Felix Fairholt

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

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Showing the results the side panel cited: the marked rows are from the sidebar. Clear marks

Results by collection date, newest first; rows from the sidebar are marked
Test	2026-11-1209:10	2026-07-1509:00	Reference	Unit
Vital signs and body measurements
Weight (read by the checks)	112	·	—	kg
Height (read by the checks)	173.5	·	—	cm
Body-mass index (read by the checks)	37.2	·	—	kg/m2

Filtering rate (eGFR) is calculated from creatinine, age and sex by the 2021 equation. Rows marked are the measurements the checks read: for those, the grid shows exactly the values the checks used. Other rows are shown from the record for context and are not read by the checks. Hover a value to see its collection time and row. Synthetic laboratory; reference ranges are illustrative.

Exact Dx Before you sign

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

2 to look at before you sign · 4 checked

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
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? 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

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.

Dismiss with a reason

Reason in your words (needed for "Other")

Show all (4)

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

Glucose and HbA1c Not assessable 2

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.

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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.
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.

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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) · 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
cdc_adult_bmi@1.0 draft, pending review · source
ada2026_diabetes@1.0 draft, pending review · source
ada2026_prediabetes@1.0 draft, pending review · source

Record

Check RUN-00005 · kidney-engine 2.0 · replay 4667ee44fd0b…. Data for this sidebar (JSON).

Library check LRUN-00005 · library_default_set@1.0 · library-engine 1.0 · replay 45d2d6965e14….

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

Results