Ines Ingleby · Notes · Demo Health Record (demonstration)

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

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Clinic visit note

Unsigned draft

Type: Clinic visit
Date: 2026-11-12 14:00
Author: Dr. Imogen Vale (ambient scribe draft)
Status: Unsigned draft
Drafted by: AI-drafted

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Chief complaint: follow-up of thyroid condition and fatigue. History of present illness: The patient states that her energy has improved since the last dose change. She reports good adherence to levothyroxine and denies palpitations. Review of systems: Negative except as noted. Assessment and plan: 1. Hypothyroidism, improving. Continue the current dose and recheck TSH in eight weeks. 2. Fatigue, improving. Encourage regular sleep schedule.

The note does not mention this.

Visit diagnoses (as entered by the clinician)

None entered yet for this visit.

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AI-drafted This draft, as declared by the source system

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Needs a look Kidney function over time

Two kidney results 100 days apart are in the G3b range (filtering rate 37.5 on 2026-08-04 and 34.7 on 2026-11-12); the note doesn't mention kidney function.

Where in the note? Show the results

The note does not mention this.

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

Record

Check RUN-00008 · kidney-engine 2.0 · replay f15a1b22a585…. Data for this sidebar (JSON).

Library check LRUN-00008 · library_default_set@1.0 · library-engine 1.0 · replay 4b1a0bd67562….

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