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 106.0 on 2026-11-11 (lab row L-0007); eGFR 93.4 on 2026-06-14 (lab row L-0006). KDIGO persistence: not met (two values of 60 or more 150 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 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)
0.9 / 1.0 = 0.9x
Rows: L-0006, L-0007
- ✓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 150 days apart, none below 60 after them
Rows: L-0006, L-0007
- ✗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 150 days apart, none below 60 after them
Rows: L-0006, L-0007
- ✓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-00003 · seed · Fri Nov 13, 2026 04:55 PM · audit entry #1549
- 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 updatekidney_exclusions@1.0 · KDIGO 2024 guideline, limitations of creatinine-based eGFR (muscle mass, pregnancy, kidney replacement); local listlab_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
- AI-drafted, as declared by the source system (context only: never an input to the rules)
- Results side
- measurement replay hash
8fb5bf8e16702fe565a4c3db4447a33f2ded2d40ad2151fc3970d53c7e6cd33b (computed from structured values only)
- Replay hash
7dfb44e75e39b0aac42bd8e010924c0c2e605f5146fa528b073232067e88f6f0- Decisions
- none yet
- Revisions
- KN-P03-1
Every creatinine row on file, with the filtering rate by the 2021 equation (and the 2009 equation as a drift check)
| Row | Collected | Creatinine | Age |
2021 | Range | 2009 | Used |
|---|
L-0006 | 2026-06-14 09:00 | 1.0 |
47 | 93.4 | G1 | 89.2 |
yes |
|---|
L-0007 | 2026-11-11 08:15 | 0.9 |
47 | 106.0 | G1 | 101.4 |
yes |
|---|