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-00167: Jun Marlow

87M · MRN41904440 · Hospital Medicine · admitted Tue Nov 10, 2026 11:16 AM · in hospital · attending Dr. Gideon Zeller · resident Dr. Priya Thorne · 171 cm, 74.5 kg

Documented diagnoses (current)

Principal: “urinary tract infection” · N39.0 Urinary tract infection, site not specified
“type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications
“hypertension” · I10 Essential (primary) hypertension

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

Queries and events

No queries yet.

All rules applied

Rule Criteria Finding Outcome

Acute kidney injury

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule aki v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: meets_definition	`creat_ratio >= t.ratio_s1 or creat_rise_48h >= t.rise_abs or coalesce(uo_hours_lt_0_5 >= t.uo_s1_h, false)`	creat_ratio=1.058, t.ratio_s1=1.5, creat_rise_48h=0.01, 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=1.058, t.ratio_s3=3.0, creat_peak=0.73, 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=1.058, 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=0.01, 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=M, hgb_nadir=14.78, 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=0.1, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=True, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.1, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=14.78, 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=266, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=89.2, egfr_late=89.6	89.6
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=89.2, t.g2=60, egfr_late=89.6	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=89.6, 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=89.2, egfr_late=89.6, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=89.6, t.g2=60	true

Heart failure

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule heart_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: np_elevated	`coalesce(bnp_max >= t.bnp, false) or coalesce(ntprobnp_max >= t.ntprobnp, false)`	bnp_max=unknown, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300	false
derived: acute_count	`count(iv_loop_diuretic, np_elevated, new_o2)`	iv_loop_diuretic=False, np_elevated=False, new_o2=False	0
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=unknown, t.ref=40, t.pres=50	unknown
derived: improved	`coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false)`	lvef_prior_min=unknown, t.ref=40, lvef=unknown, t.improved_rise=10	false
derived: acuity	`case(acute_count >= 2 and hf_history, 'acute on chronic', acute_count >= 2, 'acute', acute_count == 0 and hf_history, 'chronic', null)`	acute_count=0, hf_history=False	unknown
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=unknown	unknown
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_chronic	`hf_type == 'systolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_aoc	`hf_type == 'diastolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_acute	`hf_type == 'diastolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_chronic	`hf_type == 'diastolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: one_indicator	`acute_count == 1`	acute_count=0	false

Hyponatraemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule hyponatremia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: severity	`case(na_min < t.profound, 'profound', na_min < t.moderate, 'moderate', na_min < t.low, 'mild', 'none')`	na_min=137.0, t.profound=125, t.moderate=130, t.low=135	none
outcome: met	`na_min < t.low and na_low_count >= t.repeat and na_treated`	na_min=137.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=137.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=137.0, t.low=135	true

Malnutrition

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule malnutrition v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: a_sev_intake	`intake_pct <= t.a_sev_intake_pct and intake_days >= t.a_sev_intake_days`	intake_pct=unknown, t.a_sev_intake_pct=50, intake_days=unknown, t.a_sev_intake_days=5	unknown
derived: a_mod_intake	`intake_pct < t.a_mod_intake_pct and intake_days > t.a_mod_intake_days`	intake_pct=unknown, t.a_mod_intake_pct=75, intake_days=unknown, t.a_mod_intake_days=7	unknown
derived: a_sev_wt	`(wt_loss_days <= 7 and wt_loss_pct > 2) or (wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: a_mod_wt	`(wt_loss_days <= 7 and wt_loss_pct >= 1) or (wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_sev_intake	`intake_pct <= t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_mod_intake	`intake_pct < t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_sev_wt	`(wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5) or (wt_loss_days <= 183 and wt_loss_pct > 10) or (wt_loss_days <= 366 and wt_loss_pct > 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_mod_wt	`(wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5) or (wt_loss_days <= 183 and wt_loss_pct >= 10) or (wt_loss_days <= 366 and wt_loss_pct >= 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: n_assessed	`known(intake_pct, wt_loss_pct, fat_loss, muscle_loss, fluid, grip_reduced)`	intake_pct=unknown, wt_loss_pct=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown	0
derived: n_severe	`case(nutr_context == 'acute', count(a_sev_intake, a_sev_wt, fat_loss >= 2, muscle_loss >= 2, fluid >= 2, grip_reduced), nutr_context == 'chronic', count(c_sev_intake, c_sev_wt, fat_loss >= 3, muscle_loss >= 3, fluid >= 3, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_sev_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_sev_wt=unknown	unknown
derived: n_moderate	`case(nutr_context == 'acute', count(a_sev_intake or a_mod_intake, a_sev_wt or a_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), nutr_context == 'chronic', count(c_sev_intake or c_mod_intake, c_sev_wt or c_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_mod_intake=unknown, a_sev_wt=unknown, a_mod_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_mod_intake=unknown, c_sev_wt=unknown, c_mod_wt=unknown	unknown
outcome: severe	`n_severe >= 2`	n_severe=unknown	unknown
outcome: moderate	`n_moderate >= 2`	n_moderate=unknown	unknown
outcome: one_characteristic	`n_moderate == 1`	n_moderate=unknown	unknown
outcome: not_met	`n_moderate == 0 and n_assessed >= 2`	n_moderate=unknown, n_assessed=0	false

Obesity

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule obesity v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
outcome: not_adult	`age < t.adult`	age=87, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=25.5, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=25.5, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=25.5, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=25.5, 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=95.0, 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=95.0, 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=85.0, t.hr=90	false
derived: sirs_rr	`coalesce(rr_max_48h > t.rr, false) or coalesce(paco2_min_48h < t.paco2, false)`	rr_max_48h=20.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32	false
derived: sirs_wbc	`coalesce(wbc_max_48h > t.wbc_hi, false) or coalesce(wbc_min_48h < t.wbc_lo, false) or coalesce(bands_max_48h > t.bands, false)`	wbc_max_48h=9.77, t.wbc_hi=12, wbc_min_48h=7.11, 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=233.0	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=0.62	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=0.73	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=0.69	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=0, sofa_liver=0, sofa_cardio=0, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	0
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=True, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=0, t.sirs_min=2	false
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=False, norepi_max_48h=0.0, lactate_max_48h=unknown, t.lactate=2	false
outcome: no_infection	`not infection_documented`	infection_documented=True	false
outcome: septic_shock	`shock`	shock=False	false
outcome: both	`sepsis3 and sepsis2`	sepsis3=False, sepsis2=False	false
outcome: sepsis3_only	`sepsis3`	sepsis3=False	false
outcome: definitions_disagree	`sepsis2`	sepsis2=False	false
outcome: neither	`true`	—	true

Structured data

Labs (23)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-005710	Wed Dec 10, 2025 09:15 AM	creatinine	0.7 mg/dL
LAB-005711	Thu Sep 03, 2026 10:05 AM	creatinine	0.69 mg/dL
LAB-005712	Tue Nov 10, 2026 12:16 PM	creatinine	0.73 mg/dL
LAB-005716	Tue Nov 10, 2026 12:16 PM	sodium	141.0 mmol/L
LAB-005720	Tue Nov 10, 2026 12:16 PM	hemoglobin	14.85 g/dL
LAB-005724	Tue Nov 10, 2026 12:16 PM	wbc	9.77 x10^3/uL
LAB-005725	Tue Nov 10, 2026 12:16 PM	platelets	291.0 x10^3/uL
LAB-005732	Tue Nov 10, 2026 12:16 PM	bilirubin	0.62 mg/dL
LAB-005713	Wed Nov 11, 2026 05:00 AM	creatinine	0.7 mg/dL
LAB-005717	Wed Nov 11, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-005721	Wed Nov 11, 2026 05:00 AM	hemoglobin	14.78 g/dL
LAB-005726	Wed Nov 11, 2026 05:00 AM	wbc	9.29 x10^3/uL
LAB-005727	Wed Nov 11, 2026 05:00 AM	platelets	298.0 x10^3/uL
LAB-005714	Thu Nov 12, 2026 05:00 AM	creatinine	0.71 mg/dL
LAB-005718	Thu Nov 12, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-005722	Thu Nov 12, 2026 05:00 AM	hemoglobin	15.13 g/dL
LAB-005728	Thu Nov 12, 2026 05:00 AM	wbc	7.11 x10^3/uL
LAB-005729	Thu Nov 12, 2026 05:00 AM	platelets	233.0 x10^3/uL
LAB-005715	Fri Nov 13, 2026 05:00 AM	creatinine	0.7 mg/dL
LAB-005719	Fri Nov 13, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-005723	Fri Nov 13, 2026 05:00 AM	hemoglobin	14.97 g/dL
LAB-005730	Fri Nov 13, 2026 05:00 AM	wbc	7.95 x10^3/uL
LAB-005731	Fri Nov 13, 2026 05:00 AM	platelets	230.0 x10^3/uL

Vitals (60)

Vitals
Row	When	Kind	Value	Detail
VIT-016444	Tue Nov 10, 2026 11:36 AM	spo2	99.0	room air
VIT-016445	Tue Nov 10, 2026 11:36 AM	rr	14.0
VIT-016464	Tue Nov 10, 2026 11:36 AM	temp_c	36.9
VIT-016465	Tue Nov 10, 2026 11:36 AM	hr	85.0
VIT-016466	Tue Nov 10, 2026 11:36 AM	map	78.0
VIT-016467	Tue Nov 10, 2026 11:36 AM	gcs	15.0
VIT-016446	Tue Nov 10, 2026 07:36 PM	spo2	95.0	room air
VIT-016447	Tue Nov 10, 2026 07:36 PM	rr	20.0
VIT-016468	Tue Nov 10, 2026 07:36 PM	temp_c	37.2
VIT-016469	Tue Nov 10, 2026 07:36 PM	hr	71.0
VIT-016470	Tue Nov 10, 2026 07:36 PM	map	85.0
VIT-016471	Tue Nov 10, 2026 07:36 PM	gcs	15.0
VIT-016448	Wed Nov 11, 2026 03:36 AM	spo2	96.0	room air
VIT-016449	Wed Nov 11, 2026 03:36 AM	rr	17.0
VIT-016472	Wed Nov 11, 2026 03:36 AM	temp_c	36.8
VIT-016473	Wed Nov 11, 2026 03:36 AM	hr	76.0
VIT-016474	Wed Nov 11, 2026 03:36 AM	map	89.0
VIT-016475	Wed Nov 11, 2026 03:36 AM	gcs	15.0
VIT-016450	Wed Nov 11, 2026 11:36 AM	spo2	96.0	room air
VIT-016451	Wed Nov 11, 2026 11:36 AM	rr	17.0
VIT-016476	Wed Nov 11, 2026 11:36 AM	temp_c	36.9
VIT-016477	Wed Nov 11, 2026 11:36 AM	hr	75.0
VIT-016478	Wed Nov 11, 2026 11:36 AM	map	83.0
VIT-016479	Wed Nov 11, 2026 11:36 AM	gcs	15.0
VIT-016452	Wed Nov 11, 2026 07:36 PM	spo2	97.0	room air
VIT-016453	Wed Nov 11, 2026 07:36 PM	rr	15.0
VIT-016480	Wed Nov 11, 2026 07:36 PM	temp_c	36.9
VIT-016481	Wed Nov 11, 2026 07:36 PM	hr	71.0
VIT-016482	Wed Nov 11, 2026 07:36 PM	map	80.0
VIT-016483	Wed Nov 11, 2026 07:36 PM	gcs	15.0
VIT-016454	Thu Nov 12, 2026 03:36 AM	spo2	96.0	room air
VIT-016455	Thu Nov 12, 2026 03:36 AM	rr	20.0
VIT-016484	Thu Nov 12, 2026 03:36 AM	temp_c	37.5
VIT-016485	Thu Nov 12, 2026 03:36 AM	hr	84.0
VIT-016486	Thu Nov 12, 2026 03:36 AM	map	90.0
VIT-016487	Thu Nov 12, 2026 03:36 AM	gcs	15.0
VIT-016456	Thu Nov 12, 2026 11:36 AM	spo2	96.0	room air
VIT-016457	Thu Nov 12, 2026 11:36 AM	rr	14.0
VIT-016488	Thu Nov 12, 2026 11:36 AM	temp_c	37.5
VIT-016489	Thu Nov 12, 2026 11:36 AM	hr	79.0
VIT-016490	Thu Nov 12, 2026 11:36 AM	map	80.0
VIT-016491	Thu Nov 12, 2026 11:36 AM	gcs	15.0
VIT-016458	Thu Nov 12, 2026 07:36 PM	spo2	99.0	room air
VIT-016459	Thu Nov 12, 2026 07:36 PM	rr	19.0
VIT-016492	Thu Nov 12, 2026 07:36 PM	temp_c	37.4
VIT-016493	Thu Nov 12, 2026 07:36 PM	hr	77.0
VIT-016494	Thu Nov 12, 2026 07:36 PM	map	88.0
VIT-016495	Thu Nov 12, 2026 07:36 PM	gcs	15.0
VIT-016460	Fri Nov 13, 2026 03:36 AM	spo2	99.0	room air
VIT-016461	Fri Nov 13, 2026 03:36 AM	rr	20.0
VIT-016496	Fri Nov 13, 2026 03:36 AM	temp_c	36.8
VIT-016497	Fri Nov 13, 2026 03:36 AM	hr	74.0
VIT-016498	Fri Nov 13, 2026 03:36 AM	map	86.0
VIT-016499	Fri Nov 13, 2026 03:36 AM	gcs	15.0
VIT-016462	Fri Nov 13, 2026 11:36 AM	spo2	95.0	room air
VIT-016463	Fri Nov 13, 2026 11:36 AM	rr	14.0
VIT-016500	Fri Nov 13, 2026 11:36 AM	temp_c	36.9
VIT-016501	Fri Nov 13, 2026 11:36 AM	hr	77.0
VIT-016502	Fri Nov 13, 2026 11:36 AM	map	85.0
VIT-016503	Fri Nov 13, 2026 11:36 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000670 11-10 12:16 ceftriaxone per protocol IV
MED-000671 11-11 05:00 piperacillin-tazobactam per protocol IV
MED-000672 11-12 05:00 ceftriaxone per protocol IV
ORD-000146 11-10 11:46 blood_culture: blood cultures x2

Notes

History and physical · DOC-000563 · Dr. Priya Thorne (resident) · Tue Nov 10, 2026 02:16 PM

Cited facts from this note (2)

bleeding_source: bleeding · cited p. 1, line 7 · confidence 0.50

Show source for bleeding_source

… th urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Past medical history: type 2 diabetes, hypertension. Denies bleeding, chest pain or fever. Exam: Lungs: scattered crackles at the bases, no distress. Assessment and plan: 1. Urinary tract infection: antibiotics.
infection_source: urinary tract infection · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… : MRN41904440 Admitted: 2026-11-10 11:16 Service: Hospital Medicine Attending: Dr. Gideon Zeller History of present illness: 87-year-old man admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime. Past medical history: type 2 diabetes, hypertension. Denies bleeding, chest pain or fe …

Source document DOC-000563: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Jun Marlow   MRN: MRN41904440   Admitted: 2026-11-10 11:16
Service: Hospital Medicine   Attending: Dr. Gideon Zeller

History of present illness: 87-year-old man admitted with urinary tract infection. Urinalysis with pyuria; treated for acute pyelonephritis with cefepime.
Past medical history: type 2 diabetes, hypertension.
Denies bleeding, chest pain or fever.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Urinary tract infection: antibiotics.

Progress note · DOC-000564 · Dr. Priya Thorne (resident) · Fri Nov 13, 2026 03:55 PM · awaiting cosign

Source document DOC-000564: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Jun Marlow   MRN: MRN41904440   Hospital day 4

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

Resident: Dr. Priya Thorne   Attending cosign: pending