∅ Not assessable
Could not check kidney function yet: there are not two results at least 90 days apart.
The note unsigned draft · Wed Nov 11, 2026 09:00 AM
Hospital day 2 progress note.
S: Admitted with a fall at home. No new pain.
O: BP 128/74. Bruising left hip.
A/P:
1. AKI on admission: monitor creatinine, avoid nephrotoxins.
2. Fall: physical therapy, home safety review.
Threshold: filtering rate below 60 on two results at least 90 days apart, none of 60 or more between them.
Creatinine change during this stay ∅ Not assessable
Could not check the creatinine change: there is no result from before this stay, and creatinine did not rise or fall enough during it.
2026-11-10 08:00 creatinine 1.3 mg/dL (first in this stay)
2026-11-11 06:00 creatinine 1.3 mg/dL (highest)
Threshold: creatinine up by 0.3 mg/dL within 48 hours, or to 1.5 times an earlier value. Urine output is not checked.
Show the details
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
eGFR 62.9 on 2026-11-11 (lab row L-0056); eGFR 62.9 on 2026-11-10 (lab row L-0055). Not assessable: fewer than two values of 60 or more at least 90 days apart. 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:
Latest creatinine below 1.5x the lowest value in the previous 365 days (otherwise: possible acute change; repeat needed) (kdigo_ckd_2024@1.1) 1.3 / 1.3 = 1.0x Rows: L-0055, L-0056
✓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: values below 60 span only 1 days (persistence needs at least 90) Rows: L-0055, L-0056
✗not met:
Two eGFR < 60 at least 90 days apart, none >= 60 between (2021 eGFR equation) (kdigo_ckd_2024@1.1) not assessable: fewer than two values of 60 or more at least 90 days apart Rows: L-0055, L-0056
✓met:
Values used are steady-state (local convention: values from an admission meeting the creatinine-change criteria are excluded) (kdigo_ckd_2024@1.1) no values excluded
∅Creatinine change: Not assessable: the data cannot decide
Starting value not available
KDIGO stage at admission 0
KDIGO stage at peak 0
Same chart, four starting values
Starting value
mg/dL
Stage at admission
Stage at peak
Lowest value in the 365 days before admission
—
0
0
Most recent outpatient value 7-365 days before admission (selected)
—
0
0
Median of values in the 365 days before admission
—
0
0
Back-calculated from eGFR 75 (2021 equation, age and sex at admission)
1.123
0
0
Creatinine 1.3 mg/dL at admission (lab row L-0055), peak 1.3 mg/dL (lab row L-0056). Not assessable: no creatinine before admission and no 48-hour rise or fall during the stay; the back-calculated baseline is never used alone. Urine-output criterion not evaluated (no structured source). Note: a statement about an acute kidney change is present (quoted below); it cannot be checked against these values.
From the draft note: AKI
Both directions
Both directions
∅ Not assessable: the data cannot decide (reason above). Nothing is flagged either way.
✗not met:
Creatinine rise >= 0.3 mg/dL within 48 hours (kdigo_aki_2012@1.1) no such rise
✓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
✗not met:
Creatinine >= 1.5x baseline (back-calculated from egfr 75 (2021 equation, age and sex at admission)) (kdigo_aki_2012@1.1) baseline 1.123 mg/dL; admission stage 0, peak stage 0 (never used alone) Rows: L-0055, L-0055
✗not met:
Creatinine >= 1.5x baseline (most recent outpatient value 7-365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 0 from the 48-hour rise only Rows: L-0055, L-0055
✗not met:
Creatinine >= 1.5x baseline (lowest value in the 365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 0 from the 48-hour rise only Rows: L-0055, L-0055
✗not met:
Creatinine >= 1.5x baseline (median of values in the 365 days before admission) (kdigo_aki_2012@1.1) baseline not available; peak stage 0 from the 48-hour rise only Rows: L-0055, L-0055
✗not met:
Reverse comparison: admission or peak creatinine >= 1.5x the lowest value in the following 7 days (kdigo_aki_2012@1.1) L-0055 1.3 mg/dL vs L-0056 1.3 mg/dL: 1.0x Rows: L-0055, L-0056
Try one creatinine value
One value is never a confirmed stage: the persistence rule needs a repeat at least 90 days later.