P27 KE-P27 · outpatient 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-00027 · library_default_set@1.0 · library-engine 1.0 · replay 31c95a0242a502ea… · Data (JSON)

Condition families for this encounter (1)
Condition family	What the record supports	What the note states	Visit diagnosis entries	Assessment
Hypertension measured	`nhlbi_bp_categories@1.0` Draft · pending review Not assessable: no reading with all of bp_systolic_office, bp_diastolic_office recorded at the same time; no usable bp_diastolic_office measurement; no usable bp_systolic_office measurement Window: 365 days before the check. Another published definition (`esc2024_office_bp@1.0`) gives: not assessable. Citation Adult blood pressure categories: normal, elevated, stage 1, stage 2 (NHLBI, as in the 2017/2025 ACC/AHA guidelines) 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), High Blood Pressure — Diagnosis (2025) · Blood pressure categories table · source Contested: European guidelines define hypertension at 140/90 (ESC 2024, encoded separately as esc2024_office_bp) while AHA/ACC use 130/80. Not encoded: Measurement technique (seated, rested, correct cuff), averaging of several readings per visit, out-of-office (home, ambulatory) thresholds, white-coat and masked hypertension are not encoded. The 2025 AHA/ACC guideline's own table was not opened; the categories are taken from the NHLBI page. Children and adolescents are not covered (population limited to 18 and older as an interpretation).	Hypertension	None entered	Cannot be assessed no_value
Code-family reference: Hypertension Coders only reference for coders — the clinician's documented statement governs; the software does not assign codes `I10` Essential (primary) hypertension: distinguishes essential (primary) hypertension (one code); hypertension with heart or kidney disease uses I11-I13 (1 codes in the category). `I10` Essential (primary) hypertension `R03` Abnormal blood-pressure reading, without diagnosis: distinguishes R03.0 elevated blood-pressure reading without diagnosis of hypertension; R03.1 nonspecific low reading (2 codes in the category). `R03.0` Elevated blood-pressure reading, without diagnosis of hypertension `R03.1` Nonspecific low blood-pressure reading Source: official ICD-10-CM FY2027 code descriptions (extract in library/data/code_reference_fy2027.json).