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EDI — Enterprise Demographic Information

Maria Santos-ProtoType | DOB 08/19/1974 Allergy: Penicillin Fall Risk Diabetic ID Verified

MRN PAT-20260518-000184 | Attending: John Marshall, IV | Room ER-Bay 7

Encounter: ENC-20260523-0042 | Admission: ADM-20260523-0042

object_code: ENCOUNTER  ·  route: /clinical/encounter
Encounter Type—
Status—
Location—
Attending—
object_code: TRIAGE  ·  route: /clinical/triage
Chief ComplaintShortness of breath and chest tightness
ESI LevelLevel 2 — Emergent
Pain Scale7 / 10 — Chest
AllergiesPenicillin, Sulfa
Last Meal06:00 today
Triage NurseRN J. Rivera · 08:22
Signed ByRN J. Rivera
Signed Date/Time05/23/2026 08:26 AM
object_code: VITALS  ·  route: /clinical/vitals
Blood Pressure148 / 92 mmHg — Sitting
Temp99.1°F / 37.3°C — Oral
Pulse88 bpm — Regular
Resp Rate20 / min
O2 Sat93% — Room Air
Weight / BMI185 lbs · BMI 26.5
GCS15 — Alert & Oriented
Recorded08:32 · RN J. Rivera
Signed ByRN J. Rivera
Signed Date/Time05/23/2026 08:35 AM
object_code: DIAGNOSIS  ·  route: /clinical/diagnosis
Primary DxPneumonia, unspecified organism
ICD-10J18.9
Attending MDDr. John Marshall, IV
DifferentialsPE · COPD exacerbation · CHF
Signed ByPending MD Signature
StatusDraft — not finalized
object_code: LAB_ORDER  ·  route: /orders/lab
PrioritySTAT
Tests OrderedCBC · BMP · Blood Cx ×2 · Lactic Acid · Procalcitonin
StatusPending collection
Ordered ByDr. Marshall · 09:20
Ordered ByDr. John Marshall, IV
StatusPending collection
object_code: LAB_RESULT  ·  route: /clinical/lab-result
Linked OrderLAB_ORDER · 09:20
StatusAwaiting results
Resulted ByPending Lab
StatusAwaiting results
object_code: IMAGING_ORDER  ·  route: /orders/imaging
StudyChest PA and Lateral
ModalityXR — X-Ray
PrioritySTAT
StatusPending scheduling
Ordered ByDr. John Marshall, IV
StatusPending radiology
object_code: PHARMACY_ORDER  ·  route: /orders/pharmacy
MedicationCeftriaxone 1g IV q24h
Allergy NotePenicillin allergy — cross-reactivity low
PharmacistPending verification
PharmacistPending Verification
StatusMedication not released to MAR
object_code: MED_ADMINISTRATION  ·  route: /clinical/mar
Medication / Order RefPending medication
Dose / RoutePending dose
Two-ID CheckPending
object_code: PROCEDURE_NOTE  ·  route: /clinical/procedure
ProcedurePending procedure
Performed ByPending provider
ConsentNot obtained
object_code: AI_SYNOPSIS  ·  route: /clinical/ai-synopsis
Clinical SummaryPending AI summary
Review Statusassistive_draft
object_code: SOFA  ·  route: /cds/sofa
Total Score0
ICU RecommendationPending assessment
object_code: CDS_ENGINE  ·  route: /cds/sepsis
Alert Severityok
Active AlertsNone
object_code: FHIR_INTEGRATION  ·  route: /cds/fhir
FHIR VersionR4
Sync Statusidle
object_code: DOC_CLINICAL  ·  route: /documents/clinical
object_code: DOC_IMAGING  ·  route: /documents/imaging
object_code: DOC_EXTERNAL  ·  route: /documents/external
object_code: DISCHARGE  ·  route: /clinical/discharge
DispositionHome
Statusin_progress
object_code: HOUSEKEEPING  ·  route: /support/housekeeping
object_code: ROOM_SERVICES  ·  route: /support/room-services
object_code: SUPPORT_FOOD  ·  route: /support/food
object_code: SUPPORT_TRANSPORT  ·  route: /support/transport
object_code: SUPPORT_SECURITY  ·  route: /support/security
object_code: SUPPORT_HELPDESK  ·  route: /support/helpdesk
PLACEHOLDER — nursing objects not yet mapped to this docket
Nursing NotesPending
TasksPending
EducationPending
PLACEHOLDER — care coordination objects not yet mapped to this docket
ReferralsPending
Discharge PlanningPending
MessagesPending
PLACEHOLDER — risk & compliance objects not yet mapped to this docket
HIPAA FlagsPending
AuditPending
SafetyPending
PLACEHOLDER — billing & audit objects not yet mapped to this docket
Charge CapturePending
CodingPending
CompletenessPending