{
  "result": "Supported",
  "confidence": 0.88,
  "reasoning": "Diagnosis not supported as the SOFA score threshold was not met when account for baseline creatinine",
  "evidence": [
    {
      "criteria": "Renal Dysfunction",
      "source": {
        "start_index": 1319,
        "end_index": 1362,
        "text": "CKD baseline 1.3 elevated to 2.1 creatinine"
      },
      "evaluation": "Rejects"
    }
  ]
}