Kerra Kestrel · 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

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Type: Clinic visit
Date: 2026-08-04 10:15
Author: Rhea Castellan, NP
Status: Signed 2026-08-04 10:27

Follow-up visit. S: Doing well. Taking medications as prescribed. O: BP 125/83, HR 75. Weight 56.0 kg. A/P: 1. Gastroesophageal reflux: stable; continue current plan. 2. Vitamin D deficiency: stable; continue current plan. 3. Seasonal allergic rhinitis: stable; continue current plan. Labs drawn today: basic metabolic panel and blood count. Return in 3 to 4 months.

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

1 to look at before you sign · 2 checked

Not assessable Kidney function over time

Could not check kidney function yet: only one result is below 60 (filtering rate 45.4 on 2026-11-12); a repeat at least 90 days later is needed.

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Needs a look Ferritin Draft · pending review

Ferritin 11 ug/L on 2026-11-12 09:05 meets the published definition's criteria for the category “band below the ferritin cut-off for this group” (who2020_iron_deficiency_ferritin@1.0). The note doesn't mention this.

Published bodies disagree on these thresholds; another definition may give a different answer.

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Published definition and source

WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations
who2020_iron_deficiency_ferritin@1.0

Table 1, iron deficiency, serum ferritin (µg/L): Children under 5 years <12 (apparently healthy), <30 (infection or inflammation); Adults (20–59 years) <15, <70; Pregnant women <15 (first trimester)

World Health Organization · edition 2020 · Executive summary, recommendations 1.1-1.2 (PDF page 11) and Table 1 (PDF page 12) · opened 2026-11-14 · source

Threshold for this category (who2020_iron_deficiency_ferritin@1.0): ferritin < 15 ug/L.

Draft definition: pending clinical and coding review.

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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
who2020_iron_deficiency_ferritin@1.0 draft, pending review · source

Record

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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