P14 KE-P14 · inpatient visit

One row per condition family: what the record supports under the published definition, what the note states, the visit's diagnosis entries, and an assessment. Codes are coded from the signed documentation; the software never assigns one.

Library check LRUN-00014 · library_default_set@1.0 · library-engine 1.0 · replay 930e4d37f3107cb6… · Data (JSON)

Draft query: Hyponatraemia

Blocked by the query linter

A non-leading clarification request: clinical indicators with their sources, an open question, several options plus "other" and "unable to determine". No code and no payment word; the same indicators cannot be queried twice.

DOCUMENTATION QUERY (draft) for KE-P14 · sodium
Title: Clarification request: sodium results
Encounter: KE-P14   Patient: P14   To: author of the draft note
From: (no named sender: sign in to send)
Date: 2026-11-13   Rule versions: ese2014_hyponatraemia@1.0, library_default_set@1.0   Check run: LRUN-00014

Clinical indicators from the health record:
- Sodium 131 mmol/L (2026-11-11 06:00) [measurement LM-P14-03]

Question:
Based on your independent clinical judgement, how would you describe the clinical significance of the sodium results listed above?

Response options (select one or write your own):
( ) Hyponatremia
( ) Not clinically significant for this encounter
( ) Other (please specify): ____________
( ) Unable to determine

Please respond based on your independent clinical judgement. Any response, including "unable to determine", is acceptable. This query and your response are kept as part of the health record.

error · no_sender: A query needs a named human sender (sign in).

Condition families for this encounter (1)
Condition family	What the record supports	What the note states	Visit diagnosis entries	Assessment
Hyponatraemia measured	`ese2014_hyponatraemia@1.0` Draft · pending review Hyponatraemia (serum sodium <135 mmol/L) sodium serum 131 mmol/L 2026-11-11 06:00 · LM-P14-03 Window: 14 days before the check. Citation Hyponatraemia, presence only (ESE/ESICM/ERA-EDTA 2014) ese2014_hyponatraemia@1.0 Hyponatraemia, defined as a serum sodium concentration <135 mmol/l European Society of Intensive Care Medicine, European Society of Endocrinology and European Renal Association – European Dialysis and Transplant Association (ERBP), Clinical practice guideline on diagnosis and treatment of hyponatraemia (2014) · Abstract · source Not encoded: The guideline's severity bands (mild, moderate, profound) and its acute (<48 h) versus chronic classification: the full text could not be opened (publisher pages refused or errored), so they are not encoded. See the catalogue entry ese2014_hyponatraemia_severity. Correction for hyperglycaemia, measurement artefacts (pseudohyponatraemia) and symptoms are not assessed.	Not stated	None entered	The record supports it; neither stated in the note nor entered Draft a query
Code-family reference: Hyponatraemia Coders only reference for coders — the clinician's documented statement governs; the software does not assign codes `E87` Other disorders of fluid, electrolyte and acid-base balance: distinguishes E87.1 hypo-osmolality and hyponatremia (one code; no severity axis) (14 codes in the category). `E87.0` Hyperosmolality and hypernatremia `E87.1` Hypo-osmolality and hyponatremia `E87.20` Acidosis, unspecified `E87.21` Acute metabolic acidosis `E87.22` Chronic metabolic acidosis `E87.29` Other acidosis `E87.3` Alkalosis `E87.4` Mixed disorder of acid-base balance `E87.5` Hyperkalemia `E87.6` Hypokalemia `E87.70` Fluid overload, unspecified `E87.71` Transfusion associated circulatory overload `E87.79` Other fluid overload `E87.8` Other disorders of electrolyte and fluid balance, not elsewhere classified Source: official ICD-10-CM FY2027 code descriptions (extract in library/data/code_reference_fy2027.json).