Carmen Calloway · Notes · Demo Health Record (demonstration)

Skip to the chart Skip to the Exact Dx panel

Demo Health Record Riverbend Community Hospital (fictional) synthetic data · demonstration

Not signed in

Telephone encounter

Signed

Type: Telephone encounter
Date: 2026-10-22 11:20
Author: Mara Ellison, RN
Status: Signed 2026-10-22 11:32

Patient called to confirm the upcoming appointment and to request a refill of loratadine. Refill sent to the pharmacy on file per protocol. Advised to bring all medication bottles to the visit.

Exact Dx Before you sign

Clinician-typed This draft, as declared by the source system

Nothing needs a look · 3 checked

Agrees Kidney function over time

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.

Where in the note? Show the results

Show all (3)

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

Blood count and iron Not assessable

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.

Where in the note? 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

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.

Where in the note? 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.

Details

Thresholds

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

Rules and published sources

ckd_epi_2009@1.0 Levey et al., Ann Intern Med 2009;150:604-12 (2009 eGFR equation, drift check) · source
ckd_epi_2021@1.0 Inker et al., N Engl J Med 2021;385:1737-49 (2021 race-free eGFR equation) · source
kdigo_aki_2012@1.1 KDIGO 2012 guideline, Kidney Int Suppl 2012;2:1-138 (Rec 2.1.1-2.1.2, Table 2) · source
kdigo_ckd_2024@1.1 KDIGO 2024 guideline, Kidney Int 2024;105(4S):S117-S314 (G/A categories, >3 months) · source
kidney_compare@1.1 Two-sided comparison (this tool); ICD-10-CM guideline I.A.19; ACDIS/AHIMA compliant query practice, 2026 update · source
kidney_exclusions@1.0 KDIGO 2024 guideline, limitations of creatinine-based eGFR (muscle mass, pregnancy, kidney replacement); local list · source
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) · source
who2024_anaemia@1.0 draft, pending review · source
cdc_adult_bmi@1.0 draft, pending review · source

Record

Check RUN-00002 · kidney-engine 2.0 · replay db562dc94f6d…. Data for this sidebar (JSON).

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

Decision support only: you decide and you write the note. Exact Dx 1.0.0 · data as of Fri Nov 13, 2026 04:55 PM