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-00175: Blake Coldridge

63M · MRN96460637 · Cardiology · admitted Wed Oct 28, 2026 01:31 PM · discharged Tue Nov 03, 2026 03:45 PM · attending Dr. Wes Merriweather · resident Dr. Greta Kowalczyk · 177 cm, 102.7 kg

Documented diagnoses (current)

“class 3 obesity” · E66.813 Obesity, class 3
Principal: “heart failure” · I50.9 Heart failure, unspecified
“hypertension” · I10 Essential (primary) hypertension

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 293.

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=1.057, 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=1.057, t.ratio_s3=3.0, creat_peak=1.11, 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=1.057, 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 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=13.63, 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=0.3, 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=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.3, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=13.63, 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=309, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=77.1, egfr_late=79.8	79.8
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=77.1, t.g2=60, egfr_late=79.8	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=79.8, 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=77.1, egfr_late=79.8, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=79.8, t.g2=60	true

Heart failure

Criteria met

Specificity gap

Documented “heart failure” (I50.9); 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)
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=2160.0, 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=64.0, 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=64.0, 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=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 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

Clinical validation gap

Documented “class 3 obesity” (E66.813) conflicts with what the criteria support (Obesity, class 1, E66.811).

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=63, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=32.8, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=32.8, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=32.8, 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 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=37.6, 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=88.0, t.hr=90	false
derived: sirs_rr	`coalesce(rr_max_48h > t.rr, false) or coalesce(paco2_min_48h < t.paco2, false)`	rr_max_48h=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=9.6, t.wbc_hi=12, wbc_min_48h=5.77, 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=165.0	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=0.95	0
derived: sofa_cardio	`coalesce(case(norepi_max_48h > 0.1, 4, norepi_max_48h > 0, 3, map_min_48h < 70, 1, 0), 0)`	norepi_max_48h=0.0, map_min_48h=74.0	0
derived: sofa_cns	`coalesce(case(gcs_min_48h < 6, 4, gcs_min_48h < 10, 3, gcs_min_48h < 13, 2, gcs_min_48h < 15, 1, 0), 0)`	gcs_min_48h=15.0	0
derived: sofa_renal	`coalesce(case(creat_max_48h >= 5, 4, creat_max_48h >= 3.5, 3, creat_max_48h >= 2, 2, creat_max_48h >= 1.2, 1, 0), 0)`	creat_max_48h=1.11	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=1.05	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 (39)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-005990	Tue Nov 11, 2025 09:15 AM	creatinine	1.08 mg/dL
LAB-005991	Thu Sep 17, 2026 10:05 AM	creatinine	1.05 mg/dL
LAB-005992	Wed Oct 28, 2026 02:31 PM	creatinine	1.1 mg/dL
LAB-005999	Wed Oct 28, 2026 02:31 PM	bnp	2160.0 pg/mL
LAB-006000	Wed Oct 28, 2026 02:31 PM	sodium	136.0 mmol/L
LAB-006007	Wed Oct 28, 2026 02:31 PM	hemoglobin	13.97 g/dL
LAB-006014	Wed Oct 28, 2026 02:31 PM	wbc	8.95 x10^3/uL
LAB-006015	Wed Oct 28, 2026 02:31 PM	platelets	165.0 x10^3/uL
LAB-006028	Wed Oct 28, 2026 02:31 PM	bilirubin	0.95 mg/dL
LAB-005993	Thu Oct 29, 2026 05:00 AM	creatinine	1.09 mg/dL
LAB-006001	Thu Oct 29, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-006008	Thu Oct 29, 2026 05:00 AM	hemoglobin	13.9 g/dL
LAB-006016	Thu Oct 29, 2026 05:00 AM	wbc	9.6 x10^3/uL
LAB-006017	Thu Oct 29, 2026 05:00 AM	platelets	252.0 x10^3/uL
LAB-005994	Fri Oct 30, 2026 05:00 AM	creatinine	1.11 mg/dL
LAB-006002	Fri Oct 30, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-006009	Fri Oct 30, 2026 05:00 AM	hemoglobin	13.87 g/dL
LAB-006018	Fri Oct 30, 2026 05:00 AM	wbc	5.77 x10^3/uL
LAB-006019	Fri Oct 30, 2026 05:00 AM	platelets	170.0 x10^3/uL
LAB-005995	Sat Oct 31, 2026 05:00 AM	creatinine	1.04 mg/dL
LAB-006003	Sat Oct 31, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-006010	Sat Oct 31, 2026 05:00 AM	hemoglobin	13.63 g/dL
LAB-006020	Sat Oct 31, 2026 05:00 AM	wbc	9.67 x10^3/uL
LAB-006021	Sat Oct 31, 2026 05:00 AM	platelets	257.0 x10^3/uL
LAB-005996	Sun Nov 01, 2026 05:00 AM	creatinine	1.08 mg/dL
LAB-006004	Sun Nov 01, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-006011	Sun Nov 01, 2026 05:00 AM	hemoglobin	13.7 g/dL
LAB-006022	Sun Nov 01, 2026 05:00 AM	wbc	7.94 x10^3/uL
LAB-006023	Sun Nov 01, 2026 05:00 AM	platelets	165.0 x10^3/uL
LAB-005997	Mon Nov 02, 2026 05:00 AM	creatinine	1.1 mg/dL
LAB-006005	Mon Nov 02, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-006012	Mon Nov 02, 2026 05:00 AM	hemoglobin	14.07 g/dL
LAB-006024	Mon Nov 02, 2026 05:00 AM	wbc	10.31 x10^3/uL
LAB-006025	Mon Nov 02, 2026 05:00 AM	platelets	195.0 x10^3/uL
LAB-005998	Tue Nov 03, 2026 05:00 AM	creatinine	1.03 mg/dL
LAB-006006	Tue Nov 03, 2026 05:00 AM	sodium	138.0 mmol/L
LAB-006013	Tue Nov 03, 2026 05:00 AM	hemoglobin	13.79 g/dL
LAB-006026	Tue Nov 03, 2026 05:00 AM	wbc	7.59 x10^3/uL
LAB-006027	Tue Nov 03, 2026 05:00 AM	platelets	229.0 x10^3/uL

Vitals (114)

Vitals
Row	When	Kind	Value	Detail
VIT-017253	Wed Oct 28, 2026 01:51 PM	spo2	98.0	room air
VIT-017254	Wed Oct 28, 2026 01:51 PM	rr	19.0
VIT-017291	Wed Oct 28, 2026 01:51 PM	temp_c	37.3
VIT-017292	Wed Oct 28, 2026 01:51 PM	hr	81.0
VIT-017293	Wed Oct 28, 2026 01:51 PM	map	84.0
VIT-017294	Wed Oct 28, 2026 01:51 PM	gcs	15.0
VIT-017255	Wed Oct 28, 2026 09:51 PM	spo2	97.0	room air
VIT-017256	Wed Oct 28, 2026 09:51 PM	rr	15.0
VIT-017295	Wed Oct 28, 2026 09:51 PM	temp_c	36.6
VIT-017296	Wed Oct 28, 2026 09:51 PM	hr	75.0
VIT-017297	Wed Oct 28, 2026 09:51 PM	map	82.0
VIT-017298	Wed Oct 28, 2026 09:51 PM	gcs	15.0
VIT-017257	Thu Oct 29, 2026 05:51 AM	spo2	96.0	room air
VIT-017258	Thu Oct 29, 2026 05:51 AM	rr	14.0
VIT-017299	Thu Oct 29, 2026 05:51 AM	temp_c	36.8
VIT-017300	Thu Oct 29, 2026 05:51 AM	hr	78.0
VIT-017301	Thu Oct 29, 2026 05:51 AM	map	74.0
VIT-017302	Thu Oct 29, 2026 05:51 AM	gcs	15.0
VIT-017259	Thu Oct 29, 2026 01:51 PM	spo2	97.0	room air
VIT-017260	Thu Oct 29, 2026 01:51 PM	rr	15.0
VIT-017303	Thu Oct 29, 2026 01:51 PM	temp_c	37.1
VIT-017304	Thu Oct 29, 2026 01:51 PM	hr	76.0
VIT-017305	Thu Oct 29, 2026 01:51 PM	map	91.0
VIT-017306	Thu Oct 29, 2026 01:51 PM	gcs	15.0
VIT-017261	Thu Oct 29, 2026 09:51 PM	spo2	99.0	room air
VIT-017262	Thu Oct 29, 2026 09:51 PM	rr	18.0
VIT-017307	Thu Oct 29, 2026 09:51 PM	temp_c	37.5
VIT-017308	Thu Oct 29, 2026 09:51 PM	hr	85.0
VIT-017309	Thu Oct 29, 2026 09:51 PM	map	80.0
VIT-017310	Thu Oct 29, 2026 09:51 PM	gcs	15.0
VIT-017263	Fri Oct 30, 2026 05:51 AM	spo2	94.0	room air
VIT-017264	Fri Oct 30, 2026 05:51 AM	rr	14.0
VIT-017311	Fri Oct 30, 2026 05:51 AM	temp_c	37.6
VIT-017312	Fri Oct 30, 2026 05:51 AM	hr	88.0
VIT-017313	Fri Oct 30, 2026 05:51 AM	map	81.0
VIT-017314	Fri Oct 30, 2026 05:51 AM	gcs	15.0
VIT-017265	Fri Oct 30, 2026 01:51 PM	spo2	99.0	room air
VIT-017266	Fri Oct 30, 2026 01:51 PM	rr	18.0
VIT-017315	Fri Oct 30, 2026 01:51 PM	temp_c	37.4
VIT-017316	Fri Oct 30, 2026 01:51 PM	hr	76.0
VIT-017317	Fri Oct 30, 2026 01:51 PM	map	81.0
VIT-017318	Fri Oct 30, 2026 01:51 PM	gcs	15.0
VIT-017267	Fri Oct 30, 2026 09:51 PM	spo2	98.0	room air
VIT-017268	Fri Oct 30, 2026 09:51 PM	rr	14.0
VIT-017319	Fri Oct 30, 2026 09:51 PM	temp_c	36.6
VIT-017320	Fri Oct 30, 2026 09:51 PM	hr	84.0
VIT-017321	Fri Oct 30, 2026 09:51 PM	map	80.0
VIT-017322	Fri Oct 30, 2026 09:51 PM	gcs	15.0
VIT-017269	Sat Oct 31, 2026 05:51 AM	spo2	94.0	room air
VIT-017270	Sat Oct 31, 2026 05:51 AM	rr	15.0
VIT-017323	Sat Oct 31, 2026 05:51 AM	temp_c	37.2
VIT-017324	Sat Oct 31, 2026 05:51 AM	hr	71.0
VIT-017325	Sat Oct 31, 2026 05:51 AM	map	74.0
VIT-017326	Sat Oct 31, 2026 05:51 AM	gcs	15.0
VIT-017271	Sat Oct 31, 2026 01:51 PM	spo2	94.0	room air
VIT-017272	Sat Oct 31, 2026 01:51 PM	rr	17.0
VIT-017327	Sat Oct 31, 2026 01:51 PM	temp_c	37.5
VIT-017328	Sat Oct 31, 2026 01:51 PM	hr	89.0
VIT-017329	Sat Oct 31, 2026 01:51 PM	map	91.0
VIT-017330	Sat Oct 31, 2026 01:51 PM	gcs	15.0
VIT-017273	Sat Oct 31, 2026 09:51 PM	spo2	94.0	room air
VIT-017274	Sat Oct 31, 2026 09:51 PM	rr	15.0
VIT-017331	Sat Oct 31, 2026 09:51 PM	temp_c	36.8
VIT-017332	Sat Oct 31, 2026 09:51 PM	hr	70.0
VIT-017333	Sat Oct 31, 2026 09:51 PM	map	83.0
VIT-017334	Sat Oct 31, 2026 09:51 PM	gcs	15.0
VIT-017275	Sun Nov 01, 2026 05:51 AM	spo2	94.0	room air
VIT-017276	Sun Nov 01, 2026 05:51 AM	rr	16.0
VIT-017335	Sun Nov 01, 2026 05:51 AM	temp_c	37.5
VIT-017336	Sun Nov 01, 2026 05:51 AM	hr	73.0
VIT-017337	Sun Nov 01, 2026 05:51 AM	map	88.0
VIT-017338	Sun Nov 01, 2026 05:51 AM	gcs	15.0
VIT-017277	Sun Nov 01, 2026 01:51 PM	spo2	97.0	room air
VIT-017278	Sun Nov 01, 2026 01:51 PM	rr	19.0
VIT-017339	Sun Nov 01, 2026 01:51 PM	temp_c	37.4
VIT-017340	Sun Nov 01, 2026 01:51 PM	hr	76.0
VIT-017341	Sun Nov 01, 2026 01:51 PM	map	90.0
VIT-017342	Sun Nov 01, 2026 01:51 PM	gcs	15.0
VIT-017279	Sun Nov 01, 2026 09:51 PM	spo2	99.0	room air
VIT-017280	Sun Nov 01, 2026 09:51 PM	rr	17.0
VIT-017343	Sun Nov 01, 2026 09:51 PM	temp_c	37.4
VIT-017344	Sun Nov 01, 2026 09:51 PM	hr	79.0
VIT-017345	Sun Nov 01, 2026 09:51 PM	map	83.0
VIT-017346	Sun Nov 01, 2026 09:51 PM	gcs	15.0
VIT-017281	Mon Nov 02, 2026 05:51 AM	spo2	99.0	room air
VIT-017282	Mon Nov 02, 2026 05:51 AM	rr	18.0
VIT-017347	Mon Nov 02, 2026 05:51 AM	temp_c	37.5
VIT-017348	Mon Nov 02, 2026 05:51 AM	hr	84.0
VIT-017349	Mon Nov 02, 2026 05:51 AM	map	77.0
VIT-017350	Mon Nov 02, 2026 05:51 AM	gcs	15.0
VIT-017283	Mon Nov 02, 2026 01:51 PM	spo2	96.0	room air
VIT-017284	Mon Nov 02, 2026 01:51 PM	rr	16.0
VIT-017351	Mon Nov 02, 2026 01:51 PM	temp_c	37.2
VIT-017352	Mon Nov 02, 2026 01:51 PM	hr	89.0
VIT-017353	Mon Nov 02, 2026 01:51 PM	map	79.0
VIT-017354	Mon Nov 02, 2026 01:51 PM	gcs	15.0
VIT-017285	Mon Nov 02, 2026 09:51 PM	spo2	98.0	room air
VIT-017286	Mon Nov 02, 2026 09:51 PM	rr	18.0
VIT-017355	Mon Nov 02, 2026 09:51 PM	temp_c	37.4
VIT-017356	Mon Nov 02, 2026 09:51 PM	hr	85.0
VIT-017357	Mon Nov 02, 2026 09:51 PM	map	88.0
VIT-017358	Mon Nov 02, 2026 09:51 PM	gcs	15.0
VIT-017287	Tue Nov 03, 2026 05:51 AM	spo2	97.0	room air
VIT-017288	Tue Nov 03, 2026 05:51 AM	rr	20.0
VIT-017359	Tue Nov 03, 2026 05:51 AM	temp_c	37.4
VIT-017360	Tue Nov 03, 2026 05:51 AM	hr	84.0
VIT-017361	Tue Nov 03, 2026 05:51 AM	map	92.0
VIT-017362	Tue Nov 03, 2026 05:51 AM	gcs	15.0
VIT-017289	Tue Nov 03, 2026 01:51 PM	spo2	94.0	room air
VIT-017290	Tue Nov 03, 2026 01:51 PM	rr	17.0
VIT-017363	Tue Nov 03, 2026 01:51 PM	temp_c	37.5
VIT-017364	Tue Nov 03, 2026 01:51 PM	hr	84.0
VIT-017365	Tue Nov 03, 2026 01:51 PM	map	86.0
VIT-017366	Tue Nov 03, 2026 01:51 PM	gcs	15.0

Medications, orders, echo, history (8)

MED-000692 10-28 08:00 furosemide 40 mg IV
MED-000693 10-28 20:00 furosemide 40 mg IV
MED-000694 10-29 08:00 furosemide 40 mg IV
MED-000695 10-29 20:00 furosemide 40 mg IV
MED-000696 10-30 08:00 furosemide 40 mg IV
MED-000697 10-30 20:00 furosemide 40 mg IV
ECH-000080 2026-10-29 echo LVEF 64.0%
HX-000061 history: heart failure with preserved ejection fraction

Notes

History and physical · DOC-000587 · Dr. Greta Kowalczyk (resident) · Wed Oct 28, 2026 04:31 PM

Source document DOC-000587: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Blake Coldridge   MRN: MRN96460637   Admitted: 2026-10-28 13:31
Service: Cardiology   Attending: Dr. Wes Merriweather

History of present illness: 63-year-old man admitted with heart failure. 
Past medical history: heart failure with preserved ejection fraction, hypertension.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Heart failure: diuresis and daily weights; monitor electrolytes.

Progress note · DOC-000588 · Dr. Greta Kowalczyk (resident) · Fri Oct 30, 2026 02:31 PM

Source document DOC-000588: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Blake Coldridge   MRN: MRN96460637   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Heart failure: continue current management.
2. Class 3 obesity: counsel on weight.

Resident: Dr. Greta Kowalczyk   Attending cosign: completed

Discharge summary · DOC-000589 · Dr. Wes Merriweather (attending) · Tue Nov 03, 2026 03:45 PM

Source document DOC-000589: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Blake Coldridge   MRN: MRN96460637
Admitted 2026-10-28; discharged 2026-11-03.

Discharge diagnoses:
- class 3 obesity
- heart failure
- hypertension

Disposition: home with follow-up.