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

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Results by collection date, newest first; rows from the sidebar are marked
Test	Trend	2026-11-1207:00	2026-11-1110:00	2026-09-1209:00	2026-08-0309:00	2026-04-2509:00	Reference	Unit
Other results
HbA1c (read by the checks)		·	·	8.2 H	·	8 H	4–5.6	%

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 · 6 checked

Needs a look Creatinine change during this stay

Creatinine rose by 2.1 mg/dL within 21 hours during this stay (peak 3.9 mg/dL); the note doesn't mention a change in kidney function.

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Agrees Kidney function over time

The note says CKD 3b and two results 100 days apart agree (G3b range, filtering rate 40.6 on 2026-04-25 and 39.3 on 2026-08-03).

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Needs a look Low glucose values Draft · pending review

Glucose 62 mg/dL on 2026-11-12 06:00 meets the published definition's criteria for the category “level 1 (glucose 54 to below 70 mg/dL)” (ada2026_hypoglycaemia@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

6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes—2026
ada2026_hypoglycaemia@1.0

Level 1: Glucose <70 mg/dL (<3.9 mmol/L) and ≥54 mg/dL (≥3.0 mmol/L). Level 2: Glucose <54 mg/dL (<3.0 mmol/L). Level 3: A severe event characterized by altered mental and/or physical status requiring assistance for treatment of hypoglycemia

American Diabetes Association Professional Practice Committee · edition 2026 (Diabetes Care 2026;49 Suppl 1) · Table 6.4 Classification of hypoglycemia · opened 2026-11-14 · source

Threshold for this category (ada2026_hypoglycaemia@1.0): glucose ≥ 54 mg/dL and glucose < 70 mg/dL.

Draft definition: pending clinical and coding review.

Dismiss with a reason

Reason in your words (needed for "Other")

Show all (6)

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

Sodium and potassium Agrees

Agrees Potassium Draft · pending review

Potassium 5.3 mmol/L on 2026-11-12 07:00: in the category “below 5.5 mmol/L” of ukka2026_hyperkalaemia@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

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

Categories that count (ukka2026_hyperkalaemia@1.0): 'severe' band (6.5 mmol/L or more) (potassium ≥ 6.5 mmol/L); 'moderate' band (6.0 to 6.4 mmol/L) (potassium ≥ 6 mmol/L and potassium < 6.5 mmol/L); 'mild' band (5.5 to 5.9 mmol/L) (potassium ≥ 5.5 mmol/L and potassium < 6 mmol/L).

Draft definition: pending clinical and coding review.

Glucose and HbA1c Agrees 2

Agrees Glucose and HbA1c Draft · pending review

The note says diabetes, and HbA1c 8.2 % on 2026-09-12 09:00 meets the published definition's criteria for the category “two results at or above the diagnostic thresholds” (ada2026_diabetes@1.0).

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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

Threshold for this category (ada2026_diabetes@1.0): number of qualifying results ≥ 2.

Draft definition: pending clinical and coding review.
Agrees Glucose and HbA1c (intermediate range) Draft · pending review

HbA1c 8.2 % on 2026-09-12 09:00: 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

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) · 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_hypoglycaemia@1.0 draft, pending review · source
ada2026_diabetes@1.0 draft, pending review · source
ukka2026_hyperkalaemia@1.0 draft, pending review · source
ada2026_prediabetes@1.0 draft, pending review · source

Record

Check RUN-00016 · kidney-engine 2.0 · replay 8a72ad4b8c26…. Data for this sidebar (JSON).

Library check LRUN-00016 · library_default_set@1.0 · library-engine 1.0 · replay df3873637fe8….

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