✦ AI-drafted
This draft, as declared by the source system
1 to look at before you sign · 2 checked
-
● Needs a look
Kidney function over time
The note says Chronic kidney disease stage 4
; two results 118 days apart are in the G3a range (filtering rate 51.5 on 2026-07-17 and 47.6 on 2026-11-12), not the stage written.
¶ Show in the note
▦ Show the results
Show all (2)
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) · 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
Record
Check RUN-00027 · kidney-engine 2.0 · replay
2328b0338ac8….
Data for this sidebar (JSON).
Library check LRUN-00027 · library_default_set@1.0 · library-engine 1.0 · replay
31c95a0242a5….