P15 KE-P15 · 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-00015 · library_default_set@1.0 · library-engine 1.0 · replay 7ec5fd4e26dc2335… · Data (JSON)

Condition families for this encounter (2)
Condition family	What the record supports	What the note states	Visit diagnosis entries	Assessment
Hyperkalaemia measured	`ukka2026_hyperkalaemia@1.0` Draft · pending review Mild hyperkalaemia (5.5–5.9 mmol/L) potassium serum 5.8 mmol/L 2026-11-12 15:00 · LM-P15-02 Window: 14 days before the check. Citation Hyperkalaemia and its severity (UK Kidney Association, July 2026 update) ukka2026_hyperkalaemia@1.0 It is further classified by severity into mild (5.5-5.9 mmol/l), moderate (6.0-6.4 mmol/l) or severe (≥ 6.5 mmol/l). UK Kidney Association, Clinical Practice Guidelines: Treatment of Acute Hyperkalaemia in Adults (2026) · Introduction, document page 9 (PDF page 10) · source Contested: The guideline itself says 'There is no universally accepted definition of hyperkalaemia'; it adopts the ERC threshold of 5.5 mmol/L. CTCAE grades differ (see ctcae6_hyperkalaemia). Not encoded: Pseudohyperkalaemia (guideline 15.3: haemolysis, delayed analysis, sampling technique) is not detected; a haemolysed sample is graded like any other unless the sender withholds it. Acute versus chronic (persistent) hyperkalaemia and the guideline's repeat-testing intervals (guidelines 1.2.1-1.2.3) are not encoded. ECG changes and clinical context are not assessed.	Not stated	None entered	The record supports it; neither stated in the note nor entered Draft a query
Code-family reference: Hyperkalaemia 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 E87.5 hyperkalemia (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).
Septic shock (lactate component) judgement tier	`sepsis3_septic_shock_lactate@1.0` Draft · pending review Lactate >2 mmol/L (18 mg/dL): the Sepsis-3 septic-shock lactate criterion is met lactate serum 2.6 mmol/L 2026-11-11 15:10 · LM-P15-03 Window: 7 days before the check. Citation Serum lactate above the Sepsis-3 septic-shock threshold (numeric component only) sepsis3_septic_shock_lactate@1.0 persisting hypotension requiring vasopressors to maintain MAP ≥65 mm Hg and having a serum lactate level >2 mmol/L (18mg/dL) despite adequate volume resuscitation Society of Critical Care Medicine and European Society of Intensive Care Medicine task force (JAMA 2016;315:801-810), The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) (2016) · Box 3 'New Terms and Definitions' · source Not encoded: Septic shock also requires sepsis (suspected or documented infection with an acute increase in SOFA ≥2), persisting hypotension requiring vasopressors to maintain MAP ≥65 mm Hg, and adequate volume resuscitation; none of these is assessed. This entry never says septic shock is present. Timing of the lactate relative to resuscitation is not checked; the most recent value is used.	Not stated	None entered	Cannot be assessed judgement tier: the record shows these values; the condition needs clinical judgement
Code-family reference: Septic shock (lactate component) Coders only reference for coders — the clinician's documented statement governs; the software does not assign codes Source: official ICD-10-CM FY2027 code descriptions (extract in library/data/code_reference_fy2027.json).