DataCrafters · Before you sign · P32 synthetic data · demonstration · printed Fri Nov 13, 2026 04:55 PM

P32 woman, 79 · outpatient visit Clinician-typed

Agrees: nothing to do Kidney results 150 days apart are 60 or above (filtering rate 65.0 on 2026-06-13 and 65.0 on 2026-11-10) and the note doesn't mention kidney function.

The note unsigned draft · Tue Nov 10, 2026 10:00 AM

Follow-up.
S: Mild ankle swelling in the evenings. Sleeps flat.
O: BP 136/80, HR 76. Trace ankle edema.
A/P:
1. Heart failure: continue furosemide 20 mg daily; echocardiogram ordered.
2. Osteoarthritis: acetaminophen as needed.

Edit note

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

2026-06-13 creatinine 0.9 mg/dL · filtering rate 65.0 (G2 range)
2026-11-10 creatinine 0.9 mg/dL · filtering rate 65.0 (G2 range)

Threshold: filtering rate below 60 on two results at least 90 days apart, none of 60 or more between them.

Who read this note

Heart pumping fraction (ejection fraction, EF) · Read by Stand-in AI reader and rule reader agree · AI reader quoted Heart failure (stand-in (offline demonstration, not a language model), mock-1/exactdx.front_statements@1)
Kidney filtering rate (eGFR) over time · Read by Stand-in 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).

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 65.0 on 2026-11-10 (lab row L-0074); eGFR 65.0 on 2026-06-13 (lab row L-0073). 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 / 0.9 = 1.0x
Rows: L-0073, L-0074
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-0073, L-0074
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-0073, L-0074
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-00032 · seed · Fri Nov 13, 2026 04:55 PM · audit entry #4651

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 · this tool's comparison rules (both directions)
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 c6015c0d4dc7fe13a1543ca14570a41afa5d3ba6ba49bc1fe1393472123a0169 (computed from structured values only)

Replay hash

3c73d5aa38fd9087fe986539f69215069b0ad39e3747ce015e15b8e6bc94026a

Decisions

none yet

Revisions

KN-P32-1

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-0073`	2026-06-13 09:00	0.9	79	65.0	G2	60.8	yes
`L-0074`	2026-11-10 09:00	0.9	79	65.0	G2	60.8	yes

P32 woman, 79 · outpatient visit ✎ Clinician-typed