Otto Northcote · Labs · Demo Health Record (demonstration)

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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	Trend	2026-11-1213:05	2026-07-1509:00	2026-05-1609:00	Reference	Unit
Kidney function
Creatinine (read by the checks) from the sidebar		1.3 (from the sidebar)	1.28 (from the sidebar)	·	0.74–1.35	mg/dL
Filtering rate (eGFR) (read by the checks) from the sidebar		61.0 (from the sidebar)	62.1 (from the sidebar)	·	≥ 60	mL/min/1.73 m²
Urea nitrogen (BUN)		20	22 H	·	7–20	mg/dL

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

1 to look at before you sign · 4 checked

Needs a look Kidney function over time

The two filtering-rate equations give different answers for these results (2021 equation: threshold not met; 2009 equation: threshold met, G3a). The tool does not choose.

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Show all (4)

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

Glucose and HbA1c Agrees 2

Agrees Glucose and HbA1c (intermediate range) Draft · pending review

The note says Prediabetes, and HbA1c 6 % on 2026-11-12 13:05 meets the published definition's criteria for the category “intermediate range (HbA1c 5.7 to 6.4%, fasting glucose 100 to 125 mg/dL, or 2-hour glucose 140 to 199 mg/dL)” (ada2026_prediabetes@1.0).

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

Show 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

Threshold for this category (ada2026_prediabetes@1.0): 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.
Agrees Glucose and HbA1c Draft · pending review

HbA1c 6 % on 2026-11-12 13:05: in the category “None” of ada2026_diabetes@1.0; the note doesn't mention this. Nothing to review.

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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.

Cholesterol Agrees

Agrees LDL cholesterol Draft · pending review

The note says Hyperlipidemia, and LDL 204 mg/dL on 2026-11-12 13:05 meets the published definition's criteria for the category “LDL 190 mg/dL or more” (aha2018_severe_hypercholesterolaemia@1.0).

Another published definition (atp3_ldl@1.0) gives the category “LDL 190 mg/dL or more ('very high')”.

Show in the note Show the results

Published definition and source

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol
aha2018_severe_hypercholesterolaemia@1.0

Severe Hypercholesterolemia (LDL-C ≥190 mg/dL [≥4.9 mmol/L])

American Heart Association / American College of Cardiology and partner societies · edition 2018 (Circulation 2019;139:e1082-e1143, author manuscript PMC7403606) · Section 4.2 heading; Top 10 Take-Home Message 4 · opened 2026-11-14 · source

Threshold for this category (aha2018_severe_hypercholesterolaemia@1.0): LDL ≥ 190 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
ada2026_prediabetes@1.0 draft, pending review · source
aha2018_severe_hypercholesterolaemia@1.0 draft, pending review · source
ada2026_diabetes@1.0 draft, pending review · source

Record

Check RUN-00013 · kidney-engine 2.0 · replay 72c0007565e5…. Data for this sidebar (JSON).

Library check LRUN-00013 · library_default_set@1.0 · library-engine 1.0 · replay 6affe6074e8e….

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