June Yarrow · Notes · Demo Health Record (demonstration)

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

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Clinic visit note

Unsigned draft

Type: Clinic visit
Date: 2026-11-12 11:00
Author: Dr. Imogen Vale (ambient scribe draft)
Status: Unsigned draft
Drafted by: AI-drafted

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Chief complaint: routine prenatal visit at 28 weeks. History of present illness: The patient reports good fetal movement and no headaches or visual changes. Exam: Blood pressure 112/70. Fundal height appropriate. Assessment and plan: 1. Pregnancy at 28 weeks, progressing well. Glucose screening today. 2. Iron supplement continued.

The note does not mention this.

Visit diagnoses (as entered by the clinician)

None entered yet for this visit.

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AI-drafted This draft, as declared by the source system

Nothing needs a look · 2 checked

Not assessable Kidney function over time

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

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The note does not mention this.

Show all (2)

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

Blood count and iron Not assessable

Not assessable Haemoglobin Draft · pending review

Haemoglobin: could not check against who2024_anaemia@1.0: pregnancy trimester is not recorded. Results: haemoglobin 102 g/L on 2026-11-12 09:05.

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

Categories that count (who2024_anaemia@1.0): 'severe' band (haemoglobin < 70 g/L); 'moderate' band (haemoglobin ≥ 70 g/L and haemoglobin < 100 g/L); 'mild' band (haemoglobin ≥ 100 g/L and haemoglobin < 110 g/L).

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

Record

Check RUN-00023 · kidney-engine 2.0 · replay d3b80d6a801d…. Data for this sidebar (JSON).

Library check LRUN-00023 · library_default_set@1.0 · library-engine 1.0 · replay 0f97cdb09d9c….

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