06:49 AMmap75.0
VIT-013694Mon Nov 02, 2026 06:49 AMgcs15.0
VIT-013630Mon Nov 02, 2026 02:49 PMspo295.0nasal cannula
VIT-013631Mon Nov 02, 2026 02:49 PMrr21.0
VIT-013632Mon Nov 02, 2026 02:49 PMo2_lpm2.0nasal cannula
VIT-013695Mon Nov 02, 2026 02:49 PMtemp_c36.6
VIT-013696Mon Nov 02, 2026 02:49 PMhr80.0
VIT-013697Mon Nov 02, 2026 02:49 PMmap86.0
VIT-013698Mon Nov 02, 2026 02:49 PMgcs15.0
VIT-013633Mon Nov 02, 2026 10:49 PMspo295.0nasal cannula
VIT-013634Mon Nov 02, 2026 10:49 PMrr21.0
VIT-013635Mon Nov 02, 2026 10:49 PMo2_lpm2.0nasal cannula
VIT-013699Mon Nov 02, 2026 10:49 PMtemp_c36.7
VIT-013700Mon Nov 02, 2026 10:49 PMhr87.0
VIT-013701Mon Nov 02, 2026 10:49 PMmap78.0
VIT-013702Mon Nov 02, 2026 10:49 PMgcs15.0
VIT-013636Tue Nov 03, 2026 06:49 AMspo292.0nasal cannula
VIT-013637Tue Nov 03, 2026 06:49 AMrr23.0
VIT-013638Tue Nov 03, 2026 06:49 AMo2_lpm2.0nasal cannula
VIT-013703Tue Nov 03, 2026 06:49 AMtemp_c37.5
VIT-013704Tue Nov 03, 2026 06:49 AMhr72.0
VIT-013705Tue Nov 03, 2026 06:49 AMmap74.0
VIT-013706Tue Nov 03, 2026 06:49 AMgcs15.0
Medications, orders, echo, history (10)

Notes

History and physical · DOC-000469 · Dr. Jalen Carrow (attending) · Thu Oct 29, 2026 01:29 AM

Source document DOC-000469: History and physical (synthetic)
HISTORY AND PHYSICAL
Patient: Hollis Kestrel   MRN: MRN31362123   Admitted: 2026-10-28 22:29
Service: Cardiology   Attending: Dr. Jalen Carrow

History of present illness: 61-year-old woman admitted with diastolic heart failure. 
Past medical history: heart failure with preserved ejection fraction.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Diastolic heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000470 · Dr. Jalen Carrow (attending) · Sat Oct 31, 2026 01:29 AM

Source document DOC-000470: Progress note (synthetic)
PROGRESS NOTE (Attending)
Patient: Hollis Kestrel   MRN: MRN31362123   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Diastolic heart failure: continue current management.
2. Hypoxia: supplemental oxygen, wean as tolerated.

Attending: Dr. Jalen Carrow

Discharge summary · DOC-000471 · Dr. Jalen Carrow (attending) · Tue Nov 03, 2026 02:08 PM

Source document DOC-000471: Discharge summary (synthetic)
DISCHARGE SUMMARY
Patient: Hollis Kestrel   MRN: MRN31362123
Admitted 2026-10-28; discharged 2026-11-03.

Discharge diagnoses:
- diastolic heart failure
- hypoxia

Disposition: home with follow-up.