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-00143: Luca Carrow

77F · MRN87997721 · Hospital Medicine · admitted Sat Oct 24, 2026 03:49 PM · discharged Sun Nov 01, 2026 02:27 PM · attending Dr. Gideon Zeller · resident Dr. Greta Kowalczyk · 165 cm, 70.6 kg

Documented diagnoses (current)

Principal: “sepsis” · A41.9 Sepsis, unspecified organism
“community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“anemia” · D64.9 Anemia, unspecified
“type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications

Illustrative grouping now: MS-DRG 871 Septicemia or severe sepsis without MV >96 hours with MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 871.

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=1.049, t.ratio_s1=1.5, creat_rise_48h=0.04, t.rise_abs=0.3, uo_hours_lt_0_5=unknown, t.uo_s1_h=6	false
derived: stage3	`meets_definition and (creat_ratio >= t.ratio_s3 or creat_peak >= t.scr_s3 or rrt_started or coalesce(uo_hours_lt_0_3 >= t.uo_s3_h, false) or coalesce(anuria_hours >= t.anuria_h, false))`	meets_definition=False, creat_ratio=1.049, t.ratio_s3=3.0, creat_peak=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=1.049, t.ratio_s2=2.0, uo_hours_lt_0_5=unknown, t.uo_s2_h=12	false
derived: stage	`case(stage3, 3, stage2, 2, meets_definition, 1, 0)`	stage3=False, stage2=False, meets_definition=False	0
derived: baseline_independent	`creat_baseline_known or creat_rise_48h >= t.rise_abs or rrt_started`	creat_baseline_known=True, creat_rise_48h=0.04, t.rise_abs=0.3, rrt_started=False	true
outcome: aki_staged	`stage >= 1 and baseline_independent`	stage=0, baseline_independent=True	false
outcome: aki_presumed_baseline	`stage >= 1`	stage=0	false
outcome: not_met	`stage == 0`	stage=0	true

Acute blood loss anaemia

Criteria met

No gap

Supported as documented (D64.9).

Trace

Rule trace (rule blood_loss_anemia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
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=9.8, t.hb_m=13, t.hb_f=12	true
derived: acute_fall	`hgb_drop >= t.drop_major or prbc_units >= t.prbc_major`	hgb_drop=0.3, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=False, anaemic=True, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=True, hgb_drop=0.3, t.drop_min=1.0, prbc_units=0	true

Chronic kidney disease

Clinical judgement required

No gap

Not documented; egfr 60 or above; ckd g1-g2 requires markers of kidney damage, which are not assessed here.

Trace

Rule trace (rule ckd v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
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=285, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=75.8, egfr_late=73.6	75.8
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=75.8, t.g2=60, egfr_late=73.6	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=75.8, 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=75.8, egfr_late=73.6, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=75.8, 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=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 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=77, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=25.9, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=25.9, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=25.9, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=25.9, 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 met

No gap

Supported as documented (A41.9).

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=38.8, t.t_hi=38, temp_min_48h=38.5, t.t_lo=36	true
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=122.0, t.hr=90	true
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=16.21, t.wbc_hi=12, wbc_min_48h=14.99, t.wbc_lo=4, bands_max_48h=unknown, t.bands=10	true
derived: sirs_count	`count(sirs_temp, sirs_hr, sirs_rr, sirs_wbc)`	sirs_temp=True, sirs_hr=True, sirs_rr=False, sirs_wbc=True	3
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=82.0	2
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=0.98	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=64.0	1
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=0.86	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=0.82	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=2, sofa_liver=0, sofa_cardio=1, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	3
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=True, sofa_delta=3, t.sofa_delta=2	true
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=3, t.sirs_min=2	true
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=True, norepi_max_48h=0.0, lactate_max_48h=2.49, 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=True, sepsis2=True	true

Structured data

Labs (49)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-004872	Tue Sep 16, 2025 09:15 AM	creatinine	0.8 mg/dL
LAB-004873	Sun Jun 28, 2026 10:05 AM	creatinine	0.82 mg/dL
LAB-004874	Sat Oct 24, 2026 04:49 PM	creatinine	0.86 mg/dL
LAB-004883	Sat Oct 24, 2026 04:49 PM	sodium	139.0 mmol/L
LAB-004892	Sat Oct 24, 2026 04:49 PM	hemoglobin	9.83 g/dL
LAB-004901	Sat Oct 24, 2026 04:49 PM	wbc	14.99 x10^3/uL
LAB-004902	Sat Oct 24, 2026 04:49 PM	platelets	91.0 x10^3/uL
LAB-004919	Sat Oct 24, 2026 04:49 PM	bilirubin	0.98 mg/dL
LAB-004920	Sat Oct 24, 2026 04:49 PM	lactate	2.49 mmol/L
LAB-004875	Sun Oct 25, 2026 05:00 AM	creatinine	0.84 mg/dL
LAB-004884	Sun Oct 25, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-004893	Sun Oct 25, 2026 05:00 AM	hemoglobin	9.85 g/dL
LAB-004903	Sun Oct 25, 2026 05:00 AM	wbc	15.48 x10^3/uL
LAB-004904	Sun Oct 25, 2026 05:00 AM	platelets	91.0 x10^3/uL
LAB-004876	Mon Oct 26, 2026 05:00 AM	creatinine	0.83 mg/dL
LAB-004885	Mon Oct 26, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-004894	Mon Oct 26, 2026 05:00 AM	hemoglobin	10.07 g/dL
LAB-004905	Mon Oct 26, 2026 05:00 AM	wbc	16.21 x10^3/uL
LAB-004906	Mon Oct 26, 2026 05:00 AM	platelets	82.0 x10^3/uL
LAB-004877	Tue Oct 27, 2026 05:00 AM	creatinine	0.82 mg/dL
LAB-004886	Tue Oct 27, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-004895	Tue Oct 27, 2026 05:00 AM	hemoglobin	9.94 g/dL
LAB-004907	Tue Oct 27, 2026 05:00 AM	wbc	6.93 x10^3/uL
LAB-004908	Tue Oct 27, 2026 05:00 AM	platelets	181.0 x10^3/uL
LAB-004878	Wed Oct 28, 2026 05:00 AM	creatinine	0.86 mg/dL
LAB-004887	Wed Oct 28, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-004896	Wed Oct 28, 2026 05:00 AM	hemoglobin	9.8 g/dL
LAB-004909	Wed Oct 28, 2026 05:00 AM	wbc	9.49 x10^3/uL
LAB-004910	Wed Oct 28, 2026 05:00 AM	platelets	269.0 x10^3/uL
LAB-004879	Thu Oct 29, 2026 05:00 AM	creatinine	0.86 mg/dL
LAB-004888	Thu Oct 29, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-004897	Thu Oct 29, 2026 05:00 AM	hemoglobin	9.99 g/dL
LAB-004911	Thu Oct 29, 2026 05:00 AM	wbc	9.04 x10^3/uL
LAB-004912	Thu Oct 29, 2026 05:00 AM	platelets	263.0 x10^3/uL
LAB-004880	Fri Oct 30, 2026 05:00 AM	creatinine	0.85 mg/dL
LAB-004889	Fri Oct 30, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-004898	Fri Oct 30, 2026 05:00 AM	hemoglobin	9.8 g/dL
LAB-004913	Fri Oct 30, 2026 05:00 AM	wbc	8.71 x10^3/uL
LAB-004914	Fri Oct 30, 2026 05:00 AM	platelets	283.0 x10^3/uL
LAB-004881	Sat Oct 31, 2026 05:00 AM	creatinine	0.85 mg/dL
LAB-004890	Sat Oct 31, 2026 05:00 AM	sodium	139.0 mmol/L
LAB-004899	Sat Oct 31, 2026 05:00 AM	hemoglobin	9.87 g/dL
LAB-004915	Sat Oct 31, 2026 05:00 AM	wbc	7.72 x10^3/uL
LAB-004916	Sat Oct 31, 2026 05:00 AM	platelets	203.0 x10^3/uL
LAB-004882	Sun Nov 01, 2026 05:00 AM	creatinine	0.84 mg/dL
LAB-004891	Sun Nov 01, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004900	Sun Nov 01, 2026 05:00 AM	hemoglobin	9.84 g/dL
LAB-004917	Sun Nov 01, 2026 05:00 AM	wbc	5.75 x10^3/uL
LAB-004918	Sun Nov 01, 2026 05:00 AM	platelets	218.0 x10^3/uL

Vitals (144)

Vitals
Row	When	Kind	Value	Detail
VIT-014007	Sat Oct 24, 2026 04:09 PM	spo2	99.0	room air
VIT-014008	Sat Oct 24, 2026 04:09 PM	rr	18.0
VIT-014055	Sat Oct 24, 2026 04:09 PM	temp_c	38.8
VIT-014056	Sat Oct 24, 2026 04:09 PM	hr	108.0
VIT-014057	Sat Oct 24, 2026 04:09 PM	map	66.0
VIT-014058	Sat Oct 24, 2026 04:09 PM	gcs	15.0
VIT-014009	Sun Oct 25, 2026 12:09 AM	spo2	97.0	room air
VIT-014010	Sun Oct 25, 2026 12:09 AM	rr	16.0
VIT-014059	Sun Oct 25, 2026 12:09 AM	temp_c	38.7
VIT-014060	Sun Oct 25, 2026 12:09 AM	hr	122.0
VIT-014061	Sun Oct 25, 2026 12:09 AM	map	64.0
VIT-014062	Sun Oct 25, 2026 12:09 AM	gcs	15.0
VIT-014011	Sun Oct 25, 2026 08:09 AM	spo2	95.0	room air
VIT-014012	Sun Oct 25, 2026 08:09 AM	rr	16.0
VIT-014063	Sun Oct 25, 2026 08:09 AM	temp_c	38.6
VIT-014064	Sun Oct 25, 2026 08:09 AM	hr	102.0
VIT-014065	Sun Oct 25, 2026 08:09 AM	map	64.0
VIT-014066	Sun Oct 25, 2026 08:09 AM	gcs	15.0
VIT-014013	Sun Oct 25, 2026 04:09 PM	spo2	94.0	room air
VIT-014014	Sun Oct 25, 2026 04:09 PM	rr	14.0
VIT-014067	Sun Oct 25, 2026 04:09 PM	temp_c	38.5
VIT-014068	Sun Oct 25, 2026 04:09 PM	hr	118.0
VIT-014069	Sun Oct 25, 2026 04:09 PM	map	67.0
VIT-014070	Sun Oct 25, 2026 04:09 PM	gcs	15.0
VIT-014015	Mon Oct 26, 2026 12:09 AM	spo2	96.0	room air
VIT-014016	Mon Oct 26, 2026 12:09 AM	rr	14.0
VIT-014071	Mon Oct 26, 2026 12:09 AM	temp_c	38.7
VIT-014072	Mon Oct 26, 2026 12:09 AM	hr	110.0
VIT-014073	Mon Oct 26, 2026 12:09 AM	map	68.0
VIT-014074	Mon Oct 26, 2026 12:09 AM	gcs	15.0
VIT-014017	Mon Oct 26, 2026 08:09 AM	spo2	94.0	room air
VIT-014018	Mon Oct 26, 2026 08:09 AM	rr	20.0
VIT-014075	Mon Oct 26, 2026 08:09 AM	temp_c	38.6
VIT-014076	Mon Oct 26, 2026 08:09 AM	hr	119.0
VIT-014077	Mon Oct 26, 2026 08:09 AM	map	68.0
VIT-014078	Mon Oct 26, 2026 08:09 AM	gcs	15.0
VIT-014019	Mon Oct 26, 2026 04:09 PM	spo2	97.0	room air
VIT-014020	Mon Oct 26, 2026 04:09 PM	rr	14.0
VIT-014079	Mon Oct 26, 2026 04:09 PM	temp_c	37.2
VIT-014080	Mon Oct 26, 2026 04:09 PM	hr	88.0
VIT-014081	Mon Oct 26, 2026 04:09 PM	map	74.0
VIT-014082	Mon Oct 26, 2026 04:09 PM	gcs	15.0
VIT-014021	Tue Oct 27, 2026 12:09 AM	spo2	99.0	room air
VIT-014022	Tue Oct 27, 2026 12:09 AM	rr	19.0
VIT-014083	Tue Oct 27, 2026 12:09 AM	temp_c	37.2
VIT-014084	Tue Oct 27, 2026 12:09 AM	hr	86.0
VIT-014085	Tue Oct 27, 2026 12:09 AM	map	89.0
VIT-014086	Tue Oct 27, 2026 12:09 AM	gcs	15.0
VIT-014023	Tue Oct 27, 2026 08:09 AM	spo2	97.0	room air
VIT-014024	Tue Oct 27, 2026 08:09 AM	rr	17.0
VIT-014087	Tue Oct 27, 2026 08:09 AM	temp_c	36.5
VIT-014088	Tue Oct 27, 2026 08:09 AM	hr	84.0
VIT-014089	Tue Oct 27, 2026 08:09 AM	map	80.0
VIT-014090	Tue Oct 27, 2026 08:09 AM	gcs	15.0
VIT-014025	Tue Oct 27, 2026 04:09 PM	spo2	98.0	room air
VIT-014026	Tue Oct 27, 2026 04:09 PM	rr	17.0
VIT-014091	Tue Oct 27, 2026 04:09 PM	temp_c	36.9
VIT-014092	Tue Oct 27, 2026 04:09 PM	hr	90.0
VIT-014093	Tue Oct 27, 2026 04:09 PM	map	83.0
VIT-014094	Tue Oct 27, 2026 04:09 PM	gcs	15.0
VIT-014027	Wed Oct 28, 2026 12:09 AM	spo2	97.0	room air
VIT-014028	Wed Oct 28, 2026 12:09 AM	rr	20.0
VIT-014095	Wed Oct 28, 2026 12:09 AM	temp_c	37.4
VIT-014096	Wed Oct 28, 2026 12:09 AM	hr	81.0
VIT-014097	Wed Oct 28, 2026 12:09 AM	map	76.0
VIT-014098	Wed Oct 28, 2026 12:09 AM	gcs	15.0
VIT-014029	Wed Oct 28, 2026 08:09 AM	spo2	95.0	room air
VIT-014030	Wed Oct 28, 2026 08:09 AM	rr	14.0
VIT-014099	Wed Oct 28, 2026 08:09 AM	temp_c	37.4
VIT-014100	Wed Oct 28, 2026 08:09 AM	hr	76.0
VIT-014101	Wed Oct 28, 2026 08:09 AM	map	85.0
VIT-014102	Wed Oct 28, 2026 08:09 AM	gcs	15.0
VIT-014031	Wed Oct 28, 2026 04:09 PM	spo2	99.0	room air
VIT-014032	Wed Oct 28, 2026 04:09 PM	rr	19.0
VIT-014103	Wed Oct 28, 2026 04:09 PM	temp_c	37.6
VIT-014104	Wed Oct 28, 2026 04:09 PM	hr	70.0
VIT-014105	Wed Oct 28, 2026 04:09 PM	map	88.0
VIT-014106	Wed Oct 28, 2026 04:09 PM	gcs	15.0
VIT-014033	Thu Oct 29, 2026 12:09 AM	spo2	99.0	room air
VIT-014034	Thu Oct 29, 2026 12:09 AM	rr	19.0
VIT-014107	Thu Oct 29, 2026 12:09 AM	temp_c	37.0
VIT-014108	Thu Oct 29, 2026 12:09 AM	hr	82.0
VIT-014109	Thu Oct 29, 2026 12:09 AM	map	74.0
VIT-014110	Thu Oct 29, 2026 12:09 AM	gcs	15.0
VIT-014035	Thu Oct 29, 2026 08:09 AM	spo2	99.0	room air
VIT-014036	Thu Oct 29, 2026 08:09 AM	rr	15.0
VIT-014111	Thu Oct 29, 2026 08:09 AM	temp_c	37.1
VIT-014112	Thu Oct 29, 2026 08:09 AM	hr	80.0
VIT-014113	Thu Oct 29, 2026 08:09 AM	map	83.0
VIT-014114	Thu Oct 29, 2026 08:09 AM	gcs	15.0
VIT-014037	Thu Oct 29, 2026 04:09 PM	spo2	98.0	room air
VIT-014038	Thu Oct 29, 2026 04:09 PM	rr	19.0
VIT-014115	Thu Oct 29, 2026 04:09 PM	temp_c	37.0
VIT-014116	Thu Oct 29, 2026 04:09 PM	hr	91.0
VIT-014117	Thu Oct 29, 2026 04:09 PM	map	83.0
VIT-014118	Thu Oct 29, 2026 04:09 PM	gcs	15.0
VIT-014039	Fri Oct 30, 2026 12:09 AM	spo2	98.0	room air
VIT-014040	Fri Oct 30, 2026 12:09 AM	rr	16.0
VIT-014119	Fri Oct 30, 2026 12:09 AM	temp_c	36.8
VIT-014120	Fri Oct 30, 2026 12:09 AM	hr	74.0
VIT-014121	Fri Oct 30, 2026 12:09 AM	map	81.0
VIT-014122	Fri Oct 30, 2026 12:09 AM	gcs	15.0
VIT-014041	Fri Oct 30, 2026 08:09 AM	spo2	99.0	room air
VIT-014042	Fri Oct 30, 2026 08:09 AM	rr	17.0
VIT-014123	Fri Oct 30, 2026 08:09 AM	temp_c	37.1
VIT-014124	Fri Oct 30, 2026 08:09 AM	hr	68.0
VIT-014125	Fri Oct 30, 2026 08:09 AM	map	89.0
VIT-014126	Fri Oct 30, 2026 08:09 AM	gcs	15.0
VIT-014043	Fri Oct 30, 2026 04:09 PM	spo2	95.0	room air
VIT-014044	Fri Oct 30, 2026 04:09 PM	rr	16.0
VIT-014127	Fri Oct 30, 2026 04:09 PM	temp_c	37.2
VIT-014128	Fri Oct 30, 2026 04:09 PM	hr	88.0
VIT-014129	Fri Oct 30, 2026 04:09 PM	map	75.0
VIT-014130	Fri Oct 30, 2026 04:09 PM	gcs	15.0
VIT-014045	Sat Oct 31, 2026 12:09 AM	spo2	99.0	room air
VIT-014046	Sat Oct 31, 2026 12:09 AM	rr	20.0
VIT-014131	Sat Oct 31, 2026 12:09 AM	temp_c	36.7
VIT-014132	Sat Oct 31, 2026 12:09 AM	hr	91.0
VIT-014133	Sat Oct 31, 2026 12:09 AM	map	80.0
VIT-014134	Sat Oct 31, 2026 12:09 AM	gcs	15.0
VIT-014047	Sat Oct 31, 2026 08:09 AM	spo2	99.0	room air
VIT-014048	Sat Oct 31, 2026 08:09 AM	rr	20.0
VIT-014135	Sat Oct 31, 2026 08:09 AM	temp_c	36.6
VIT-014136	Sat Oct 31, 2026 08:09 AM	hr	84.0
VIT-014137	Sat Oct 31, 2026 08:09 AM	map	89.0
VIT-014138	Sat Oct 31, 2026 08:09 AM	gcs	15.0
VIT-014049	Sat Oct 31, 2026 04:09 PM	spo2	97.0	room air
VIT-014050	Sat Oct 31, 2026 04:09 PM	rr	19.0
VIT-014139	Sat Oct 31, 2026 04:09 PM	temp_c	37.6
VIT-014140	Sat Oct 31, 2026 04:09 PM	hr	75.0
VIT-014141	Sat Oct 31, 2026 04:09 PM	map	75.0
VIT-014142	Sat Oct 31, 2026 04:09 PM	gcs	15.0
VIT-014051	Sun Nov 01, 2026 12:09 AM	spo2	96.0	room air
VIT-014052	Sun Nov 01, 2026 12:09 AM	rr	15.0
VIT-014143	Sun Nov 01, 2026 12:09 AM	temp_c	36.7
VIT-014144	Sun Nov 01, 2026 12:09 AM	hr	76.0
VIT-014145	Sun Nov 01, 2026 12:09 AM	map	89.0
VIT-014146	Sun Nov 01, 2026 12:09 AM	gcs	15.0
VIT-014053	Sun Nov 01, 2026 08:09 AM	spo2	95.0	room air
VIT-014054	Sun Nov 01, 2026 08:09 AM	rr	17.0
VIT-014147	Sun Nov 01, 2026 08:09 AM	temp_c	37.3
VIT-014148	Sun Nov 01, 2026 08:09 AM	hr	82.0
VIT-014149	Sun Nov 01, 2026 08:09 AM	map	75.0
VIT-014150	Sun Nov 01, 2026 08:09 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000565 10-24 16:49 cefepime per protocol IV
MED-000566 10-25 05:00 piperacillin-tazobactam per protocol IV
MED-000567 10-26 05:00 ceftriaxone per protocol IV
ORD-000126 10-24 16:19 blood_culture: blood cultures x2

Notes

History and physical · DOC-000481 · Dr. Greta Kowalczyk (resident) · Sat Oct 24, 2026 06:49 PM

Cited facts from this note (1)

infection_source: left lower lobe pneumonia · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… 26-10-24 15:49 Service: Hospital Medicine Attending: Dr. Gideon Zeller History of present illness: 77-year-old woman admitted with sepsis. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: type 2 diabetes. Review of systems otherwise negative. Exam: Lungs: clear to auscultation …

Source document DOC-000481: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Luca Carrow   MRN: MRN87997721   Admitted: 2026-10-24 15:49
Service: Hospital Medicine   Attending: Dr. Gideon Zeller

History of present illness: 77-year-old woman admitted with sepsis. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started.
Past medical history: type 2 diabetes.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Sepsis: antibiotics, fluids.
2. Community-acquired pneumonia: antibiotics.

Progress note · DOC-000482 · Dr. Greta Kowalczyk (resident) · Mon Oct 26, 2026 05:49 PM

Source document DOC-000482: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Luca Carrow   MRN: MRN87997721   Hospital day 3

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

Resident: Dr. Greta Kowalczyk   Attending cosign: completed

Discharge summary · DOC-000483 · Dr. Gideon Zeller (attending) · Sun Nov 01, 2026 02:27 PM

Source document DOC-000483: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Luca Carrow   MRN: MRN87997721
Admitted 2026-10-24; discharged 2026-11-01.

Discharge diagnoses:
- sepsis
- community-acquired pneumonia
- anemia
- type 2 diabetes

Disposition: home with follow-up.