Linus Ambry · Notes · Demo Health Record (demonstration)

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

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Telephone encounter

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Type: Telephone encounter
Date: 2026-10-15 11:20
Author: Mara Ellison, RN
Status: Signed 2026-10-15 11:32

Patient called to confirm the upcoming appointment and to request a refill of latanoprost 0.005% eye drops. Refill sent to the pharmacy on file per protocol. Advised to bring all medication bottles to the visit.

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Clinician-typed 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 yet: there are not two results at least 90 days apart.

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Not assessable Creatinine change during this stay

Could not check the creatinine change: there is no result from before this stay, and creatinine did not rise or fall enough during it.

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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.
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.

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

Record

Check RUN-00025 · kidney-engine 2.0 · replay 1c2451784d14…. Data for this sidebar (JSON).

Library check LRUN-00025 · library_default_set@1.0 · library-engine 1.0 · replay b7f038166890….

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