creatinine levels but that's not enough it needs to do this for every single signal that exists in the electronic health record and chooses think about every signal in the context of every other signal to identify signs and symptoms that occur more often in patients with sepsis than those without let's return to mrs. Manny research by Kumar and colleagues have shown that for every hour treatment is delayed mortality goes up by seven to eight percent so timing is critical we went and took mrs. Manny's data and we ran