Offer OF-000031
Exactly what the side panel showed on Fri Nov 13, 2026 04:55 PM for patient P35 (visit KE-P35, note KN-P35-1), and every response to it. Synthetic demonstration data.
Checked again later: offer OF-000042.
What was shown
Nutrition (severity) · shown as Needs a look (not stated in the note)
The dietitian's assessment (Wren Halden, RD, 2026-11-09) documents 3 characteristics at the severe level and 5 at the moderate level or worse (two are required); the note does not state a nutrition diagnosis.
Evidence
- Context documented by Wren Halden, RD on 2026-11-09:
chronic illness (pancreatic adenocarcinoma on chemotherapy)
· NA-P35-1 - Energy intake: severe level · 50% of estimated needs for 42 days:
about 50% of estimated energy needs for 6 weeks
· NA-P35-1 - Weight loss: severe level · 2.8% over 1 month (65 kg on 2026-10-13 to 63.2 kg on 2026-11-12); 7.7% over 3 months (68.5 kg on 2026-08-14 to 63.2 kg on 2026-11-12); 12.2% over 6 months (72 kg on 2026-05-16 to 63.2 kg on 2026-11-12); 14% over 1 year (73.5 kg on 2025-11-12 to 63.2 kg on 2026-11-12) · NA-P35-1
- Fat loss: moderate level · graded mild:
mild orbital fat loss
· NA-P35-1 - Muscle loss: moderate level · graded moderate:
moderate temporal and clavicular muscle wasting
· NA-P35-1 - Fluid accumulation: not met · graded none:
no edema
· NA-P35-1 - Grip strength: severe level · reduced:
grip strength measurably reduced by hand dynamometer
· NA-P35-1 - Low albumin 2.9 g/dL (2026-11-09) and prealbumin 12 mg/dL (2026-11-09): not a criterion in this definition.
Options (fixed order, nothing pre-selected)
- Moderate (non-severe) malnutrition in the context of chronic illness · met · 5 at the moderate level or worse
- Severe malnutrition in the context of chronic illness · met · 3 at the severe level
- Other (I will write it)
- Clinically unable to determine
- Not clinically supported (I will revise the note myself)
How it was produced
- Definition
front_malnutrition_us_consensus@1.0; run FRUN-00035. - Note readers: Stand-in AI reader and rule reader agree.
- AI reader: offline stand-in (not a language model).
- Replay hash
cfd556be7e7b8f2d2e6717b8a4df152e77ca439f0c8d1f0de7c6c66efe1625d3; results-side hash2dbf14d739d7340e0f0db786e26a46a94a3658452987586bc6262936607ea369.
Reference ids (for audit)
- AI reader as stored on this offer: stand-in · clockworks-mock · version mock-1/exactdx.front_statements@1
Responses
Current answer: No response yet
- None yet.