✎ Clinician-typed
This draft, as declared by the source system
Nothing needs a look · 2 checked
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✓ Agrees
Kidney function over time
The note says CKD 3a
and two results 150 days apart agree (G3a range, filtering rate 55.1 on 2026-06-14 and 52.2 on 2026-11-11).
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1 more, grouped by what was measured. At most three are shown above at once.
Blood pressure
✓ Agrees
-
✓ Agrees
Blood pressure readings
Draft · pending review
The note says Hypertension
, and blood pressure 130/78 mmHg on 2026-11-11 09:05 meets the published definition's criteria for the category “stage 1 range (130 to 139 systolic, or 80 to 89 diastolic)” (nhlbi_bp_categories@1.0).
Another published definition (esc2024_office_bp@1.0) gives the category “office 120 to 139 systolic or 70 to 89 diastolic”.
Published bodies disagree on these thresholds; another definition may give a different answer.
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Published definition and source
High Blood Pressure — Diagnosis
nhlbi_bp_categories@1.0
Normal: Less than 120 systolic AND Less than 80 diastolic; Elevated: 120 to 129 AND Less than 80; Stage 1: 130 to 139 OR 80 to 89; Stage 2: 140 or higher OR 90 or higher; Hypertensive Crisis: Higher than 180 OR Higher than 120
National Heart, Lung, and Blood Institute (U.S. National Institutes of Health) · edition page last updated June 26, 2025 · Blood pressure categories table · opened 2026-11-14
· source
Threshold for this category (nhlbi_bp_categories@1.0): systolic ≥ 130 mmHg and systolic < 140 mmHg or diastolic ≥ 80 mmHg and diastolic < 90 mmHg.
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) · 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) · sourcenhlbi_bp_categories@1.0
draft, pending review · source
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