Ines Westbrook · Notes · Demo Health Record (demonstration)

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

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Transplant follow-up note

Unsigned draft

Type: Clinic visit
Date: 2026-11-10 10:00
Author: Dr. Imogen Vale
Status: Unsigned draft
Drafted by: Clinician-typed

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Transplant follow-up. S: No fevers. Good adherence. O: BP 126/78. Graft site non-tender. A/P: 1. Kidney transplant in 2021: tacrolimus level in range, continue. 2. Hypertension: continue amlodipine.

Visit diagnoses (as entered by the clinician)

None entered yet for this visit.

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

1 to look at before you sign · 3 checked

Not assessable Kidney function over time

Could not check kidney function: kidney transplant is on record, and the filtering-rate equation is not reliable then.

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Needs a look Haemoglobin Draft · pending review

Haemoglobin 104 g/L on 2026-11-10 09:05 meets the published definition's criteria for the category “'moderate' band” (who2024_anaemia@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

Guideline on haemoglobin cutoffs to define anaemia in individuals and populations
who2024_anaemia@1.0

Table 3: Adults, 15–65 years, nonpregnant women: No anaemia ≥120; Mild 110–119; Moderate 80–109; Severe <80. Adults, 15–65, years men: ≥130; 110–129; 80–109; <80 (g/L)

World Health Organization · edition 2024 · Executive summary: Table 2 (PDF page 12), Table 3 (PDF page 13), Table 4 (PDF page 14), Table 5 (PDF page 15) · opened 2026-11-14 · source

Threshold for this category (who2024_anaemia@1.0): haemoglobin ≥ 80 g/L and haemoglobin < 110 g/L.

Draft definition: pending clinical and coding review.

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Reason in your words (needed for "Other")

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

Blood pressure Not assessable

Not assessable Blood pressure readings Draft · pending review

The note says Hypertension; it could not be checked against nhlbi_bp_categories@1.0: there is no blood pressure result in the last 365 days.

Another published definition (esc2024_office_bp@1.0) cannot decide: there is no usable blood pressure result.

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

Show in the note

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

Categories that count (nhlbi_bp_categories@1.0): range above 180 systolic or above 120 diastolic (systolic > 180 mmHg or diastolic > 120 mmHg); stage 2 range (140 or more systolic, or 90 or more diastolic) (systolic ≥ 140 mmHg or diastolic ≥ 90 mmHg); stage 1 range (130 to 139 systolic, or 80 to 89 diastolic) (systolic ≥ 130 mmHg and systolic < 140 mmHg or diastolic ≥ 80 mmHg and diastolic < 90 mmHg); elevated range (120 to 129 systolic and below 80 diastolic) (systolic ≥ 120 mmHg and systolic < 130 mmHg and diastolic < 80 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) · 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
who2024_anaemia@1.0 draft, pending review · source
nhlbi_bp_categories@1.0 draft, pending review · source

Record

Check RUN-00022 · kidney-engine 2.0 · replay 608acc46306e…. Data for this sidebar (JSON).

Library check LRUN-00022 · library_default_set@1.0 · library-engine 1.0 · replay 1996f5ba5c7a….

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