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-00142: Uma Quillan

71F · MRN13483615 · Cardiology · admitted Mon Nov 09, 2026 02:43 PM · in hospital · attending Dr. Kenji Stavros · resident Dr. Priya Thorne · 153 cm, 96.4 kg

Documented diagnoses (current)

Principal: “acute on chronic systolic heart failure” · I50.23 Acute on chronic systolic (congestive) heart failure

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

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=1.047, t.ratio_s1=1.5, creat_rise_48h=0.02, 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=1.047, t.ratio_s3=3.0, creat_peak=0.89, 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=1.047, 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=0.02, 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=12.78, 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=0.6, 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=0.6, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=12.78, 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=370, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=74.2, egfr_late=73.2	74.2
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=74.2, t.g2=60, egfr_late=73.2	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=74.2, 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=74.2, egfr_late=73.2, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=74.2, t.g2=60	true

Heart failure

Criteria met

No gap

Supported as documented (I50.23).

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=2352.0, 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=False	2
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=29.0, t.ref=40, t.pres=50	systolic
derived: improved	`coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false)`	lvef_prior_min=unknown, t.ref=40, lvef=29.0, 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=2, hf_history=True	acute on chronic
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=systolic	false
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=systolic, acuity=acute on chronic	true

Hyponatraemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule hyponatremia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
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=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)
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 met

Specificity gap

Criteria support Obesity, class 3 (E66.813); no corresponding diagnosis is documented.

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=71, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=41.2, t.c3=40	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=36.8, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=87.0, 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=9.73, t.wbc_hi=12, wbc_min_48h=6.11, 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=167.0	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=0.44	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=82.0	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=0.89	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=0.85	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 (29)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-004843	Thu Sep 25, 2025 09:15 AM	creatinine	0.84 mg/dL
LAB-004844	Wed Sep 30, 2026 10:05 AM	creatinine	0.85 mg/dL
LAB-004845	Mon Nov 09, 2026 03:43 PM	creatinine	0.89 mg/dL
LAB-004850	Mon Nov 09, 2026 03:43 PM	bnp	2352.0 pg/mL
LAB-004851	Mon Nov 09, 2026 03:43 PM	sodium	136.0 mmol/L
LAB-004856	Mon Nov 09, 2026 03:43 PM	hemoglobin	13.3 g/dL
LAB-004861	Mon Nov 09, 2026 03:43 PM	wbc	9.73 x10^3/uL
LAB-004862	Mon Nov 09, 2026 03:43 PM	platelets	275.0 x10^3/uL
LAB-004871	Mon Nov 09, 2026 03:43 PM	bilirubin	0.44 mg/dL
LAB-004846	Tue Nov 10, 2026 05:00 AM	creatinine	0.86 mg/dL
LAB-004852	Tue Nov 10, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-004857	Tue Nov 10, 2026 05:00 AM	hemoglobin	13.34 g/dL
LAB-004863	Tue Nov 10, 2026 05:00 AM	wbc	7.37 x10^3/uL
LAB-004864	Tue Nov 10, 2026 05:00 AM	platelets	186.0 x10^3/uL
LAB-004847	Wed Nov 11, 2026 05:00 AM	creatinine	0.88 mg/dL
LAB-004853	Wed Nov 11, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-004858	Wed Nov 11, 2026 05:00 AM	hemoglobin	12.78 g/dL
LAB-004865	Wed Nov 11, 2026 05:00 AM	wbc	6.11 x10^3/uL
LAB-004866	Wed Nov 11, 2026 05:00 AM	platelets	167.0 x10^3/uL
LAB-004848	Thu Nov 12, 2026 05:00 AM	creatinine	0.88 mg/dL
LAB-004854	Thu Nov 12, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004859	Thu Nov 12, 2026 05:00 AM	hemoglobin	12.82 g/dL
LAB-004867	Thu Nov 12, 2026 05:00 AM	wbc	9.14 x10^3/uL
LAB-004868	Thu Nov 12, 2026 05:00 AM	platelets	287.0 x10^3/uL
LAB-004849	Fri Nov 13, 2026 05:00 AM	creatinine	0.87 mg/dL
LAB-004855	Fri Nov 13, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004860	Fri Nov 13, 2026 05:00 AM	hemoglobin	13.35 g/dL
LAB-004869	Fri Nov 13, 2026 05:00 AM	wbc	7.41 x10^3/uL
LAB-004870	Fri Nov 13, 2026 05:00 AM	platelets	284.0 x10^3/uL

Vitals (78)

Vitals
Row	When	Kind	Value	Detail
VIT-013929	Mon Nov 09, 2026 03:03 PM	spo2	98.0	room air
VIT-013930	Mon Nov 09, 2026 03:03 PM	rr	14.0
VIT-013955	Mon Nov 09, 2026 03:03 PM	temp_c	36.8
VIT-013956	Mon Nov 09, 2026 03:03 PM	hr	82.0
VIT-013957	Mon Nov 09, 2026 03:03 PM	map	82.0
VIT-013958	Mon Nov 09, 2026 03:03 PM	gcs	15.0
VIT-013931	Mon Nov 09, 2026 11:03 PM	spo2	96.0	room air
VIT-013932	Mon Nov 09, 2026 11:03 PM	rr	14.0
VIT-013959	Mon Nov 09, 2026 11:03 PM	temp_c	37.5
VIT-013960	Mon Nov 09, 2026 11:03 PM	hr	81.0
VIT-013961	Mon Nov 09, 2026 11:03 PM	map	84.0
VIT-013962	Mon Nov 09, 2026 11:03 PM	gcs	15.0
VIT-013933	Tue Nov 10, 2026 07:03 AM	spo2	99.0	room air
VIT-013934	Tue Nov 10, 2026 07:03 AM	rr	16.0
VIT-013963	Tue Nov 10, 2026 07:03 AM	temp_c	37.1
VIT-013964	Tue Nov 10, 2026 07:03 AM	hr	77.0
VIT-013965	Tue Nov 10, 2026 07:03 AM	map	89.0
VIT-013966	Tue Nov 10, 2026 07:03 AM	gcs	15.0
VIT-013935	Tue Nov 10, 2026 03:03 PM	spo2	99.0	room air
VIT-013936	Tue Nov 10, 2026 03:03 PM	rr	16.0
VIT-013967	Tue Nov 10, 2026 03:03 PM	temp_c	37.5
VIT-013968	Tue Nov 10, 2026 03:03 PM	hr	87.0
VIT-013969	Tue Nov 10, 2026 03:03 PM	map	91.0
VIT-013970	Tue Nov 10, 2026 03:03 PM	gcs	15.0
VIT-013937	Tue Nov 10, 2026 11:03 PM	spo2	98.0	room air
VIT-013938	Tue Nov 10, 2026 11:03 PM	rr	19.0
VIT-013971	Tue Nov 10, 2026 11:03 PM	temp_c	37.2
VIT-013972	Tue Nov 10, 2026 11:03 PM	hr	78.0
VIT-013973	Tue Nov 10, 2026 11:03 PM	map	82.0
VIT-013974	Tue Nov 10, 2026 11:03 PM	gcs	15.0
VIT-013939	Wed Nov 11, 2026 07:03 AM	spo2	97.0	room air
VIT-013940	Wed Nov 11, 2026 07:03 AM	rr	19.0
VIT-013975	Wed Nov 11, 2026 07:03 AM	temp_c	37.1
VIT-013976	Wed Nov 11, 2026 07:03 AM	hr	86.0
VIT-013977	Wed Nov 11, 2026 07:03 AM	map	87.0
VIT-013978	Wed Nov 11, 2026 07:03 AM	gcs	15.0
VIT-013941	Wed Nov 11, 2026 03:03 PM	spo2	94.0	room air
VIT-013942	Wed Nov 11, 2026 03:03 PM	rr	15.0
VIT-013979	Wed Nov 11, 2026 03:03 PM	temp_c	37.4
VIT-013980	Wed Nov 11, 2026 03:03 PM	hr	87.0
VIT-013981	Wed Nov 11, 2026 03:03 PM	map	78.0
VIT-013982	Wed Nov 11, 2026 03:03 PM	gcs	15.0
VIT-013943	Wed Nov 11, 2026 11:03 PM	spo2	97.0	room air
VIT-013944	Wed Nov 11, 2026 11:03 PM	rr	19.0
VIT-013983	Wed Nov 11, 2026 11:03 PM	temp_c	37.6
VIT-013984	Wed Nov 11, 2026 11:03 PM	hr	73.0
VIT-013985	Wed Nov 11, 2026 11:03 PM	map	79.0
VIT-013986	Wed Nov 11, 2026 11:03 PM	gcs	15.0
VIT-013945	Thu Nov 12, 2026 07:03 AM	spo2	96.0	room air
VIT-013946	Thu Nov 12, 2026 07:03 AM	rr	19.0
VIT-013987	Thu Nov 12, 2026 07:03 AM	temp_c	36.9
VIT-013988	Thu Nov 12, 2026 07:03 AM	hr	91.0
VIT-013989	Thu Nov 12, 2026 07:03 AM	map	91.0
VIT-013990	Thu Nov 12, 2026 07:03 AM	gcs	15.0
VIT-013947	Thu Nov 12, 2026 03:03 PM	spo2	95.0	room air
VIT-013948	Thu Nov 12, 2026 03:03 PM	rr	20.0
VIT-013991	Thu Nov 12, 2026 03:03 PM	temp_c	36.7
VIT-013992	Thu Nov 12, 2026 03:03 PM	hr	68.0
VIT-013993	Thu Nov 12, 2026 03:03 PM	map	86.0
VIT-013994	Thu Nov 12, 2026 03:03 PM	gcs	15.0
VIT-013949	Thu Nov 12, 2026 11:03 PM	spo2	99.0	room air
VIT-013950	Thu Nov 12, 2026 11:03 PM	rr	17.0
VIT-013995	Thu Nov 12, 2026 11:03 PM	temp_c	37.2
VIT-013996	Thu Nov 12, 2026 11:03 PM	hr	80.0
VIT-013997	Thu Nov 12, 2026 11:03 PM	map	89.0
VIT-013998	Thu Nov 12, 2026 11:03 PM	gcs	15.0
VIT-013951	Fri Nov 13, 2026 07:03 AM	spo2	96.0	room air
VIT-013952	Fri Nov 13, 2026 07:03 AM	rr	17.0
VIT-013999	Fri Nov 13, 2026 07:03 AM	temp_c	37.2
VIT-014000	Fri Nov 13, 2026 07:03 AM	hr	82.0
VIT-014001	Fri Nov 13, 2026 07:03 AM	map	87.0
VIT-014002	Fri Nov 13, 2026 07:03 AM	gcs	15.0
VIT-013953	Fri Nov 13, 2026 03:03 PM	spo2	94.0	room air
VIT-013954	Fri Nov 13, 2026 03:03 PM	rr	15.0
VIT-014003	Fri Nov 13, 2026 03:03 PM	temp_c	37.5
VIT-014004	Fri Nov 13, 2026 03:03 PM	hr	79.0
VIT-014005	Fri Nov 13, 2026 03:03 PM	map	85.0
VIT-014006	Fri Nov 13, 2026 03:03 PM	gcs	15.0

Medications, orders, echo, history (8)

MED-000559 11-09 08:00 furosemide 40 mg IV
MED-000560 11-09 20:00 furosemide 40 mg IV
MED-000561 11-10 08:00 furosemide 40 mg IV
MED-000562 11-10 20:00 furosemide 40 mg IV
MED-000563 11-11 08:00 furosemide 40 mg IV
MED-000564 11-11 20:00 furosemide 40 mg IV
ECH-000066 2026-11-10 echo LVEF 29.0%
HX-000051 history: heart failure with reduced ejection fraction

Notes

History and physical · DOC-000479 · Dr. Priya Thorne (resident) · Mon Nov 09, 2026 05:43 PM

Source document DOC-000479: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Uma Quillan   MRN: MRN13483615   Admitted: 2026-11-09 14:43
Service: Cardiology   Attending: Dr. Kenji Stavros

History of present illness: 71-year-old woman admitted with acute on chronic systolic heart failure. 
Past medical history: heart failure with reduced ejection fraction.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Acute on chronic systolic heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000480 · Dr. Priya Thorne (resident) · Fri Nov 13, 2026 11:55 AM · awaiting cosign

Source document DOC-000480: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Uma Quillan   MRN: MRN13483615   Hospital day 4

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Acute on chronic systolic heart failure: continue current management.

Resident: Dr. Priya Thorne   Attending cosign: pending