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-00179: Odette Ivers

72M · MRN72863753 · General Surgery · admitted Fri Nov 06, 2026 04:49 PM · discharged Wed Nov 11, 2026 01:40 PM · attending Dr. Jalen Carrow · 170 cm, 66.6 kg

Documented diagnoses (current)

Principal: “upper GI bleed” · K92.2 Gastrointestinal hemorrhage, unspecified
“acute blood loss anemia” · D62 Acute posthemorrhagic anemia

Illustrative grouping now: MS-DRG 378 GI hemorrhage with CC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 378.

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=1.054, t.ratio_s1=1.5, creat_rise_48h=0.05, 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=1.054, t.ratio_s3=3.0, creat_peak=0.98, 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=1.054, 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=0.05, 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 (D62).

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=10.98, 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=2.8, t.drop_major=2.0, prbc_units=2, t.prbc_major=2	true
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=True, anaemic=True, acute_fall=True	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=301, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=86.1, egfr_late=87.2	87.2
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=86.1, t.g2=60, egfr_late=87.2	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=87.2, 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=86.1, egfr_late=87.2, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=87.2, 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

Criteria not met

No gap

Not documented and not supported.

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=100.0, t.a_sev_intake_pct=50, intake_days=unknown, t.a_sev_intake_days=5	false
derived: a_mod_intake	`intake_pct < t.a_mod_intake_pct and intake_days > t.a_mod_intake_days`	intake_pct=100.0, t.a_mod_intake_pct=75, intake_days=unknown, t.a_mod_intake_days=7	false
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=100.0, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	false
derived: c_mod_intake	`intake_pct < t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=100.0, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	false
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=100.0, wt_loss_pct=unknown, fat_loss=0, muscle_loss=0, fluid=0, grip_reduced=unknown	4
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=acute, a_sev_intake=False, a_sev_wt=unknown, fat_loss=0, muscle_loss=0, fluid=0, grip_reduced=unknown, c_sev_intake=False, c_sev_wt=unknown	0
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=acute, a_sev_intake=False, a_mod_intake=False, a_sev_wt=unknown, a_mod_wt=unknown, fat_loss=0, muscle_loss=0, fluid=0, grip_reduced=unknown, c_sev_intake=False, c_mod_intake=False, c_sev_wt=unknown, c_mod_wt=unknown	0
outcome: severe	`n_severe >= 2`	n_severe=0	false
outcome: moderate	`n_moderate >= 2`	n_moderate=0	false
outcome: one_characteristic	`n_moderate == 1`	n_moderate=0	false
outcome: not_met	`n_moderate == 0 and n_assessed >= 2`	n_moderate=0, n_assessed=4	true

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=72, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=23.0, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=23.0, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=23.0, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=23.0, 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=90.0, 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=10.61, t.wbc_hi=12, wbc_min_48h=5.95, 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=211.0	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=0.82	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=0.97	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=0.93	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 (33)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-006121	Mon Sep 29, 2025 09:15 AM	creatinine	0.94 mg/dL
LAB-006122	Mon Jul 27, 2026 10:05 AM	creatinine	0.93 mg/dL
LAB-006123	Fri Nov 06, 2026 05:49 PM	creatinine	0.92 mg/dL
LAB-006129	Fri Nov 06, 2026 05:49 PM	sodium	142.0 mmol/L
LAB-006135	Fri Nov 06, 2026 05:49 PM	hemoglobin	13.76 g/dL
LAB-006141	Fri Nov 06, 2026 05:49 PM	wbc	7.39 x10^3/uL
LAB-006142	Fri Nov 06, 2026 05:49 PM	platelets	235.0 x10^3/uL
LAB-006153	Fri Nov 06, 2026 05:49 PM	bilirubin	0.82 mg/dL
LAB-006124	Sat Nov 07, 2026 05:00 AM	creatinine	0.97 mg/dL
LAB-006130	Sat Nov 07, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-006136	Sat Nov 07, 2026 05:00 AM	hemoglobin	12.09 g/dL
LAB-006143	Sat Nov 07, 2026 05:00 AM	wbc	10.61 x10^3/uL
LAB-006144	Sat Nov 07, 2026 05:00 AM	platelets	211.0 x10^3/uL
LAB-006125	Sun Nov 08, 2026 05:00 AM	creatinine	0.93 mg/dL
LAB-006131	Sun Nov 08, 2026 05:00 AM	sodium	141.0 mmol/L
LAB-006137	Sun Nov 08, 2026 05:00 AM	hemoglobin	10.98 g/dL
LAB-006145	Sun Nov 08, 2026 05:00 AM	wbc	5.95 x10^3/uL
LAB-006146	Sun Nov 08, 2026 05:00 AM	platelets	276.0 x10^3/uL
LAB-006126	Mon Nov 09, 2026 05:00 AM	creatinine	0.98 mg/dL
LAB-006132	Mon Nov 09, 2026 05:00 AM	sodium	142.0 mmol/L
LAB-006138	Mon Nov 09, 2026 05:00 AM	hemoglobin	11.78 g/dL
LAB-006147	Mon Nov 09, 2026 05:00 AM	wbc	9.63 x10^3/uL
LAB-006148	Mon Nov 09, 2026 05:00 AM	platelets	247.0 x10^3/uL
LAB-006127	Tue Nov 10, 2026 05:00 AM	creatinine	0.97 mg/dL
LAB-006133	Tue Nov 10, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-006139	Tue Nov 10, 2026 05:00 AM	hemoglobin	12.08 g/dL
LAB-006149	Tue Nov 10, 2026 05:00 AM	wbc	5.82 x10^3/uL
LAB-006150	Tue Nov 10, 2026 05:00 AM	platelets	269.0 x10^3/uL
LAB-006128	Wed Nov 11, 2026 05:00 AM	creatinine	0.97 mg/dL
LAB-006134	Wed Nov 11, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-006140	Wed Nov 11, 2026 05:00 AM	hemoglobin	12.18 g/dL
LAB-006151	Wed Nov 11, 2026 05:00 AM	wbc	7.75 x10^3/uL
LAB-006152	Wed Nov 11, 2026 05:00 AM	platelets	308.0 x10^3/uL

Vitals (90)

Vitals
Row	When	Kind	Value	Detail
VIT-017607	Fri Nov 06, 2026 05:09 PM	spo2	99.0	room air
VIT-017608	Fri Nov 06, 2026 05:09 PM	rr	19.0
VIT-017637	Fri Nov 06, 2026 05:09 PM	temp_c	36.6
VIT-017638	Fri Nov 06, 2026 05:09 PM	hr	70.0
VIT-017639	Fri Nov 06, 2026 05:09 PM	map	87.0
VIT-017640	Fri Nov 06, 2026 05:09 PM	gcs	15.0
VIT-017609	Sat Nov 07, 2026 01:09 AM	spo2	97.0	room air
VIT-017610	Sat Nov 07, 2026 01:09 AM	rr	19.0
VIT-017641	Sat Nov 07, 2026 01:09 AM	temp_c	36.8
VIT-017642	Sat Nov 07, 2026 01:09 AM	hr	90.0
VIT-017643	Sat Nov 07, 2026 01:09 AM	map	74.0
VIT-017644	Sat Nov 07, 2026 01:09 AM	gcs	15.0
VIT-017611	Sat Nov 07, 2026 09:09 AM	spo2	94.0	room air
VIT-017612	Sat Nov 07, 2026 09:09 AM	rr	14.0
VIT-017645	Sat Nov 07, 2026 09:09 AM	temp_c	37.6
VIT-017646	Sat Nov 07, 2026 09:09 AM	hr	83.0
VIT-017647	Sat Nov 07, 2026 09:09 AM	map	78.0
VIT-017648	Sat Nov 07, 2026 09:09 AM	gcs	15.0
VIT-017613	Sat Nov 07, 2026 05:09 PM	spo2	96.0	room air
VIT-017614	Sat Nov 07, 2026 05:09 PM	rr	14.0
VIT-017649	Sat Nov 07, 2026 05:09 PM	temp_c	36.9
VIT-017650	Sat Nov 07, 2026 05:09 PM	hr	76.0
VIT-017651	Sat Nov 07, 2026 05:09 PM	map	76.0
VIT-017652	Sat Nov 07, 2026 05:09 PM	gcs	15.0
VIT-017615	Sun Nov 08, 2026 01:09 AM	spo2	96.0	room air
VIT-017616	Sun Nov 08, 2026 01:09 AM	rr	18.0
VIT-017653	Sun Nov 08, 2026 01:09 AM	temp_c	37.6
VIT-017654	Sun Nov 08, 2026 01:09 AM	hr	85.0
VIT-017655	Sun Nov 08, 2026 01:09 AM	map	89.0
VIT-017656	Sun Nov 08, 2026 01:09 AM	gcs	15.0
VIT-017617	Sun Nov 08, 2026 09:09 AM	spo2	97.0	room air
VIT-017618	Sun Nov 08, 2026 09:09 AM	rr	14.0
VIT-017657	Sun Nov 08, 2026 09:09 AM	temp_c	37.4
VIT-017658	Sun Nov 08, 2026 09:09 AM	hr	82.0
VIT-017659	Sun Nov 08, 2026 09:09 AM	map	87.0
VIT-017660	Sun Nov 08, 2026 09:09 AM	gcs	15.0
VIT-017619	Sun Nov 08, 2026 05:09 PM	spo2	97.0	room air
VIT-017620	Sun Nov 08, 2026 05:09 PM	rr	20.0
VIT-017661	Sun Nov 08, 2026 05:09 PM	temp_c	36.8
VIT-017662	Sun Nov 08, 2026 05:09 PM	hr	83.0
VIT-017663	Sun Nov 08, 2026 05:09 PM	map	80.0
VIT-017664	Sun Nov 08, 2026 05:09 PM	gcs	15.0
VIT-017621	Mon Nov 09, 2026 01:09 AM	spo2	95.0	room air
VIT-017622	Mon Nov 09, 2026 01:09 AM	rr	17.0
VIT-017665	Mon Nov 09, 2026 01:09 AM	temp_c	37.0
VIT-017666	Mon Nov 09, 2026 01:09 AM	hr	80.0
VIT-017667	Mon Nov 09, 2026 01:09 AM	map	78.0
VIT-017668	Mon Nov 09, 2026 01:09 AM	gcs	15.0
VIT-017623	Mon Nov 09, 2026 09:09 AM	spo2	94.0	room air
VIT-017624	Mon Nov 09, 2026 09:09 AM	rr	18.0
VIT-017669	Mon Nov 09, 2026 09:09 AM	temp_c	36.6
VIT-017670	Mon Nov 09, 2026 09:09 AM	hr	91.0
VIT-017671	Mon Nov 09, 2026 09:09 AM	map	89.0
VIT-017672	Mon Nov 09, 2026 09:09 AM	gcs	15.0
VIT-017625	Mon Nov 09, 2026 05:09 PM	spo2	99.0	room air
VIT-017626	Mon Nov 09, 2026 05:09 PM	rr	18.0
VIT-017673	Mon Nov 09, 2026 05:09 PM	temp_c	37.4
VIT-017674	Mon Nov 09, 2026 05:09 PM	hr	92.0
VIT-017675	Mon Nov 09, 2026 05:09 PM	map	84.0
VIT-017676	Mon Nov 09, 2026 05:09 PM	gcs	15.0
VIT-017627	Tue Nov 10, 2026 01:09 AM	spo2	99.0	room air
VIT-017628	Tue Nov 10, 2026 01:09 AM	rr	17.0
VIT-017677	Tue Nov 10, 2026 01:09 AM	temp_c	37.6
VIT-017678	Tue Nov 10, 2026 01:09 AM	hr	88.0
VIT-017679	Tue Nov 10, 2026 01:09 AM	map	75.0
VIT-017680	Tue Nov 10, 2026 01:09 AM	gcs	15.0
VIT-017629	Tue Nov 10, 2026 09:09 AM	spo2	97.0	room air
VIT-017630	Tue Nov 10, 2026 09:09 AM	rr	14.0
VIT-017681	Tue Nov 10, 2026 09:09 AM	temp_c	36.7
VIT-017682	Tue Nov 10, 2026 09:09 AM	hr	70.0
VIT-017683	Tue Nov 10, 2026 09:09 AM	map	74.0
VIT-017684	Tue Nov 10, 2026 09:09 AM	gcs	15.0
VIT-017631	Tue Nov 10, 2026 05:09 PM	spo2	94.0	room air
VIT-017632	Tue Nov 10, 2026 05:09 PM	rr	18.0
VIT-017685	Tue Nov 10, 2026 05:09 PM	temp_c	36.9
VIT-017686	Tue Nov 10, 2026 05:09 PM	hr	83.0
VIT-017687	Tue Nov 10, 2026 05:09 PM	map	80.0
VIT-017688	Tue Nov 10, 2026 05:09 PM	gcs	15.0
VIT-017633	Wed Nov 11, 2026 01:09 AM	spo2	96.0	room air
VIT-017634	Wed Nov 11, 2026 01:09 AM	rr	17.0
VIT-017689	Wed Nov 11, 2026 01:09 AM	temp_c	37.5
VIT-017690	Wed Nov 11, 2026 01:09 AM	hr	90.0
VIT-017691	Wed Nov 11, 2026 01:09 AM	map	78.0
VIT-017692	Wed Nov 11, 2026 01:09 AM	gcs	15.0
VIT-017635	Wed Nov 11, 2026 09:09 AM	spo2	94.0	room air
VIT-017636	Wed Nov 11, 2026 09:09 AM	rr	15.0
VIT-017693	Wed Nov 11, 2026 09:09 AM	temp_c	36.8
VIT-017694	Wed Nov 11, 2026 09:09 AM	hr	85.0
VIT-017695	Wed Nov 11, 2026 09:09 AM	map	81.0
VIT-017696	Wed Nov 11, 2026 09:09 AM	gcs	15.0

Medications, orders, echo, history (1)

ORD-000155 11-07 09:00 transfusion_prbc: transfuse PRBC

Notes

History and physical · DOC-000600 · Dr. Jalen Carrow (attending) · Fri Nov 06, 2026 07:49 PM

Cited facts from this note (1)

bleeding_source: black tarry stools · cited p. 1, line 5 · confidence 0.85

Show source for bleeding_source

… 9 Service: General Surgery Attending: Dr. Jalen Carrow History of present illness: 72-year-old man admitted with upper GI bleed. Presented after two days of black tarry stools; GI consulted for endoscopy. Past medical history: none significant. Review of systems otherwise negative. Exam: Lungs: scattered crackles at the bases, no dis …

Source document DOC-000600: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Odette Ivers   MRN: MRN72863753   Admitted: 2026-11-06 16:49
Service: General Surgery   Attending: Dr. Jalen Carrow

History of present illness: 72-year-old man admitted with upper GI bleed. Presented after two days of black tarry stools; GI consulted for endoscopy.
Past medical history: none significant.
Review of systems otherwise negative.
Exam: Lungs: scattered crackles at the bases, no distress.
Assessment and plan:
1. Upper GI bleed: PPI, GI following.

Nutrition assessment · DOC-000599 · Viggo Ravensworth, RD (dietitian) · Sat Nov 07, 2026 09:49 PM

Cited facts from this note (5)

fat_loss: none · cited p. 1, line 7 · confidence 0.90

Show source for fat_loss

… MRN: MRN72863753 Context: acute illness Intake: eating 100% of meals. Weight history: weight stable over the past 3 months. Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle wasting; no fluid accumulation. Assessment: well nourished; no malnutrition identified.
fluid_accumulation: none · cited p. 1, line 7 · confidence 0.90

Show source for fluid_accumulation

… e: eating 100% of meals. Weight history: weight stable over the past 3 months. Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle wasting; no fluid accumulation. Assessment: well nourished; no malnutrition identified.
intake_pct: 100 · cited p. 1, line 5 · confidence 0.90

Show source for intake_pct

NUTRITION ASSESSMENT (Registered Dietitian) Patient: Odette Ivers MRN: MRN72863753 Context: acute illness Intake: eating 100% of meals. Weight history: weight stable over the past 3 months. Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle wasting; no fluid accumulation. …
muscle_loss: none · cited p. 1, line 7 · confidence 0.90

Show source for muscle_loss

… acute illness Intake: eating 100% of meals. Weight history: weight stable over the past 3 months. Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle wasting; no fluid accumulation. Assessment: well nourished; no malnutrition identified.
nutrition_context: acute · cited p. 1, line 4 · confidence 0.95

Show source for nutrition_context

NUTRITION ASSESSMENT (Registered Dietitian) Patient: Odette Ivers MRN: MRN72863753 Context: acute illness Intake: eating 100% of meals. Weight history: weight stable over the past 3 months. Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle was …

Source document DOC-000599: Nutrition assessment (synthetic)

NUTRITION ASSESSMENT (Registered Dietitian)
Patient: Odette Ivers   MRN: MRN72863753

Context: acute illness
Intake: eating 100% of meals.
Weight history: weight stable over the past 3 months.
Nutrition-focused physical exam: no loss of subcutaneous fat; no muscle wasting; no fluid accumulation.
Assessment: well nourished; no malnutrition identified.

Progress note · DOC-000601 · Dr. Jalen Carrow (attending) · Sun Nov 08, 2026 05:49 PM

Source document DOC-000601: Progress note (synthetic)

PROGRESS NOTE (Attending)
Patient: Odette Ivers   MRN: MRN72863753   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Upper GI bleed: continue current management.
2. Acute blood loss anemia: trend hemoglobin, transfuse if needed.

Attending: Dr. Jalen Carrow

Discharge summary · DOC-000602 · Dr. Jalen Carrow (attending) · Wed Nov 11, 2026 01:40 PM

Source document DOC-000602: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Odette Ivers   MRN: MRN72863753
Admitted 2026-11-06; discharged 2026-11-11.

Discharge diagnoses:
- upper GI bleed
- acute blood loss anemia

Disposition: home with follow-up.