● Needs a look
Creatinine rose by 0.4 mg/dL within 24 hours during this stay (peak 1.6 mg/dL); the note doesn't mention a change in kidney function.
The note unsigned draft · Thu Nov 12, 2026 04:00 PM
Hospital day 2 progress note.
S: Cough improving, afebrile overnight.
O: T 37.2, BP 112/66, SpO2 95% on 2 L.
Right lower lobe crackles.
A/P:
1. Community-acquired pneumonia: continue ceftriaxone and azithromycin, day 2.
2. Deconditioning: physical therapy evaluation.
Threshold: filtering rate below 60 on two results at least 90 days apart, none of 60 or more between them.
Other measurements checked against published definitions
Each definition is a draft pending clinical and coding review unless marked reviewed. You decide what the note says.
● Needs a lookPotassiumDraft · pending review
Potassium 5.8 mmol/L on 2026-11-12 15:00 meets the published definition's criteria for the category “'mild' band (5.5 to 5.9 mmol/L)” (ukka2026_hyperkalaemia@1.0). The note doesn't mention this.
Published bodies disagree on these thresholds; another definition may give a different answer.
Clinical Practice Guidelines: Treatment of Acute Hyperkalaemia in Adults
ukka2026_hyperkalaemia@1.0
It is further classified by severity into mild (5.5-5.9 mmol/l), moderate (6.0-6.4 mmol/l) or severe (≥ 6.5 mmol/l).
UK Kidney Association · edition updated July 2026 · Introduction, document page 9 (PDF page 10) · opened 2026-11-14
· source
Threshold for this category (ukka2026_hyperkalaemia@1.0): potassium ≥ 5.5 mmol/L and potassium < 6 mmol/L.
Draft definition: pending clinical and coding review.
Show all (4)
1 more, grouped by what was measured. At most three are shown above at once.
Lactate◆ Needs your clinical judgement
◆ Needs your clinical judgementLactateDraft · pending review
Lactate 2.6 mmol/L on 2026-11-11 15:10: the record shows these values; this needs your clinical judgement (sepsis3_septic_shock_lactate@1.0 uses them as one part of a wider clinical picture, category “lactate above 2 mmol/L”).
The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)
sepsis3_septic_shock_lactate@1.0
persisting hypotension requiring vasopressors to maintain MAP ≥65 mm Hg and having a serum lactate level >2 mmol/L (18mg/dL) despite adequate volume resuscitation
Society of Critical Care Medicine and European Society of Intensive Care Medicine task force (JAMA 2016;315:801-810) · edition 2016 · Box 3 'New Terms and Definitions' · opened 2026-11-14
· source
Threshold for this category (sepsis3_septic_shock_lactate@1.0): lactate > 2 mmol/L.
Draft definition: pending clinical and coding review.
Mode: measurements only (no diagnosis is named).
The check runs the same way on clinician-typed and AI-drafted notes (as declared by the source system).
∅eGFR: Not assessable: the data cannot decidenot assessable
no steady-state creatinine on file. Not assessable: no steady-state creatinine result on file. Lookback: every creatinine result on file before this note. Nothing to review until the data can decide.
Both directions
Both directions
∅ Not assessable: the data cannot decide (reason above). Nothing is flagged either way.
✗not met:
Urine ACR >= 30 mg/g on two values at least 90 days apart (needed only when eGFR >= 60) (kdigo_ckd_2024@1.1) no urine ACR on file
✓met:
No condition on record that makes the estimating equation unreliable (maintenance dialysis, kidney transplant, pregnancy, limb amputation or another extreme of muscle mass) (kidney_exclusions@1.0) none on record for this encounter date
✗not met:
Two eGFR < 60 at least 90 days apart, none >= 60 between (2009 eGFR equation) (kdigo_ckd_2024@1.1) not assessable: no steady-state creatinine result on file
✗not met:
Two eGFR < 60 at least 90 days apart, none >= 60 between (2021 eGFR equation) (kdigo_ckd_2024@1.1) not assessable: no steady-state creatinine result on file
✓met:
Values used are steady-state (local convention: values from an admission meeting the creatinine-change criteria are excluded) (kdigo_ckd_2024@1.1) excluded L-0033, L-0034 Rows: L-0033, L-0034
↑Creatinine change: Labs meet the criteria; nothing documented
Starting value not available
KDIGO stage at admission 0
KDIGO stage at peak 1
Same chart, four starting values
Starting value
mg/dL
Stage at admission
Stage at peak
Lowest value in the 365 days before admission
—
0
1
Most recent outpatient value 7-365 days before admission (selected)
—
0
1
Median of values in the 365 days before admission
—
0
1
Back-calculated from eGFR 75 (2021 equation, age and sex at admission)
0.816
0
1
Creatinine 1.2 mg/dL at admission (lab row L-0033), peak 1.6 mg/dL (lab row L-0034). KDIGO creatinine criterion met: criteria met under 0 of 4 baselines at admission; 4 of 4 at peak. Urine-output criterion not evaluated (no structured source). Note: no statement about an acute kidney change found.
Both directions
What the labs show that the note doesn't say
⚑ Criteria met; no statement in the note
What the note says that the labs don't support
✓ No statement in the note
✓met:
Creatinine rise >= 0.3 mg/dL within 48 hours (kdigo_aki_2012@1.1) L-0033 -> L-0034: +0.4 mg/dL in 24.0 h Rows: L-0033, L-0034
✓met:
No condition on record that makes the creatinine-change criteria unreliable (maintenance dialysis, kidney transplant, pregnancy) (kidney_exclusions@1.0) none on record for this encounter date
✗not met:
A creatinine value before admission is available (needed before a statement can be called not supported) (kdigo_aki_2012@1.1) none in the 365 days before admission
✓met:
Creatinine >= 1.5x baseline (back-calculated from egfr 75 (2021 equation, age and sex at admission)) (kdigo_aki_2012@1.1) baseline 0.816 mg/dL; admission stage 0, peak stage 1 (never used alone) Rows: L-0033, L-0034
✓met:
Creatinine >= 1.5x baseline (most recent outpatient value 7-365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 1 from the 48-hour rise only Rows: L-0033, L-0034
✓met:
Creatinine >= 1.5x baseline (lowest value in the 365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 1 from the 48-hour rise only Rows: L-0033, L-0034
✓met:
Creatinine >= 1.5x baseline (median of values in the 365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 1 from the 48-hour rise only Rows: L-0033, L-0034
✗not met:
Reverse comparison: admission or peak creatinine >= 1.5x the lowest value in the following 7 days (kdigo_aki_2012@1.1) L-0033 1.2 mg/dL vs L-0034 1.6 mg/dL: 0.75x Rows: L-0033, L-0034
Try one creatinine value
One value is never a confirmed stage: the persistence rule needs a repeat at least 90 days later.