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 ✓ Agrees
The note says AKI and creatinine supports it: it fell from 2.4 to 1.2 mg/dL during the stay.
2026-11-09 08:00 creatinine 2.4 mg/dL (first in this stay)
later in the stay creatinine 1.2 mg/dL (lowest afterwards)
Threshold: creatinine up by 0.3 mg/dL within 48 hours, or to 1.5 times an earlier value. Urine output is not checked.
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 lookHaemoglobinDraft · pending review
Haemoglobin 112 g/L on 2026-11-09 08:05 meets the published definition's criteria for the category “'mild' band” (who2024_anaemia@1.0). The note doesn't mention this.
Published bodies disagree on these thresholds; another definition may give a different answer.
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-0057, L-0058, L-0059 Rows: L-0057, L-0058, L-0059
Lowest value in the 365 days before admission (selected)
—
0
0
Most recent outpatient value 7-365 days before admission
—
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)
1.152
2
2
Creatinine 2.4 mg/dL at admission (lab row L-0057), peak 2.4 mg/dL (lab row L-0057). KDIGO creatinine criterion met: criteria met under 1 of 4 baselines at admission; 1 of 4 at peak; reverse comparison met (2.0x the lowest value in the following 7 days). Urine-output criterion not evaluated (no structured source). Note: a statement about an acute kidney change is present (quoted below). Supported by the reverse comparison (a fall during the stay).
From the draft note: AKI
Both directions
What the labs show that the note doesn't say
✓ Criteria met; the note has a statement
What the note says that the labs don't support
✓ Statement present; criteria met
✗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
✓met:
Creatinine >= 1.5x baseline (back-calculated from egfr 75 (2021 equation, age and sex at admission)) (kdigo_aki_2012@1.1) baseline 1.152 mg/dL; admission stage 2, peak stage 2 (never used alone) Rows: L-0057, L-0057
✗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-0057, L-0057
✗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-0057, L-0057
✗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-0057, L-0057
✓met:
Reverse comparison: admission or peak creatinine >= 1.5x the lowest value in the following 7 days (kdigo_aki_2012@1.1) L-0057 2.4 mg/dL vs L-0059 1.2 mg/dL: 2.0x Rows: L-0057, L-0059
Try one creatinine value
One value is never a confirmed stage: the persistence rule needs a repeat at least 90 days later.