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Exact Dx synthetic data · demonstration
Exact Dx · Before you sign · P02 synthetic data · demonstration · printed Fri Nov 13, 2026 04:55 PM

All notes

P02 woman, 54 · outpatient visit Clinician-typed

Open in the chart

Agrees Kidney results 180 days apart are 60 or above (filtering rate 87.5 on 2026-05-16 and 87.5 on 2026-11-12) and the note doesn't mention kidney function.

The note unsigned draft · Thu Nov 12, 2026 12:00 PM

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The results

The note is compared with the patient's own measurements, in both directions. Kidney filtering rate (eGFR) is estimated from creatinine, age and sex.

Kidney function over time Agrees

  • 2026-05-16 creatinine 0.8 mg/dL · filtering rate 87.5 (G2 range)
  • 2026-11-12 creatinine 0.8 mg/dL · filtering rate 87.5 (G2 range)

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.

Nothing else needs a look.

Show all (3)

2 more, grouped by what was measured. At most three are shown above at once.

Blood count and iron Not assessable

  1. Not assessable Haemoglobin Draft · pending review

    Haemoglobin: could not check against who2024_anaemia@1.0: pregnancy status and pregnancy trimester are not recorded. Results: haemoglobin 128 g/L on 2026-11-12 11:00.

    Published bodies disagree on these thresholds; another definition may give a different answer.

    The note does not mention this. Show the results

    Published definition and source

    Guideline on haemoglobin cutoffs to define anaemia in individuals and populations

    who2024_anaemia@1.0
    Table 3: Adults, 15–65 years, nonpregnant women: No anaemia ≥120; Mild 110–119; Moderate 80–109; Severe <80. Adults, 15–65, years men: ≥130; 110–129; 80–109; <80 (g/L)

    World Health Organization · edition 2024 · Executive summary: Table 2 (PDF page 12), Table 3 (PDF page 13), Table 4 (PDF page 14), Table 5 (PDF page 15) · opened 2026-11-14 · source

    Categories that count (who2024_anaemia@1.0): 'severe' band (haemoglobin < 70 g/L); 'moderate' band (haemoglobin ≥ 70 g/L and haemoglobin < 100 g/L); 'mild' band (haemoglobin ≥ 100 g/L and haemoglobin < 110 g/L).

    Draft definition: pending clinical and coding review.

Body measurements Agrees

  1. Agrees Body-mass index Draft · pending review

    Body-mass index 24 kg/m2 on 2026-11-12 11:05: in the category “18.5 to below 25 band” of cdc_adult_bmi@1.0; the note doesn't mention this. Nothing to review.

    Another published definition (who_adult_bmi@1.0) gives the category “below 25”.

    Published bodies disagree on these thresholds; another definition may give a different answer.

    The note does not mention this. Show the results

    Published definition and source

    Adult BMI Categories

    cdc_adult_bmi@1.0
    Underweight: Less than 18.5; Healthy Weight: 18.5 to less than 25; Overweight: 25 to less than 30; Obesity: 30 or greater; Class 1 Obesity: 30 to less than 35; Class 2 Obesity: 35 to less than 40; Class 3 Obesity (Severe Obesity): 40 or greater

    Centers for Disease Control and Prevention · edition page dated March 19, 2024 · Adult BMI categories table · opened 2026-11-14 · source

    Categories that count (cdc_adult_bmi@1.0): 40 or more band (class 3) (body-mass index ≥ 40 kg/m2); 35 to below 40 band (class 2) (body-mass index ≥ 35 kg/m2 and body-mass index < 40 kg/m2); 30 to below 35 band (class 1) (body-mass index ≥ 30 kg/m2 and body-mass index < 35 kg/m2); 25 to below 30 band (body-mass index ≥ 25 kg/m2 and body-mass index < 30 kg/m2); below 18.5 band (body-mass index < 18.5 kg/m2).

    Draft definition: pending clinical and coding review.

Library check LRUN-00002 · library_default_set@1.0 · library-engine 1.0 · replay 823d08e0e0d9…

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).

Kidney function (eGFR persistence) · kdigo_ckd_2024@1.1

eGFR: Nothing to review criteria met under 0 of 2 eGFR equations (2021 race-free, 2009)

eGFR 87.5 on 2026-11-12 (lab row L-0005); eGFR 87.5 on 2026-05-16 (lab row L-0003). KDIGO persistence: not met (two values of 60 or more 180 days apart, none below 60 after them). Note: no kidney-function statement found. Nothing to review.

Both directions
What the labs show that the note doesn't say Criteria not met; nothing unstated
What the note says that the labs don't support No statement in the note
  • 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 qualifying value
    Rows: L-0004
  • 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)
    0.8 / 0.8 = 1.0x
    Rows: L-0003, L-0005
  • 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 met: two values of 60 or more 180 days apart, none below 60 after them
    Rows: L-0003, L-0005
  • not met: Two eGFR < 60 at least 90 days apart, none >= 60 between (2021 eGFR equation) (kdigo_ckd_2024@1.1)
    not met: two values of 60 or more 180 days apart, none below 60 after them
    Rows: L-0003, L-0005
  • 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 during this admission · kdigo_aki_2012@1.1

Creatinine change: Does not apply to this visit

Not assessed: outpatient visit: the creatinine-change check runs on inpatient encounters only.

Try one creatinine value

One value is never a confirmed stage: the persistence rule needs a repeat at least 90 days later.

The record of this check

Run
RUN-00002 · seed · Fri Nov 13, 2026 04:55 PM · audit entry #1545
Engine
kidney-engine 2.0
Rule versions
  • ckd_epi_2009@1.0 · Levey et al., Ann Intern Med 2009;150:604-12 (2009 eGFR equation, drift check)
  • ckd_epi_2021@1.0 · Inker et al., N Engl J Med 2021;385:1737-49 (2021 race-free eGFR equation)
  • kdigo_aki_2012@1.1 · KDIGO 2012 guideline, Kidney Int Suppl 2012;2:1-138 (Rec 2.1.1-2.1.2, Table 2)
  • kdigo_ckd_2024@1.1 · KDIGO 2024 guideline, Kidney Int 2024;105(4S):S117-S314 (G/A categories, >3 months)
  • kidney_compare@1.1 · Two-sided comparison (this tool); ICD-10-CM guideline I.A.19; ACDIS/AHIMA compliant query practice, 2026 update
  • kidney_exclusions@1.0 · KDIGO 2024 guideline, limitations of creatinine-based eGFR (muscle mass, pregnancy, kidney replacement); local list
  • lab_units@1.1 · KDIGO 2012 and 2024 guidelines, unit conversion (creatinine 1 mg/dL = 88.4 umol/L; ACR 1 mg/mmol = 8.84 mg/g)
Note reading
word list + model, agreement required · model: ok · kidney function: silent · creatinine change: silent
Agreed statements
none
Provenance
Clinician-typed, as declared by the source system (context only: never an input to the rules)
Results side
measurement replay hash 44499c0ae4deeb0cd546f407b4ac6607b330987bfc2bdd0c36c30013b73c4ff1 (computed from structured values only)
Replay hash
db562dc94f6ddcdc38a2a014ee5062caafe29ac11bd25c032253cce20eb2ad77
Decisions
none yet
Revisions
KN-P02-1
Every creatinine row on file, with the filtering rate by the 2021 equation (and the 2009 equation as a drift check)
RowCollectedCreatinineAge 2021Range2009Used
L-00032026-05-16 09:000.8 5487.5G283.6 yes
L-00052026-11-12 08:400.8 5487.5G283.6 yes
L-00042026-05-16Urine ACR 12.0 mg/g, category A1