✓ Agrees: nothing to do
Kidney results 201 days apart are 60 or above (filtering rate 75.4 on 2026-04-25 and 71.3 on 2026-11-12) and the note doesn't mention kidney function.
The note unsigned draft · Thu Nov 12, 2026 09:00 AM
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 filtering rate (eGFR) over time ✓ Agrees: nothing to do
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: nothing to do
Creatinine did not rise enough (admission 1.05, peak 1.1 mg/dL) and the note doesn't mention a change.
before this stay lowest earlier creatinine 1.0 mg/dL
2026-11-11 08:00 creatinine 1.05 mg/dL (first in this stay)
2026-11-12 06:00 creatinine 1.1 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.
Who read this note
Heart pumping fraction (ejection fraction, EF) · Read by AI reader and rule reader agree · AI reader quoted CHF exacerbation(openrouter · openai/gpt-6.1-terra, openai/gpt-6.1-terra)
Kidney filtering rate (eGFR) over time · Read by AI reader and rule reader agree
The AI reader only proposes quoted statements; the rule reader must agree or the topic says "read this part yourself". The results never depend on either reader.
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: Nothing to reviewcriteria met under 0 of 2 eGFR equations (2021 race-free, 2009)
eGFR 71.3 on 2026-11-12 (lab row L-0068); eGFR 75.4 on 2026-11-11 (lab row L-0067); eGFR 80.0 on 2026-08-08 (lab row L-0066). KDIGO persistence: not met (two values of 60 or more 201 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) 1.1 / 1.0 = 1.1x Rows: L-0066, L-0068
✓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 201 days apart, none below 60 after them Rows: L-0065, L-0066, L-0067, L-0068
✗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 201 days apart, none below 60 after them Rows: L-0065, L-0066, L-0067, L-0068
✓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
Lowest value in the 365 days before admission (selected)
1.0
0
0
Most recent outpatient value 7-365 days before admission
1.0
0
0
Median of values in the 365 days before admission
1.025
0
0
Back-calculated from eGFR 75 (2021 equation, age and sex at admission)
1.055
0
0
Creatinine 1.05 mg/dL at admission (lab row L-0067), peak 1.1 mg/dL (lab row L-0068). KDIGO creatinine criterion not met: criteria met under 0 of 4 baselines at admission; 0 of 4 at peak. Urine-output criterion not evaluated (no structured source). No acute change by these criteria; nothing documented. 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:
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
✓met:
A creatinine value before admission is available (needed before a statement can be called not supported) (kdigo_aki_2012@1.1) available Rows: L-0065, L-0066
✗not met:
Creatinine >= 1.5x baseline (back-calculated from egfr 75 (2021 equation, age and sex at admission)) (kdigo_aki_2012@1.1) baseline 1.055 mg/dL; admission stage 0, peak stage 0 (never used alone) Rows: L-0067, L-0068
✗not met:
Creatinine >= 1.5x baseline (most recent outpatient value 7-365 days before admission) (kdigo_aki_2012@1.1) baseline 1.0 mg/dL; admission stage 0, peak stage 0 Rows: L-0066, L-0067, L-0068
✗not met:
Creatinine >= 1.5x baseline (lowest value in the 365 days before admission) (kdigo_aki_2012@1.1) baseline 1.0 mg/dL; admission stage 0, peak stage 0 Rows: L-0066, L-0067, L-0068
✗not met:
Creatinine >= 1.5x baseline (median of values in the 365 days before admission) (kdigo_aki_2012@1.1) baseline 1.025 mg/dL; admission stage 0, peak stage 0 Rows: L-0065, L-0066, L-0067, L-0068
✗not met:
Reverse comparison: admission or peak creatinine >= 1.5x the lowest value in the following 7 days (kdigo_aki_2012@1.1) L-0067 1.05 mg/dL vs L-0068 1.1 mg/dL: 0.95x Rows: L-0067, L-0068
Try one creatinine value
One value is never a confirmed stage: the persistence rule needs a repeat at least 90 days later.