Units accepted for creatinine and urine albumin-to-creatinine ratio, and their conversion
Put every creatinine result in the same unit, and set aside impossible values.
- Rule and version
lab_units@1.1- Published source
- Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease, Kidney Int Suppl 2013;3:1-150, and the 2024 update, Kidney Int 2024;105(4S):S117-S314 (unit conversion notes). Factors follow from the molar mass of creatinine (113.12 g/mol). To be confirmed against the guideline text by the clinical reviewer before release. https://kdigo.org/guidelines/ckd-evaluation-and-management/
- Edition
- KDIGO 2012 and 2024 guidelines, unit conversion (creatinine 1 mg/dL = 88.4 umol/L; ACR 1 mg/mmol = 8.84 mg/g)
- Effective
- from 2026-11-12
- Role
- normalise every lab value to the unit the equations and thresholds use; rows in any other unit are not used and are listed
- Status
- draft: encoded from the published source; not yet signed off by a clinical reviewer
- Clinical reviewer
- —
- Coding reviewer
- —
- Sponsor
- none
- Body hash
a53d26a712b0777f23b4b72dff9d65a8567ca57dadd924bc1ecf0cebc9ac2b18
Thresholds and parameters
{
"acr": {
"canonical": "mg/g",
"decimals": 2,
"loinc": "9318-7",
"multiply_by": {
"mg/g": 1.0,
"mg/g{creat}": 1.0,
"mg/mmol": 8.84,
"mg/mmol{creat}": 8.84
}
},
"creatinine": {
"canonical": "mg/dL",
"decimals": 4,
"divide_by": {
"mg/dL": 1.0,
"mg/dl": 1.0,
"umol/L": 88.4,
"umol/l": 88.4,
"\u00b5mol/L": 88.4,
"\u03bcmol/L": 88.4
},
"loinc": "2160-0"
},
"duplicates": "LOCAL CONVENTION: an identical record repeated is used once; records with the same collection time, test and value under different row ids are used once (lowest row id kept); two different records under one row id are both set aside as a data conflict",
"plausibility": "creatinine outside 0.1-25 mg/dL after conversion is set aside and listed, not used",
"plausible_range": {
"creatinine": [
0.1,
25.0
]
}
}
Boundary tests: 4/4 pass
- pass · 132.6 umol/L: expected 1.5, got 1.5
- pass · 1.2 mmol/L: expected rejected (unit)
- pass · 40 mg/dL: expected rejected (implausible)
- pass · 5 mg/mmol: expected 44.2, got 44.2