✎ 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
Creatinine change during this stay
Creatinine rose by 0.4 mg/dL within 24 hours during this stay (peak 1.6 mg/dL); the note doesn't mention a change in kidney function.
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∅ Not assessable
Kidney function over time
Could not check kidney function: there is no usable creatinine result outside an acute change.
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● Needs a look
Potassium
Draft · pending review
Potassium 5.8 mmol/L on 2026-11-12 15:00 meets the published definition's criteria for the category “'mild' band (5.5 to 5.9 mmol/L)” (ukka2026_hyperkalaemia@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
Clinical Practice Guidelines: Treatment of Acute Hyperkalaemia in Adults
ukka2026_hyperkalaemia@1.0
It is further classified by severity into mild (5.5-5.9 mmol/l), moderate (6.0-6.4 mmol/l) or severe (≥ 6.5 mmol/l).
UK Kidney Association · edition updated July 2026 · Introduction, document page 9 (PDF page 10) · opened 2026-11-14
· source
Threshold for this category (ukka2026_hyperkalaemia@1.0): potassium ≥ 5.5 mmol/L and potassium < 6 mmol/L.
Draft definition: pending clinical and coding review.
Show all (4)
1 more, grouped by what was measured. At most three are shown above at once.
Lactate
◆ Needs your clinical judgement
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◆ Needs your clinical judgement
Lactate
Draft · pending review
Lactate 2.6 mmol/L on 2026-11-11 15:10: the record shows these values; this needs your clinical judgement (sepsis3_septic_shock_lactate@1.0 uses them as one part of a wider clinical picture, category “lactate above 2 mmol/L”).
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Published definition and source
The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)
sepsis3_septic_shock_lactate@1.0
persisting hypotension requiring vasopressors to maintain MAP ≥65 mm Hg and having a serum lactate level >2 mmol/L (18mg/dL) despite adequate volume resuscitation
Society of Critical Care Medicine and European Society of Intensive Care Medicine task force (JAMA 2016;315:801-810) · edition 2016 · Box 3 'New Terms and Definitions' · opened 2026-11-14
· source
Threshold for this category (sepsis3_septic_shock_lactate@1.0): lactate > 2 mmol/L.
Draft definition: pending clinical and coding review.
Details
Thresholds
- Creatinine change during this stay: Threshold: creatinine up by 0.3 mg/dL within 48 hours, or to 1.5 times an earlier value. Urine output is not checked.
- 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) · sourceukka2026_hyperkalaemia@1.0
draft, pending review · sourcesepsis3_septic_shock_lactate@1.0
draft, pending review · source
Record
Check RUN-00015 · kidney-engine 2.0 · replay
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Data for this sidebar (JSON).
Library check LRUN-00015 · library_default_set@1.0 · library-engine 1.0 · replay
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