✎ Clinician-typed
This draft, as declared by the source system
2 to look at before you sign · 4 checked
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● Needs a look
Kidney function over time
Two kidney results 120 days apart are in the G3b range (filtering rate 43.4 on 2026-07-15 and 40.5 on 2026-11-12); the note doesn't mention kidney function.
¶ Where in the note?
▦ Show the results
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● Needs a look
Body-mass index
Draft · pending review
Body-mass index 37.2 kg/m2 on 2026-11-12 09:10 meets the published definition's criteria for the category “35 to below 40 band (class 2)” (cdc_adult_bmi@1.0). The note doesn't mention this.
Another published definition (who_adult_bmi@1.0) gives the category “30 or more band”.
Published bodies disagree on these thresholds; another definition may give a different answer.
¶ Where in the note?
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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
Threshold for this category (cdc_adult_bmi@1.0): body-mass index ≥ 35 kg/m2 and body-mass index < 40 kg/m2.
Draft definition: pending clinical and coding review.
Show all (4)
2 more, grouped by what was measured. At most three are shown above at once.
Glucose and HbA1c
∅ Not assessable
2
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∅ Not assessable
Glucose and HbA1c
Draft · pending review
Glucose and HbA1c: could not check against ada2026_diabetes@1.0: only one HbA1c or glucose result meets the threshold; the definition needs a second one. Results: HbA1c 6.8 % on 2026-11-12 08:00.
¶ Where in the note?
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Published definition and source
2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026
ada2026_diabetes@1.0
Table 2.1: A1C ≥6.5% (≥48 mmol/mol); FPG ≥126 mg/dL (≥7.0 mmol/L); 2-h PG ≥200 mg/dL (≥11.1 mmol/L) during OGTT; random plasma glucose ≥200 mg/dL (≥11.1 mmol/L) with classic symptoms of hyperglycemia or hyperglycemic crisis. In the absence of unequivocal hyperglycemia, diagnosis requires two abnormal results from different tests ... or the same test at two different time points.
American Diabetes Association Professional Practice Committee · edition 2026 (Diabetes Care 2026;49 Suppl 1:S27-S49, doi:10.2337/dc26-S002) · Table 2.1 Criteria for the diagnosis of diabetes in nonpregnant individuals · opened 2026-11-14
· source
Categories that count (ada2026_diabetes@1.0): two results at or above the diagnostic thresholds (number of qualifying results ≥ 2); random glucose 200 mg/dL or more with typical symptoms (random glucose ≥ 200 mg/dL and a recorded clinical item); one result at or above a diagnostic threshold (number of qualifying results ≥ 1).
Draft definition: pending clinical and coding review.
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✓ Agrees
Glucose and HbA1c (intermediate range)
Draft · pending review
HbA1c 6.8 % on 2026-11-12 08:00: in the category “a result in the higher (diagnostic) range” of ada2026_prediabetes@1.0; the note doesn't mention this. Nothing to review.
Published bodies disagree on these thresholds; another definition may give a different answer.
¶ Where in the note?
▦ Show the results
Published definition and source
2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026
ada2026_prediabetes@1.0
A1C 5.7–6.4% (39–47 mmol/mol); FPG 100 mg/dL (5.6 mmol/L) to 125 mg/dL (6.9 mmol/L) (IFG); 2-h PG during 75-g OGTT 140 mg/dL (7.8 mmol/L) to 199 mg/dL (11.0 mmol/L) (IGT)
American Diabetes Association Professional Practice Committee · edition 2026 (Diabetes Care 2026;49 Suppl 1:S27-S49) · Table 2.2 Criteria defining prediabetes in nonpregnant individuals · opened 2026-11-14
· source
Categories that count (ada2026_prediabetes@1.0): intermediate range (HbA1c 5.7 to 6.4%, fasting glucose 100 to 125 mg/dL, or 2-hour glucose 140 to 199 mg/dL) (HbA1c ≥ 5.7 % and HbA1c < 6.5 % or fasting glucose ≥ 100 mg/dL and fasting glucose < 126 mg/dL or 2-hour glucose ≥ 140 mg/dL and 2-hour glucose < 200 mg/dL).
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) · sourceckd_epi_2021@1.0
Inker et al., N Engl J Med 2021;385:1737-49 (2021 race-free eGFR equation) · sourcekdigo_aki_2012@1.1
KDIGO 2012 guideline, Kidney Int Suppl 2012;2:1-138 (Rec 2.1.1-2.1.2, Table 2) · sourcekdigo_ckd_2024@1.1
KDIGO 2024 guideline, Kidney Int 2024;105(4S):S117-S314 (G/A categories, >3 months) · sourcekidney_compare@1.1
Two-sided comparison (this tool); ICD-10-CM guideline I.A.19; ACDIS/AHIMA compliant query practice, 2026 update · sourcekidney_exclusions@1.0
KDIGO 2024 guideline, limitations of creatinine-based eGFR (muscle mass, pregnancy, kidney replacement); local list · sourcelab_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) · sourcecdc_adult_bmi@1.0
draft, pending review · sourceada2026_diabetes@1.0
draft, pending review · sourceada2026_prediabetes@1.0
draft, pending review · source
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